LORMA COLLEGES CON

TEMPLATE
PHYSICAL ASSESSMENT
RELATED LEARNING EXPERIENCE

STUDENT NAME: ARELLANO, JUSTINE M. ROTATION: 5TH ROTATION AREA: OUT PATIENT DEPARTMENT (OPD)- ITMRC
YR LEVEL AND SEC: BSN 2 NOLA PENDER DATES: 11/11/21 CLINICAL INSTRUCTOR: MRS. MARIFLOR OCAMPO
HEAD NURSE: MS. MARY LUIZZA LI GARCIA

DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS NURSING

ACTION RESPONSIBILITIES
Generic name: Iron supplement Iron is an essential Ferrous sulfate is a Contraindicated in Constipation, diar  1. Advise the
FERROUS or anti-anemic element for blood medicine used to patients receiving rhea, stomach patient to take
SULFATE drug production. treat and prevent repeated blood cramps, or upset the medication
Ferrous iron deficiency transfusions and in stomach may as prescribed by
Brand name: sulfate replaces iro anemia. Iron helps those with occur. These the physician.
FEOSOL n, an essential the body to make hemosiderosis, primary effects are 
component in the healthy red blood hemochromatosis, usually
 2. Monitor
Dosage: formation of cells, which carry hemolytic anemia temporary and
bowel
30mg hemoglobin. oxygen around the unless iron may disappear as
movements as
Absorbed from the body. Some things deficiency anemia is your body
constipation is a
Frequency: entire length of the such as blood loss, also present, peptic adjusts to this
common
Once a day GI tract, but pregnancy or too ulceration, ulcerative medication. If
adverse effect.
primary absorption little iron in your colitis, or regional any of these
Route: sites are the diet can make your enteritis. effects persist or
Per Orem duodenum and iron supply drop too worsen, contact 3. Record the amount
proximal jejunum. low, leading to your doctor or and color of the stool.
anemia. pharmacist
promptly.  4. Monitor
hemoglobin,
hematocrit, and
 iron levels.

5. Assess nutritional
status.

DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
ACTION RESPONSIBILITIES
Generic name:  F An exogenous Folic acid reduces  Folic  Naus  1. Obtain a
FOLIC ACID o source of folate is the risk for birth acid is ea careful history
li required for defects of a baby's contrai  Loss of dietary intake
Brand name: c nucleoprotein brain and spine ndicate of and drug and
FOLVITE a synthesis and the -spina bifida and d for appe alcohol usage
ci maintenance of anencephaly. Folic use in tite prior to start of
Dosage: d normal acid may also lower patient therapy. 
 Bloa
400mcg c erythropoiesis. the risk of s with
ting 2. Keep physician
a Folic acid, whether preeclampsia and folic
Frequency: n given by mouth or early labor. acid  Bitter informed of patient's
Once a day or response to therapy.
b parenterally, hypers
e stimulates the ensitivi unple
asant 3. Remain under close
Per Orem s production of red ty. medical supervision
t blood cells, white taste
 Folic in while taking folic acid
b blood cells, and therapy. Adjustment of
e platelets in persons acid should not your
mout maintenance dose
c suffering from be given alone should be made if there
l certain h.
in patients with is threat of relapse.
a megaloblastic  Sleep
s anemias. pernicioius probl 4. Monitor the side
si anemia ems effects of the drug.
fi without  Depr
e essio  5. Educate the
d knowing n or client on foods
a whether they feelin to be taken that
s  also have a Vit g has high content
 v B12 deficiency. excit of folic acid.
it ed or
a irrita
m ble.
i  Aller
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 D on
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 DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
ACTION RESPONSIBILITIES
Generic name: Inactivated Vaccinations exert Tetanus  Histor Mild fever, joint 1. Obtain a careful
TETANUS vaccines their effect on the Toxoid is used to y of pain, muscle history on allergic
TOXOID FLUID human body via prevent tetanus (also seriou aches, reactions before
priming our active known as s aller nausea, tiredness administering the drug.
Brand name: immune system. lockjaw). Tetanus is a gic , or
-TETRAMUNE Following the serious illness that reacti pain/itching/swel
2. Obtain a careful
DRUG administration of causes convulsions on. ling/redness at
history if she has been
the tetanus toxoid, (seizures) and severe  not the injection site
undergone a vaccine
the immune muscle spasms that attrib may occur.
with pertussis
Dosage: system is can be strong enough utable Acetaminophen
components 7 days ago
0.5 mL stimulated and to cause bone to an may be used to
before administering
responds to the fractures of the identi reduce these
the drug.
Frequency: antigens present in spine. fiable effects.
As ordered by the vaccine. TH2 cause
the physician and B cells within 3. Monitor the side
are activated, 7 days effects of the drug.
Route: which then of
IM/ 4. Keep physician
produce admin
Intramuscular informed of patient's
immunoglobins istrati
Injection response to therapy.
against the on of
toxoid, allowing for a
adequate vaccin
protection against e with
future infections. pertus
This process sis
requires multiple comp
dosages to achieve onent
a high immune s
response; however,
it bears mentioning
that there is no
chance for the
toxoid to exhibit its
pathogenic
features as it is an
inactivated
vaccine..