Drug name Celecoxib 200 mg/cap 1 cap PRN (pain)

Drug classification Analgesic NSAID

Mode of Action Inhibits COX-2 enzyme, which is activated in inflammatio n to cause the signs and symptoms associated with imflammati on; Used as dietary supplement s

Indications Acute pain

Contraindications Allergies to sulfonamides, celecoxib, NSAIDs, or aspirin; renal impairment. Use cautiously with hepatic conditions

Side effects/adverse effects CNS: headache, dizziness, somnolence, insomnia DERMA: rash GI: dyspepsia Anaphylactic shock

Nursing Responsibilities Administer with food if GI upset occurs Assess pain level, cease without pain Teach the patient that he may experience: Dizziness and drowsiness Teach the patient to report sore throat,fever, rash, itching, weight gain, swelling in ankles or fingers and changes in vision. Advice the patient that taking of the drug may produce yellow-colored urine. Instruct the patient that the drug may be taken with or without food (May be taken with meals for better absorption or if GI discomfort occurs). Assess patient for signs of vitamin deficiency before and periodically throughout therapy. Assess nutritional status through 24 hour diet recall. Determine frequency of consumption of vitamin rich foods. discontinue if hypersensitivity occurs administer with food

Multivitami ns 1 cap OD

Vitamins and minerals

Malnutrition , protein and vitamin deficiencies, anemia, convalescen ce, restoration and maintenanc e of body resistance

Patients with Malabsorption Syndrom Hypersensitivity to any component of the solution; severe electrolyte or acid-base imbalance;decrea sed circulating blood volume; severe renal or hepatic disease; bleeding abnormalities

Headache, Dizziness Hypervitamino sis (large dose). Generalized flushing Pulmonary edema Nausea and Vomiting Hypersensiti vity: Fever, chills, rash, papular eruptions

Essentiale Forte 1 cap TID

Cholagogu es, Cholelithol ytics & Hepatic Protectors

It activates metabolic function and supports the energy balance of the liver. It restores enzyme

Acute, subacute & chronic hepatitis; toxic metabolic liver diseases, intoxications (eg from drugs);

Those with malabsorption problems Known hypersensitivity to any of the ingredients.

Nausea Diarrhea increased salivation HYPERSENSI TIVITY: rash

Reference: Karch, A. M. 2010, Lippincotts Nursing Drug Guide MIMS philippines

FAR EASTERN UNIVERSITY INSTITUTE OF NURSING DRUG STUDY

Celecoxib Multivitamins

Essentiale Forte Meropenem Cefuroxime

ADRIANO, DANIELLIE KENNETH G. BSN 110 group 37A

FLORANTE PADRINAO, RN MAN Clinical Instructor FAR EASTERN UNIVERSITY INSTITUTE OF NURSING NURSING CARE PLAN

Sleep pattern disturbance related to acute pain at the hepatic drain site

ADRIANO, DANIELLIE KENNETH G. BSN 110 group 37A

FLORANTE PADRINAO, RN MAN Clinical Instructor