Vision: “Benguet State University as an International University engendering

graduates to walk the intergenerational highways.”

Benguet State University
“Excellent nursing education that provides graduates with self-
COLLEGE OF NURSING direction, competence and compassion.”
Mission: “BSU CARES: Benguet State University cares to: Challenge La Trinidad, Benguet
Innovation, Advance technology and facilities, Revitalize administration, The College of Nursing is committed to provide a strong academic and
Engender partnership, and Serve in sustaining intergenerational roles.” www.bsu.edu.ph/ 422- 2127 professional foundation for the practice of nursing.”

DRUG STUDY
Order: Valproic Acid 1 gram/tab BID
Indication Mechanism of Action Common side effects
Generic Name: Valproic Acid It is indicated for tonic-clonic seizures. Valproic acid exhibits its pharmacologic  GI intolerance
effects in a couple of ways, such as by  Weight gain
Other common brand names: acting on GABA (γ aminobutyric acid)  transient drowsiness
Depakene levels in the CNS, blocking voltage-  Transient neutropenia
gated ion channels, and inhibiting  Tremor
Drug Classification: histone deacetylase.
Pharmacologic: carboxylic acid
derivatives

Therapeutic: anticonvulsant

Nursing Considerations:
1. monitor for pressure of hemmorhage, bruising or coagulation disorder.
2. Monitor for symptoms of rash, swollen glands and fever, may indicate dress syndrome.
3. Monitor signs of hypothermia, including shivering, incoordination, weak pulse, shallow slow breathing, and progressive loss of consciousness.

Why was it given to the patient?

Valproic Acid is given to the patient to limit how your nerves transmit pain signals in the brain, to stop seizures especially in tonic- clonic in treatment of epilepsy.
 Vision: “Benguet State University as an International University engendering
graduates to walk the intergenerational highways.”
Benguet State University
“Excellent nursing education that provides graduates with self-
COLLEGE OF NURSING direction, competence and compassion.”
Mission: “BSU CARES: Benguet State University cares to: Challenge La Trinidad, Benguet
Innovation, Advance technology and facilities, Revitalize administration, The College of Nursing is committed to provide a strong academic and
Engender partnership, and Serve in sustaining intergenerational roles.” www.bsu.edu.ph/ 422- 2127 professional foundation for the practice of nursing.”

DRUG STUDY
Order: Leviteracetam 1gram 1 tab BID
Indication Mechanism of Action Common side effects
Generic Name: This drug is indicated for generalized Levetiracetam works differently from  Fatigue
Leviteracetam tonic-clonic seizures. most seizure medicines. It joins with a  Weakness
protein (called SV2A) that is involved  Ataxia
with the release of certain chemicals
Other common brand names: called neurotransmitters in the brain.
Keppa Levetiracetam is a medicine used to
treat epilepsy. Seizures are bursts of
Drug Classification: electrical activity in the brain that
Pharmacologic: Pyrrolidine temporarily affect how it works.
derivatives Levetiracetam slows these electrical
signals down to stop seizures.
Levetiracetam is available on
Therapeutic: Anticonvulsants prescription

Nursing Considerations:
1.Document the number, duration, and severity of seizures to help determine if this drug is effective in reducing seizure activity.
2.Guard against falls and trauma (hip fractures, head injury).
Why was it given to the patient?
This is given to the patient because of recurrent seizures episodes.

DRUG STUDY
Vision: “Benguet State University as an International University engendering
graduates to walk the intergenerational highways.”
Benguet State University
“Excellent nursing education that provides graduates with self-
COLLEGE OF NURSING direction, competence and compassion.”
Mission: “BSU CARES: Benguet State University cares to: Challenge La Trinidad, Benguet
Innovation, Advance technology and facilities, Revitalize administration, The College of Nursing is committed to provide a strong academic and
Engender partnership, and Serve in sustaining intergenerational roles.” www.bsu.edu.ph/ 422- 2127 professional foundation for the practice of nursing.”

Order: Phenytoin 100mg/tab 1 tab TID

Indication Mechanism of Action Common side effects
Generic Name: This drug is indicated for focal-to- It works by stabilizing neural  Anemia
Phenytoin bilateral tonic-clonic seizures. membranes and limit seizure activity  Gingival hyperplasia adenopathy
either by increasing efflux or decreasing  Loss of bone density
efflux of sodium ions across cell  Ataxia
Other common brand names: membranes in the motor cortex during  Lethargy
Dilantin, Phenytek generation of nerve impulses.  Irritability

Drug Classification:
Pharmacologic: Hydantoin
derivatives

Therapeutic: Anticonvulsants

Nursing Considerations:
1. Monitor patient’s cardiac rhythm and check BP frequently.
2.Document the number, duration, and severity of seizures to help determine if this drug is effective in reducing seizure activity.
3. Assess motor functionthat might indicate extrapyramidal syndrome such as involuntary movements of the jaw, limbs, Parkinson-like symptoms
Why was it given to the patient?
This is given to the patient because we know that seizures are bursts of electrical activity in the brain that temporarily affect how it works, this is the reason why
patient has given phenytoin in order to slows down these electrical signals to stop seizures.
Vision: “Benguet State University as an International University engendering
graduates to walk the intergenerational highways.”
Benguet State University
“Excellent nursing education that provides graduates with self-
COLLEGE OF NURSING direction, competence and compassion.”
Mission: “BSU CARES: Benguet State University cares to: Challenge La Trinidad, Benguet
Innovation, Advance technology and facilities, Revitalize administration, The College of Nursing is committed to provide a strong academic and
Engender partnership, and Serve in sustaining intergenerational roles.” www.bsu.edu.ph/ 422- 2127 professional foundation for the practice of nursing.”

DRUG STUDY
Order: Piperacillin Tazobactam 4.5 g IV q6h
Indication Mechanism of Action Common side effects
Generic Name: This drug is used to treat a variety of Piperacillin is an extended-spectrum  Diarrhea,
Piperacillin sodium- tazobactam bacterial infections such as pneumonia. penicillin antibiotic, but it can be  Constipation,
sodium destroyed by an enzyme produced by  Rash,
bacteria called beta-lactamase.  Stool changes,
Tazobactam inhibits beta-lactamase  Fever,
Other common brand names: and prevents the destruction of  Agitation,
Zosyn piperacillin. Therefore, tazobactam is  Candida (oral [thrush])
given with piperacillin to enhance the  High blood pressure
Drug Classification: activity of piperacillin in eradicating  Edema
Pharmacologic: Extended- bacterial infections
spectrum penicillins- beta-
lactamase inhibitors

Therapeutic: Antibiotics

Nursing Considerations:
1.Watch for seizures; notify physician immediately if patient develops or increases seizure activity.
2. Monitor signs of pseudomembranous colitis, including diarrhea, abdominal pain, fever, pus or mucus in stools.
3. Monitor signs of blood dyscrasias such as leukopenia and neutropenia (fever, sore throat, signs of infection) or thrombocytopenia (bruising, nose bleeds, and
bleeding gums).
Why was it given to the patient?
This drug is given to treat bacterial infections in many different parts of the body especially because the patient has pneumonia.
Vision: “Benguet State University as an International University engendering
graduates to walk the intergenerational highways.”
Benguet State University
“Excellent nursing education that provides graduates with self-
COLLEGE OF NURSING direction, competence and compassion.”
Mission: “BSU CARES: Benguet State University cares to: Challenge La Trinidad, Benguet
Innovation, Advance technology and facilities, Revitalize administration, The College of Nursing is committed to provide a strong academic and
Engender partnership, and Serve in sustaining intergenerational roles.” www.bsu.edu.ph/ 422- 2127 professional foundation for the practice of nursing.”

DRUG STUDY
Order: Nicardipone 90cc+ 10mg, 50ugtts/hr
Indication Mechanism of Action Common side effects
Generic Name: This drug is indicated for the treatment Inhibits calcium ion influx across  Hypotension
Nicardipine hydrochloride of hypertension, including hypertensive cardiac and smooth muscle cells but is  Headache
urgency and hypertensive emergency. more selective to vascular smooth  Tachycardia
Other common brand names: muscle than cardiac muscle, nicardipine
Cardene IV also dilates coronary arteries and
arterioles.
Drug Classification:
Pharmacologic: Calcium Channel
Blockers

Therapeutic: Antihypertensives,
Antianginals

Nursing Considerations:
1.Monitor blood pressure and heart rate continually during infusion and avoid too rapid or excessive blood pressure drop during treatment.
2.If there is concern of impending hypotension or tachycardia, the infusion should be discontinued

Why was it given to the patient?

Nicardipine is given to the patient because of his elevated blood pressure wherein nicardipine acts by mainly inducing arterial relaxation, which would result to
decreased blood pressure.