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The College of Maasin

College of Nursing

DRUG STUDY

Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson

DRUG BRAND MECHANISM OF ADVERSE EFFECTS NURSING


ORDERED NAME ACTION INDICATION CONTRAINDICATION CONSIDERATIONS

Methyldopa Nu – Medopa Mechanism of action • Hypertension • Contraindicated with CNS: Sedation, headache, • Take the drug exactly
not exclusively • Unlabeled use: hypersensitivity to asthenia, weakness, dizziness, as prescribed, it is
demonstrated; Hypertension methyldopa, active light headedness, symptoms of important not to miss
probably due to of pregnancy hepatic disease, cerebrovascular insufficiency, doses
drug’s metabolism previous methyldopa paresthesias, parkinsonism, • Discontinue drug if
to alpha- methyl associated with liver Bell’s palsy,  mental acuity, fever appears as
norepinephrine, disorders. involuntary choreoathetotic ordered
which lowers arterial • Use cautiously with movements, psychic • Monitor blood counts
BP by stimulating previous liver disease, disturbances. periodically to detect
CNS alpha2- renal failure, dialysis, CV: Bradycardia, prolonged hemolytic anemia
adrenergic receptors, bilateral carotid sinus hypersensitivity, • Discontinue therapy if
which in turn cerebrovascular aggravation of angina pectoris, involuntary
decreases disease, pregnancy, paradoxical pressor response, choreothetic
sympathetic outflow lactation orthostatic hypotension, edema movements occur
from the CNS. DERMATOLOGIC: rash seen • Discontinue if edema
as eczema or lichenoid progresses or signs of
eruption, toxic epidermal CHF occur
necrolysis fever, lupuslike • Monitor BP carefully
syndrome • Encourage to report
ENDOCRINE: breast unexplained, prolonged
enlargement, gynecomastia, general tiredness
lactation, hyperprolactinemia,
amenorrhea, galactorrhea,
impotence, failure to ejaculate,
 to ejaculate
GI: nausea, vomiting,
distension, constipation, flatus,
diarrhea, colitis, dry mouth,
sore or black tongue,
pancreatitis, sialadenitis,
abnormal liver function tests,
jaundice, hepatitis, hepatic
necrosis
HEMATOLOGIC: Positive
Coombs’ test, hemolytic
anemia, bone marrow
depression, leucopenia,
granulocytopenia,
thrombocytopenia, positive
tests for antinuclear antibody,
lupus-like syndrome, and
rheumatoid facto
OTHER: Nasal stuffiness, mild
arthralgia, myalgia, septic
shock – like symdrome
The College of Maasin
College of Nursing

DRUG STUDY

Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson

DRUG BRAND MECHANISM OF ADVERSE EFFECTS NURSING


ORDERED NAME ACTION INDICATION CONTRAINDICATION CONSIDERATIONS

Hydralazine Apresoline Acts directly on Oral: essential • Contraindicated with CNS: headache, peripheral • Give oral drug with food
Hydrochloride vascular smooth hypertension alone hypersensitivity to neuritis, dizziness, tremors; to increase availability
muscle to cause or in combination hydralazine, psychotic reactions • Encouraged the ptx to
vasodilatation, with other drugs tartrazine; CAD mitral characterized by depression, take drugs as prescribed
primarily arteriolar; valvular rheumatic disorientation, or anxiety • Inform that the
maintains or  renal heart disease CV: palpitations, nausea, medication may let her
and cerebral blood • Sever hypertension vomiting, diarrhea, experience some side
flow. with uremia, lactation, constipation, paralytic ileus effects such as dizziness,
pregnancy, pulmonary GU: impotence weakness, GI upset;
hypertension HEMATOLOGIC: blood constipation, impotence;
dyscrasias numbness, tingling and
HYPErSENSITIVITY: rash, stuffy nose
urticaria, pruritus; fever, chills, • Encouraged to report
arthralgia, eosiophilia ; rarely, persistent or severe
hepatitis and obstructive constipation; unexplained
jaundice fever or malaise, muscle
OTHER: nasal congestion, or joint aching; chest
flushing, edema, muscle pain; rash; numbness,
cramps, dyspnea tingling
The College of Maasin
College of Nursing

DRUG STUDY

Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson

DRUG BRAND MECHANISM OF ADVERSE EFFECTS NURSING CONSIDERATIONS


ORDERED NAME ACTION INDICATION CONTRAINDICATION

Mefenamic acid Mefenamic Anti- inflammatory, • Relief of • Contraindicated with CNS: headache, • Give milk or food to  GI
Acid anlgesics, and moderate pain hypersensitivity to dizziness, somnolence, upset
antipyretic activities r/t when therapy mefenamic acid and insomnia, fatigue, • Arrange for periodic
inhibition of will not aspirin allergy tiredness, ophthalmologic
prostaglandin synthesis; exceeded 1 • Use cautiously with DERMATOLOGIC: examinations during long
exact mechanisms of wk. asthma, renal failure or rash, pruritus, sweating, term therapy
action are not known. • Treatment of liver dysfunction, dry mucous • Advice ptx. to take drug
primary peptic ulcer disease, GI membranes, stomatitis with food
dysmenorrhea bleeding, hypertension, GI: nausea, vomiting, • Encouraged to discontinue
CHF,pegnancy, constipation, flatulence, drug and consult health
lactation dyspepsia, GI pain, care provider if rash,
diarrhea diarrhea, or digestive
problems occur
• Ask to report dizziness or
drowsiness
• Encouraged to report if
sore throat, fever, rash,
itching, weight gain,
swelling in ankles or
fingers; changes in vision;
black tarry stools; sever
diarrhea occurred.
The College of Maasin
College of Nursing

NURSING CARE PLAN

Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson

CUES NURSING PLANNING NURSING INTERVENTION RATIONALE EVALUATION


(SUBJECTIVE/OBJECTIVE) DIAGNOSIS
Readiness for After 8 hours of • Monitor v/s • To determined After 8 hours of nursing
Subjective: enhanced coping nursing intervention the abnormalities intervention the patient
“ ok naman ko day,” as r/t surgical patient will be able to:  Bedside care • Help patient reduced was able to:
verbalized by the ptx. procedure • Maintain and activities and provided  Maintained
secondary to improved health comfort current health
Objective: NSVD as condition • Identify social supports available • Available support condition
• Conscious and evidenced by: • Identify to the client systems, such as family • Identified
coherent • conscious and effective coping can provide client with effective coping
• Breast engorged coherent behaviors ability to handle current behaviors
with milk flow, no • Breast currently being stressful events. currently being
lesions noted and engorged with used • Review coping strategies client • The desire to improve used
able to breastfeed milk flow, no • Verbalize is aware of and using one’s coping ability is  Verbalized
• Uterus firm and lesions noted feelings based on an awareness feelings
well contracted and able to congruent with of the current status of congruent with
• Bladder not breastfeed behavior the stressful situation. behavior
distended • Uterus firm • Assess level of anxiety and • Provides information to
• Able to sit, walk, and well coping on an ongoing basis develop plan of care
dress and eat by contracted • Active- listens and identifies • Determined accuracy
herself • Bladder not client’s perception of current of interventions needed
• Ambulate without distended status.
assistance • Able to sit, • Health teaching regarding:  Provide knowledge r/t
• v/s taken as walk, dress o Perineal care improved health
follows: and eat by o Proper nutrition condition
T: 37. 4 C herself o Proper rest
P: 85 bpm • Ambulate o Beastfeeding
R: 22 cpm without o Cordcare
BP: 170/110 mmHg assistance

The College of Maasin


College of Nursing

NURSING CARE PLAN

Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson

CUES NURSING PLANNING NURSING INTERVENTION RATIONALE EVALUATION


(SUBJECTIVE/OBJECTIVE) DIAGNOSIS
Decreased After 8 hours of  Monitor v/s • Determined the After 8 hours of nursing
Subjective: Cardiac output r/t nursing intervention the abnormalities intervention the patient
“taas lagi ahond dugo increased patient will be able to:  Review patient’s health and family • Identify the possible was able to:
day,” as verbalized by the pulmonary  Demonstrate an history caused of illness  Demonstrated an
patient. vascular increase in activity  Administer antihypertensive as • To improved the increase in activity
resistance tolerance ordered condition as possible tolerance
Objective: secondary to  Verbalize  Provide psychological support • Emotions may affect  Verbalized
 Edema on lower hypertension as knowledge of the the cardiac output knowledge of the
extremities evidenced by: disease  Provide information about the • To be able to disease
 Restlessness  Edema on  Identify signs of possible signs of hypertension determined by the  Identified signs of
 v/s taken as lower hypertension patient when to report hypertension
follows: extremities to the health care
T: 37. 4 C  BP: 150/100 provider
P: 85 bpm mmHg • Promote knowledge r/t
 Health teaching regarding
R: 22 cpm improved health
o Proper nutrition/ food
BP: 170/110 mmHg condition
restrictions
o Proper rest/relaxation
o Elevating the edematous
extremities