Republic of the Philippines

Laguna State Polytechnic University (Main Campus)

Province of Laguna
College of Nursing and Allied Health
ISO 9001:2015 Certified A.Y 2022-2023
Level I Institutionally Accredited

NCM109-CARE OF MOTHER AND CHILD AT RISK OR WITH PROBLEMS (ACUTE AND CHRONIC)
MATERNAL AND CHILD NURSING

DRUG STUDY
MA. DANIELA V. ROSAL
BSN2A_GROUP 1
MA’AM. MARRY JOY CABRALES, RN

Patient Profile
Name: Passion Ishie Mae Ramirez Case Number: 217416
Date of Birth: December 12, 2016 Age: 6 years old
Admission Diagnosis: T/C Dengue Fever T/C UTI
Medications:
• Paracetamol
• Omeprazole
 Paracetamol is a medication given to my patient due to existing signs and symptoms of to
consider dengue and UTI as evidenced by fever, mild pain, and weakness.

Drug Name Mechanism of Indication Contraindication Adverse reaction Nursing Responsibilities

Action
Generic Name: • Thought to Mild pain or fever • Contraindicated in • CNS: agitation (IV), anxiety, ✓ Monitor for reddening of the skin, rash,
Paracetamol produce patientshypersensitive insomnia, headache, blisters, and detachment of the upper
analgesia by Mild to moderate to drug. pyrexia surface of the skin. Stop drug
Brand Name: inhibiting pain; mild to immediately if skin reaction is suspected.
Dymadon, Lemsip, prostaglandins moderate pain • IV form is • CV: HTN, hypotension,
Panadol, Panamax, and other with adjunctive contraindicated in peripheral edema, ✓ Many OTC and prescription products
Tyleno substances that opioid analgesic; patients in patients with periorbital edema, contain acetaminophen; be aware of this
synthesize pain fever hepatic impairment or tachycardia (IV) when calculating total daily dose.
Classification: receptor. This severe active liver
drug may relieve disease. • GI: nausea, vomiting, ✓ Avoid dosing error leading to accidental
Therapeutic class: fever through abdominal pain, diarrhea, overdose and death.
Analgesic the central constipation
action in the ✓ Be careful not to confuse dose in
Pharmacologic hypothalamic • Metabolic: milligrams and dose in milliliters.
class: Para- heat- regulatory hypoalbuminemia,
Aminophenol center. hypoglycemia, hypokalemia, ✓ Be sure to base the dose on weight for
Derivatives hypervolemia, patients weighing less than 50kg, to
hypomagnesemia, properly program infusion pump, and to
Available hypophosphatemia (IV) ensure that total daily dose of
Forms: acetaminophen from all sources doesn’t
• Musculoskeletal: muscle exceed to maximum daily limit.
Caplets spasm, extremity pain (IV)
• 500 mg ✓ Evaluate therapeutic response.
Capsules • Respiratory: abdominal
Patient Teaching:
• 350 mg breath sounds, dyspnea,
✓ Tell parents to consult prescriber before
• 500 mg hypoxia, atelectasis,
giving drug to children younger than age
Drops pleural effusion, pulmonary
2.
edema, stridor, wheezing
• 80 mg/ml (IV)
Elixir ✓ Advise parents that drug is only for
• 160 mg/5ml • Skin: rash, urticaria;
short-term use; urge them to consult
prescriber if giving to infants for longer
Gelcaps infusion site pain (IV),
than 3 days, children for longer than 5
• 500 mg pruritus.
days, or adults for longer than 10 days.
• 10 mg/ml
 • 160 mg/5ml ✓ Tell the patient to consult a prescriber for
• 500 mg/15 fever lasting longer than 3 days or
ml recurrent fever.
Injection ✓ Warn patients that high doses or
• 10 mg/ml unsupervised long-term use can cause
Oral liquid liver damage. Excessive alcohol use
• 160 mg/5ml may increase the risk of liver damage.
• 500 Caution long-term alcoholics to limit drug
mg/15ml to 2 g/day or less.
Oral syrup ✓ Tell breastfeeding patients that the drug
• 160mg/5ml appears in human milk in low levels.
Oral solution Drug may be used safely if therapy is
• 80 mg/ml short-term and doesn't exceed
• 160 mg/5ml recommended doses.
• 167 mg/5ml
Oral suspension
• 80 mg/0.8
ml
• 160mg/5ml
Suppository
• 80mg
• 120mg
Tablets
• 325 mg
• 500 mg
• 650 mg
Tablet (chewable)
• 80 mg
• 160 mg
 Omeprazole is a medication given to my patient for management of possible co-existing gastric
erosions or peptic ulcers also to lower the risk of possible recurrence of UTI.

Drug Name Mechanism of Indication Contraindication Adverse reaction Nursing Responsibilities

Action
Generic Name: • Inhibits proton It is indicated for • Contraindicated in • CNS: asthenia, dizziness, ✓ Long-term therapy may cause vitamin
Tranexamic Acid pump activity by patient with. patients hypersensitive headache. B12 absorption problems. Assess
binding to to drug or its patient for signs and symptoms of
Brand Name: hydrogen– • Erosive components and in • GI: abdominal pain, cyanocobalamin deficiency (weakness,
Losec, Prilosec potassium esophagitis, patients receiving constipation, diarrhea, heart palpitations, dyspnea, paresthesia,
adenosine pathologic rilpivirine-containing flatulence, nausea, pale skin, smooth tongue, CNS changes,
Classification: triphosphatase, hypersecretory products. vomiting, acid regurgitation. loss of appetite).
located at condition (such
Therapeutic class: secretory as Zollinger- • Musculoskeletal: back pain, ✓ Periodically assess patient for
Antiulcer drugs surface of Ellison weakness. osteoporosis.
gastric parietal syndrome).
Pharmacologic cells, to • Respiratory: cough, URI. ✓ Monitor patient for signs and symptoms
class: PPIs – suppress gastric • Duodenal ulcer of acute interstitial nephritis.
Proton Pump acid secretion. • Skin: rash.
Inhibitor • Helicobacter ✓ Discontinue drug if signs or symptoms of
pylori infection cutaneous lupus erythematosus or SLE
Available and duodenal develop; refer patient to the appropriate
Forms: ulcer disease, specialist for evaluation.
Capsules: to eradicate H.
• 10 mg, pylori with Patient Teaching:
✓ Tell patient to swallow tablets whole and
clarithromycin.
• 20 mg, not to open, crush, or chew them.
• 40 mg • H. pylori
infection and ✓ Give patient instructions on how to take
Powder: duodenal ulcer oral suspension.
• 2.5 mg/packet, disease, to
✓ Instruct patient to take drug at least 30 to
eradicate H.
• 10 mg/packet pylori with 60 minutes before meals.
clarithromycin
Suspension:
and amoxicillin ✓ Caution patient to avoid hazardous
• 2 mg/mL (triple therapy) activities if dizziness occurs.

Tablets : • Short-term ✓ Advise patient that Prilosec OTC isn't

intended to treat infrequent heartburn
• 20 mg treatment of
(one episode of heartburn a week or
active benign
 gastric ulcer less), or for those who want immediate
• Frequent relief of heartburn.
heartburn (2 or ✓ Inform patient that Prilosec OTC may
more days a take 1 to 4 days for full effect, although
week) some patients may get complete relief of
symptoms within 24 hours.
• Dyspepsia
✓ Teach patient to recognize and report
signs and symptoms of low magnesium
levels.