Module 7 Elaborate Drug Study

UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631
NCM 106 – Pharmacology
Course Outputs / Assessment of Learning for CILO # 3

Compilation of Drug Study
Name of Student : Maureen Antonette A. Caneja Yr.& Sec. : BSN – 2D

Module/Topic : Module 7 - Elaborate Date : 11/28/2021
DRUG STUDY
Patient : J.H Age : 18 Hospital No : 11
Impression : chronic obstructive pulmonary disease Attending Physician : Dr. Carlisle Cullen Room No : 11
Allergic to : N/A
Generic / Brand Dose, Strenght And Indication/Mechanism Adverse Effects & Nursing Responsibilities Client Teaching
Name & Classification Formulation Of Action Contraindications
Generic: Ordered: Indication: Adverse effects include: • Ensure that client • Inform the client on
ipratropium Timing:: It is used to prevent • Dizziness does not overdose proper use of the
Duration: wheezing, shortness of • Nausea with the medications and to follow
Brand: Other Forms: breath, coughing, and • Heartburn medication the prescription label
Atrovent • Nebulizer chest tightness in people. • Dry mouth • Rinse the mouth carefully
• Inhaler • Constipation every after use of • Encourage client to ask for
Classification: • Pain when urinating inhaler any questions regarding
Pharmacology Drug Study 1st Semester S.Y. 2021- 2022 UCBC Page 1
College of Nursing
Telephone No: (032) 231- 8631
Bronchodilator Mechanism of Action: Contraindications include • Hydrate client the medication and to
Blocking cholinergic people with: with water and inform the physician with
receptors decreases the other drinks the questions.
production of cyclic • closed angle • Ask physician for • Do not use the drug more
guanosine monophosphate glaucoma. confirmation of or less than prescribed by
(cGMP). With this, it • blockage of the dosage if required the physician
decreases in the lung urinary bladder.
airways that leads to • enlarged prostate.
decreased contraction of • an inability to
smooth muscles. completely empty the
bladder.
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : J.A.L Age : 19 Hospital No : 34
Impression : Allergic rhinitis Attending Physician : Dr. Carlisle Cullen Room No : 1
Allergic to : Pollen
Generic: Ordered: Indication: Adverse effects include: • Ensure that client • Inform client on the
diphenhydramine Timing:: • Dry nasal mucosa is not close to proper usage of drug.
Duration: Diphenhydramine is used • Pharyngeal dryness anything that Right time to take it etc.,
Brand: Other Forms: to treat sneezing, runny • Thick bronchial triggers his • Encourage client to ask
Benadryl • Oral nose, itchy/watery eyes, sputum allergies questions if client is
• Topical itching of nose/throat, • Agranulocytosis • Ensure that his confused regarding an
Classification: • Elixir insomnia, pruritis, • Hemolytic anemia environment is information about the drug
Antihistamines • Capsule urticaria, insect bites, • Thrombocytopenia pollen and dust-
• Syrup allergic rashes, and free
• Convulsions
nausea.
• Tachycardia • Report sustained
• Hypotension or symptomatic
Mechanism of Action: decrease in blood
• Sedation
pressure or other
This reverses the effects of • Confusion
cardiac symptoms
histamine on capillaries as • Anticholinergic effects
this reduced the allergic
reaction symptoms.
College of Nursing
Telephone No: (032) 231- 8631
Contraindications include
people with:
• overactive thyroid
gland
• increased pressure in
the eye
• closed angle glaucoma
• high blood pressure
• stenosing peptic ulcer
• blockage of the
urinary bladder
• enlarged prostate
• an inability to
completely empty the
bladder
• chronic idiopathic
constipation
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : J.J Age : 28 Hospital : 73

No
Impression : Sinusitis Attending Physician : Dr. Carlisle Cullen Room No : 90
Allergic to : N/A
Name & Formulation Of Action Contraindications
Classification
Generic: Ordered: Indication: Adverse effects include: • Ensure that the • Educate the client on
dextromethorphan Timing:: drug is not taken proper usage of the drugs.
Duration: Temporarily relive cough • dizziness. on long-term Considering the time the
Brand: Other Forms: caused by the common • lightheadedness. • Take note of any client should take it etc.,
Delsym • Liquid-filled cold, flu, or other • drowsiness. adverse effects • Warn client on possible
capsule conditions. • nervousness. overdose if not taken
Classification: • Chewable • restlessness. properly
antitussive • Solutions Mechanism of Action: • nausea.
• Suspension • vomiting.
This activates sigma
• stomach pain.
opioid receptors on the
cough center in the
nervous system.
College of Nursing
Telephone No: (032) 231- 8631
people with:
• Asthma, emphysema,
tobacco smoking.
• Dextromethorphan is
contraindicated in the
treatment of chronic
cough, especially
when associated with
excessive bronchial
secretion
• Hepatic disease
• Children, infants
• Pregnancy
• Breast-feeding
• Driving or operating
machinery
• MAOI therapy
• Geriatric clients
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : K.K.L Age : 32 Hospital : 45

No
Impression : Asthma Attending Physician : Dr. Carlisle Cullen Room No : 123
Allergic to : N/A
Name & Formulation Of Action Contraindications
Classification
Generic: Ordered: Indication: Adverse effects include: • Monitor • Allow client to remain
Albuterol Timing: respiratory rate, compliant with the
Duration: Salbutamol is indicated for • headache. oxygen saturation, medication dosing
Brand: Other Forms: the symptomatic relief and • feeling nervous, and lung sounds regimen.
Salbutamol • Tablet prevention of restless, excitable before and after • Inform client on the
• Oral solution bronchospasm due to and/or shaky. administration. proper usage of drug.
Classification: • Injection bronchial asthma, chronic • fast, slow, or uneven • If more than one Right time to take it etc.,
Bronchodilators • Infusion bronchitis, reversible heartbeat. inhalation is • Encourage client to ask
• Inhalation obstructive airway disease, • bad taste in the ordered, wait at questions if client is
• Nebulizer and other chronic mouth. least 2 minutes confused regarding an
bronchopulmonary • dry mouth. between information about the drug
disorders in which • sore throat and inhalations. • If using an inhaler, the
bronchospasm is a cough. • Use a spacer patient should be sure to
complicating factor,
• inability to sleep. device to improve prime the inhaler prior to
and/or the acute drug delivery, if administering the dose of
prophylaxis against appropriate. medication.
exercise-induced
College of Nursing
Telephone No: (032) 231- 8631
bronchospasm and other Contraindications include

stimuli known to induce people with:
bronchospasm.
• Hypertensive
Mechanism of Action: pregnant women
• Uterine infection
Relaxes the smooth • Miscarriage
muscles of all airways, • Heart disease
from the trachea to the • Hypersensitivity
terminal bronchioles
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : M.Y Age : 32 Hospital : 223

No
Impression : Asthma Attending Physician : Dr. Carlisle Cullen Room No : 14
Allergic to : N/A
Generic / Brand Name Dose, Strenght And Indication/Mechanism Adverse Effects & Nursing Responsibilities Client Teaching
& Classification Formulation Of Action Contraindications
Generic: Ordered: Indication: Adverse effects include: • Maintain airway • Educate client on proper
cromolyn sodium Timing: • headaches. patency teaching on how to use
Duration: helps reduce • nasal irritation. • Verbalize the medication
Brand: Other Forms: inflammation. This • cough. understanding of • Promote self-
Gastrocrom • Cromolyn oral medicine is used to treat • wheezing. causes and management based on
• Nasalcrom the symptoms of asthma. • dizziness. therapeutic basic asthmatic facts,
• Classification: nasal It is also used to prevent • nausea. management self-monitoring
• Mast cell bronchospasm from • body aches. regimen techniques, the role of
stabilizer exercise or irritants.
• drowsiness. • Identify potential medications, inhaler use,
Never use this medicine complications and environmental
to treat an acute asthma and how to control measures
attack. initiate
people with:
appropriate
Mechanism of Action: preventive or
• shown
hypersensitivity to corrective actions
Cromolyn sodium inhibits
cromolyn sodium.
the release of mediators
of inflammation, induced • Acute bronchospasm
College of Nursing
Telephone No: (032) 231- 8631
by specific antigens as status asthmaticus

well as nonspecific • Hepatic disease,
mechanisms, such as renal failure, renal
exercise, from mast cells. impairment
• Contact lenses
• Pregnancy
• Breast-feeding
• Children and in
infants.
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : M.N Age : 32 Hospital No : 112
Impression : Inflammation Attending Physician : Dr. Carlisle Cullen Room No : 114
Allergic to : N/A
Generic: Ordered: Indication: Adverse effects include: Instruct patient to report • Call your doctor if your
azelastine nasal Timing:: prolonged or severe nasal symptoms do not improve,
Duration: • Used to treat • fever. irritation, including or if they get worse.
Brand: Other Forms: people with: • bitter taste in your excessive sneezing, • Store this medicine in an
Astepro • Eye drops • Edema (swelling) mouth. nosebleeds, burning upright position at room
• inflammation • nose pain or sensations, or other temperature. Do not
Classification: (redness) discomfort. troublesome freeze.
Antihistamines • itch • nosebleeds. nasopharyngeal
• rash • headache. symptoms. Instruct patient
• red and watery • sneezing. and family/caregivers to
report severe or prolonged
eyes • drowsiness.
headache, fatigue, or GI
• runny nose • upper respiratory
problems (nausea, dry
• sneezing. tract infection.
mouth, bitter taste).
College of Nursing
Telephone No: (032) 231- 8631
Mechanism of Action: Contraindications include

people with:
Azelastine antagonizes the
actions of histamine, • active tuberculosis.
resulting in the relief of • inactive tuberculosis.
histamine-mediated • herpes simplex
allergy symptoms. Onset infection of the eye.
of action occurs within 15 • a nasal fungal
minutes with intranasal infection due to
formulations and as Candida.
quickly as 3 minutes with • an infection due to a
ophthalmic solutions. parasite.
• decreased function of
the adrenal gland.
• increased pressure in
the eye.
• wide-angle glaucoma.
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
Patient : N.S Age : 18 Hospital No : 112
Impression : COPD Attending Physician : Dr. Carlisle Cullen Room No : 114
Allergic to : N/A
Generic: Ordered: Indication: Adverse effects include: Patients should be sure to • Take theophylline exactly
theophylline Timing:: take medications as as directed.
Duration: Theophylline is indicated • Nausea or vomiting prescribed at appropriate • Do not take more or less of
Brand: Other Forms: for the treatment of • Stomach or intervals. Patients should it or take it more often
Elixophyllin • Oral the symptoms and abdominal pain avoid irritants and drink than prescribed by your
solution reversible airflow • Headache fluids to help thin doctor.
Classification: • Tablet obstruction associated with • trouble sleeping, secretions. Patients will • Take this medication with
methylxanthines • Capsule chronic asthma and other diarrhea need serum blood levels a full glass of water on an
• IV chronic lung diseases, e.g., • irritability tested every six to twelve empty stomach, at least 1
emphysema and chronic • restlessness, months. hour before or 2 hours
bronchitis. nervousness after a meal.
• shaking
Mechanism of Action:
• increased
urination may occur.
Theophylline relaxes the
smooth muscles located in
If any of these effects last or
the bronchial airways and
get worse, tell your doctor or
pulmonary blood vessels.
College of Nursing
Telephone No: (032) 231- 8631
It also reduces the airway pharmacist promptly.

responsiveness to
histamine, adenosine, Contraindications include
methacholine, and people with:
allergens.
• overactive thyroid
gland.
• a condition with low
thyroid hormone
levels.
• diabetes.
• cystic fibrosis.
• alcoholism.
• high blood pressure.
• a heart attack.
• angina, a type of
chest pain.
College of Nursing
Telephone No: (032) 231- 8631
References:
• 4.13 BETA-2 AGONISTS. (n.d.). Https://Wtcs.Pressbooks.Pub. Retrieved November 29, 2021, from https://wtcs.pressbooks.pub/pharmacology/chapter/4-13-beta-2-
agonist/
• 5.8 ANTITUSSIVES. (n.d.). Https://Wtcs.Pressbooks.Pub. Retrieved November 29, 2021, from https://wtcs.pressbooks.pub/pharmacology/chapter/5-8-antitussives/
• Asthma. (n.d.). Https://Www.Mayoclinic.Org. Retrieved November 29, 2021, from https://www.mayoclinic.org/diseases-conditions/asthma/diagnosis-treatment/drc-
20369660
• Azelastine nasal. (n.d.). Https://Www.Drugs.Com. Retrieved November 29, 2021, from https://www.drugs.com/mtm/azelastine-nasal.html
• Azelastine-Fluticasone Aerosol, Spray With Pump. (n.d.). Https://Www.Webmd.Com. Retrieved November 29, 2021, from https://www.webmd.com/drugs/2/drug-
160741/azelastine-fluticasone-nasal/details/list-contraindications
• Cromolyn SODIUM - Uses, Side Effects, and More. (n.d.). Https://Www.Webmd.Com. Retrieved November 29, 2021, from https://www.webmd.com/drugs/2/drug-
22051/cromolyn-oral/details
• Cromolyn Sodium inhalation aerosol. (n.d.). Https://My.Clevelandclinic.Org. Retrieved November 29, 2021, from https://my.clevelandclinic.org/health/drugs/20430-
cromolyn-sodium-inhalation-aerosol
• Dextromethorphan. (n.d.-a). Https://Fadavispt.Mhmedical.Com. Retrieved November 29, 2021, from
https://fadavispt.mhmedical.com/content.aspx?bookid=1873§ionid=139008023
• Dextromethorphan. (n.d.-b). Https://Medlineplus.Gov. Retrieved November 29, 2021, from https://medlineplus.gov/druginfo/meds/a682492.html
• dextromethorphan polistirex - Drug Summary. (n.d.). Https://Www.Pdr.Net/Drug-Summary. Retrieved November 29, 2021, from https://www.pdr.net/drug-
summary/Delsym-12-Hour-Cough-Relief-dextromethorphan-polistirex-936
• Benadryl, Nytol (diphenhydramine) dosing, indications, interactions, adverse effects, and more. (2019, September 28). Retrieved November 28, 2021, from
https://reference.medscape.com/drug/benadryl-nytol-diphenhydramine-343392?fbclid=IwAR21i_sbggn3hm_x9Dlu1k5kLVsknuEgf6pFoVJETt8H6cb80EsajG_3JZw#4
• WebMD. (n.d.). Common and rare side effects for ipratropium bromide inhalation. WebMD. Retrieved November 28, 2021, from
https://www.webmd.com/drugs/2/drug-3752-8008/ipratropium-bromide-inhalation/ipratropium-hfa-inhaler-oral-inhalation/details/list-
contraindications?fbclid=IwAR1zQDLJ0A_GZLmtD8bgt5xHmp26Fs6uZDYbZfUGNyBHPDk2yLPSW_vRUlg.
College of Nursing
Telephone No: (032) 231- 8631
Prepared by:
Maureen Antonette A. Caneja

Students Signature over
Printed Name
Submitted to:
Lemuel C. Candelasa, EdD(c) ,MAN,RN

Professor – Pharmacology

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UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

NCM 106 – Pharmacology

Course Outputs / Assessment of Learning for CILO # 3

Name of Student : Maureen Antonette A. Caneja Yr.& Sec. : BSN – 2D

Patient : J.H Age : 18 Hospital No : 11

Patient : J.A.L Age : 19 Hospital No : 34

Impression : Allergic rhinitis Attending Physician : Dr. Carlisle Cullen Room No : 1

Patient : J.J Age : 28 Hospital : 73

Patient : K.K.L Age : 32 Hospital : 45

bronchospasm and other Contraindications include

Patient : M.Y Age : 32 Hospital : 223

by specific antigens as status asthmaticus

Patient : M.N Age : 32 Hospital No : 112

Impression : Inflammation Attending Physician : Dr. Carlisle Cullen Room No : 114

Mechanism of Action: Contraindications include

Patient : N.S Age : 18 Hospital No : 112

Impression : COPD Attending Physician : Dr. Carlisle Cullen Room No : 114

It also reduces the airway pharmacist promptly.

Maureen Antonette A. Caneja

Lemuel C. Candelasa, EdD(c) ,MAN,RN

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