GENERAL SANTOS DOCTOR’S MEDICAL SCHOOL FOUNDATION INC.

NCM: 109 RLE EXPOSURE

Area:__OB WARD_________________ Inclusive Dates:____March 29, 2022______________

Patient Name: Ana Attending Physician:_______________ Students Name: Maria Eliza Agustino
Age and Sex: 40 years old/ F__ Diagnosis:_Molar Pregnancy__ Year and Section:_BSN2-A
Chief Complaints: Nausea and Vomiting, Scant Group: 1
and prune colored discharged

DRUG (Brand CLASSIFICATION MECHANISM INDICATION DOSAGE ADVERSE NURSING

name and OF ACTION (Recommended REACTIONS RESPONSIBILITIES
Generic name) and Actual)
Generic name: Therapeutic class: • Arrest mitosis in Acute Adult: 1.4mg/m2 CNS: • Monitor bowel
Vincristine Antineoplastics metaphase Lymphoblastic and IV weekly • Loss of deep function.
Brand names: Pharmacological • Blocking cell other leukemias, tendon reflexes • Advise patient to
• Vincasar PFS, class: division Hodgkin • Paresthesia report all adverse
• Oncovin Vinca alkaloids lymphoma, • Peripheral reaction.
malignant neuropathy • Tell patient to
lymphoma, • Coma report increased
neuroblastoma, • Seizures shortness of breath
rhabdomyosarcoma, • Ataxia and evidence of
Wilms tumor • Cranial nerves infection and
palsies bleeding.
• Fever • Tell patient to take
• Headache temperature daily.
• Sensory loss
CV: • Monitor fluid and
• HTN intake of the
• Hypotension patient.
EENT:
•Blindness
•Diplopia
•Hoarseness
•Optic and
extraocular
neuropathy
•Photophobia
•Ptosis
•Visual disturbances
•vocal cord paralysis
GI:
• Constipation
• Cramps
• Nausea
• Stomatitis
• Vomiting
• Intestinal necrosis
• Anorexia
• Diarrhea
• Dysphagia
GU:
• Dysuria
• Polyuria
• Urine retention
Hematologic:
• Leukopenia
• Thrombocytopenia
• Anemia
 Metabolic:
• Weight loss
Musculoskeletal:
• Cramps
• Jaw pain
• Muscle weakness
Respiratory:
• Acute
bronchospasm
• Dyspnea
Skin:
• Phlebitis
• Cellulitis at
injection site
• Rash
• Reversible alopecia

REFERENCE:
https://www.drugs.com/mtm/vincristine.html
Lippincott, W.W. (2021). Nursing 2021 Drug Handbook (41st Edition, Vol. 1). Wolters Kluwer