DAVAO DOCTORS COLLEGE, INC.

GEN. MALVAR ST., DAVAO CITY

COLLEGE OF ALLIED HEALTH SCIENCES | NURSING PROGRAM

DRUG STUDY

Name of Patient: PATIENT MIRANDA Age: 15 Religion:

Date of Admission: SEPTEMBER 1, 2023 Sex: F Civil Status:
Chief Complaint: Extreme abdominal pain and water leakage in vagina Attending Physician: DR. CASTEEL

DATE CLASSIFICATION/ CONTRA- SIDE ADVERSE NURSING

DRUG INDICATION(S) RESPONSIBILITIES
ORDERED MODE OF ACTION INDICATION(S) EFFECT(S) EFFECT(S)
BRAND Therapeutic class: 1. Iron • Hyper- CV: • Large doses BASELINE
NAME: Enzymatic Mineral Deficiency sensitivity to - Heartburn may ASSESSMENT
United Home Anemia iron salts. aggravate Assess nutritional
Fersulfate Pharmacologic • Hemochromat GI: existing GI status, dietary
Iron Class: 2. Prevention osis, - Mild, tract disease history. Question
Iron preparation of Iron hemolytic transient (peptic ulcer, history of
GENERIC Deficiency anemias Nausea, regional hemochromatosis,
NAME: Mechanism of • Cautions: anorexia, enteritis, hemolytic anemia,
ferrous action: Peptic ulcer, constipatio ulcerative ulcerative colitis.
sulfate • Essential regional n, diarrhea colitis). Question use of
component in enteritis, • Severe iron antacids, calcium
DOSAGE: formation of Hgb, ulcerative poisoning supplements.
325 mg (65 myoglobin, colitis, pts occurs most
mg enzymes. receiving often in INTERVENTION/
Sept. 1, elemental • Promotes frequent children, EVALUATION
2023 iron) Monitor serum iron,
effective blood manifested as
@ 2:00 AM total iron-binding
erythropoiesis transfusions. vomiting,
ROUTE: and transport, severe capacity,
PO utilization of abdominal reticulocyte count,
oxygen. pain, Hgb, ferritin.
FREQUENC • Therapeutic diarrhea, Monitor daily
Y: Effect: Prevents dehydration, pattern of bowel
iron deficiency. followed by activity, stool
Adults, hyper- consistency.
elderly: 65– Pharmacokinetics: ventilation, Assess for clinical
200 mg/day • Absorbed in pallor, improvement,
in 2–3 duodenum and cyanosis, record relief of
divided upper jejunum. cardio- iron-deficiency
doses • Ten percent vascular symptoms (fatigue,
absorbed in pts collapse irritability, pallor,
 DAVAO DOCTORS COLLEGE, INC.
GEN. MALVAR ST., DAVAO CITY
COLLEGE OF ALLIED HEALTH SCIENCES | NURSING PROGRAM

Children: with normal iron paresthesia of

3–6 stores; increased extremities,
mg/kg/day in to 20%–30% in headache).
2–3 divided pts with
doses inadequate iron PATIENT/FAMILY
stores. TEACHING
• Primarily bound
to serum - Expect stool color
transferrin. to darken.
• Excreted in
urine, sweat, - If GI discomfort
sloughing of occurs, take after
intestinal meals or with food.
mucosa,
menses. - Do not take within
• Half-life: 6 hrs. 2 hrs of other
medication or eggs,
milk, tea, coffee,
cereal.

- Do not take
antacids or OTC
calcium
supplements.

REFERENCES:

Kizior, R. J., & Hodgson, K. (2020). Saunders nursing drug handbook 2021 E-book. Elsevier Health Sciences. (p. 485-
487)

ANGELICA CLAIRE B. BARECUATRO, SN

NAME OF STUDENT