DRUG STUDY

Name of the Drug Mechanism Of Action Indication/s Side Effects/Adverse Nursing Responsibilities
Reactions
Before:
-Inhibits prostaglandin  CNS:
Generic Name: synthesis, producing  Short term 1) Drowsiness  Monitor urine output in
Ketorolac peripherally mediated management of pain ( 2) Abnormal thinking older adults and parents
analgesia. Also has not exceed to 5 days 3) Dizziness with history of cardia
antipyretic and anti- total for all routes 4) euphoria decompensation, renal
Brand Name: inflammatory properties. combined) 5) headache impairment, heart failure,
Toradol Therapeutic effect:  RESP: or liver dysfunction as well
decreased pain 1) Asthma as those taking diuretics.
2) Dyspnea Discontinuation of drug will
 CV: return urine output to
Classification:
1) Edema pretreatment level.
NSAID
2) Palor
3) Vasodilation
 GI: During:
Dosage: 1) GI bleeding  Monitor for bleeding
1 amp 2) Abnormal taste including nausea, GI pain,
3) Diarrhea diarrhea melena, or
Contraindication/s 4) Dyspepsia hematemesis. GI ulceration
Route: -hypersensitivity 5) GI pain with perforation can occur
IVIT -Cross-sensitivity with other 6) Dry mouth anytime during treatment.
NSAIDs may exist “pre-or 7) Nausea Drug decrease platelet
perioperative use  GU: aggregation and thus may
Frequency: -known alcohol intolerance, 1) Oliguria prolong bleeding time.
Q8 hr. use cautiously in: 2) Renal toxicity
1) History of GI bleeding 3) Urinary frequency
2) Renal impairment After:
Timing: ( dosage reduction  Do not drive or engage in
8 pm may be required) potentially hazardous
3) Cardiovascular activities until response to
disease drug is known.

Reference: https://www.medscape.com
 FDAR (CASE # 1)

Date Shift Focus Time D= Data A= Action. R= Response

4/14/2020 2-10 Risk of infection 7:03 PM D: received patient with water discharge of vagina associated with
hypogastric pain radiating to lumbosacral area, with uterine
contraction every 30 minutes relating to preterm labor. V/S: BP:
90/60 mmHg, Temp: 36.7 degree Celsius, PR: 96 BPM, RR: 19
CPM.

7:50 PM
A: institute bed rest with client in side-lying position. Administer
intravenous fluid therapy.

R. Patient demonstrated effectively the side lying position. Patient

was well hydrated.

8
 NURSING CARE PLAN 1

DEFINING NURSING SCIENTIFIC PLAN OF CARE NURSING INTERVENTIONS RATIONALE

CHARACTERISTICS DIAGNOSIS ANALYSIS

SUBJECTIVE: Pain related to Preterm labor occurs Short term Independent

preterm labor during the end of week
contractions 37 of gestation. After four hours of
Women having intervention, the patient
Patient noted soaked 1.Asses the patient vital signs 1.Provides baseline data
persistent uterine pain decreases. Was able
underwear,
contractions (four to take action regarding
hypogastric pain 2. Institute bed rest with client in
every 20 minutes) is the underlying problem 2. Relieve the pressure of the fetus at
radiating to side-lying position
considered to bein on hypogastric pain the cervix.
lumbosacral area.
labor. Symptoms
include increased 3. Assist client with using relaxation 3. Helps in decreasing anxiety and
vaginal discharge; techniques such as muscle relaxation, fear, enhancing feelings of control.
uterine contractions; breathing, and music
OBJECTIVE: and intestinal Long term
4. Presence of support person can
cramping. offer additional comfort to a client.
4. Contact support person as
Minimal whitish After 2 days of
necessary.
discharges at Reference: Pillitteri, A. intervention, the patient
posterior fornix area, (2007). Maternal and was able to recover and
child health nursing: was able to relief pain.
foul smell. Increased
care of the childbearing Demonstrated well
vaginal discharge.
and childbearing fam interventions 1. Ultrasound can document fetal
Collaborative heart and cervical dilation.
Vital Signs: 1.Obtain client consent for
ultrasound. Arrange for ultrasound to
Bp :90/60mmHg,HR establish fetal health
: 96,RR: 99,Temp:
36.5, O2SAT: 98%.
 NURSING CARE PLAN 2
DEFINING NURSING SCIENTIFIC PLAN OF CARE NURSING INTERVENTIONS RATIONALE
CHARACTERISTICS DIAGNOSIS ANALYSIS

Risk for Vaginal discharge

Subjective data: maternal ebbs and flows After 2 days of holistic Independent:
infection throughout a woman’s nursing care, 1. The discharge tends to be clear
related to onset menstrual cycle due to the patient will initiate
pt noted soaked 1. Assess for signs and symptoms of and stretchy, like egg whites. It
watery vaginal a behaviors to
underwear watery vaginal discharges. may be less watery than
discharges as fluctuation in hormone limit the spread of discharge you have during other
evidenced by levels. infection, as
onset watery vaginal parts of your menstrual cycle.
rupture of Once you become appropriate, and
discharge amniotic pregnant, 2.Assess risk factors of watery
hormones continue to vaginal discharges. 2. A history of sexual transmitted
membranes. infection like chlamydia and
hypogastric pain play a role
radiating to in the changes to your genorrhea, pain or itchiness of
lumbosacral area vaginal your vulva ang vagina, a green or
discharge. However, yellow discharge, foul smelling
alongside discharge, white cottage cheese
Objective data:
with normal vaginal discharge.

BP: 90/60 discharges

there are also also 3. Infectious organisms
some signs of transmitted via the
HR: 96 3.Determine status of maternal
abnormal discharges ascending route including
membranes. If they are
like: yellow, Chlamydia,
RR: 19 ruptured, monitor blood cell
green or gray color, mycoplasmas, Ureaplasma
count and fetal heart rate; or
strong and urealyticum, develop bacteremia
vaginal discharge having an
T: 36.5 foul odor accompanied and pneumonia or
odor)
by redness possibly meningitis.
O2: 98% and itching or vulvar
swelling.
Weight: 63kg
Excessive vaginal
watery
discharges can caused
yeast 1.Ampicillin for uncomplicated
Dependent:
infection, bacterial genorrhea and metronidazole for
vaginosis, or the treatment of confirmed
trichomoniasis. 1. Administer ampicillin every 6 hrs trichomoniasis caused by
and metronidazole. Trichomonas vaginalis.