POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY
Name of Patient: Relator , Jahara Soltes Attending Physician:_Dr.Masocol
Age: 22 Sex: Female Civil Status: Single Diagnosis:CS Preeclampsia with severe features , obese class II_
Occupation: Religion: Catholic Chief Complaint:________________
Address: Sasa , Davao City Ward: OB 1 Room No: Bed No: Date of Admission: Febuary 20, 2023__

DATE/ ROUTE/ PRECAUTION

TIME BRAND NAME ACTION INDICATION DOSAGE/TIME DRUG ADVERSE CONTRAINDICA- NURSING
ORDERED INTERVAL INTERACTION EFFECT TIONS RESPONSIBILITIES

02/20/23 Aldomet Methyldopa may General : PO 250 mg 1tab , Decreased absorption CNS: sedation , Contraindicated with Before :
lower blood > hypertension q8 with colestyramine headache. hypersentivity to >check doctor's order
311 pressure by >IVmethyldopate Decreased serum asthenia , methyldopa, activr hepatic > assess sensitivity to
stimulating : acute concentrations with weakness disease , previous methyldopa , hepatoc disease ,
central hypertensive rifampicin and some methyldopa therapy renal failure , dialysis
inhibitory alpha- crisis ; not drug of anticonvulsants (e.g. CV: bardycardia , associated with liver > assess weight , skin color ,
GENERIC adrnergic choice because HALF-LIFE phenytoin , myocarditis disorders. lesions , mucous membrane
NAME receptors , false slow onset of phenobarbital , color , lesions , orientation ,
neurotransmissi action 105 minutes carbamazepine,primi Dermatologic : Precaution : Use cautiously affect
Methyldopa on, and/or > unlabele use : done). Enhances the rash seen as with previous liver disease , > educate patient about the drug
reduction of hypertension of anticoagulant effect eczema or renal failure , dialysis, , its purpose and importance
plasma ren pregnancy of warfarin and other lichenoid bilateral cerebvascular
inactivity. coumarins with eruption , toxic disease ; pregnancy ,
prolonged use . epidermal lactation During:
Patient's actual Increased absorption necrolysis fever > check the label twice
indication : with metoclopramide > administer at the right dose
Methyldopa is and domperidone . Endocrine : breast , and in the right time
given to patient to Increased serum enlargement , > do not crush nor chew tablets ,
treat pregnancy concentration with gtnceomastia , swallow whole
induced probenecid . May lactation > discontinue drug if ever ,
hypertension increase serum abnormalities in liver function
concentration of GI: nausea, tests, or jaundice occurs
chloramphenicol . vomiting , > discontinue drug if Coomb's
CLASSIFI- ABSORPTION EXCRETION distention , positive hemolytic anemia
 CATION constipation, occurs
hepatic necrosis
Antihypertensive Gastrointestinal Urine
Tract Hematologic : After :
positive Coomb's > monitor blood counts
test , hemolytic periodically to detect
anemia , bone haemolytic anemia
marrow depression >monitor hepatoc function,
espiacially in the first 6-8 wk of
Other : nasal therapy or if unexplained fever
stufiness, mild appears
arthralgia, >ensure that methyldopa is not
myalgia, septic reinstated in such patients
shock-like >re[ort unesplained , prolonged
symptoms general tiredness; yellowing of
the skin or eyes ; fever ;
bruising ; rash .
>document and record

Student Name: Denniji M. Soledad Year & Sec.: BSN 3A Group No.: 5 Rating:___________
References:_2011 Lippincott's Nursing Drug Guide___
Criteria: Promptness (5%), Format/Neatness (10%), Content (40%), illustration (10%), Nursing Responsibilities (35%)
Clinical Instructor: Krismore Mayor_
 POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.
MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY
Name of Patient: Montefalcon , Andrea Marie Ibanez Attending Physician:_Dr.Masocol
Age: 24 Sex: Female Civil Status: Single Diagnosis:CS
Occupation: Religion: Catholic Chief Complaint:________________
Address: Ward: OB 1 Room No: Bed No: Date of Admission: Febuary 20, 2023__

DATE/ ROUTE/ PRECAUTION

TIME BRAND NAME ACTION INDICATION DOSAGE/TIME DRUG ADVERSE CONTRAINDICA- NURSING
ORDERED INTERVAL INTERACTION EFFECT TIONS RESPONSIBILITIES

02/20/23 Ponstel , >Mefenamics The analgesic PO 500 mg 1tab , >Menefamic acid CNS:Drowsiness , Contraindicated with Before :
Ponstan acid binds the effiacy of BID may decrease insomnia,diziness , hypersensitivity to > Checks doctor's order
311 prostaglandin mefenamic acid is Abacavir excretion, nervousness , mefenamic acid , aspirin > Assess pain score
synthetase documented for resulting in a higher confusion , allergy , and as treatment of > Assess for history of allergies
receptors COX - inflammatory and serum level. headache . perioperative pain with to NSAIDs
1 and COX - 2 non-inflammatory >Mefenamic acid coronary artery bypass >Educate patient regarding
GENERIC inhibiting the pain. Its use for HALF-LIFE may reduce EENT: Blurred graftting desired and adverse effects
NAME action of acute pain is well Acebutolol's vision , eye >Educate patient that prolonged
prostaglandin known : pain after 2hrs antihypertensive irritation Precaution: Use cautiously use of drug may damage liver
Mefinamic acid synthase . As dental activity. with asthma , renal or
these recptors interventions or >When Mefenamic CV : Edema hepatic impairment , peptic During:
have ea role as a after traumas are Acid is combined ulcer disease, GI bleeding , > Give drug with food , milk or
major mediator significantly with Aceclofenac, the GI : Severe hypertension , heart failure , antacids
of inflammation reduced with risk or severity of diarrhea , pregnsncy , lactation > Do not increase or double the
and / or a role mefenamic acid . side effects may ulceration and dose folloe exactly as prescribed
for Mefenamic acid increase. bleeding ; nausea. and indicated
prostaglandin is one of the >Metabolism of vomiting . >Administer drug with full
signaling in drugs choice for Abrocitinib can be Abnominal cramps glass of water
activity - dysmenorrhea decreased when , flatus , >Do not break , chew or crush
dependent (alongside combined with constipation , capsule and tablet
plasticity , the fenamaten , Mefenamic acid. hepatic toxicity >Do not administer with
symptoms of ibuprofen and anticoagulants and other drug
CLASSIFI- pain are naproxen) ABSORPTION EXCRETION GU : Dysuria , that causes GI upset
CATION temporarily Hematuria ,
 reduced nephrotoxicity After:
Analgesic ,Non- Gastrointestinal Urine > Document accordingly
steroidal Anti- > Produce anti Tract DERM: Urticaria , >Monitor for adverse effects
inflammatory inflammatory , rash > Instruct discontinuation of
analgesic and medication if adverse effect
anti-pyretic Hematologic : occurs
effects , possibly Prolonged >Symptomatic management for
through prothomblin time, non serious side effects
inhabitation of severe and >Assess for occurence of GI
prostaglandin autoimmune ulcers after taking
synthesis hemolytic anemia
(long term use ) ,
leukopenia,
eosinophelia,
agranulocytosis ,th
rombocytopenicpo
rpura ,
megaloblastic
anemia,
pancytopenia ,
bone marrow
hypoplasia

Urogenital:
nephrotoxicity ,
dysuria ,
albuminuria ,
hematuria ,
elevation of BUN
Student Name: Jazep Ryan M. Tampol Year & Sec.: BSN 3A Group No.: 5 Rating:___________
References:_2011 Lippincott's Nursing Drug Guide___
Criteria: Promptness (5%), Format/Neatness (10%), Content (40%), illustration (10%), Nursing Responsibilities (35%)
Clinical Instructor: Krismore Mayor_

POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

 MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY
Name of Patient: Mendez , Ednelyn Onato Attending Physician:_Dr.Masocol
Age: 33 Sex: Female Civil Status: Married Diagnosis:Nsvd with Preeclampsia with severe features
Occupation: Religion: Catholic Chief Complaint:_______________ _
Address: Ward: OB 1 Room No: Bed No: Date of Admission: Febuary 20, 2023__

DATE/ ROUTE/ PRECAUTION

TIME BRAND NAME ACTION INDICATION DOSAGE/TIME DRUG ADVERSE CONTRAINDICA- NURSING
ORDERED INTERVAL INTERACTION EFFECT TIONS RESPONSIBILITIES

02/20/23 Norvasc Inhibits the Alone or with PO 10 mg 1tab , Drug: Adenosine : CNS: headache , Amlodipine is not Before :
transport of other agents in OD May increase the risk diziness, fatigue , recommended for patients > Obtain patient's history to
311 calcium into the management of bradycardia . vertigo, who have a history of allergy of amlodipine
myocardial and of hypertension , Bosentan : may neuropathy , hypersensitivity to >Assess vital signs before
vascular smooth angina pectoris decrease efficacy of hypoesthesia , amlodipine or its dosage therapy
muscle cells , and vasospastic amlodipine : Additive paresthesia , form components.
GENERIC resulting in (Prinzmetal's ) HALF-LIFE hypotensive effects tremor Furthermore, amlodipine is During:
NAME inhibition of angina. Angina with other CV: Peripheral generally contraindicated in >Monitor patient's BP and
excitation- pectoris due to 35-50 hrs ANTIHYPERTENSI edema , angina , patients suffering from cardiac rythm
Amlodipine contraction coronary artery VE AGENTS ; bradycardia , cardiogenic shock, severe >Monitor intake & output
besylate coupling and spasm , Chronic AZOLE hypotension, aortic stenosis, unstable
subsequent stbale angina , ANTIFUNGALS palpitations, angina, severe hypotension,
contraction. alone or in (e.g. syncope , heart failure, or hepatic
After:
combination with fluconazole ,itraconaz vasculitis , impairment. >Monitor vital signs for
Therapeutic other agents , ole ):May inhibit tachycardia therapeutic effectiveness
Effects : Essential metabolism of Hypersensitivity to >Be alert for adverse effect
Systemic hypertension , amlodipine . Respiratory amlodipine or its dosage
vasodilation alone or in Itraconazole : may system: Dyspnea , form components .
resulting in combination with increase edema. Epistaxis Precaution to patients Patient & Family Education :
decreased blood other Food: Grapefruit with : > Advise patient to take
pressure . antihypertensive juice may increase GI : Gingival >Cardiogenic shock medication as directed , even if
Coronary amlodipine levels . hyperplasia, >Severe aortic stenosis feeling well.
vasodilation Herbal : Ephedra , nausea , anorexia , >Unstable angina >Take missed doses as soon as
resulting in Ma Huang melatonin Constipation, >Severe hypotension possible unless almost time for
decreased may antagonize diarrhea , >Heart failure next dose ; do not double doses.
frequency and antihypertensive Vomiting, >Hepatic impairment >Caution patient to change
 severity of effects. dysphagia, positions slowly minimize
CLASSIFI- angina attacks . ABSORPTION EXCRETION orthostatic hypotension.
CATION Derm : Flushing >Advise patient to notify health
care professional if irregular
Antihypertensive Gastrointestinal Urine heartbeats , dyspnea, swelling of
Tract hands and feet , pronounced
diziness , nausea , constipation ,
or hypotension occurs or if
headache is severe or persistent

Student Name: Noela Marie Villacin Year & Sec.: BSN 3A Group No.: 5 Rating:___________
References:_2011 Lippincott's Nursing Drug Guide___
Criteria: Promptness (5%), Format/Neatness (10%), Content (40%), illustration (10%), Nursing Responsibilities (35%)
Clinical Instructor: Krismore Mayor_