Name of student: Genada; Geniega; Grabato; Hermitaño; Jance
Group3A
Name of CI: Analee Jimenea RN MN
Medication
Generic Name:
Celecoxib
Brand Name:
Celebrex
CLASSIFICATION.
Nonsteroidal anti-
inflammatory drugs (NSAIDs)
HOW WILL YOU KNOW IF THE
DRUG IS EFFECTIVE?
Inhibits the enzyme COX-2.
This enzyme is required for
the synthesis of
prostaglandins. Prostaglandins
are responsible for mediating
the inflammatory response
and causing local vasodilation,
swelling, and pain.
Prostaglandins also play a role
in peripheral pain
transmission to the spinal
cord. By inhibiting COX-2
Exercise
Intensity of the activity:
Low-intensity exercises/
activities
Type of activity:
Walking, jogging, swimming,
and yoga.
30- min exercise i.e. walking,
jogging, swimming, or yoga.
Do not do exercises or
activities that build muscles
such as weight lifting, sit-ups,
crunches, and the like.
Do stretching before starting.
Do walking or jogging.
It may be done in 3 sets, 10
mins each set.
Rest in between each set.
Do stretching after your
HEALTH TEACHING PLAN
Treatment
Gonadotropin-releasing
hormone (GnRH) agonists
- Medications
called GnRH agonists treat
fibroids by blocking the
production of estrogen and
progesterone, putting you
into a temporary
menopause-like state. As a
result, menstruation stops,
fibroids shrink and anemia
often improves.
Progestin-releasing
intrauterine device (IUD). A
progestin-releasing IUD can
relieve heavy bleeding
caused by fibroids. A
progestin-releasing IUD provi
des symptom relief only and
doesn't shrink fibroids or
Hygiene
Keeping a sanitary
environment, which will not
allow microorganisms to
spread and cause infection or
complications.
Also, an environment that
would promote healing or
conducive in restoring the
optimum health.
Taking bath daily to prevent
invasion of microorganisms
and change clothes everyday
with clean and neat one.
Changing of perineal pads to
avoid infection and provide
comfort.
Section and group number: BSN2D -
Area of exposure: OB/ GYN Ward CL
Outpatient Diet
Manage Stress Level. Eat foods and drink the
following;
Keep an eye on your blood
 Fresh and cooked
pressure.
vegetables, especially
Make yourself comfortable.  greens like spinach,
lettuce, and broccoli
If you’re having
 A variety of brightly
painful periods colored fresh fruits
because of your  Beans and legumes
fibroids, try lying  Fish, especially oily
ones like salmon or
down and elevating
tuna
your legs with a
 White meats like
pillow. Or lie on your
chicken or turkey
side and bring  Low-fat milk, cheese,
your knees into your and other foods rich
chest to take the in Vitamin D
pressure off your  Whole grains
back.  Potassium rich foods
like potatoes,
bananas, tomatoes,
Talk to your doctor before
and avocado
trying any supplements.   Green tea
Substances and Foods to
activity and prostaglandin
production, this NSAID
reduces inflammatory
symptoms and relieves pain.
Celecoxib’s mechanism of
action in reducing the number
of colorectal polyps is
unknown.
EXACT TIME TO BE GIVEN
OD
7:00 PM
CLIENT TEACHING, DRUG
REACTION OR SIDE EFFECTS.
Client Teaching
 Instruct patient to
swallow celecoxib
capsules whole with a
full glass of water and
with food or milk to
prevent stomach
upset.
 Tell patient to take
celecoxib exactly as
prescribed and not to
increase dosage or
take drug longer than
prescribed because
serious adverse
reactions can occur.
activity. avoid;
make them disappear. It also
prevents pregnancy.  Red meat
 High-fat, processed
meats
Tranexamic acid (Lysteda,
 Any highly processed
Cyklokapron). This foods
nonhormonal medication is  Added sugar of all
taken to ease heavy types
menstrual periods. It's taken  Salt
 High sodium foods
only on heavy bleeding days.
 Soda and other
sugary drinks
Other medications. Your  Excess calories
doctor might recommend  Alcohol
other medications. For  Smoking
example, oral contraceptives
can help control menstrual
bleeding, but they don't
reduce fibroid size.
Nonsteroidal anti-
inflammatory drugs (NSAIDs),
which are not hormonal
medications, may be
effective in relieving pain
related to fibroids, but they
don't reduce bleeding caused
by fibroids.
Uterine artery
embolization. Small particles
 Advise patient to
notify prescriber if (embolic agents) are injected
pain continues or is into the arteries supplying
poorly controlled.
the uterus, cutting off blood
 Explain that celecoxib
may increase the risk flow to fibroids, causing them
of serious adverse CV to shrink and die.
events; urge patient
to seek immediate Radiofrequency ablation. In
medical attention if this procedure,
signs or symptoms
radiofrequency energy
arise, such as chest
pain, shortness of destroys uterine fibroids and
breath, slurred shrinks the blood vessels that
speech, and feed them. This can be done
weakness. during a laparoscopic or
 Tell patient that transcervical procedure. A
celecoxib may
similar procedure called
increase the risk of
serious adverse GI cryomyolysis freezes the
reactions. Stress the fibroids.
need to seek
immediate medical
attention if signs or
symptoms develop,
such as epigastric or
abdominal pain,
indigestion, black or
tarry stools, and
vomiting blood or
material that
resembles coffee
grounds.
  Alert patient that
celecoxib may cause
serious skin reactions.
Advise immediate
medical attention if
signs or symptoms
develop, such as rash,
blisters, fever, itching,
or other evidence of
hypersensitivity.
 Urge patient to avoid
smoking and alcohol
consumption during
celecoxib therapy
because they may
increase the risk of
adverse GI reactions.

SIDE EFFECTS
Stomach pain, diarrhea,
constipation, gas, heartburn,
nausea, vomiting, dizziness.

Keys to remember/ nursing

responsibilities/consideration
.
Inform the client to take drug
with food or meals if GI upset
occurs.

Take only the prescribed

dosage; do not increase
dosage.
Inform the client that he or
she may experience these side
effects: Dizziness, drowsiness
(avoid driving or the use of
dangerous machinery while
taking this drug).

Report sore throat, fever,

rash, itching, weight gain,
swelling in ankles or fingers;
changes in vision.