Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:

Name: Attending Physician:
Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Name: Attending Physician:
Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook
Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Pernicious, aplastic, 1. Assess for any history of
Folic Acid 1 tab Requires for synthesis Treatment of None and normocytic allergies to folic acid.
and maintenance of megaloblastic anemias anemias 2. Assess skin color, vital
normal erythropoiesis signs, any adventitious
sounds.
Brand: 3. Monitor serum CBC and
Folvite Route: vitamin B12
PO 4. Schilling test may be
used as a diagnostic test
to rule out pernicious
anemia.
Classification Frequency: Contraindications Side Effects
Functional: OD Allergy to folic acid Hypersensitivity 5. Instruct to report to the
Vitamin preparations physician if any
supplement untoward symptoms
occur.
Chemical: Timing:

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Renal impairment, 1. Assess for any history of
Cetirizine 10 mg/ tab, 1 Antagonizes histamine’s Allergic symptoms Bronchospasm hepatic dysfunction allergies to cetirizine,
hydrochloride tab effects at histamine 1 asthma angle disclosure
receptor sites, preventing glaucoma,
allergic response. pyloroduodenal
obstruction.
Brand: 2. May give with or
Benadryl Route: without food
PO 3. Administer same time
each day
4. Instruct patient to take
Classification Contraindications Side Effects with full glass of water
Functional: Frequency: Hypersensitivity, acute CNS: dizziness, 5. Instruct to notify
OD asthma attacks, angle drowsiness, fatigue healthcare provider if
Antihistamin
e disclosure glaucoma, CV: palpitations, edema untoward symptoms
pyloroduodenal occur.
obstruction EENT: pharyngitis
Chemical: GI: nausea, vomiting,
Histamine H1 Timing: abdominal distention, dry
receptor mouth
antagonist 8
Musculoskeletal: myalgia,
joint pain

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Renal impairment, 1. Assess for any
Fluconazole 10 mg/ tab, 1 Alters cellular Prophylaxis from oral Leukopenia hepatic dysfunction hypersensitivity
tab membrane, increasing candidiasis 2. Stay alert for signs and
Throbocytopenia symptoms of
permeability and leakage
of essential elements Hepatotoxicity anaphylaxis. Stop drug
Brand: immediately if these
Diflucan needed for fungal growth.
At higher concentrations occur.
Route: may be fungicidal. 3. Monitor liver function
PO tests.
4. Instruct to eat small
frequent servings to
Classification Contraindications Side Effects minimize stomach upset
Functional: Frequency: Hypersensitivity CNS: dizziness, and to increase oral fluid
OD drowsiness intake.
Antifungal
CV: palpitations, edema
Chemical: EENT: pharyngitis
Synthetic azole GI: nausea, vomiting,
Timing: abdominal discomfort,
dyspepsia
8
Skin: rash, pruritus
Altered taste

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Seizure disorder 1. Assess for any
Ertapenem 1g/ tab, 1 tab Inhibits cell wall Indicated for pneumonia Arrythmias hypersensitivity
synthesis to bacteria, 2. Monitor vital signs,
Heart failure ECG and cardiovascular
causing cell death
Pseudomembranous status closely.
Brand: colitis 3. Assess neurologic status
Invanz Route: Hepatotoxicity and watch for signs and
IVTT symptoms of impending
seizure disorder.
4. Monitor bowel pattern.
 Classification Contraindications Side Effects 5. Tell patient to notify
Frequency: nurse right away if signs
Functional: OD Hypersensitivity CNS: dizziness, and symptoms worsen.
Antiinfective drowsiness, asthenia, 6.
insomnia
Chemical: CV: hypotension,
Carbapenem Timing: EENT: pharyngitis
GI: nausea, vomiting,
4 abdominal pain, dyspepsia,
GERD
Skin: rash

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Cardiac disease 1. Monitor renal function,
Potassium Chloride 1 tab Maintains acid base To prevent potassium Arrhythmias Renal impairment fluid intake and output,
balance, isotonicity and depletion and potassium,
Heart block DM creatinine and blood
electrophysiologic
balance throughout the Cardiac arrest Hypomagnesemia urea nitrogen levels
Brand: Hyperkalemia 2. Assess vital signs and
tissues; crucial to nerve
Route: impulse transmission and ECG; Stay alert for
IVTT contraction of cardiac, arrhythmias.
skeletal, and smooth 3. Monitor neurologic
muscle. Also essential for status.
 Classification normal renal function and Contraindications Side Effects 4. Tell client to swallow
Frequency: carbohydrate metabolism. the tablet whole and
Functional: TID Hypersensitivity to CNS: confusion, unusual without crushing it.
Nutritional tartrazine, acute fatigue, restlessness, 5. Instruct the client to take
supplement dehydration, heat cramps, flaccid paralysis, the drug after meals
hyperkalemia, severe paresthesia, absent reflexes with a glass of water.
renal impairment, severe CV: hypotension, ECG
Chemical: Timing: 6. Advise patient to report
hemolytic reaction, changes
Electrolyte, any untoward signs and
severe tissue trauma,
mineral 816 GI: nausea, vomiting, symptoms
concurrent use of
potassium sparing diarrhea, abdominal
diuretics discomfort, flatulence,
abdominal pain, dyspepsia,
GERD
Musculoskeletal: weakness

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN

Name: Attending Physician:

Age: Ward and Bed #: FMSW- Bed 16 Working Diagnosis:
Dosage,
Name of Drug Route, Mechanism of Action Indication Adverse Reactions Special Nursing Responsibilities
Frequency Precautions
and Timing
Generic: Dosage: Cardiac disease 1. Assess vital signs and
Salbutamol 1 neb Works by binding to To prevent and relieve Paradoxical Renal impairment ECG; Stay alert for
specific beta 2 receptors bronchospasm bronchospasm arrhythmias.
DM 2. Monitor neurologic
thereby causing Hypersensitivity
bronchodilation and Glaucoma status.
Brand: Hyperthyroidism 3. Advise patient to report
Ventolin vasodilation.
Route: Seizure disorder any untoward signs and
Inhalation symptoms
Hypertension
 Classification Contraindications Side Effects 4. Do chestphysiotherapy
Frequency: and gentle back tapping
Functional: Q8H Hypersensitivity CNS: dizziness, thereafter.
Bronchodilator excitement, headache, 5. Instruct to rinse mouth
insomnia after nebulization to
Chemical: CV: hypotension, prevent mouth dryness.
Beta 2 Timing: palpitations, tachycardia
adrenergic GI: nausea, vomiting,
receptor 12 8 4 diarrhea, dry mouth
agonist Metabolic: hypokalemia
Skin: pallor, urticarial,
rash, angioedema

Student’s Name: 4-D group 1 References: Mosby’s Nursing Drug handbook

Clinical Instructor: Prof. Liza Marie M. Ramirez, RN, MAN