UNIVERSITY OF CEBU - BANILAD

College of Nursing

DRUG STUDY
Patient: Tamac, Hanilyn Venezuela Age: 31 yrs. old Hospital No.: 228252 Room No.: Aboitiz Ward
Impression/Diagnosis: Labor Pain Attending Physicians: Nikki Jinese O. Tamayo, MD
Allergy to: None

Generic / Brand Dose, Strength & Indications/Mechanisms of Adverse/Side Effects

Nursing Responsibilities Rationale Client Teaching
Formulation Drug Action Drug Interaction
Name & Classification

Generic: Ordered: Indications:
Cefuroxime Give 1 tab q Treatment of susceptible infections
12 PO due to group B streptococci,
pneumococci, staphylococci, H.
influenzae, E. coli, Enterobacter,
Klebsiella, including acute/chronic
bronchitis, gonorrhea, impetigo, early
Lyme disease, otitis media,
pharyngitis/tonsillitis, sinusitis, skin/skin
structure, UTI, perioperative
prophylaxis.
BASELINE ASSESSMENT
Side Effects: 1. Obtain CBC, renal function test. 1. To check for any infections 1. Discomfort may occur with
Frequent: Discomfort with IM 2. Question for history of allergies, and renal problems that may IM injection
administration, oral candidiasis (thrush), mild particularly cephalosporins, result to slower removal of the 2. Doses should be evenly
diarrhea, mild abdominal cramping, vaginal penicillins. spaced
drug from the body.
candidiasis. (Saunders Nursing Drug Handbook, 3. Continue antibiotic therapy
2. To avoid serious allergic reaction for full length of treatment
2023) to this kind of drug
Occasional: Nausea, serum sickness-like 4. May cause GI upset (may
reaction (fever, joint pain; usually occurs take with food, milk)
after second course of therapy and resolves
after drug is discontinue) INTERVENTION/EVALUATION
Rare: Allergic reaction (rash, pruritas,
urticaria), thrombophlebitis (pain, redness,
swelling at injection site). 1. Monitor daily pattern of bowel
activity, stool consistency.Mild GI 1. To ensure the patient's
effects may be tolerable condition has improved and
(increasing severity may indicate infection is cleared up.
onset of antibiotic-associated 2. To check for any infections
ADVERSE EFFECTS/TOXIC
colitis). and renal problems that may
REACTIONS 2. Monitor I&O, renal function tests result to slower removal of the
for nephrotoxicity. Be alert for drug from the body.
Antibiotic-associated colitis, other super-infections superinfection: fever, vomiting,
(abdominal cramps, severe watery diarrhea, fever)
may result from altered bacterial balance in GI tract.
diarrhea, anal/genital pruritas, oral
Nephrotoxicity may occur, esp. in pts with mucosal changes (ulceration, pain,
preexisting renal disease. Pts with history of erythema).
penicillin allergy are at increased risk for
developing a severe hypersensitivity reaction
(severe pruritas, angioedema. Bronchospasm.
Anaphylaxis)

Brand: Timing:
Zinacef 12 pm
12 pm
 Classificati Duration: Mechanism of Action:
on: 12 hours Cefuroxime, like the
Antibiotic penicillins, is a beta-lactam
antibiotic. By binding to
Other forms: specific penicillin-binding
proteins (PBPs) located
IV, IM: Adults, inside the bacterial cell wall,
Elderly: 750 mg
– 1.5 g q8h it inhibits the third and last
stage of bacterial cell wall
synthesis. Cell lysis is then
mediated by bacterial cell
wall autolytic enzymes such
as autolysins; it is possible
that cefuroxime interferes
with an autolysin inhibitor.

Therapeutic Effect:
Bactericidal

Printed Name and Signature:

Clinical Instructor:

Printed Name and Signature:

Student/s:

Note: Please provide additional sheet/s if necessary.

 UNIVERSITY OF CEBU - BANILAD
College of Nursing

DRUG STUDY

Patient: Gorrero, Ady John Lao Age: 1 yr. old Hospital No.: 228252 Room No.: 1005

Impression/Diagnosis: Acute Gastroenteritis and Intestinal Amoebiasis Attending Physicians: Dr. James Maratas
Allergy to: None

Generic / Brand Dose, Strength & Indications/Mechanisms of Drug Adverse/Side Effects Drug Interaction
Formulation Action
Name & Classification Nursing Responsibilities Rationale Client Teaching

BASELINE ASSESSMENT
Generic: Ordered: Indications: Side Effects: 1. Assess onset, type, location, 1. May cause physical
duration of pain. Receive full dependance
Tramadol Give 1 tab q 8 Immediate-Release: Management of Frequent (25%-15%): Dizziness, vertigo.
medication history (eps.
moderate to moderately severe pain. Nausea, constipation, headache,
drowsiness
Serotonergic agents, CNS 2. Pts with history of drug
Extended-Release: Around-the-clock depressants). Questions history as abuse are at increased
management of moderate to listed in Precautions. Assess risk risk for misuse or abuse.
moderately severe pain for extended of drug abuse and misuse. Take medication only as
Occasional (10%-5%): Vomiting,
period. prescribed.
pruritus, CNS stimulation (e.g.,
nervousness, anxiety, agitation, tremor, 3. Avoid alcohol, other
euphoria, mood swings, hallucinations),
Brand: Timing: narcotics, sedatives.
asthenia, diaphoresis, dyspepsia, dry INTERVENTION/EVALUATION
Conzip 8 am mouth, diarrhea
1. Monitor heart rate, B/P. Assist with 4. Avoid tasks requiring
4 pm alertness, motor skills
ambulation if dizziness, vertigo
until response to drug is
8 am Rare (less than 5%): Malaise, occurs. Palpate bladder for urinary
established.
vasolidation, anorexia, flatulence, rash, retention. Diligently screen for
blurred vision, urinary suicidal ideation and behavior; new 5. Report severe confusion,
retention/frequency, menopausal onset or worsening of anxiety, excessive sweating,
symptoms. depression, mood disorder. Screen difficulty breathing,
for drug abuse and misuse, excessive sedation,
drug-seeking behavior. Monitor for seizures, muscle
seizure activity; symptoms of weakness, tremors,
serotonin syndrome. chest pain, palpitations,

ADVERSE EFFECTS/TOXIC 2. Assess for clinical improvement,

record onset of relief of pain.
REACTIONS Monitor closely for misuse or
abuse

May cause seizure activity at usual

 dosages. Serotonin syndrome (altered
mental status, autonomic instability,
Classification: Duration: Mechanism of Action: clonus, diaphoresis, hyperthermia,
Analgesic 8 hours Binds to mu-opioid receptors in CNS, hyperreflexia, tremor) was reported.
inhibiting ascending pain pathway. Hypersensitivity reactions (anaphylaxis,
Inhibits reuptake of norepinephrine, angioedema, bronchospasm), toxic skin
serotonin, inhibiting descending pain reactions (Stevens-Johnsons syndrome,
pathways. toxic epidermal necrolysis), severe
Other forms: hypotension, respiratory depression,
secondary hypogonadism, thyroid
Therapeutic Effect: Reduces Pain dysfunction, psychosis may occur. May
increase risk of suicidal ideation and
behavior.

Printed Name and Signature:

Clinical Instructor:

Printed Name and Signature:

Student/s:

Note: Please provide additional sheet/s if necessary.

 UNIVERSITY OF CEBU - BANILAD
College of Nursing

DRUG STUDY

Patient: Gorrero, Ady John Lao Age: 1 yr. old Hospital No.: 228252 Room No.: 1005

Impression/Diagnosis: Acute Gastroenteritis and Intestinal Amoebiasis Attending Physicians: Dr. James Maratas
Allergy to: None

Generic / Brand Dose, Strength & Indications/Mechanisms of Drug Adverse/Side Effects Drug Interaction
Formulation Action
Name & Classification Nursing Responsibilities Rationale Client Teaching

BASELINE ASSESSMENT
Generic: Ordered: Indications: Side Effects: 2. Assess onset, type, location, 6. May cause physical
duration of pain. Receive full dependance
Tramadol Give 1 tab q 8 Immediate-Release: Management of Frequent (25%-15%): Dizziness, vertigo.
medication history (eps.
moderate to moderately severe pain. Nausea, constipation, headache,
drowsiness
Serotonergic agents, CNS 7. Pts with history of drug
Extended-Release: Around-the-clock depressants). Questions history as abuse are at increased
management of moderate to listed in Precautions. Assess risk risk for misuse or abuse.
moderately severe pain for extended of drug abuse and misuse. Take medication only as
Occasional (10%-5%): Vomiting,
period. prescribed.
pruritus, CNS stimulation (e.g.,
nervousness, anxiety, agitation, tremor, 8. Avoid alcohol, other
euphoria, mood swings, hallucinations),
Brand: Timing: narcotics, sedatives.
asthenia, diaphoresis, dyspepsia, dry INTERVENTION/EVALUATION
Conzip 8 am mouth, diarrhea
3. Monitor heart rate, B/P. Assist with 9. Avoid tasks requiring
4 pm alertness, motor skills
ambulation if dizziness, vertigo
until response to drug is
8 am Rare (less than 5%): Malaise, occurs. Palpate bladder for urinary
established.
vasolidation, anorexia, flatulence, rash, retention. Diligently screen for
blurred vision, urinary suicidal ideation and behavior; new 10. Report severe confusion,
retention/frequency, menopausal onset or worsening of anxiety, excessive sweating,
symptoms. depression, mood disorder. Screen difficulty breathing,
for drug abuse and misuse, excessive sedation,
drug-seeking behavior. Monitor for seizures, muscle
seizure activity; symptoms of weakness, tremors,
serotonin syndrome. chest pain, palpitations,

ADVERSE EFFECTS/TOXIC 4. Assess for clinical improvement,

record onset of relief of pain.
REACTIONS Monitor closely for misuse or
abuse
 May cause seizure activity at usual
dosages. Serotonin syndrome (altered
Classification: Duration: Mechanism of Action:
mental status, autonomic instability,
Analgesic 8 hours Binds to mu-opioid receptors in CNS, clonus, diaphoresis, hyperthermia,
inhibiting ascending pain pathway. hyperreflexia, tremor) was reported.
Inhibits reuptake of norepinephrine, Hypersensitivity reactions (anaphylaxis,
serotonin, inhibiting descending pain angioedema, bronchospasm), toxic skin
pathways. reactions (Stevens-Johnsons syndrome,
Other forms:
toxic epidermal necrolysis), severe
hypotension, respiratory depression,
Therapeutic Effect: Reduces Pain secondary hypogonadism, thyroid
dysfunction, psychosis may occur. May
increase risk of suicidal ideation and
behavior.

Printed Name and Signature:

Clinical Instructor:

Printed Name and Signature:

Student/s:

Note: Please provide additional sheet/s if necessary.