DRUG NAME MODE OF ACTION INDICATION/ DRUG EFFECTS NURSING

CONTRAINDICATION RESPONSIBILITIES
Generic name: Chemical: Indication: Side Effects: Before:
Cefuroxime A second-generation - Pharyngitis tonsillitis - Headache - Check the doctor’s order
cephalosporin that - Bacterial meningitis - Dizziness - Assess for history: hepatic
Brand name: binds to bacterial cell - Acute bacterial otitis media - Nausea and renal impairment,
Ceftin, Zinacef membrane and inhibits - Skin infections - Vomiting lactation, pregnancy
the cell wall synthesis - Urinary tract infections - Diarrhea - Assess for physical cues:
Pharmacological - Gonorrhea - Abdominal pain skin status, renal function
classification: Therapeutic: - Early Lyme disease tests
Cephalosporin (2nd Bactericidal; inhibits - To prevent infections after Adverse Effects: - Take the patient’s blood
generation) synthesis of bacterial surgery CNS: lethargy, paresthesias pressure
cell wall, causing cell
Therapeutic classification: death Contraindication: GI: anorexia, flatulence, During:
Antibiotic - Contraindicated with allergy to pseudomembranous colitis, - Administer the right drug
cephalosporins or penicillin hepatotoxicity - Explain to the patient
Dose: about the importance and
500 mg - Use cautiously with renal Hematologic: bone marrow purpose of the drug
failure, lactation, pregnancy depression (decreased - Instruct patient to take the
Frequency: WBC, platelets, Hct) drug in a full course as
Once a day prescribed by the doctor
Hypersensitivity: ranging - Instruct patient to take the
Route: from rash to fever to drug after meal
Oral anaphylaxis; serum - Administer at the right and
sickness reaction right dosage
- Discontinue if
Local: pain, abscess at hypersensitivity reaction
injection site, phlebitis, occurs
inflammation at IV site

Other: superinfections,
disulfiram-like reaction
with alcohol
After:
- Document and record
- Take note of drug effects
- Report severe diarrhea,
difficulty breathing and
unusual tiredness or
 fatigue
- Take patient’s vital signs
- Perform bedside care

ASSESSME DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATIO

NT N
Subjective: Acute pain related In performing Short-term: Independent: Short-term:
“ang sakit ng to presence cholecystectomy, After 4 hours of -Assess for - To help determine Goal met.
opera ko” as of postoperative  surgical incision is nursing intervention  referred pain possibility After 4 hours
verbalized surgical incision done. By which, the the patient will be able of underlying of nursing
incision causes direct to demonstrate condition or organ intervention
Objective: irritation to the nerve different relaxation the patient was
- facial endings by chemical techniques to decrease able to
grimace mediators released at pain - Pain is a subjective properly
- irritable the site such as - Assess the severity, data, therefore it demonstrate
- inability to bradykinin. This frequency, and should be reported relaxation
sleep irritation will send characteristic of pain and to determine technique such
- restlessness signal to the cortex patient’s level of pain as deep
- guarded and thalamus of the breathing
behavior brain thus producing -For baseline data exercises
noted pain perception. - Monitor and record
Long-term: vital signs Long-term:
Vital signs: After 8 hours - Observations Goal met.
BP- 130/90 of nursing - Observe nonverbal may be congruent After 8 hours
mmHg intervention patient cues/pain behaviors with verbal reports. of nursing
SPO2- 96 % will report a decrease and other objectives intervention
Temp- 36.7 of pain from 5 to4 and defining the patient
PR- 87 bpm below characteristics, as verbalized
RR- 20 bpm noted, especially in decreased in
persons, who can’t pain as
communicate evidenced by
absence of
facial grimace
-Provide diversional - To divert the pain and guarding
activities such as the patient is behavior
watching television experiencing
and reading
newspaper

- Provide comfort
measures such as
touching, - To promote non
repositioning, nurse pharmacologic pain
presence management

- Promote periods of
rest for the patient - Fatigue can
contribute to pain. A
quiet, darkened room
with minimal noise
and interruptions can
promote rest and
reduce pain
Collaborative:
- Administer analgesic
and opioids as ordered - To relieve the pain

Educative:
- Encourage patient to
do breathing exercises - To decrease
- Emphasize the discomfort
importance of rest
periods
- Adequate rest period
can help reduce pain