West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: Attending Physician:
Age: Ward/Bed Number: Impression/Diagnosis:
Dosage,
Route, Mechanisms of Adverse Special
Name of Drug Indication Nursing Responsibilities
Frequency Action Reactions Precautions
and Timing
Generic: Dosage: Overdose may • Give before  Before giving medication,
Inhibits action of PO: Adjunctive produce meals. instruct pt to void (reduces
Hyoscine acetylcholine at therapy for temporary • Immediate risk of urinary retention).
postganglionic peptic ulcer paralysis release  Monitor daily pattern of
Route: (muscarinic) disease, irritable of ciliary muscle, tablets may be bowel activity, stool
Brand: receptor sites. bowel pupillary dilation, crushed, consistency.
Buscopan Therapeutic syndrome, tachycardia, chewed.  Palpate bladder for
Effect: Decreases neurogenic palpitations, • Extended- urinary retention.
secretions bladder or hot/dry/flushed release tablet  Monitor changes in B/P,
Frequency: (bronchial, bowel; skin, absence of should be temperature.
salivary, sweat treatment of bowel sounds, swallowed  Assess skin turgor, mucous
gland, infantile hyperthermia, whole. membranes to evaluate
gastric juices). colic, GI tract increased • Allow orally- hydration
Reduces motility disorders respiratory rate, disintegrating status (encourage
Timing: of GI, caused by EKG tablet placed on adequate fluid intake),
urinary tracts.Well spasm, abnormalities, tongue to bowel sounds for peristalsis.
absorbed hypermotility of nausea, dissolve Be alert for fever (increased
following PO lower urinary vomiting; rash before risk of hyperthermia).
administration. tract; over face/upper swallowing; may  May cause dry mouth;
Protein binding: reduce trunk, CNS give with or maintain good oral hygiene
50%. Metabolized abdominal stimulation, without water. habits (lack of saliva may
in rigidity; reduce psychosis • Sublingual: increaserisk of cavities).
liver. Majority tremors (agitation, Place under  Inform physician
excreted in urine. associated with restlessness, tongue.
of rash, eye pain, difficulty
Removed Parkinson’s rambling
 by hemodialysis. disease; drying speech, visual in urinating, constipation.
agent in acute hallucinations,  Avoid tasks that
rhinitis. paranoid require alertness, motor skills
behavior, until response to drug is
delusions) established
followed by
depression.

Contraindication
Classification Side Effects
s
GI/GU Frequent: Dry
Functional: obstruction, mouth
myasthenia (sometimes
Antimuscarinic, gravis, narrow- severe),
antispasmodic. angle glaucoma, decreased
paralytic ileus, diaphoresis,
severe constipation.
Chemical: ulcerative Occasional:
Anticholinergic colitis. Cautions: Blurred vision,
Hyperthyroidism bloated feeling,
, CHF, cardiac urinary
arrhythmias, hesitancy,
prostatic drowsiness (with
hypertrophy, high
neuropathy, dosage),
chronic lung headache,
disease, intolerance to
biliary tract light,
disease. loss of taste,
anxiety, flushing,
insomnia,
impotence,
mental confusion
or excitement
(particularly in
elderly, children),
temporary light-
 headedness
(with parenteral
form), local
irritation (with
parenteral
form). Rare:
Dizziness,
faintness

Student’s Name:
Clinical Instructor: