Cebu Normal University

College of Nursing

Name of student: Jose Richard Q. Cepris Jr. Inclusive Dates of Exposure: Sept. 26-29, 2016
Yr & Section: BSN4 Area of Exposure: Emergency department
Client Initials: D.L. Date of submission: Sept. 27, 2016
Diagnosis: CVD infarct
Doctor: Dr. Juson

CLASSIFIC SIDE NURSING

DRUG DATA MECHANISM OF ACTION INDICATION CONTRAINDICATION
ATION EFFECTS RESPONSIBILITIES
Generic Name: Therapeutic Citicoline consumption promotes •Cerebrovascular •Hypersensitivity •Fleeting and Before:
Citicoline classificatio brain metabolism by restoring diseases – e.g. from •Patients with hypertonic of discrete - Obtain patient’s history
n: phospholipid content in the brain ischaemia due to the parasympathetic. hypotension - Check and verify doctor’s
and regulation of neuronal stroke, where •Hypersensitivity effect orders
Trade Name: Central membrane excitability. It also Citicoline accelerates •Patients with hypertonic of •Increased - Take patient’s baseline
Cognizin stimulant, influences the mitochondria or the recovery of the parasympathetic. parasympatheti vital signs
Somazina Nootropic energy factories of the brain cells consciousness and c effects - Explain mechanism of
Recognan agent and found to improve memory overcoming motor •Hypotension drug and its importance
Neurolin function. After several clinical trials, deficit. •Itching or - Monitor patient’s
Cholinerv Citicoline has been shown to raise •Head Trauma of Interaction hives neurologic status. Note if
Pharmacolo the amount of acetylcholine in the varying severity: In a •Swelling in there are signs of slurring
gic brain. clinical trial, Citicoline Drug Interactions: face or hands of speech
Patient’s Dose: Classificatio accelerated the It increases the effects of •Chest
Citicholine 1 n: recovery from post- Levodopa. It must not be used tightness
g/tab 1 tab PO Pharmacokinetics traumatic coma and with medicines containing •Tingling in During:
QID Third Citicoline is metabolized to yield the recuperation of meclophenoxate or mouth and - Confirm patient’s name on
generation the free nucleotide uridine and walking ability, centrophenoxine throat medication ticket and ID
cephalospor choline. Both elements cross the achieved a better final •Headache band
Maximum Dose: in blood-brain barrier, become functional result and •Nausea - Verify doctor’s order
incorporated into brain membrane reduced hospital stay. •Diarrhea - Verify correct drug, follow
2 g/tab phospholipids and increase the •Cognitive disorders •Blurred Vision rules of drug administration
production of neurotransmitters in of diverse etiology – - Teach the patient that
Pregnancy the central nervous system, e.g. senile cognitive citicoline may be taken with
Minimum Dose: Category: including the synthesis of impairment which is or without food.
500 mg/tab D acetylcholine, noradrenaline and secondary to
dopamine. degenerative diseases
(e.g. Alzheimer’s After:
Availability: Peak disease). Citicoline - Document drug given
PO: 200-600 Plasma levels peak one hour after improves scores on - Instruct patient to take
mg/day in oral ingestion. cognitive evaluation Citicoline as prescribed
divided doses scales and slowed the - Note for adverse
IV/IM – The Absorption progression of reactions after drug
recommended Bioavailability: More than 90% Alzheimer’s disease. administration
dose is up to 1 Excretion • Parkinson’s - Tell patient’s SO’s to
g/day. Majority of the citicoline is excreted disease – Citicoline immediately report any
as CO2 in respiration, and again 24 has also been shown unusualties
hours after ingestion, where the to be effective as co-
Route: remaining citicoline is excreted therapy for
Oral through urine Parkinson’s disease.
Beneficial
neuroendocrine,
neuroimmunodulatory,
and
neurophysiological
effects have been
described.

Patient’s Indication:
CVD infarct
Source: Source: Source: Source: Source: Source: Source:
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