UNIVERSITY OF CEBU – BANILAD COLLEGE OF NURSING DRUG STUDY Patient:Mr. R. B. O. Age: 29 yrs.

old Impression: Multiple Physical Injuries secondary to Motor vehicular Accident Allergy to: None Generic & Brand Name Dose, Strength & Formulation Indication/ Mechanisms Of Drug Action Indications: Temporary relief of pain and discomfort from headache, fever, cold, flu, minor muscular aches, overexertion, menstrual cramps, toothache, minor arthritic pain. Mechanism of Action: Paracetamol may cause analgesia by inhibiting CNS prostaglandin synthesis. The mechanism of Adverse/ Side Effects Drug Interactions Adverse Reaction Hematologic: hemolytic anemia, leukopenia, neutropenia, pancytopenia, thrombocytopenia. Hepatic: liver damage, jaundice Metabolic: hypoglycemia Skin: rash, urticuria Interactions: Barbiturates, carbamapezine, hydantoins, isoniazid, rifampin, sulfinpyrazone: Hospital No.: 070022437156 Room No.: A-701 Attending Physician(s): Dr. Christopher Ting Go

Nursing Responsibilities ASSESSMENT 1. Assess patient’s pain or temperature before therapy and regularly thereafter. (Student’s Drug Handbook, 2009: 101) 2, Asses patient’s drug history and calculate total daily dosage accordingly. (Student’s Drug Handbook, 2009: 101) 3. Be alert for signs of reactions and drug

Rationale

Client Teaching

Generic: Ordered: Paracetamol Give 1 tab by mouth Brand: 3x a day. Tylenol (Tylenol 650 mg tab) Classification: Timing: Analgesics 8 am ( Non1 pm opioid) 7 pm Antipyretics Duration: 4-6 hours Other forms: >Caplets: 165 mg, 500 mg,

1. To indicate baseline data and monitor drug’s effectiveness.

1. Tell patient not to use drug for fever that’s higher than 103.1 °F, lasts longer than 3 days, or recurs. 2Warn patient that high doses or unsupervised long-term use can cause liver damage. 3. Tell patient to keep track of daily drug intake, including OTC and prescription

2. To prevent over dosage that could lead to toxicity and liver damage.

3. To establish proper precautionary

Warfarin: May increase hypoprothrombinemic effect with long-term use of high doses. Avoid use together. 120 mg/5 ml >Gelcaps: 500 mg >Geltab: 500 mg morphine is believed to involve decreased permeability of the cell membrane to sodium. . 80 mg/5 ml. (Student’s Drug Handbook. • Deficient knowledge related to drug therapy. interactions. 4.5 mg. Tell a breastfeeding woman that drug appears in breast milk in levels less than 1% of dose. To determine the level of understanding of the patient and her family about the drug therapy medications. which results in diminished transmission of pain impulses therefore analgesia. 4. Monitor patient closely. Assess patient’s and family’s knowledge of drug therapy.650 mg >Caplets ER: 650 mg >Capsules: 5oo mg >Elixir: 80 mg/2. Zidovudine: May increase risk of bone marrow suppression because of impaired zidovudine metabolism. 2009: 101) 4. (Student’s Drug Handbook. Monitor PT and INR closely. Lamotrigine: Serum lamotrigine concentrations may be reduced and may decrease therapeutic effects. measures and management for possible adverse effects of drug. May reduce therapeutic effect and enhance hepatotoxic effects of acetaminophen with high doses or long-term use of these drugs. • Risk for injury related to druginduced liver damage with toxic doses. 2009: 101) NURSING DIAGNOSES • Acute pain related to patient’s underlying condition.

Asses patient’s drug history and calculate total daily dosage accordingly. (Student’s Drug Handbook. Other: Hypersensitivity reactions. GI: Abdominal pain. Clavulanic acid increase amoxicillin’s effectiveness by inactivating beta lactamases. ask about past allergic reactions before therapy and regularly thereafter. abdominal. To prevent over dosage that could lead to toxicity and liver damage. GUT. eosinophilia. To establish proper precautionary measures and management for possible adverse effects of drug. 62. leucopenia. vaginitis. Brand: (Natravox Augmentin 625 mg tab) Classification: Penicillins Timing: 8 am 1 pm 7 pm Duration: 6-8 hr Other forms: Chewable Tablets: 25 mg amoxicillin. (Student’s Drug Handbook. skin and soft tissues infection. 2. Be alert for signs of reactions and drug interactions. Tell patient to take entire quantity of drug exactly as prescribed. black “hairy” tongue. 2009: 147) 4. GU: Vaginal candidiasis. rash. 1. Instruct patient to take drug with food to prevent GI distress. anemia. 2. To prevent complications . anxiety behavioral changes. angioedema. To indicate baseline data and monitor drug’s effectiveness. which destroy amoxicillin. (Student’s Drug Handbook. Nursing Responsibilities ASSESSMENT 1. 200 mg amoxicillin. Adverse/ Side Effects Drug Interactions Adverse Reaction CNS: Agitation. nausea. insomnia.5 mg clavulanic ER tablets: 1. Hematologic: Agranulocytosis. 31. gastritis. dizziness. Tell patient to call prescriber if rash develops (sign of allergic reaction). pruritus. Monitor hydration status if Rationale Client Teaching Generic: Ordered: CoGive 1 tab Amoxiclave by mouth 3x a day. indigestion. urticaria. even after he feels better.Generic & Brand Name Dose.25 mg clavulanic acid. 3. Indication/ Strength & Mechanisms Of Formulation Drug Action Indications: Respiratory tract. diarrhea. glossitis. 3. confusion. Assess patient’s infection. enterocolitis. 2009: 147) 3. Mechanism of Action: Prevents bacterial cell-wall synthesis during replication. 4. 2009: 147) 2.

5 clavulanic acid Tablets (filmcoated): 250 mg amoxicillin. • Deficient knowledge related to drug therapy.1000 mg amoxicillin. Probenecid: May increase level of amoxicillin and other penicillins. adverse GI reactions occur. 62. 125 mg clavulanic acid. 500 mg amoxicillin. 125 mg clavulanic acid Interactions: Drug-drug Allopurinol: May cause rash. Assess patient’s and family’s knowledge of drug therapy. 2009: 147) NURSING DIAGNOSES • Ineffective protection related to presence of susceptible bacteria. Monitor patient. Probenecid may be used for this purpose. such as diarrhea. 2009: 147) 5. To determine the level of understanding of the patient and her family about the drug therapy . • Risk for deficient fluid volume related to druginduced adverse GI reactions. (Student’s Drug Handbook. 5. (Student’s Drug Handbook.

4. tell her to take it as he remembers but not to double the dose. Teach patient how to store drug. and thereby increases the blood supply to the stria vascularis of the labyrinth. Be alert for signs of reactions and drug interactions. To determine the level of understanding of . 3. (Student’s Drug Handbook. 2009: 101) 3. Nursing Responsibilities ASSESSMENT 1. Inform patient that drug may be taken with meals. (Student’s Drug Handbook. 2009: 101) 4. Mechanism of Action: Serc exerts a relaxant action on the precapillary sphincters of the microcirculation of the inner ear. 4. If patient misses a dose. To indicate baseline data and monitor drug’s effectiveness. Adverse/ Side Effects Drug Interactions Adverse Reaction Skin: rashes GI: mild gastric complaints Interactions: Antihistamine: May affect how betahistine works or may be affected by betahistine. vertigo. To prevent over dosage that could lead to toxicity and liver damage. Assess patient before therapy and regularly thereafter. Asses patient’s drug history and calculate total daily dosage accordingly.Generic & Brand Name Generic: Betahistine DiHCl Brand: Serc Classification: Antivertigo Dose. 2009: 10) 2. subacute and chronic effects of 2. 1. 2. Assess patient’s and family’s knowledge of drug Rationale Client Teaching 1. To establish proper precautionary measures and management for possible adverse effects of drug. Investigations into the acute. (Serc 16 mg tab) Timing: 8 am 1 pm 7 pm Duration: Unknown Other forms: No other than tablet Indications: Meniere’s disease. Menierelike syndrome characterized by attacks of vertigo. Indication/ Strength & Mechanisms Of Formulation Drug Action Ordered: Give 1 tab by mouth now then 3x a day. (Student’s Drug Handbook. Tell patient to report drug adverse reactions 3. tinnitus and sendorineural deafness.

(Student’s Drug Handbook. therapy. 2009: 101) the patient and her family about the drug therapy .betahistine in animals have demonstrated the low toxicity and safety of the drug.

. pain at site.Generic & Brand Name Generic: Mupirocin Brand: Bactroban 2% ointment Classification: Topical Antibiotic Dose. To determine the exact reason of therapy so that optimum treatment will be achieved. Client Teaching 1. Adverse/ Side Effects Drug Interactions Adverse Reaction Skin: Burning. (Student’s Drug Handbook. increased exudates GI: nausea Interactions: Caffeine. which results in inhibition of protein synthesis by the organism. Indication/ Strength & Mechanisms Of Formulation Drug Action Ordered: Apply ti abrasions twice a day. duration. alcohol. ( Bactroban 2% ointment 5 gram) Timing: 8 am 7 pm Duration: Other forms: Nasal ointment: 2%. 2. (Student’s Drug Handbook. (Student’s Drug Handbook. and beta-hemolytic streptococcus. 2008: 1058) 2. 2008: 1058) 4. 3. Not absorbed into the systemic circulation. Streptococcus pyogenes. itching. or street drugs can affect the action of the drug. swelling contact dermatitis. Nursing Responsibilities ASSESSMENT 1. Report any symptoms of chemical irritation or hypersensitivity such as increased rash. stinging or pain. 2008: 1058) Rationale 1. Mechanism of Action: Binds to bacterial isoleucyl transfer RNA synthetase. To establish precautionary measures and management for possible adverse effects of drug. (Student’s Drug Handbook. the nicotine from cigarettes. Note reasons for therapy. use aseptic measures and handwashing before and after therapy to prevent contamination. Be alert for signs of reactions and drug interactions. 2008: 1058) 3. erythema. Topical Cream: 2% Indications: Impetigo due to Staphylococcus aureus. tenderness. Assess patient’s and family’s knowledge of drug therapy. To determine the level of understanding of the patient and her family about the drug therapy. Report if no improvement in skin infection after 3-5 days of therapy. 4. or lack of healing. Review technique for administering topical medications. To indicate baseline data and monitor drug’s effectiveness. rash. Serum present in exudative wounds decreases the antibacterial activity. dry skin. Assess patient before therapy and regularly thereafter. 3. 2. S & S characteristics. itching. onset.

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