NAME OF DRUGS DRUG MECHANISM OF ACTION DRUG INDICATION CONTRAINDICA SIDE EFFECTS SPECIAL NURSING RESPONSIBILITIES

(GENERIC/BRAND CLASSIFICA TION (ADVERSE PRECAUTION

NAME) DOSAGE & TION EFFECT)
FREQUENCY

1. GENERIC NAME Angiotensin II Work by blocking a hormone Treatment of high blood Irbesartan is Side effects: -avoiding the use of alcohol - Check the patient's blood pressure
Irbersartan receptor called angiotensin II. pressure, heart failure, contraindicated in dizziness, nausea, and monitoring for signs of before administering the
blockers Angiotensin II is a hormone and some kidney patients who are vomiting, dehydration. medication.
BRAND NAMES (ARBs) that can make blood vessels diseases. hypersensitive to diarrhea, back -It should also be used with - Monitor the patient's blood
Avapro narrow, which can increase the drug, pregnant pain, muscle pain, caution in patients with pressure and renal function
Karvea blood pressure and put more women, and those and fatigue. liver or kidney problems, regularly.
Aprovel strain on the heart. By blocking with severe liver and those who are pregnant - Educate the patient on the
the action of this hormone, disease or biliary Adverse reactions: or breastfeeding. importance of taking the
DOSAGE ARBs help to widen the blood obstruction kidney problems medication regularly and the
150mg / tab vessels, which can lower blood and allergic potential side effects
pressure and reduce the reactions.
FREQUENCY workload on the heart. ARBs
OD are commonly used to treat high
blood pressure, heart failure,
ROUTE and some kidney diseases.
P.O.
2. GENERIC NAME Laxatives Treatment of Lactulose is Gastrointestinal -avoiding prolonged use, - Assess the patient's bowel habits,
Lactulose Synthetic disaccharide that is constipation and hepatic contraindicated in System: which can lead to including the frequency and
not absorbed in the small encephalopathy. patients with a abdominal dependence on the consistency of stool.
BRAND NAMES intestine. It increases the history of cramps, bloating, medication
Duphalac, Enulose osmotic pressure in the colon, galactosemia, diarrhea, -It should also be used with -Instruct the patient to drink plenty
which pulls water into the colon intestinal flatulence, nausea, caution in patients with of fluids to prevent dehydration.
DOSAGE and softens the stool. Lactulose obstruction, and vomiting, and liver disease, as it can cause
30units is also fermented by colonic those who are discomfort hepatic encephalopathy. - Monitor the patient's electrolyte
bacteria, which produces short hypersensitive to Nervous System: levels, especially potassium, as
chain fatty acids and lactic acid. the drug. dizziness, lactulose can cause hypokalemia.
ROUTE This lowers the pH in the colon, headaches, and - Educate the patient on the
IV which further promotes the confusion (rare) importance of taking the
growth of beneficial bacteria medication regularly and the
and stimulates defecation. Metabolic potential side effects, such as gas
System: and bloating
dehydration (with
excessive use)
3. GENERIC NAME HMG-CoA Atorvastatin is a HMG-CoA Treatment of high Atorvastin is Side effects: - It should not be used in - Check the patient's lipid levels
Atorvastin reductase reductase inhibitor that works cholesterol and contraindicated in muscle pain, pregnant women before administering the
inhibitor by blocking the enzyme prevention of patients with active headache, nausea, -patients should avoid medication.
 Assessment Diagnosis Rationale Planning Intervention Rationale Evaluation
Subjective: Impaired verbal A cardiovascular Short term Independent: Short term
"Bigla nalang communication hemorrhage is a goal: -Monitor the -To detect goal:
ako nakaranas related to medical After 6-8 hours patient's changes in the After 6-8 hours
ng pagkabulol at cardiovascular emergency of nursing neurological patient's status of nursing
paghirap hemorrhage as caused by blood interventions the status and manage interventions
magsalita" as evidenced by leaking from patient will be any potential the patient was
verbalized by slurring of blood vessels in able to: complications. able to:
the patient speech, speaks or around the -Position the -To alleviate
with difficulty, heart, leading to -Indicate an patient in a dyspnea, -Indicate an
Objective: use of a reduced supply understanding comfortable and reduce the risk understanding
-Slurring speech nonverbal cues. of oxygen to the of the safe of aspiration, of the
-Speaks with brain and other communication environment, facilitate communication
difficulty organs. One problem with the head of cerebral problem
-Use of common sign of -Establish the bed perfusion and -Establish
nonverbal cues this condition is method of elevated. promote optimal method of
slurring of communication ventilation. communication
speech, which in which needs -Use nonverbal - To in which needs
suggests that the are expressed communication compensate for are expressed
patient is techniques, the patient's
experiencing Long term such as impaired verbal Long term
difficulties with goal: gestures and communication goal:
coordinating After 3-4 days of facial After 4-5 days
muscles involved nursing expressions. of nursing
in speaking. This interventions the interventions
typically results in patient will be Dependent: -To stabilize the the patient was
speech that is able to: -Administer patient's able to:
difficult to anticoagulants, cardiovascular
understand and -The patient's vasopressors, function and -The patient's
may exhibit speech will be and antiplatelets prevent further speech was
slowed rate, clear, articulate, as prescribed by bleeding or clear, articulate,
mispronunciation, and easy to the doctor stroke. and easy to
or word understand. understand.
confusion. -The patient's Collaborative: - To evaluate -The patient's
communication -Refer the the patient's communication
skills will be at a patient to a neurological skills was at a
 functional level neurologist function and functional level
that allows them develop a plan that allows them
to engage in of care to to engage in
social and manage any social and
professional neurological professional
interactions deficits. interactions
effectively. effectively.

1st week-orientation & drug study & cholesystitis

During our first day at OLOP hospital, our clinical instructor provided us with an orientation about the hospital's background and various activities such as NCAR, NCP, drug study, and LFD that we needed to
submit to him. On the second day of my duty, I took care of a 58-year-old female patient who had undergone surgery for post-cholecystitis. I was responsible for providing wound care and closely monitoring
the patient for any signs of complications, such as bleeding or infection. Additionally, I assisted the patient in getting up and walking to promote mobility and prevent blood clots. I also educated the patient on
post-operative care, diet modifications, and activities of daily living.

2nd week- fistula & Iv removal & drug and IVF calculation lecture

During my second week of duty, I was responsible for taking care of a 42-year-old male patient who underwent fistulectomy. When the patient was brought to me, he was ready to be discharged on the same
day, so I removed his IV. Since it was my first time doing this, I learned that if the patient has hairy skin, you need to wet it to remove the stickiness of the micropore tape, and the tape should be removed one
by one to avoid causing pain. I also learned to remove the IV cannula immediately to prevent discomfort. Additionally, I created a discharge plan for the patient, which included advising him to take the
prescribed medication for pain and encouraging him to adopt a healthy lifestyle. Lastly, the calculations for IV fluids and medication administration became clear to me after Sir Mark discussed it in detail in one
of our sessions.

3rd week- Iv insertion & 4th and 3rd floor & hospital parahernalias & cleft palate

During my third week on duty, I was responsible for a 8-month old patient who had undergone a cheiloplasty surgery for a cleft palate. I monitored the patient's surgical site to ensure there was no excessive
bleeding and made sure that the intravenous (IV) fluids were sufficient. Later, Sir Aranda took us to the fourth floor, where private rooms are located, and to the third floor, where patients with positive cases
are placed. In addition to these duties, I also provided emotional support to the patient and their family and educated them on post-operative care, including wound care and diet modifications.

4th week- NCAR

During my fourth week of duty, we had a case presentation about a 45-year-old male who was admitted to Our Lady of Peace with Cardiovascular Disease Hemorrhage. The patient's chief complaint was
slurring of speech. As part of the case presentation, I conducted a drug study and presented to the group about the diagnosis of Impaired verbal communication related to cardiovascular hemorrhage. This was
evident from the patient's slurring of speech, difficulty speaking, and use of nonverbal cues.

Overall, my experiences at OLOP hospital have been incredibly valuable for my growth as a nursing student. I have learned important skills such as wound care, medication administration, and patient
education, as well as gained knowledge about various medical procedures such as cheiloplasty and fistulectomy. Additionally, case presentations and discussions with our clinical instructors helped me to
develop critical thinking skills and gain a deeper understanding of patient care. Through my experiences at OLOP hospital, I have realized the importance of treating patients with empathy and kindness, and
providing emotional support to both patients and their families.