CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY

COLLEGE OF NURSING

NURSING CARE PLAN

GENERIC NAME BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Celecoxib RiteMed Non-steroidal Anti- 200 mg I cap Capsule May selectively General Hypersensitivity; Cross CNS: Before:
Celecoxib inflammatory Drugs PO BID, for oral inhibit COX-2, Indication: sensitivity may exist drowsiness, -Assess patient’s
(NSAIDs) breakthrough decreasing - Reduction of with dizziness, history of allerfic
pain prostaglandin the number of other NSAIDs; History headache, reaction to the drug
synthesis which colorectal of allergic type fatigue -Explain to the
enables anti- polyps in reactions to patient or SO
inflammatory, Familian sulfonamides; GI: regarding the
analgesic, and Adenomatous Severe hepatic Nausea, importance and
antipyretic action. Polyposis dysfunction diarrhea, purpose of the drug
(FAP) constipation, -Inform the patient
-Management dyspepsia, about the side
of acute pain flatulence effects the
Relief of signs medication may
and symptoms cause.
of
osteoarthritis, During:
rheumatoid -Stay at the bedside
arthritis, during drug intake to
ankylosing ensure that the
spondylitis, and patient has taken
juvenile the medication
rheumatoid exactly as directed
arthritis. - Ensure that the
patient does not
Patient’s actual take more than the
indication: prescribed dose
Celecoxib is
prescribed to After:
relieve and -Observe if the
alleviate acute patient shows signs
pain. of side effects
-Advise patient to
notify
health care
professional
promptly if signs or
symptoms of GI
toxicity,
skin rash, or chest
pain occurs.
-Monitor patient’s
V/S including the PS
-Document the
administration of
medication.
 CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY
COLLEGE OF NURSING

NURSING CARE PLAN

GENERIC NAME BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Vancomycin VAN-CP 500 Antibiotics 1 g q6H Powder for A glycopeptide Clostridium Hypersensitivity to CNS: Before:
injection; IV antibiotic which difficile vancomycin and other Headache, - Assess the patient
binds tightly to D- associated glycopeptide antibiotics fatigue, dizziness for history of allergies
alanyl-D-alanine diarrhea and to the drug
portion of the cell colitis Skin: -Explain to the patient
wall precursor, -staphylococcal Rash, pruritis or SO regarding the
blocking infections importance and
glycopeptide including GI: purpose of the drug
polymerisation endocarditis, Abdominal pain, -Inform the patient
leading to meningitis, diarrhea, the medication may
inhibition wall osteomyelitis, vomiting, about the side effects
synthesis. pneumonia, flatulence the medication may
septicaemia cause.

During:
-Monitor IV site
closely. vancomycin is
irriating to tissues and
may cause pain with
extravasation
-Monitor Vital Signs
throughout the IV
infusion
After:
-Observe patient for
signs and symptoms
of anaphylaxis such as
rash, pruritis,
laryngeal edema, and
wheezing
-Document the
administration of
medication.
 CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY
COLLEGE OF NURSING

NURSING CARE PLAN

GENERIC BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
NAME CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Piperacillin+ Tazacin Penicillins 4.5 g IVTT Powder for Piperacillin inhibits Treatment of Hypersensitivity to CNS: Before:
Tazobactam q4H injection; cell wall synthesis uncomplicated and piperacillin, tazobactam, Headache, - Assess the patient
IV during complicated skin and penicillins, insomnia, fever. for history of
microorganis m skin structure cephalosporins, or beta- GI: allergies to the drug
multiplication; infections, or lactamase inhibitors Diarrhea, -Explain to the
tazobactam nosocomial pneumonia constipation, patient or SO
increases caused by piperacillin- nausea, regarding the
piperacillin resistant, vomiting, importance and
effectiveness by piperacillin/tazobactam- dyspepsia purpose of the drug
inactivating susceptible, beta- Skin: -Inform the patient
betalactamase lactamase-producing Rash, pruritus, the medication may
which destroys bacteria. about the side
penicillins. effects the
medication may
cause.

During:
-Monitor IV site
closely. Extravasation
may irritate tissues
and cause pain.
-Monitor Vital Signs
throughout the IV
infusion
After:
-Observe patient for
signs and symptoms
of anaphylaxis such
as rash, pruritis,
laryngeal edema, and
wheezing
-Document the
administration of
medication.
 CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY
COLLEGE OF NURSING

NURSING CARE PLAN

GENERIC BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
NAME CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Potassium Mineral and 1 tab Tablet; PO Potassium chloride Prevention and Hyperkalemia, GI: Before:
Chloride (KCL) Electrolytes acts as an electrolyte
Supplement
TID replenisher of K ions.
Treatment of gastrointestinal Diarrhea, -Explain to the
It is used as a hypokalemia obstruction, severe renal constipation, patient or SO
source of K cation, impairment nausea, regarding the
the major cation of vomiting, GI importance and
the intracellular fluid,
essential for bleeding, GI purpose of the drug
maintenance of acid- ulveration -Inform the patient
base and fluid and Skin: the medication may
electrolyte balance
of the cell. It also
Rash about the side effects
plays a vital role in Hepatologic: the medication may
Hyperkalemia
the conduction of cause.
nerve impulses,
contraction of
cardiac, smooth and During:
skeletal muscles, -Stay at the
gastric secretion, bedside during drug
normal renal function
and carbohydrate
intake to ensure
metabolism. that the patient has
taken the
medication exactly
as directed
- Ensure that the
patient does not
take more than the
prescribed dose
After:
-Observe if the
patient shows signs
of side effects
-Document the
administration of
medication.
 CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY
COLLEGE OF NURSING

NURSING CARE PLAN

GENERIC BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
NAME CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Tramadol Ambidol Opioid Analgesis 50 mg/ml; PRN Solution for Binds to mu-opiod Relief of Contraindicated with GI: nausea, Before:
for pain injection; IV receptors. Inhibits moderate to allergy to tramadol or anorexia, - Assess the patient
reuptake of moderately opioids or acute vomiting, for history of
serotonin and severe pain intoxication with diarrhea GU: allergies to the drug
norepineph rine in alcohol, oipioids or polyuria, -Explain to the
the CNS. psychoactive drugs nocturia patient or SO
Hematologic: regarding the
hypokalemia importance and
Other: muscle purpose of the drug
cramps and -Inform the patient
muscle spasms, the medication may
weakness, about the side effects
arthritic pain the medication may
cause.

During:
-Monitor IV site
closely. Extravasation
may irritate tissues
and cause pain.
-Monitor Vital Signs
throughout the IV
infusion including PS
After:
-Observe patient for
signs and symptoms
of anaphylaxis such
as rash, pruritis,
laryngeal edema, and
wheezing
-Document the
administration of
medication.
 CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY
COLLEGE OF NURSING

GENERIC NAME BRAND NAME DRUG DOSAGE & HOW MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS RESPONSIBILITY
CLASSIFICATION FREQUENCY SUPPLIED & ACTION (Before, During After
ROUTE Administration)

Ferrous Sulfate RiteMed Vitamins and 1 tab PO TID Tablet oral Ferrous Sulfate The prevention Allergy to any ingredient; CNS: CNS Before:
Ferrous Sulfate Minerals (Pre & Post tablets belong to a and treatment of sulphite allergy; toxicity, acidosis, -Assess the nutritional
Natal) / Antianemics group of medicines iron deficiency hemochromatosis, coma and death status and dietary
called anemia due to hemosiderosis, with overdose history
iron supplements. inadequate diet, haemolytic anemiasl. GI: GI upset, -Explain to the patient
These medicines malabsorption, Use cautiously with anorexia, nausea, or SO regarding the
work by replacing and blood loss normal iron balance; vomiting, importance and
body peptic ulcer, regional constipation, purpose of the drug
iron. Iron is a enteritis, ulcerative colitis diarrhea, dark -Inform the patient to
mineral that the stools take the drug on an
body needs to empty stomach.
produce red Absorption of the
blood cells. When drugs may decrease
the body does not with food interaction.
get enough iron, it
cannot During:
produce the -Stay at the bedside
number of normal during drug intake to
red blood cells ensure that the
needed by the patient has taken the
body. This drug
condition is called - Ensure that the
iron-deficiency patient does not
anemia. take more than the
prescribed dose

After
- Observe if the
patient shows signs of
adverse effects
- Document the time
of administration