You are on page 1of 8

SYSTEMS PLUS COLLEGE FOUNDATION Balibago, Angeles City College Of Nursing S.Y.

2012-2013

In Partial Fulfillment Of the Requirements in NCM 104 RLE

Drug Study
Submitted To: ARISTOTLE A. PARICO, RN, MAN

Submitted By: MA. CRESENCIA S. BUENAFE NUR60A

. may cause hypotension Monitor vital signs. Monitor BP and PR before administer Monitor for sudden blood pressure drop Watch out for excessive perspiration. or diarrhea.2012 DS: February 12. 2012 ROUTE OF ADMINISTRATION DOSAGE AND FREQUENCY OF ADMINISTRATION 25mg/tab ½ tab BID given at 8am GENERAL ACTION INDICATION CLIENT’S RESPONSE WITH ACTUAL ADVERSE REACTIONS The patient maintained the BP of 90/70 GENERIC NAME: Captopril BRAND NAME: Capoten angiotensin converting enzyme (ACE) inhibitors It is given to the patient to manage hypertension and heart failure Nursing Responsibilities:       Assess for history of allergy to captopril and history of angioedema.1. Record medication after administering. Captopril NAME OF THE DRUG DATE ORDERED DATE STARTED DATE CHANGED DATE DISCONTINUED DO: February 12.

. It was given to Marimar because of heart pain (angina pectoris) Since it occurs when oxygen demand of the heart muscle exceeds the supply of oxygen. nightmares. confusion. by reducing the demand for oxygen. Side effects include dizziness.2. light-headedness. heart pain. depression. Do not discontinue drug if not told to do so by a health care provider. rash. and some neurologic conditions. is helpful in treating heart pain.2012 DS: February 12. and loss of appetite. Metoprolol NAME OF THE DRUG DATE ORDERED DATE STARTED DATE CHANGED DATE DISCONTINUED DO: February 12. night cough. Avoid driving or dangerous activities if dizziness occurs. depression and sexual impotence. metoprolol. 2012 ROUTE OF ADMINISTRATION DOSAGE AND FREQUENCY OF ADMINISTRATION 50 mg ½ tab BID given @ 8am GENERAL ACTION INDICATION CLIENT’S RESPONSE WITH ACTUAL ADVERSE REACTIONS The patient did not experience angina pectoris. GENERIC NAME: Metoprolol BRAND NAME: Lopressor Metoprolol is a beta-adrenergic blocking agent that is used for treating high blood pressure. abnormal rhythms of the heart. Report difficulty breathing. Nursing Responsibilities:      Take drug with meal if GI upset occurs. swelling of extremities. slow pulse. fever and sore throat.

Do not use OTC drugs unless approved by a physician. Morphine Sulfate NAME OF THE DRUG DATE ORDERED DATE STARTED DATE CHANGED DATE DISCONTINUED DO: February 12. Do not breast feed while taking this drug. Bedside rails are advised. Use caution or avoid tasks requiring alertness (e.4 cc/IV PRN GENERAL ACTION INDICATION CLIENT’S RESPONSE WITH ACTUAL ADVERSE REACTIONS The patient was relieved from chest pain after the administration of the st 1 dose GENERIC NAME: Morphine Sulfate BRAND NAME: Opioid agonist analgesic Astramorph PF.g. . drowsiness or blurred vision. 2012 ROUTE OF ADMINISTRATION DOSAGE AND FREQUENCY OF ADMINISTRATION 0. driving a car) until response to drug is known since morphine may cause dizziness. Duramorph It is given to the patient for the Relief of moderate to severe acute and chronic chest pain.2012 DS: February 12.3. Do not smoke or ambulate w/o assistance after receiving drugs. Nursing Responsibilities:      Avoid alcohol and any CNS depressants while receiving morphine.

PARICO. 2012-2013 In Partial Fulfillment Of the Requirements in NCM 104 RLE Nursing Care Plan Submitted To: ARISTOTLE A. RN. CRESENCIA S.SYSTEMS PLUS COLLEGE FOUNDATION Balibago. MAN Submitted By: MA.Y. Angeles City College Of Nursing S. BUENAFE NUR60A .

stroke volume during activity may cause an increased amount in heart rate and oxygen demand thereby aggravating weakness and fatigue. Meet patient’s personal care needs without undue myocardial stress/excessive oxygen demand.30 seconds QRS . 2. Objective: -With pallor -with muscle grade of 2/5 -with RR of 24 cpm -with ECG result of: PR. . oxygen demand tissue perfusion and supply as evidence by to the systemic circulation resulting to decreased oxygen supply leading to decreased activity intolerance.06 seconds verbal report of weakness and easy fatigability. Konting galaw ko lang nanghihina ako. Provided assistance in performing morning care. Intersperse activity periods with rest periods. The patient’s BP was 90/70 RR of 24 Objectives Nursing Interventions Rationale Evaluation response to activity and inability to increase rest.0.” Activity intolerance related to imbalance between Scientific Explanation Due to the altered function of the heart.Problem: Activity Intolerance Related to Imbalance between Oxygen Demand and Supply Cues Nursing Diagnosis Subjective: “Madali ako mapagod. 2. Compromised myocardium/ 1. the patient will achieve measurable increase in activity intolerance evidenced by reduced fatigue and weakness and by vital signs within acceptable limits. 2. there is decreased After 6 hours of Nursing Interventions. Monitored Vital signs and cardiopulmonary 1. The patient was refreshed and felt relieved and did not have increased oxygen demand 1.0.

treatments. Pain and stressful regimens also extract energy and produce fatigue. The ECG results were interpreted as follows: PR.0.30 seconds QRS . 5. Assisted on ECG @ 9:20am 5.26 seconds 3. 4. 3.g.QT .06 seconds . The patient did not experience chest pain. Administered medications like Captopril 25mg ½ tab BID Metoprolol 50mg ½ tab BID 3. 4. The patient did not manifest fatigue but appears weak 5.0. Assessed for other precipitators/causes of fatigue e. Fatigue is a common side effect of medications.0. Pain medications were given for relief from chest pain. pain and medications 4. To Monitor for any dysarrythmias.

If cardiac function is irreversible. Gradual increase in activity avoids excessive myocardial workload and oxygen consumption. Strengthens and improves cardiac function under stress. 6. sitting while brushing teeth and use wheelchair when going to the bathroom. . 6.6. Provided gradual cardiac rehabilitation/ activity program like breathing exercises. The patient cooperated with the activity program.