UNIVERSITY OF CEBU BANILAD

COLLEGE OF NURSING

DRUG STUDY

Patient:Mr. R. B. O. Age: 29 yrs. old Hospital No.: 070022437156 Room No.: A-701
Impression: Multiple Physical Injuries secondary to Motor vehicular Accident Attending Physician(s): Dr. Christopher Ting Go
Allergy to: None

Generic & Dose, Indication/ Adverse/ Side Nursing

Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Paracetamol Give 1 tab Temporary relief Hematologic: 1. Assess patients 1. To indicate 1. Tell patient not
by mouth of pain and hemolytic anemia, pain or temperature baseline data and to use drug for
Brand: 3x a day. discomfort from leukopenia, before therapy and monitor drugs fever thats higher
Tylenol (Tylenol headache, fever, neutropenia, regularly thereafter. effectiveness. than 103.1 F,
650 mg tab) cold, flu, minor pancytopenia, (Students Drug lasts longer than 3
Classificati- muscular aches, thrombocytopenia. Handbook, 2009: days, or recurs.
on: Timing: overexertion, Hepatic: 101)
Analgesics 8 am menstrual cramps, liver damage, 2Warn patient that
( Non- 1 pm toothache, minor jaundice 2, Asses patients 2. To prevent over high doses or
opioid) 7 pm arthritic pain. Metabolic: drug history and dosage that could unsupervised
Antipyretics hypoglycemia calculate total daily lead to toxicity long-term use can
Duration: Mechanism of Skin: rash, urticuria dosage accordingly. and liver damage. cause liver
4-6 hours Action: (Students Drug damage.
Paracetamol may Interactions: Handbook, 2009:
Other cause analgesia by Barbiturates, 101) 3. Tell patient to
forms: inhibiting CNS carbamapezine, 3. To establish keep track of
>Caplets: prostaglandin hydantoins, 3. Be alert for signs proper daily drug intake,
165 mg, synthesis. The isoniazid, rifampin, of reactions precautionary including OTC
500 mg, mechanism of sulfinpyrazone: and drug measures and and prescription
650 mg morphine is May reduce interactions. management for medications.
>Caplets believed to therapeutic effect (Students Drug possible adverse
ER: 650 mg involve decreased and enhance Handbook, 2009: effects of drug. 4. Tell a breast-
>Capsules: permeability of hepatotoxic effects 101) feeding woman
5oo mg the cell membrane of acetaminophen 4. To determine that drug appears
>Elixir: 80 to sodium, which with high doses or 4. Assess patients the level of in breast milk in
mg/2.5 mg, results in long-term use of and familys understanding of levels less than
80 mg/5 ml, diminished these drugs. Avoid knowledge of drug the patient and 1% of dose.
120 mg/5 transmission of use together. therapy. her family about
ml pain impulses Lamotrigine: Serum (Students Drug the drug therapy
>Gelcaps: therefore lamotrigine Handbook, 2009:
500 mg analgesia. concentrations may 101)
>Geltab: be reduced and may
500 mg decrease therapeutic NURSING
effects. DIAGNOSES
Warfarin: May Acute pain related
increase to patients
hypoprothrombin- underlying
emic effect with condition.
long-term use of Risk for injury
high doses. Monitor related to drug-
PT and INR closely. induced liver
Zidovudine: May damage with toxic
increase risk of doses.
bone marrow Deficient
suppression because knowledge related
of impaired to drug therapy.
zidovudine
metabolism.
Monitor patient
closely.
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Co- Give 1 tab Respiratory tract, CNS: Agitation, 1. Assess patients 1. To indicate 1. Tell patient to
Amoxiclave by mouth GUT, abdominal, anxiety behavioral infection, ask about baseline data and take entire
3x a day. skin and soft changes, confusion, past allergic monitor drugs quantity of drug
Brand: (Natravox tissues infection. dizziness, insomnia. reactions before effectiveness. exactly as
Augmentin 625 mg tab) GI: Abdominal therapy and prescribed, even
Mechanism of pain, black hairy regularly thereafter. after he feels
Classificati- Timing: Action: tongue, diarrhea, (Students Drug better.
on: 8 am Prevents bacterial enterocolitis, Handbook, 2009:
Penicillins 1 pm cell-wall synthesis gastritis, glossitis, 147) 2. Tell patient to
7 pm during replication. indigestion, nausea. call prescriber if
Clavulanic acid GU: Vaginal 2, Asses patients 2. To prevent over rash develops
Duration: increase candidiasis, drug history and dosage that could (sign of allergic
6-8 hr amoxicillins vaginitis. calculate total daily lead to toxicity reaction).
effectiveness by Hematologic: dosage accordingly. and liver damage.
Other inactivating beta Agranulocytosis, (Students Drug 3. Instruct patient
forms: lactamases, which anemia, Handbook, 2009: to take drug with
Chewable destroy eosinophilia, 147) food to prevent
Tablets: 25 amoxicillin. leucopenia. 3. To establish GI distress.
mg Other: 3. Be alert for signs proper
amoxicillin, Hypersensitivity of reactions precautionary
31.25 mg reactions, and drug measures and
clavulanic angioedema, interactions. management for
acid; 200 pruritus, rash, (Students Drug possible adverse
mg urticaria. Handbook, 2009: effects of drug.
amoxicillin, 147)
62.5 mg 4. To prevent
clavulanic 4. Monitor complications
ER tablets: hydration status if such as diarrhea.
1000 mg Interactions: adverse GI
amoxicillin, reactions occur. 5. To determine
62.5 Drug-drug (Students Drug the level of
clavulanic Allopurinol: May Handbook, 2009: understanding of
acid cause rash. Monitor 147) the patient and
Tablets patient. her family about
(film- Probenecid: May the drug therapy
coated): increase level of 5. Assess patients
250 mg amoxicillin and and familys
amoxicillin, other penicillins. knowledge of drug
125 mg Probenecid may be therapy.
clavulanic used for this (Students Drug
acid; 500 purpose. Handbook, 2009:
mg 147)
amoxicillin,
125 mg NURSING
clavulanic DIAGNOSES
acid Ineffective
protection related to
presence of
susceptible
bacteria.

Risk for deficient

fluid volume
related to drug-
induced adverse GI
reactions.

Deficient
knowledge related
to drug therapy.
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Betahistine Give 1 tab Menieres disease, Skin: rashes
DiHCl by mouth vertigo, Meniere- GI: mild gastric 1. Assess patient 1. To indicate
now then 3x like syndrome complaints before therapy and baseline data and 1. If patient
Brand: a day. characterized by regularly thereafter. monitor drugs misses a dose, tell
Serc (Serc 16 mg attacks of vertigo, Interactions: (Students Drug effectiveness. her to take it as he
tab) tinnitus and Handbook, 2009: remembers but
Classificati- sendorineural Antihistamine: May 10) not to double the
on: Timing: deafness. affect how dose.
Antivertigo 8 am betahistine works or
1 pm may be affected by 2, Asses patients 2. To prevent over 2. Tell patient to
7 pm betahistine. drug history and dosage that could report drug
Mechanism of calculate total daily lead to toxicity adverse reactions
Duration: Action: dosage accordingly. and liver damage.
Unknown Serc exerts a (Students Drug 3. Inform patient
relaxant action on Handbook, 2009: that drug may be
Other the precapillary 101) taken with meals.
forms: sphincters of the 3. To establish
No other microcirculation 3. Be alert for signs proper 4. Teach patient
than tablet of the inner ear, of reactions precautionary how to store drug.
and thereby and drug measures and
increases the interactions. management for
blood supply to (Students Drug possible adverse
the stria vascularis Handbook, 2009: effects of drug.
of the labyrinth. 101)
Investigations into 4. To determine
the acute, subacute 4. Assess patients the level of
and chronic effects and familys understanding of
of betahistine in knowledge of drug the patient and
animals have therapy. her family about
demonstrated the (Students Drug the drug therapy
low toxicity and Handbook, 2009:
safety of the drug. 101)
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions
ASSESSMENT
Generic: Ordered: Indications: Adverse Reaction 1. Assess patient 1. To indicate
Mupirocin Apply ti Impetigo due to Skin: Burning, before therapy and baseline data and 1. Review
abrasions Staphylococcus stinging or pain, regularly thereafter. monitor drugs technique for
Brand: twice a day. aureus, itching, rash, (Students Drug effectiveness. administering
Bactroban ( Bactroban Streptococcus erythema, dry skin, Handbook, 2008: topical
2% 2% pyogenes, and tenderness, swelling 1058) medications; use
ointment ointment 5 beta-hemolytic contact dermatitis, 2, Note reasons for 2. To determine aseptic measures
gram) streptococcus. increased exudates therapy, onset, the exact reason and handwashing
Classificati- GI: nausea duration, S & S of therapy so that before and after
on: Timing: Mechanism of characteristics. optimum therapy to prevent
Topical 8 am Action: Interactions: (Students Drug treatment will be contamination.
Antibiotic 7 pm Binds to bacterial Handbook, 2008: achieved.
isoleucyl transfer Caffeine, alcohol, 1058) 2. Report any
Duration: RNA synthetase, the nicotine from 3. Be alert for signs 3. To establish symptoms of
which results in cigarettes, or street of reactions and precautionary chemical irritation
inhibition of drugs can affect the drug interactions. measures and or
Other protein synthesis action of the drug. (Students Drug management for hypersensitivity
forms: by the organism. Handbook, 2008: possible adverse such as increased
Nasal Not absorbed into 1058) effects of drug. rash, itching, pain
ointment: the systemic at site, or lack of
2%. circulation. Serum 4. Assess patients 4. To determine healing.
Topical present in and familys the level of
Cream: 2% exudative wounds knowledge of drug understanding of 3. Report if no
decreases the therapy. the patient and improvement in
antibacterial (Students Drug her family about skin infection
activity. Handbook, 2008: the drug therapy. after 3-5 days of
1058) therapy.