VI.

DRUG STUDY
Name of Patient: Malasado, Maris A. Age: 29 years old
Diagnosis: G1P0 PUFT, PIH/Gestational Hypertension Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Contraindicated with CNS: paresthesia Before:
Generic Name: Pharmacologic: Increases levels  Symptomatic ventricular  Check doctor’s order.
Calcium Elemental of intracellular relief of upset fibrillation or CV: hypotension  Check the name of the drug,
Carbonate Cation and extracellular stomach. hypercalcemia. dose, route, timing and the
calcium, which is GI: nausea or name of the patient.
Brand Name: Therapeutic: needed to  Prophylaxis of vomiting  Assess for allergies to calcium
Caltrate Plus Electrolyte, maintain GI bleeding. or other allergens.
Antacid homeostasis, Skin: rash, redness  Check for vital signs
Form: Tablet especially in the  Dietary
Pregnancy nervous and supplement Hematologic: During:
Route: Category Risk: C musculoskeletal when calcium anemia,  Ask the patient to identify
Oral/PO systems. Also intake is not thrombocytopenia herself or by looking at her
plays a role in adequate. identification arm band.
Dosage: normal cardiac Other:  Explain the purpose and
600 mg 1 tab and renal hypercalcemia importance of the drug to the
3x a day in function. Patient’s Actual patient.
between Indication:  Administer the right drug in
meals.  Decreases the the right route and dosage at
risk of the right time.
hypertension,
and pre- After:
eclampsia.  Monitor signs of allergies and
drug interactions.
 Document and record.

Source: 2011 Lippincott’s Nursing Drug Guide

 DRUG STUDY
Name of Patient: Malasado, Maris A. Age: 29 years old
Diagnosis: G1P0 PUFT, PIH/Gestational Hypertension Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Contraindicated CNS: sedation, Before:
Generic Name: Pharmacologic: Mechanism of  Hypertension with headache  Check doctor’s order.
Methyldopa Sympatholytic action not hypersensitivity to  Check the name of the drug,
(Central Acting)conclusively methyldopa, active CV: bradycardia dose, route, timing and the
demonstrated; hepatic disease. name of the patient.
Brand Name: Therapeutic: probably due to Patient’s Actual Dermatologic: rash  Assess for allergies to drug or
Aldomet Antihypertensive drugs Indication: Use cautiously in as seen as eczema other allergens.
metabolism,  Used to treat patients with  Check for vital signs
Form: Tablet Pregnancy which lowers pregnancy- hepatic dysfunction. Endocrine:
Category Risk: B arterial BP by induced gynecomastia During:
Route: Oral/PO stimulating the hypertension.  Ask the patient to identify
alpha-adrenergic GI: N&V, distention herself or by looking at her
Dosage: receptors, which identification arm band.
250 mgs. 1 tab in turn decreases Hematologic:  Explain the purpose and
3x a day sympathetic hemolytic anemia importance of the drug to the
outflow from the patient.
CNS. Other: myalgia  Instruct patient not to crush
nor chew the tablet, let her
swallow whole.
 Administer the right drug in
the right route and dosage at
the right time.

After:
 Monitor patients BP and
report any signs of
abnormalities.
 Document and record.
Source: 2011 Lippincott’s Nursing Drug Guide
 DRUG STUDY
Name of Patient: Malasado, Maris A. Age: 29 years old
Diagnosis: G1P0 PUFT, PIH/Gestational Hypertension Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Contraindicated with CNS: dizziness, Before:
Generic Name: Pharmacologic: Elevates the  Dietary allergy to any insomnia  Check doctor’s order.
Ferrous Sulfate Iron serum iron supplement ingredient; sulfate  Check the name of the drug,
Preparation concentration and of iron allergy, CV: hypotension dose, route, timing and the
is then convert to hemochromatosis. name of the patient.
Brand Name: Therapeutic: Hgb or trapped in  Patient’s EENT: dry mounth  Assess for allergies to drug
Fersulfate Anti-anemia the Actual or other allergens.
reticuloendothelial Indication: GI: nausea,  Check for vital signs.
Form: Tablet Pregnancy cells for storage Prevention vomiting, anorexia
Category Risk: and eventual and During:
Route: Oral/PO Not rated conversion to a treatment of GU: metrorrhagia  Ask the patient to identify
usable form of iron- herself or by looking at her
Dosage: iron. deficiency SKIN: rash identification arm band.
325mg OD anemia.  Explain the purpose and
importance of the drug to
the patient.
 Give drug with meals
avoiding milk or coffee if GI
upset is severe.
 Administer the right drug in
the right route and dosage
at the right time.

After:
 Warn patient that stool may
be dark or green in color.
 Document and record.
Source: 2011 Lippincott’s Nursing Drug Guide

VII. HEALTH CARE PLAN

Name of Patient: Malasado, Maris A. Age: 29 years old
Diagnosis: G1P0 PUFT, PIH/Gestational Hypertension Sex: Female

Nursing Pocket Guide, Doenges et.al 1Oth Edition

 VII. HEALTH CARE PLAN
Name of Patient: Malasado, Maris A. Age: 29 years old
Diagnosis: G1P0 PUFT, PIH/Gestational Hypertension Sex: Female
Knowledge Deficit related to the management and treatment of disease.
Identified Problem Goal of Care Objective of Care Intervention Rationale Evaluation
 Patient explains Short-term Goal: Independent: Short-term Goal:
Subjective: disease state, After 1 hour of  Assess the client’s  Establishes database and After 1 hour of
“Kung mosaka recognizes need intervention the knowledge of the disease provides information about intervention the
akong BP maka for medications, patient will verbalize process. areas in which learning is patient was able to
needed. verbalize
apekta diay sa and understanding of
 Assess motivation and  Learning requires energy. understanding of
akong baby sa understands condition/disease
willingness of patient to Patients must see a need or condition/disease
tiyan” as patient treatments. process and process and
verbalized.  Patient treatment. learn. purpose for learning. They also
have the right to refuse treatment.
demonstrates
educational services.
Objective: how to Long-term Goal:
 Provide information about  Makes the client know the
 Observed incorporate The client will initiate GOAL WAS MET.
the disease and possible importance of treatment and
confusion when new health necessary lifestyle
complications that may management of her condition.
patient was regimen into changes and
result.  Help ensure that client seek
asked about her lifestyle. participates in  Provide information about timely treatment indicating
condition.  Patient shows treatment regimen. signs and symptoms and worsening of condition or
motivation to instruct client when to additional complications.
 Patient do not learn. notify health providers.  Fears and anxieties can be
understand the  Patient lists  Keep client informed of compounded when client does
disease upon resources that health status, results or not have adequate information
interviewing. can be used for tests. about the state of the disease
more process.
 Displays information or  Conveying respect is especially
anxiousness support after  Provide an atmosphere of important when providing
regarding her discharge. respect, openness, trust, education to patients with
condition.  Patient and collaboration. different values and beliefs
identifies about health and illness.
learning needs.  Encourage questions  Facilitates open communication
bet. patient and health care
providers.

Nursing Pocket Guide, Doenges et.al 1Oth Edition

 Source: 2011 Lippincott’s Nursing Drug Guide

VII. HEALTH CARE PLAN

Name of Patient: Lines, Honey Angelie Age: 24 years old
Diagnosis: Acute pain related to post-surgical incision as manifested by facial grimace , Sex: Female
guarding behavior and verbal report of pain felt in the lower abdominal region.
Identified Problem Goal of Care Objective of Care Intervention Rationale Evaluation
  Identify Short-term Goal: Independent: Short-term Goal:
Subjective: interventions to Within 30 minutes to  Assess the clients pain scale  To identify the intensity, Within 1 hour of
“Sakit akong tahi sa treat acute 1 hour of continuous and perception regularly. onset, duration, and the continuous nursing
tiyan” as verbalized pain. nursing intervention quality of pain. intervention the client
 Encourage verbal report  Pain is highly subjective and had an improved comfort
by the patient.  Patient uses the client will have
during and after the nursing to identify the effectiveness in the abdominal region.
pharmacologica improved comfort in
interventions. of the interventions. As evidenced by;
Objective: l and non- the abdominal region.  States a decreased in
 Guarding pharmacologica As evidenced by; the rating of the pain
behavior, l pain-relief  States a decrease  Monitor V/S and pain scale.  V/S changes during onset of
from 8 to 2 in the
pain, for future comparison.
protecting the strategies. in the rating of the pain scale.
 Teach client diversional  To divert client’s attention
incision site of  Achieve timely pain from 8 to 3 in  Was able to rest,
activities. from pain.
the abdomen. medication the pain scale. displays reduced
 Advise deep breathing  To allow proper O2 supply in
 (+) restlessness intake.  Is able to rest, tension, and sleeps
exercise. the body. comfortably.
and facial  Patient displays displays reduced  Schedule adequate rest  Prevents fatigue &  Requires decreased
grimacing improvement in tension, and periods. conserves energy for analgesia.
evident. mood, coping. sleeps healing.
 Diaphoresis  To prevent comfortably.  Review importance of  Provides elements Long-term Goal:
noted complications.  Requires decrease nutritious diets and necessary for tissue healing. The client had an
 Throbbing pain analgesia. adequate fluid intake. improved feeling of
reported with a Long-term Goal:  Reposition as indicated.  May relieve pain and comfort as evidenced by
score of 8/10 in The client will have an enhance circulation. verbalizing a sense of
the pain scale. improved feeling of Dependent: control over present
 V/S are as comfort as evidenced  Administer analgesics as  Relieve the client of pain situation and future
follows; by verbalizing a sense prescribed. using pharmacological outcomes within 2 days
BP: 130/80 of control over Collaborative: intervention. of nursing intervention.
T: 37.5oC present situation and  Refer to the physician about  To promote prompt action
HR: 92 bpm future outcomes the client if the pain is still and medical interventions. GOAL WAS MET.
RR: 20 cpm within 2 days of severe after the nrsg.
nursing intervention. interventions were done.

Nursing Pocket Guide, Doenges et.al 1Oth Edition