JOSE RIZAL UNIVERSITY

COLLEGE OF NURSING AND HEALTH SCIENCES

S.Y. 2023-24

NCP AND DRUG STUDY

Submitted To:
Prof. Maria Fe Dimdam RN
Clinical Instructor

Submitted By:
Michelle C. Satairapan
BSN3-301N
 NURSING PRIORITY

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Decreased Short term: Independent: Short term:
Cues: cardiac output The goal was met.
related to After 8 hours of -Monitor vital To monitor
The patient mobility as nursing signs every 1 baseline data After 8 hours of
verbalized evidenced by intervention, the hour nursing
“Nahihilo ako dizziness. patient will intervention, the
lalo na kapag actively engage -Observe for patient was able
nag lalakad” in required and complaints of To avoid head to actively
desirable blurred vision, injuries and engage in
activities, make tinnitus, or falls. required and
Objective use of ways to confusion. desirable
Cues: raise activity activities, make
-Encourage a A relaxed and use of ways to
tolerance that
BP: 160/80 relaxed and relaxing raise activity
have been
restful environment tolerance that
identified, report
mmHg environment can help
a measurable have been
improvement in reduce the identified, report
PR: 71 bpm body’s a measurable
activity
metabolic improvement in
tolerance, and
RR: 17 bpm requirements.
show a decline activity tolerance,
in physiological and show a
Temperature: Reduces
intolerance - Maintain activity decline in
36 physical
symptoms. restrictions physiological
(bedrest or chair tension and intolerance
rest) stress, which symptoms.
have an impact
on blood
pressure and
the
development of
hypertension.
 Dependent:
-Administer Patients with
hydrochlorothiazide reasonably normal
as ordered by the renal function can
physician use diuretics alone
or in combination
with other
medications (such
as beta-blockers)
to lower their blood
pressure. Diuretics
are regarded first-
line treatments for
uncomplicated
stage I or stage II
hypertension.
Collaborative:
-Refer the client to a Referring the
Physician for follow-up patient to a
care physician will
help to determine
other factors that
cause
hypertension and
activity
intolerance.

DRUG STUDY

GENERIC MECHANI INDICATIO CONTRAIND ADVERSE NURSING

NAME & DRUG S M OF N I CATION EFFECTS/ CONSIDERATION
BRAND CLASSIFI ACTION SIDE S AND
NAME C ATION: EFFECTS INTERVENTION

GENERIC HMG-CoA -To NOT SIDE -Tell patient to take

NAME: reductase Inhibits increase ADVISED EFFECT drug at
inhibitors, HMG- HDL-C TO S: the same time
Atorvastat or statins CoAre in RECEIVED each day to
in ductase, patients ARE THOSE -Muscle pain, maintain its
the with WHO HAVE: effects.
BRAND
enzyme primary -Tenderness,
NAME:
that hypercholes Contraindic or weakness -Instruct patient to
Lipitor catalyzes te rolemia ate d with with fever or take a
the first and mixed allergy to flu missed dose
step in dyslipidemia atorvastatin, as soon
the - Adjunct fungal by -Nausea, as possible. If it’s
cholesterol to diet to products,
synthesis treat
pathway,
resulting in
a
 decrease elevated active liver -Stomach almost time for
in serum disease or pain, his next dose, he
cholesterol unexplained should skip the
, serum and -Low missed dose
LDLs persistent fever
(associate elevations , -Advise the patient
d with of to notify physcian
increased transaminas -Loss of immediately if he
risk of e levels, appetite, develops
CAD), and pregnancy, unexplained muscle
increases lactation. - pain, tenderness, or
serum Use Dark weakness,
HDLs cautiously urin especially if
(associate with e, accompanied by
d with impaire fatigue or fever.
decreased d -Clay-colored
risk of endocrin stools,
CAD); e
increases function. - Jaundice
hepatic
LDL
recapture
sites, ADVERSE
enhances EFFECTS:
reuptake
and CNS:
catabolism Headache,
of LDL; asthenia
lowers
triglyceride GI:
levels. Flatulence,
abdominal
pain,
cramps,
constipatio
n,
nausea,
dyspepsia,
heartburn,
liver failure

Respiratory:
Sinusitis,
Pharyngitis

Others:
Rhabdomyolis
is with acute
renal failure,
arthyalgia,
and myalgia.
 GENERIC MECHAN INDICATIO CONTRAIN ADVERSE NURSING
NAME & DRUG IS M OF N D EFFECTS/ CONSIDERATIO
BRAND CLASSIF ACTION ICATION SIDE NS AND
NAME IC EFFECTS INTERVENTION
ATION:
GENERIC Nutrition - -Protein NOT SIDE -Evaluate for an!
NAME: al Normalize energy ADVISED EFFECTS: contraindications
Formula s malnutrition TO
α- metabolic RECEIVE - -Take drug as
ketoanalogue process -Pretention D ARE Hypercalcimia prescribed.
and THOSE
BRAND - treatment WHO ADVERSE -Taken with
NAME: EFFECTS:
Promotes o- HAVE: meals to allow
recycling conditions proper absorption
Renalog -Increase
product caused b! If you are of amino acids.
excHange modi-ied or allergic to calcium
, insu--icient this level -Educate the
(rotein medicine patient about
-Reduces metabolis or any possible side
ion m in cronic other effects and how
concentra renal ingredient to recognize
tio n failure. of Renolog them.
Potassiu Tablet.
m, -Give with food if
magnesiu If you have GI upset occurs.
m and a high
phosphat level of
e. calcium in
the blood.
-Frequently
If you assess for serum
have calcium levels.
deficient
protein
metabolis
m.

GENERIC DRUG MECHANIS INDICATI CONTRAIN ADVERSE NURSING

NAME & CLASSIF M OF ON DI EFFECTS/ CONSIDERATIO
BRAND IC ACTION CATION SIDE NS AND
NAME ATION: EFFECTS INTERVENTION
 GENERIC Antioxida -A -Prevent NOT SIDE -High doses of
NAME: nt s cofactor, and treat ADVISED EFFECT vitamin C are not
enzyme scurvy. TO S: recommended
RECEIVE during pregnancy.
compleme
Ascorbic D ARE -Headache
nt, co- -Prevent
Acid THOSE
substrate, and WHO -Fatigue
BRAND NAME:
and a treats the HAVE:
Vitamin C powerful common -Sleepiness
anti-oxidant cold. -Blood
disorders -Heartburn
in
-Lower like
various thalassemi ADVERSE
reactions risk of
a, G6PD EFFECTS:
and heart deficiency,
metabolic disease. sickle cell -Flushing
processes. disease,
and -Nausea or
It also vomiting
hemochrom
stabilizes
at osis.
vitamin E -Dizziness
and folic -Use of
acid and sodium
enhances ascorbate
iron in patients
on sodium
absorption. restriction.

GENERIC DRUG MECHANIS INDICATIO CONTRAIN ADVERSE NURSING

NAME & CLASSIF M OF N DI EFFECTS/ CONSIDERATIO
BRAND IC ACTION CATION SIDE NS AND
NAME ATION: EFFECTS INTERVENTION
GENERIC Diuretics Restricts -High Blood NOT SIDE Monitor as follows
NAME: the distal Pressure ADVISED EFFECTS: Vomiting
convoluted TO
Blurred Vision
hydrochloroth RECEIVED Vomiting
tubule's Hypotension
iazide ARE Bloating
ability to THOSE Confusion Dizziness
transport WHO Headache
sodium HAVE:
chloride.
The kidney -
Hypersensiti
then
vity
excretes
more salt -Anuria
along with
liquids.
 BRAND
NAME:
ADVERS
-Microzide, E
EFFECTS:
- HydroDiuril,
Blurred
-Oretic Vision

Diarrhea

Swelling of
lymph
glands

Joint Pain

Back pain

Fainting

ASSESSMENT FORM