UNIVERSITY OF CEBU – BANILAD

COLLEGE OF NURSING

DRUG STUDY
Patient: M.A. Age: 52 years old Hospital No.: 254741 Room No.: 723
Impression/ Diagnosis: CVD Infarction Attending Physician/s: Dr. Noel Belonguel
Allergy to: None

Generic / Brand Side Effects / Adverse

Dosage, Timing Indication/Pharmacodynamics of
Name & Reaction / Nursing Responsibilities (Nursing Patient Teaching
& Duration Drug
Classification Contraindication Process Approach) (40%) (20%)
(5%) (20%)
(5%) (10%)
Drug form & Side Effects: Assessment: 1. Instruct patient to take
Generic Name: Dosage Indications:  Fleeting and Obtain patient’s medical history. Assess medication as prescribed.
ordered: discrete patient’s condition Monitor Vital Signs 2. Instruct patient that citicoline
Citicoline Cerebrovascular diseases – e.g., hypotension (BP, PR, RR). Assess for allergic may be taken with or without
from ischemia due to stroke, where effect. reactions like GI disturbances. food.
Tablet Citicoline accelerates the recovery of  Increased Planning: 3. Monitor for adverse effect and
1gm/tab consciousness and overcoming motor parasympathetic Give oral administration. Direct IV instruct patient to report
PO/NGT deficit. effects. administration should be very slowly to immediately if he/she develops
Brand Name: Head Trauma of varying severity:  Hypotension prevent episodes of hypotension. chest tightness, gurgling in
In a clinical trial, Citicoline  Itching or hives Implementation: mouth and throat, headache,
Timing: accelerated the recovery from post-  Swelling in face Instruct patient to take the medication as diarrhea, and blurring of vision.
Not specified traumatic coma and the recuperation or hands. prescribed. 4. Instruct patient to contact the
2x a day of walking ability, achieved a better  Chest tightness Teach the patient that citicoline may be physician immediately if allergic
final functional result and reduced  Tingling in taken with or without food. reaction such as hives, rash, or
Classification: hospital stay. mouth and Evaluation: itching, swelling of face, hands,
Duration: Cognitive disorders of diverse throat. Monitor for adverse effects; instruct mouth, or throat, or trouble
etiology – e.g., senile cognitive  Headache patient to report immediately if he/she breathing are experienced.
Central stimulant, impairment which is secondary to  Nausea develops chest tightness, tingling in
Nootropic agent Not specified degenerative diseases (e.g.,  Diarrhea mouth and throat, headache, diarrhea and
Alzheimer’s disease). Citicoline  Blurred Vision blurring of vision.
Other drug improves scores on cognitive Adverse reactions:
forms: evaluation scales and slowed the  Cardiac
progression of Alzheimer’s disease. disorders:
IV/IM Parkinson’s disease – Citicoline has Bradycardia,
 also been shown to be effective as co- tachycardia.
therapy for Parkinson’s disease.  Gastrointestinal
Beneficial neuroendocrine, disorders:
neuromodulator, and Diarrhea,
neurophysiological effects have been epigastric
described. discomfort,
stomach pain.
 General
Pharmacodynamics: disorders and
admin site
Citicoline is metabolized to yield the conditions:
free nucleotide uridine and choline. Fatigue.
Both elements cross the blood-brain  Nervous system
barrier, become incorporated into disorders:
brain membrane phospholipids and Dizziness,
increase the production of headache.
neurotransmitters in the central  Skin and
nervous system, including the subcutaneous
synthesis of acetylcholine, tissue disorders:
noradrenaline and dopamine. Rashes.
 Vascular
disorders:
Hypotension.
Contraindications:
Hypertonia of the
parasympathetic
nervous system.
Printed Name & Signature: SHEILA KYAMKO MACEDA, RN, MAN, Ed.D. Printed Name & Signature: VINZ ALYSSA MAE T. ONO

Clinical Instructor: Student:

Generic / Brand Side Effects / Adverse
Dosage, Indication/Pharmacodynamics of
Name & Reaction / Nursing Responsibilities (Nursing Patient Teaching
Timing & Drug
Classification Contraindication Process Approach) (40%) (20%)
Duration (5%) (20%)
(5%) (10%)
Drug form & Side Effects: Assessment: 1. Inform client that this drug may
Generic Name: Dosage Indications:  Stomach pain  Assess for mentioned cause weakness, light-
ordered:  Allergy contraindications and cautions headedness, or sleepiness, if
Eperisone Spastic paralysis in the following  Vomiting (e.g., drug allergy, cardiac affected, do not drive, or operate
diseases: Cerebrovascular diseases,  Nausea depression, rheumatic disorder, machinery.
Tablet spastic spinal paralysis, cervical  Diarrhea pregnancy, and lactation, etc.) to
50gm/tab spondylosis, post-operative sequelae Adverse reactions: prevent untoward complications.
PO (including cerebrospinal tumor),  Significant:  Conduct thorough physical
Brand Name: sequelae to trauma (spinal trauma, Shock, assessment (temperature, skin
Timing: head injury), amyotrophic lateral anaphylaxis color and lesion, CNS orientation,
sclerosis, cerebral palsy, reactions (e.g., affect, reflexes, bilateral grip
Myonal 3x a day PC spinocerebellar degeneration, spinal redness, itching, strength, spasticity evaluation;
vascular diseases, and other urticaria, bowel sounds and urine output) to
encephalomyelopathies. oedema, obtain baseline data.
Classification: Duration: Improvement of myotonic symptoms dyspnea),  Monitor liver and renal function
in the following diseases: Cervical Stevens- tests to detect potential adverse
syndrome, periarthritis of the Johnson effects.
Centrally acting 5 days shoulder, lumbago. syndrome and Planning:
muscle relaxants. Tension type headache. toxic epidermal Give oral administration. Monitor client’s
Other drug necrolysis. health status.
forms: Pharmacodynamics:  Blood and Implementation:
lymphatic  Provide additional spasm and pain
None Eperisone is centrally acting agent system relief like rest periods, heat
which relaxes skeletal muscles by disorders: application, NSAIDs as ordered,
inhibition of experimentally induced Anemia. and positioning to augment the
muscle rigidity, suppression of spinal  Cardiac effects of the drug at relieving the
reflexes and reduction of muscle disorders: musculoskeletal discomfort.
spindle sensitivity via γ-motor Palpitations.  Discontinue drug at any sign of
neurons. It also dilates vascular  Gastrointestinal liver and renal dysfunction to
smooth muscles and augments blood disorders: prevent severe toxicity.
flow. Nausea,  Monitor respiratory status to
vomiting, evaluate adverse effects and
stomach arrange for appropriate dose
discomfort, adjustment or discontinuation of
abdominal pain, the drug.
 diarrhea,  Provide comfort measures to help
constipation, patient tolerate drug effects.
stomatitis,  Provide safety measures (e.g.,
feeling of adequate lighting, raised side rails,
enlarged etc.) to prevent injuries.
abdomen,  Educate client on drug therapy to
hiccup. promote understanding and
 General compliance.
disorders and Evaluation:
admin site  Monitor patient response to
conditions: therapy (improvement in muscle
Weakness, spasm and relief of pain;
fatigue, improvement in muscle spasticity)
diaphoresis. Monitor for adverse effects (e.g.,
 Investigations: CNS changes, GI depression,
Elevated BUN. urinary urgency, etc.).
 Metabolism and  Evaluate patient understanding on
nutrition drug therapy by asking patient to
disorders: name the drug, its indication, and
Anorexia, thirst. adverse effects to watch for.
 Musculoskeletal  Monitor patient compliance to
and connective drug therapy.
tissue disorders:
Stiffness,
muscle
hypotonia.
 Nervous system
disorders:
Headache,
numbness of
extremities,
tremor, light-
headedness,
dizziness.
 Psychiatric
disorders:
Sleepiness,
insomnia.
 Renal and
 urinary
disorders:
Proteinuria,
urinary
retention,
urinary
incontinence.
 Skin and
subcutaneous
tissue disorders:
Rash, pruritus,
erythema
exudative
multiforme.
 Vascular
disorders: Hot
flushes.
Contraindications:
Patients with a history
of hypersensitivity to
any ingredients of
Eperisone
hydrochloride
(MYONAL).
REFERENCES:

Kizior, R.J., & Hodgson, K.J. (2019). Saunders nursing drug handbook 2019. Elsevier.

Mims (2021). Citicoline. https://www.mims.com/philippines/drug/info/citicoline?mtype=generic

Mims (2021). Eperisone. https://www.mims.com/philippines/drug/info/eperisone?mtype=generic

Mims (2021). Myonal. https://www.mims.com/philippines/drug/info/myonal?type=full

RnPedia (2021). Muscle relaxants nursing considerations and management. https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/muscle-relaxants/