Republic of the Philippines

PALAWAN STATE UNIVERSITY

Puerto Princesa City

COLLEGE OF NURSING AND HEALTH SCIENCES

DRUG STUDY

Course and Year Level: BACHELOR OF SCIENCE IN NURSING 3RD Group #: 1 Week 6
YEAR :
Group members: EUSTAQUIO, ERYNKO, ELEAZAR

Patient’s Name: Mr. S Age: 23 Sex: M

Diagnosis: Traumatic Brain Injury Weight: N/A Date:

NURSING
INDICATION/S ADVERSE CONTRAINDICA HEALTH
MEDICINE ACTION SIDE EFFECTS CONSIDERATIO
for your patient EFFECTS TIONS TEACHING
NS
Generic Name: -Test dose for Increases osmotic CNS: dizziness, -Adverse reactions -Active intracranial Assessment: -Mannitol must be
Mannitol marked oliguria or pressure of plasma headache, seizures more commonly bleeding (except -Assess skin given slowly, and
suspected in glomerular reported during or during craniotomy), turgor, mucous u may receive the
Trade Name: inadequate renal filtrate, inhibiting CV: chest pain, after the infusion of anuria secondary membranes and medication around
Osmitrol function, prevent tubular hypotension, mannitol to severe renal mental status the clock. Tell your
acute renal failure reabsorption of hypertension, include: Pulmonary  disease, before caregivers if you
Dose and during water and tachycardia, congestion, fluid progressive heart administration of feel any burning,
frequency: cardiovascular and electrolytes thrombophlebitis, and electrolyte imb failure, pulmonary drug. pain, or swelling
1.5 to 2g/kg as a other surgeries, (including sodium heart failure, alance, acidosis, congestion, renal -Assess signs for around the IV
15%, 20%, or 25% acute renal failure, and potassium). vascular overload electrolyte loss, damage, or renal electrolyte needle when
I.V solution over to reduce These actions dryness of mouth, dysfunction after imbalance. mannitol is injected.
30-60 minutes intracranial enhance water flow EENT: blurred thirst, mannitol therapy - Assess for You will need
pressure and brain from various vision, rhinitis marked diuresis, uri begins, severe evidence of frequent medical
mass, reduce tissues and nary retention, ede pulmonary circulatory tests to be sure this
Form: IV intraocular ultimately decrease GI: nausea, ma, congestion or overload, including medicine is not
pressure, to intracranial and vomiting, diarrhea, headache, blurred pulmonary edema, pulmonary edema, causing harmful
Route: IV promote dieresis in intraocular dry mouth vision, and severe water intoxication, effects.
drug toxicity, pressures. convulsions, nause dehydration. and heart failure
Drug Classification: irrigation during GU: polyuria, a, vomiting, rhinitis,
 Republic of the Philippines
PALAWAN STATE UNIVERSITY
Puerto Princesa City

COLLEGE OF NURSING AND HEALTH SCIENCES

DRUG STUDY

Osmotic Diuretic transurethral urinary retention, arm pain, Implementation:

resection of osmotic nephrosis skin necrosis, thro -Watch for
Safe Dose Range: prostate. Metabolic: mbophlebitis, chills, excessive fluid loss
1.5 to 2g/kg as a dehydration, water dizziness, urticaria,  and signs and
15%, 20%, or 25% intoxication, dehydration, hypot symptoms of
I.V solution over hypernatremia, ension, tachycardia hypovolemia and
30-60 minutes hyponatremia, , fever and angina- dehydration.
hypovolemia, like chest pains.
hypokalemia, Monitoring:
hyperkalemia, -Monitor Vital signs
metabolic acidosis including central
venous pressure
Respiratory: and output.
pulmonary - Monitor hepatic
congestion and renal function
during therapy.
Skin: rash, urticaria -Monitor IV site
carefully to avoid
Other: chills, fever, extravasations and
thirst, edema, tissue necrosis
extravasation with
edema and tissue Evaluation:
necrosis - Watch for
excessive fluid loss
and signs and
symptoms of
hypovolemia and
dehydration.

References: Comerford, K. C., & Durkin, M. T. (2021). Nursing 2021 drug handbook. 41st edition. Philadelphia: Wolters Kluwer.