University of Cebu Lapu-Lapu and Mandaue

A.C. Cortes Ave., Looc, Mandaue City

COLLEGE OF NURSING

DRUG STUDY

Submitted by: Devanni Shane D. Hiyas

BSN 4-B

Submitted to: Ms. Beverly Po, RN, MAN

Clinical Instructor
 UNIVERSITY OF CEBU LAPU-LAPU AND MANDAUE
COLLEGE OF NURSING

DRUG STUDY

Patient: E.R.B Age: 31 Hospital No: 548361 Room No: B2

Impressions/Diagnosis: Lacerated wound (1 cm- 3cm) and Vessel Injury of the Wrist Attending Physician/s: Dr. Tabing
Allergy to: No significant findings present

Generic/Brand Dose, Strength & Indication/Mechanisms Adverse/Side Effects Nursing Rationale (10%) Client Teaching
Name & Formulation (10%) of Drug Action (15%) of Drug Interaction Responsibilities (20%)
Classification (10%) (15%) (20%)
Generic: Ordered: Indication: CNS: Headache, Before -Teach the patient
Cefuroxime 500 mg dizziness, lethargy, -Check the doctor’s -To avoid medical to inform if they
For the treatment of a paresthesias order errors experience
Duration: variety of infections -Assess for history: -There are hypersensitivity
Brand: 18-24 hrs including acute GI:nausea, vomiting, hepatic and renal precautions needed if reactions like
Zinacef bacterial otitis media, diarrhea, anorexia, impairment, the patient has stomach upset,
Frequency: several upper abdominal pain, lactation, hepatic & renal difficulty breathing,
q 8 hours respiratory tract flatulence, pregnancy impairment, unusual tiredness
Classification: infections, skin pseudomembranous pregnant, & lactating
Route: Oral infections, urinary colitis, hepatotoxicity mothers
Pharmacologic: tract infections, -Have Vit K -In case
Cephalosporin(2nd gonorrhea, early Lyme GU:nephrotoxicity available hypoprothrombinemia
gen) disease, and impetigo. Occurs
Hematologic: bone -Culture Injection -To re-evaluate the
Therapeutic: Mechanism of Action: marrow depression site, and arrange medication or its
Antibiotic Chemical: Second for sensitivity tests dosage.
Generation Hypersensitivity:Rash- before and during
cephalosporin that fever, anaphylaxis, therapy if expected
binds the bacterial cell serum sickness response is not
membranes and reaction seen
inhibit cell wall -Take bp of the -This type of
synthesis patient medication increases
 Local: pain, abscess bp. Monitoring will
Bactericidal: Inhibits at the injection site, help to prevent
synthesis of the phlebitis, hypertension
bacterial cell wall, inflammation at the
causing cell death IV site During
-Administer the
Others: right drug, dosage -To avoid medical
superinfectious & time. errors
disulfiram-like -Explain the -To promote
reaction with alcohol importance and understanding and
purpose of the drug patient coordination
-Avoid taking -As it will lead to
alcohol for 3 days severe reaction
while taking this
drugs

After -Essential for clinical

-Document and communication and
Record also protects the
nurse from possible
ethical dilemmas
-Take not for side -To perform
effects like precautious methods
diarrhea, difficulty
breathing, fatigue,
pain at injection
site,
Generic/Brand Name Dose, Strength & Indication/Mechanism Adverse/Side Effects Nursing Rationale (10%) Client Teaching
& Classification Formulation (10%) of Drug Action (15%) of Drug Interaction Responsibilities (20%)
(10%) (15%) (20%)

Generic Name: 30 mg IVTT Indications: Adverse / Side Effect Before -Serious GI toxicity,
Ketorolac -Short term CNS: drowsiness, -Check the -To avoid medical including peptic
tromethamine management of sedation, dizziness, doctor’s order errors ulceration and
moderately severe, headache bleeding, can occur
Brand Name: acute pain CV: edema, -Ketorolac is not -Ketorolac is not in patient taking
Toradol hypertension, recommended to recommended for use NSAID despite of
Mechanism of palpitation, children in infants aged < 1 absence Of GI
Classification: Action: arrhythmias year. symptoms. Teach
NSAID -Inhibits GI: nausea, patient signs
prostaglandins dyspepsia, GI pain, -Use cautiously in -Impairment of symptoms of GI
synthesis, producing diarrhea, peptic patients with renal/hepatic function bleeding and tell
peripherally mediated ulceration, vomiting, hepatic or renal is a known adverse him to notify
analgesia constipation, impairment or effect of all NSAIDs. prescriber
-Also has antipyretic flatulence, stomatitis cardiac immediately before
and anti-inflammatory Hematologic: decompensation they occur.
properties decreased platelet -Carefully observe -Ketorolac inhibits
-Therapeutic effect: adhesion, prolonged patients with platelet aggregation -Tell the patient to
decreased pain bleeding time coagulopathies and can prolonged keep track of daily
Skin: pruritus, rash, and those taking bleeding. The effect drug intake,
diaphoresis anticoagulants will disappear within including OTC and
Other: pain at 48 hours of prescription
injection site discontinuing drug. It Medication
won’t alter platelet
Drug Interaction: count. -Educate the
Do not take aspirin or patient on the
other NSAIDs such as During proper usage of
ibuprofen (Advil, -Administer the -To avoid medical the medication
Motrin) and naproxen right drug, errors
(Aleve, Naprosyn) dosage & time.
-Explain the -To promote
importance and understanding and
purpose of the patient coordination
drug

After
-Document and -To promote
Record understanding and
patient coordination
-NSAIDs may -Antipyretic and anti-
mask signs and inflammatory drugs
symptoms of that are used to
infection because reduce body
of their temperature in fever.
antipyretic and An analgesic drug
anti-inflammatory used alone or in
action combination with
opioids for pain
management, and as
an antipyretic agent.