Republic of the Philippines

Cebu Normal University

Osmeña Blvd. Cebu City, 6000 Philippines

College of Nursing
Center of Excellence (COE) | Level IV Re-Accredited (AACCUP)
Telephone No.: (032) 254 4837
Email: cn@cnu.edu.ph
DRUG STUDY
Website: www.cnu.edu.ph
DRUGST
UDY
Patient’s Initials: __not indicated____ Date of Admission: November 19, 2021 Diagnosis: Multi Organ Dysfunction Syndrome_
Age: 60 years old Height/Weight: BMI: 40.2________________________ Clinical Intervention: _____________________
Sex: Female ______Ward: _________ Bed No.: Name of Physician: ________ ______________
 Nursing
Name of Drug Classification Mechanism of Action Indication Contraindication Side Effects
Responsibilities
Before Drug
Administration:
Republic of the Philippines ● Check doctor’s
Cebu Normal University order.
Osmeña Blvd. Cebu City, 6000 Philippines CNS:
Assess for signs of
Contraindicated in: depression, euphoria,
adrenal insufficiency
Pharmacodynamics or College of Nursing Active untreated headache, increase
(hypotension, weight
Mechanism Center
of Action: infections
of Excellence (COE) | Level IV Re-Accredited (may be used
(AACCUP) intracranial pressure
loss, weakness,
In pharmacologic doses, all Telephone No.: (032) 254 4837 in patients being (children only),
nausea, vomiting,
Generic Name: agents suppress inflammation Email: cn@cnu.edu.ph treated for some forms personality changes,
anorexia, lethargy,
Hydrocortisone and the normal immune Website: www.cnu.edu.ph of psychoses,
confusion,
response. All agents have meningitis);Lactation: restlessness.
restlessness) before
Trade Name: numerous intense metabolic Avoid chronic use;
and periodically
Solu-CORTEF effects. Replace endogenous Known alcohol, EENT:
during therapy.
cortisol in deficiency states. bisulfite, or tartrazine cataracts, increase
● Monitor intake and
Patient’s Dose: hypersensitivity or intraocular pressure.
output ratios and daily
100mg IVTT q8H Therapeutic Effects: intolerance (some
weights. Observe
Suppression of inflammation products contain these CV: hypertension.
patient for peripheral
Minimum Dose: and modification of the normal and should be avoided
edema, steady weight
0.186 mg immune response. in susceptible patients); GI:
gain, rales/crackles, or
Replacement therapy in Administration of live PEPTIC
dyspnea. Notify health
Maximum Dose: adrenal insufficiency virus vaccines ULCERATION,
care professional if
150 mg anorexia, nausea,
these occur.
Pharmacokinetics: Use cautiously in: vomiting.
● Children should
Route: Absorption: Chronic treatment (will
have periodic
IV Well absorbed after oral lead to adrenal Derm:
Pharmacologic evaluations of growth.
administration. Sodium
General suppression; use lowest acne, slow wound
Classification:
Frequency: phosphate and sodium
Indication/s: possible dose for healing, ecchymoses,
Corticosteroids During Drug
q8H succinate salts are rapidly Management of shortest period of fragility, hirsutism,
(systemic) Administration:
absorbed after IM
adrenocortical time); Hypothyroidism; petechiae.
● Ensure the 5 rights
Availability/Form: administration. Acetate and insufficiency. Immunosuppression;
Therapeutic of medication: right
PO (Adults): 20–240 mg/day acetonide salts are slowly but Cirrhosis. Endo:
Classification: patient, right drug,
in 1–4 divided doses. completely absorbed after IM Patient’s Pedi: adrenal suppression,
Anti-asthmatics, right dosage, right
PO (Children): administration. Absorption
Indication: Children (chronic use hyperglycemia.
corticosteroids route, and right time.
Adrenocortical insufficiency from local sites (intra-articular,
To reduce the risk of will result decrease
● Inform patient
— 0.56 mg/kg/day (15–20 intralesional) is slow but recurring or protracted growth; use lowest F and E:
Pregnancy Category: regarding the purpose
mg/m2 /day) as a single dose complete. Bioavailability of anaphylaxis. possible dose for fluid retention (long-
C of medications, as well
or in divided doses. Other budesonide is 9– 21%. shortest period of term high doses),
as its side effects.
uses—2–8 mg/kg/day (60– time); Stress (surgery, hypokalemia,
Use calibrated
240 mg/m2 /day) as a single Distribution: infections); hypokalemic
measuring device to
dose or in divided doses. IM, All are widely distributed, supplemental doses alkalosis.
ensure accurate dose
IV (Adults): 100–500 mg q cross the placenta, and may be needed;
of liquid forms
2–6 hr (range 100–8000 probably enter breast milk. Potential infections Hemat:
mg/day). may mask signs (fever, THROMBOEMBOLI
After Drug
IM, IV (Children): Metabolism and Excretion: inflammation); SM, thrombophlebitis
Administration:
Adrenocortical insufficiency All are metabolized mostly by Traumatic brain injury
● Cerebral Edema:
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd. Cebu City, 6000 Philippines

College of Nursing
Center of Excellence (COE) | Level IV Re-Accredited (AACCUP)
Telephone No.: (032) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph