DRUG MECHANISM OF ACTION/ INDICATION/ NURSING RESPONSIBILITY

SIDE EFFECTS CONTRAINDICATION

Brand Name: Mechanism of Action: Paracetamol has a central analgesic Indication: Paracetamol is a mild Check patient’s name tag.
Dymadon effect that is medicated through activation of descending analgesic and antipyretic and is
serotonergic pathways. Debate exists about its primary site of recommended for the treatment of Assess the patient before and after
Generic Name: action, which may be inhibition of prostaglandin synthesis or most painful and febrile condition administering the medication.
Paracetamol through an active metabolite influencing cannabinoid like headache, toothache, colds, sore
receptors throat, backache, and rheumatic pain 10 Rights in medication.
Classification: 1. Right medication/drug
Antipyretic drug Side Effects: skin rash, wheezing, tightness of chest or throat, Contraindication: Contraindicated 2. Right patient
trouble breathing or talking, your mouth, face, lips, tongue or to hypersensitivity to 3. Right dose
Route: PO throat start swelling. acetaminophen, severe hepatic 4. Right route
impairment or severe active hepatic 5. Right time and frequency
Dosage: 60mg disease 6. Right documentation
7. Right history an assessment
Frequency: q4h 8. Right drug approach and right
to refuse
9. Right drug-interaction and
evaluation
10. Right education
 Assessment Diagnosis Planning Implementation Evaluation
Subjective: Ineffective airway Goal/expected Intervention: After 8 hours of
Patient’s mother clearance as evidenced Outcome: nursing intervention the
verbalized that by cough and colds with Check vital signs Checked vital signs patient was able to:
“the child has greenish secretions After 8 hours of Rationale: Serves as every 1 hour
cough and colds related to difficulty of nursing a baseline data. Demonstrate how to do
with greenish breathing. intervention the Interventions deep breathing
secretions for 2 patient will be able techniques
weeks now. Last to: Encourage deep Encouraged and taught
night the child breathing exercises how to do deep Greenish secretions are
developed fever Cough and colds Rationale: Deep breathing exercises diminished
and chills. will subside breathing promotes
Today, the child oxygenation before Cough and colds has
is still febrile Demonstrate deep controlled coughing subsided
and shows signs breathing
of difficulty of technique Increase fluid intake,
breathing.” as appropriate Encouraged the patient
Greenish secretions Rationale: Adequate to increase fluid intake
will be diminished fluid intake enhances
Objective: liquefaction of
Promote optimal pulmonary secretions
Vital sign taken care and facilitates
10am August 5, expectoration of
2021 as mucus.
following
RR: 60bpm Monitor rate, rhythm, Monitored rate, rhythm,
T: 38.6C depth, and effort of depth, and effort of
Apical Pulse: respirations. respirations
160 bpm Rationale: Provides a
O2 : 94% basis for evaluating
Weight: 26.5lbs adequacy of
(12 kg) ventilation