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BRAND NAME Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson NURSING CONSIDERATIONS • Take the drug exactly as prescribed, it is important not to miss doses Discontinue drug if fever appears as ordered Monitor blood counts periodically to detect hemolytic anemia Discontinue therapy if involuntary choreothetic movements occur Discontinue if edema progresses or signs of CHF occur Monitor BP carefully Encourage to report unexplained, prolonged general tiredness
MECHANISM OF ACTION
ADVERSE EFFECTS INDICATION Hypertension Unlabeled use: Hypertension of pregnancy CONTRAINDICATION • Contraindicated with hypersensitivity to methyldopa, active hepatic disease, previous methyldopa associated with liver disorders. Use cautiously with previous liver disease, renal failure, dialysis, bilateral cerebrovascular disease, pregnancy, lactation CNS: Sedation, headache, asthenia, weakness, dizziness, light headedness, symptoms of cerebrovascular insufficiency, paresthesias, parkinsonism, Bell’s palsy, mental acuity, involuntary choreoathetotic movements, psychic disturbances. CV: Bradycardia, prolonged carotid sinus hypersensitivity, aggravation of angina pectoris, paradoxical pressor response, orthostatic hypotension, edema DERMATOLOGIC: rash seen as eczema or lichenoid eruption, toxic epidermal necrolysis fever, lupuslike syndrome ENDOCRINE: breast enlargement, gynecomastia, lactation, hyperprolactinemia, amenorrhea, galactorrhea, impotence, failure to ejaculate, to ejaculate GI: nausea, vomiting,
Nu – Medopa Mechanism of action • not exclusively • demonstrated; probably due to drug’s metabolism to alpha- methyl norepinephrine, which lowers arterial BP by stimulating CNS alpha2adrenergic receptors, which in turn decreases sympathetic outflow from the CNS.
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hepatitis. myalgia. leucopenia. sore or black tongue. dry mouth. diarrhea. sialadenitis. pancreatitis. septic shock – like symdrome . thrombocytopenia. hemolytic anemia. abnormal liver function tests. flatus. and rheumatoid facto OTHER: Nasal stuffiness. lupus-like syndrome. hepatic necrosis HEMATOLOGIC: Positive Coombs’ test. constipation. jaundice.distension. colitis. granulocytopenia. mild arthralgia. bone marrow depression. positive tests for antinuclear antibody.
disorientation. lactation. rash. constipation. flushing.Henderson NURSING CONSIDERATIONS • • • Give oral drug with food to increase availability Encouraged the ptx to take drugs as prescribed Inform that the medication may let her experience some side effects such as dizziness. pulmonary hypertension CNS: headache. chills. muscle cramps. pruritus. fever. maintains or renal and cerebral blood flow. chest pain. muscle or joint aching. constipation. peripheral neuritis. vomiting. weakness. hepatitis and obstructive jaundice OTHER: nasal congestion. rarely. CAD mitral valvular rheumatic heart disease Sever hypertension with uremia.The College of Maasin College of Nursing DRUG STUDY Patient’s Name: Conato. tartrazine. Carolina Ordiz DRUG ORDERED Hydralazine Hydrochloride BRAND NAME Apresoline Ward: OB Ward Students Name: Pere. impotence. diarrhea. unexplained fever or malaise. GI upset. nausea. or anxiety CV: palpitations. psychotic reactions characterized by depression. tingling and stuffy nose Encouraged to report persistent or severe constipation. ADVERSE EFFECTS INDICATION Oral: essential hypertension alone or in combination with other drugs CONTRAINDICATION • Contraindicated with hypersensitivity to hydralazine. numbness. tremors. primarily arteriolar. Year Level & Section: BSN III. dizziness. paralytic ileus GU: impotence HEMATOLOGIC: blood dyscrasias HYPErSENSITIVITY: rash. tingling MECHANISM OF ACTION Acts directly on vascular smooth muscle to cause vasodilatation. dyspnea • • . edema. arthralgia. pregnancy. numbness. eosiophilia . Kristine W. urticaria.
lactation CNS: headache. diarrhea. or digestive problems occur Ask to report dizziness or drowsiness Encouraged to report if sore throat. hypertension. fatigue. tiredness. ADVERSE EFFECTS INDICATION Relief of moderate pain when therapy will not exceeded 1 wk. flatulence. sever diarrhea occurred. swelling in ankles or fingers. black tarry stools. dizziness.The College of Maasin College of Nursing DRUG STUDY Patient’s Name: Conato. dyspepsia. GI pain. pruritus. diarrhea • • • • • • .pegnancy. dry mucous membranes. Carolina Ordiz DRUG ORDERED Mefenamic acid BRAND NAME Mefenamic Acid Ward: OB Ward MECHANISM OF ACTION Anti. renal failure or liver dysfunction. CHF. rash. Treatment of primary dysmenorrhea CONTRAINDICATION • Contraindicated with hypersensitivity to mefenamic acid and aspirin allergy Use cautiously with asthma. constipation. fever. Kristine W. weight gain. changes in vision. • Students Name: Pere. insomnia. exact mechanisms of action are not known.inflammatory. GI bleeding. peptic ulcer disease. and antipyretic activities r/t inhibition of prostaglandin synthesis. sweating. itching. vomiting. DERMATOLOGIC: rash. anlgesics. Year Level & Section: BSN III.Henderson NURSING CONSIDERATIONS • • Give milk or food to GI upset Arrange for periodic ophthalmologic examinations during long term therapy Advice ptx. stomatitis GI: nausea. somnolence. to take drug with food Encouraged to discontinue drug and consult health care provider if rash.
Kristine W. such as family • Identified can provide client with effective coping ability to handle current behaviors stressful events. no • Breast currently being lesions noted and engorged with used able to breastfeed milk flow. Carolina Ordiz CUES Ward: OB Ward Students Name: Pere. dress follows: and eat by T: 37. currently being The desire to improve used one’s coping ability is Verbalized based on an awareness feelings of the current status of congruent with the stressful situation.The College of Maasin College of Nursing NURSING CARE PLAN Patient’s Name: Conato. • v/s taken as walk. procedure • Maintain and secondary to improved health Objective: NSVD as condition • Conscious and evidenced by: • Identify coherent • conscious and effective coping • Breast engorged coherent behaviors with milk flow. behavior Provides information to develop plan of care Determined accuracy of interventions needed Provide knowledge r/t improved health condition . NURSING INTERVENTION • • Monitor v/s Bedside care Identify social supports available to the client • • • Year Level & Section: BSN III. and well dress and eat by contracted herself • Bladder not • Ambulate without distended assistance • Able to sit. no • Verbalize • Uterus firm and lesions noted feelings well contracted and able to congruent with • Bladder not breastfeed behavior distended • Uterus firm • Able to sit. Health teaching regarding: o Perineal care o Proper nutrition o Proper rest • • To determined After 8 hours of nursing abnormalities intervention the patient Help patient reduced was able to: activities and provided Maintained comfort current health Available support condition systems.Henderson RATIONALE EVALUATION NURSING PLANNING (SUBJECTIVE/OBJECTIVE) DIAGNOSIS Readiness for After 8 hours of Subjective: enhanced coping nursing intervention the “ ok naman ko day.” as r/t surgical patient will be able to: verbalized by the ptx.listens and identifies client’s perception of current status. walk. 4 C herself • Review coping strategies client is aware of and using • • • • Assess level of anxiety and coping on an ongoing basis Active.
NURSING INTERVENTION Monitor v/s Review patient’s health and family history Administer antihypertensive as ordered Provide psychological support Provide information about the possible signs of hypertension • • • • • Year Level & Section: BSN III. 4 C P: 85 bpm R: 22 cpm BP: 170/110 mmHg NURSING DIAGNOSIS Decreased Cardiac output r/t increased pulmonary vascular resistance secondary to hypertension as evidenced by: Edema on lower extremities BP: 150/100 mmHg Ward: OB Ward PLANNING After 8 hours of nursing intervention the patient will be able to: Demonstrate an increase in activity tolerance Verbalize knowledge of the disease Identify signs of hypertension Students Name: Pere. Carolina Ordiz CUES (SUBJECTIVE/OBJECTIVE) Subjective: “taas lagi ahond dugo day. Kristine W.Henderson RATIONALE Determined the abnormalities Identify the possible caused of illness To improved the condition as possible Emotions may affect the cardiac output To be able to determined by the patient when to report to the health care provider Promote knowledge r/t improved health condition EVALUATION After 8 hours of nursing intervention the patient was able to: Demonstrated an increase in activity tolerance Verbalized knowledge of the disease Identified signs of hypertension Health teaching regarding o Proper nutrition/ food restrictions o Proper rest/relaxation o Elevating the edematous extremities • .” as verbalized by the patient.P: 85 bpm R: 22 cpm BP: 170/110 mmHg • Ambulate without assistance o Beastfeeding o Cordcare The College of Maasin College of Nursing NURSING CARE PLAN Patient’s Name: Conato. Objective: Edema on lower extremities Restlessness v/s taken as follows: T: 37.
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