Nursing Care Plan Assessment Subjective: Masakit ang tahi ko, as verbalized by the patient.

Objective: (+) facial grimace (+) fatigue -VS taken as follows: BP- 100/70 T- 36.1 RR- 21 cpm PR- 69 bpm Diagnosis
Acute pain related to disruption of skin, tissue, and muscle integrity.

Planning After 8 hours of nursing intervention, the pain will be relieved or controlled.

Intervention Independent: -Evaluate pain in scale of 0-10 regularly and noting the intensity and location. -Schedule for adequate rest periods. -Identify specific activity limitations. -Reposition as indicated. Dependent: -Administer analgesic drugs as prescribed or ordered by the doctor.

Rationale -Provides information about need for effectiveness.

Evaluation After 8 hours of nursing intervention, the pain was relieved and/or controlled.

-Prevents fatigue and conserves energy healing. -Prevents undue strain on operative site. -May relieve pain and enhance circulation. -To relieve pain.

DRUG STUDY DRUG Dose/Route Frequency 75mg q 6h x 24h Action Indication Contraindication Nursing Responsibilities

Diclofenac

Analgesic action, available as the both potassium (immediaterelease) and sodium (delayedrelease) salts. Competitively inhibits gastric acid secretion by blocking the effect of histamine on histamine H2 receptors.

Onset in 30 min and peak plasma levels in 1 hour.

Contraindicated Ensure that drug with wearers of is administered in soft contact lenses. low doses for an analgesic effect.

Ranitidine

50mg q 5h x 24h

Short term (48wks) and maintenance treatment of duodenal ulcer.

Cirrhosis of the liver, impaired renal and hepatic function

Give antacids concomitantly for gastric pain although they may interfere with ranitidine absorption. Asses stomach pain, noting characteristics, frequency of occurrence and things that alter it. Document type, onset and characteristics of symptoms. Take

Ampicillin

500mg q 6h

Synthetic, broad spectrum antibiotic suitable for gram-negative

Absorbed more slowly than other penicillins. From 30-60% of PO des

bacteria

absorbed from GI tract.

1hr or 2hr after meals. Take for the prescribed number of days even if the symptoms subside.