Name of Student: Karol Mariae Luz Eres Section and Group number: Group 2

Name of CI: Mia Jane M. Locsin RN, MN, LPT Area of Exposure: BQMH Station 4 Surgical Ward

DRUG STUDY #1

Name of the Drug Dosage/ Mechanism of Action Indication Contraindication Adverse Effect Nursing
Frequency/ Timing/ Responsibilities
Route

Generic Name: Dosage: .Suppresses gastric Omeprazole, - Hypersensitivity CNS: Headache, 1. Drug Evaluation and
Omeprazole 40 mg secretion by inhibiting according to the to this product or dizziness, Side Effects
hydrogen/potassium FDA label Label is benzimidazoles asthenia - Assess for history of
ATPase enzyme a proton pump hypersensitivity or
Brand Name: Frequency: system in gastric inhibitor (PPI) - Precautions: GI: Diarrhea, possible
Prilosec ODAC parietal cells; used for the Pregnancy, abdominal pain, contraindications or
characterized as following breastfeeding, vomiting, nausea, cautions.
Timing: gastric acid pump purposes: children,and constipation, - Monitor CNS side
Classification: 8 AM inhibitor because it hepatic disease. flatulence, acid effects
Proton Pump blocks the final step of • Treatment of regurgitation, (drowsiness, fatigue,
Inhibitors Route: acid production. active duodenal abdominal weakness,
IVTT ulcer in adults swelling, anorexia, headache), and report
irritable severe or
Reference: • Eradication of colon, hepatic failure, prolonged effects.
Shah, N. (2023, Helicobacter clostridium - Assess dizziness that
February 7). pylori to reduce difficile-associated might affect
Omeprazole. the risk of diarrhea gait, balance, and
StatPearls - duodenal ulcer (CDAD) other functional
NCBI recurrence in activities. Report
Bookshelf. adults INTEG: Rash, dry skin, balance problems
h • Treatment of urticaria, pruritus, and functional
ttps://w active benign gastric alopecia limitations to the
w ulcers in adults physician, and caution
w.n MISC: Back pain, the patient
cbi.nlm.nih. • Treatment of fever, and family/caregivers
g symptomatic fatigue, malaise to guard
o gastroesophageal reflux against falls and
v/books/NBK5 disease(GERD) in RESP: Upper trauma.
39786. Patients 1 year of age respiratory - Monitor any chest
and older infections, cough, pain and
epistaxis, attempt to determine if
pneumonia pain is
drug induced or
caused by
cardiovascular
dysfunction (e.g.,
angina that occurs
during exercise).
2. Education for
Patients and
Families
- In
form the patient
To a
void meals
and be
verages that
could make
their GI irritation
worse.
-Tell the patient
to let
you know if
they have any
uncomfortable or
persistent side
effects, such as skin
problems (itching,rash)
or gastro intestinal
issues (nausea,
diarrhea,vomiting,
constipation heartburn,
flatulence,stomach
discomfort).
 DRUG STUDY #2

Name of the Drug Dosage/ Mechanism of Action Indication Contraindication Adverse Effect Nursing
Frequency/ Timing/ Responsibilities
Route

Generic Name: Dosage: Inhibits calcium ion HTN - Hypersensitive to CNS: Headache, ● Monitor patient
Amlodipine Besylate 5 mg influx across cardigan Adults: Initially, 5 mg PO drugs somnolence, fatigue, carefully. Some
Frequency: and smooth muscle daily. Dosage adjusted - Use cautiously in dizziness, patients,
Brand Name: 8 am and 8 pm cells, dilates coronary according to patient patients receiving CV: Edema, especially those
Kateriza, Norvasc Timing: arteries and arterioles, response and tolerance. other peripheral flushing, palpitations with severe
BID and decreases blood Titration should occur vasodilators, GI: Nausea, obstructive CAD,
Classification: Route: pressure and over 7 to 14 days. especially those with abdominal pain have developed
Antihypertensive; PO myocardial oxygen Maximum daily dosage is severe aortic RESP: Pulmonary increased
Calcium Channel demand. 10 mg. stenosis or edema, dyspnea frequency,
blockers Older Adults: Initially, 2.5 hypertrophic INTEG: Pruritus, duration,or
mg PO daily. cardiomyopathy with rash severity of angina
Reference: Adjust-a-dose: For outflow tract or acute MI after
Kluwer, W. (2023). patients who are small or obstruction, and in initiation of
frail, are taking other patients with HF calcium blocker
Nursing 2023
antihypertensives, or with reduced LVEF. therapy or at time
Drug
have a hepatic Because drug is of dosage
Handbook insufficiency, initially, 2.5 metabolized by the increase.
mg PO daily. liver, use cautiously ● Monitor blood
(43rd ed.).
and in reduced pressure
C&E Adaptive dosage in patients frequently during
with severe hepatic initiation of
Learning
disease. therapy. Because
Solutions.
- Dialyzable drug: No drug-induced
vasodilation has a
gradual onset,
acute hypotension
is rare.
● Notify prescriber if
signs of HF occur,
such as swelling
of hands and feet
or shortness of
breath.
Patient Teaching:
● Caution patient to
report all adverse
reactions and to
continue taking
drugs, even when
feeling better.
● Tell patient SL
nitroglycerin may
be taken as
 needed when
angina symptoms
are acute.If
patient continues
nitrate therapy
during adjustment
of amlodipine
dosage, urge
continue
adherence.
● Advise patient to
shake suspension
before using.
 DRUG STUDY #3

Name of the Drug Dosage/ Mechanism of Indication Contraindication Adverse Effect Nursing
Frequency/ Timing/ Action Responsibilities
Route

Generic Name: Dosage: Normalizes metabolic Prevention and treatment - Hypersensitivity to CNS: Dizziness ● Observe for 10
Ketoanaloogue 2 tabs process,promotes of damages due to faulty the active GI: Nausea Rights
Frequency: recycling product or deficient protein substances or to Metabolic:Hypercalemia ● Correct
8 am, 1pm, 6pm exchange; Reduces metabolism in any of the Positioning
Brand Name: Timing: ion concentration of chronic kidney disease in excipients ● Evaluate for any
Ketosteril TID potassium,magnesiu connection with a limited - Hypercalcaemia contraindication
Route: m and phosphate dietary protein intake of - Disturbed amino ● Take drug as
PO 40 g/day or less (adult). acid metabolism prescribed
Classification: Usually this applies to ● Warn the patient
Nutritional patients whose about possible
Supplements glomerular filtration rate side effects and
(GFR) is less than 25 how to recognize
mL/min. them
Reference: • Nitrogen free analogues ● Give with food if
Nera, S. (2021, June of essential amino acids GI upset occurs
• Administered for ● Frequently
22). Ketosteril
nutrition therapy in assess for
(ketoanalogue,
chronic kidney disease. hypercalcemia
essential • Relieves uremic states,
amino acids). improve nutritional states,
slow down illness
Hello Doctor
progression
Philippines.
and protect kidney
Retrieved functions
• With low protein diets
September 6,
can delay or prevent
2023, from
dialysis by relieving
https://hellodoc metabolic
complications
tor.com.ph/dru

gs-supplement

s/ketosteril/
 References

Kluwer, W. (2023). Nursing 2023 Drug Handbook (43rd ed.). C&E Adaptive Learning Solutions.

Nera, S. (2021, June 22). Ketosteril (ketoanalogue, essential amino acids). Hello Doctor Philippines. Retrieved September 6, 2023, from

https://hellodoctor.com.ph/drugs-supplements/ketosteril/

Shah, N., & Gossman, W. (2023, February 7). Omeprazole - StatPearls. NCBI. Retrieved September 6, 2023, from

https://www.ncbi.nlm.nih.gov/books/NBK539786/