Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES

University Town, Northern Samar
Web: uep.edu.ph Email: uepnsofficial@gmail.com
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

MASSIVE PULMONARY EMBOLISM

NURSING CARE PLAN AND
DRUG ANALYSIS

SUBMITTED BY:
AGUILANDO, ANTHONY SETH T.
BSN-IV HELIODOR

SUBMITTED TO:
EVELYN M. BALANQUIT, RN MAN
CLINICAL INSTRUCTOR
 Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Web: uep.edu.ph Email: uepnsofficial@gmail.com
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES
DRUG ANALYSIS
Name of Patient: Alessandra Gucci Date Admitted: _02.04/22__ Chief Complaint: _Respiratory Distress_ Case Number: ___007___
Age: 55 Gender: F Civil Status: Married Address: _Brgy. Eco, Mondragon, Northern Samar Ward: _______ AP: ________________
Name of Drug Specific Action Indication Contraindication Drug Interaction Adverse Specific Nursing
Interaction Precaution Responsibilities
Generic Name: Inhibits sodium Edema and Contraindicated in NSAIDs: may inhibit CNS: vertigo, Drug may cause Drug is potent
Furosemide and chloride HTN patients diuretic response. headache, tinnitus and diuretic and can
reabsorption at hypersensitive to Phenytoin: may dizziness, reversible or cause severe
Brand Name: the proximal drug and those with decrease diuretic paresthesia, irreversible diuresis with water
Lasix and distal anuria. Use effects of furosemide. weakness, hearing loss. and electrolyte
tubules and the cautiously in Antihypertensive: restlessness, fever. Ototoxicity is depletion. Monitor
Dosage: ascending loop patients allergic to may increase risk of CV: orthostatic associated with patient closely and
of Henle. sulfonamides. hypotension. hypotension. rapid injection. adjust dose
Chlorothiazide, EENT: blurred or Use during carefully. Drug
Route: chlorthalidone, yellowed vision, pregnancy only may increase fetal
IM hydrochlorothiazide, transient deafness, if potential birth weight.
indapamide, tinnitus. benefit justifies Monitor fetal
Frequency: metolazone: may GI: pancreatitis risk to the fetus. growth during
cause excessive Hematologic: Drug appears in pregnancy.
diuretic response, agranulocytosis, human milk.
Classification: causing serious aplastic anemia, Use cautiously
Loop diuretic electrolyte leukopenia. in breastfeeding
abnormalities or Hepatic: hepatic women
Reference: dehydration dysfunction,
Nursing 2020 jaundice, increase
Drug Handbook liver enzyme
levels.

STUDENT NURSE: ANTHONY SETH T. AGUILANDO CLINICAL INSTRUCTOR: EVELYN M. BALANQUIT, RN MAN
 Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar
Web: uep.edu.ph Email: uepnsofficial@gmail.com
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

NURSING CARE PLAN

Name of Patient: Alessandra Gucci Date Admitted: _02.04/22__ Chief Complaint: _Respiratory Distress_ Case Number: ___007___
Age: 55 Gender: F Civil Status: Married Address: _Brgy. Eco, Mondragon, Northern Samar Ward: _______ AP: ________________
NURSING OBJECTIVES/
ASSESSMENT RATIONALE NURSING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS PLANNING
Subjective Data: Impaired gas The clot lodges After a series of Independent Goal met, the
“Pagkadto ko sa exchange in the pulmonary nursing interventions, *Assess the patient’s vital *In initial hypoxia and patient was able
kanya naimod ko siya related to arteries and the patient will be signs, especially the RR and hypercarbia, there is to:
nanduduas ngan altered oxygen prevents blood able to: depth. Auscultate the lungs an increase in rr, hr Demonstrate
mala di nakakahinga” supply as from normally *Demonstrate and monitor for wheezing or and bp. adequate
as verbalized by the evidenced by flowing through adequate other abnormal breath sounds. oxygenation as
SO of the patient. shortness of the lung to pick oxygenation as evidenced by an
breath up oxygen. So, as evidenced by an *Monitor the color of the skin *Peripheral cynosis oxygen saturation
a consequence,
oxygen saturation of and mucous membrane. may be eident with of at least 96%
PE causes low
at least 96% hypoxemia.
oxygen or
Objective Data: *Reposition the patient by *To improve the
“hypoxemia”.
T: 100F elevating head to the bed and delivery of oxygen
HR: 142 encouraging the to sit on an and reduce shortness
BP: 90/60 upright position. Encourage of breath and risk of
SpO2: 96%
pursed lip breathing and deep airway collapse
breathing exercises.

*Maintain client on bedrest. *This will decrease

May resume activity gradually the oxygen demand
as tolerated. during an episode of
acute respiratory
distress.
Dependent/Collaborative
*Administer oxygen as *Maintain adequate
indicated oxygenation and
promotes comfort.
 *Administer thrombolytics or *The airway
anticoagulant as prescribed experience impaired
gas exchange
primarily due to an
embolus.

*Refer the patient to a chest *To enable the

physiotherapist patient to receive
more specialized care
*Prepare patient for possible *Directed to evacuate
surgical embolectomy the emboli.

STUDENT NURSE: ANTHONY SETH T. AGUILANDO CLINICAL INSTRUCTOR: EVELYN M. BALANQUIT, RN MAN
Effectivity Date: July 20, 2018 Document Code: UEP-T-08CN-014 Version No. v1
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