UNIVERSITY OF NEGROS OCCIDENTAL RECOLETOS

Bacolod City

COLLEGE OF ALLIED MEDICAL HEALTH SCIENCES BS NURSING

DRUG STUDY
Name: G. A Age: 20 y/o Sex: Female Room: NAW7 Date: 03/04/24

Drug Name Mechanism of Indications Contraindications Side Effects Adverse Effects Nursing Considerations
Action
Generic name: - Inhibits cell •UTI, Lower respiratory •hypersensitivity to Chest pain, GI: Diarrhea •Check doctor’s order.
Ceftriaxone wall synthesis, tract, gynecologic, bone drug or other chills, cough, HEMATOLOGIC •Before giving the drug wait for the result of
promoting or joint, intrabody, skin cephalosporins. fever, diarrhea, : eosinophilia, skin test.
Brand name: osmotic or skin-structure rash, thrombocytosis, • Perform hand washing.
Rocephin instability; infection; septicemia hypersensitivity leukopenia. SKIN: •Introduce drug and educate patient about its
usually •Uncomplicated pain, induration, purpose.
bactericidal. gonococcal rash. •Assess for hepatic and renal impairment.
Frequency and
vulvovaginitis OTHER: • Check the patency at the IV site and
dosage: 1g/vial
• Meningitis hypersensitivity the IV line.
2 vials, OD
•Perioperative reactions, serum •Administer the right drug at the right dose.
Source: Drug prophylaxis sickness, • Monitor patients for superinfection
8pm •Acute bacterial otitis
handbook pages anaphylaxis diarrhea and anemia and treat appropriately.
303-304. media • Tell the patient to report adverse
Route: IV
reaction promptly.
Patients’actual • Instruct patient to report discomfort at
Classifications:
indication: UTI. iv insertion site.
Antibiotics,
• Discontinue if hypersensitivity occurs.
third generation
cephalosporins

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 UNIVERSITY OF NEGROS OCCIDENTAL RECOLETOS
Bacolod City

COLLEGE OF ALLIED MEDICAL HEALTH SCIENCES BS NURSING

Drug Name Mechanism of Indications Contraindications Side effects Adverse effects Nursing considerations
action
Generic name: -Thought to produce •Mild to Hypersensitivity to tiredness, CNS: anxiety, fatigue, •Verify that the NGT is properly
Paracetamol analgesia by moderate drug. Severe Breathlessness, headache, insomnia, pyrexia. positioned and secure before
inhibiting pain; fever hepatic impairment anemia, liver and CV: HTN, hypotension, administering any medication. Ensure
Brand name: prostaglandin and or severe active kidney damage, peripheral edema. GI: Nausea, that the tube is not dislodged and that the
Tylenol other substances that liver disease. diarrhea, vomiting, abdominal pain, skin around the tube is intact.
sensitize pain Patients’ vomiting, nausea, diarrhea. GU: Oliguria.
receptors. Drug may abdominal pain, HEMATOLOGIC: •Do not exceed the recommend dosage.
Dosage and actual
relieve fever through hypoxia, rash hemolytic anemia, leukopenia,
Frequency: indication:
central action in the anemia. • Check vital signs especially
500mg 1tab, PRN Fever
hypothalamic heat – HEPATIC: jaundice. temperature.
Q4H
regulating center. METABOLIC:
Hypoglycemia, hypokalemia, •Monitor the patient for any potential side
Route: Oral
hypervolemia, effects or adverse reactions.
hypomagnesemia.
MUSCULOSKELETAL: •Discontinue drug if hypersensitivity
Classifications: muscle spasms. RESPI: reaction occurs
Analgesics, para abnormal breath sounds,
aminophenol dyspnea, hypoxia, atelectasis, •Treatment to overdose: Monitor serum
derivatives pleural effusion, pulmonary levels regularly, N-acetylcysteine should
edema, stridor. SKIN: rash, be available as a specific antidote; basic
urticaria, pruritus. life support may be necessary.

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 UNIVERSITY OF NEGROS OCCIDENTAL RECOLETOS
Bacolod City

COLLEGE OF ALLIED MEDICAL HEALTH SCIENCES BS NURSING

Drug Name Mechanism of Action Indications Contraindications Side effects Adverse effects Nursing Consideration

Generic name: - Principal To prevent and Severe renal Kalium durules may GI:
Kalium durule intracellular cation; treat potassium impairment; severe have the following Nausea, vomiting, Monitor I&O ratio and pattern in
essential for maintenance deficit secondary hemolytic reactions; side effects: diarrhea, abdominal patients receiving the parenteral
Brand name: of intracellular isotonicity, to diuretic untreated distension. drug. If oliguria occurs, stop
Potassium transmission of nerve or corticosteroid Addison’s • Nausea Body Whole: infusion promptly and notify
chloride impulses, contraction therapy. Also disease; crush • Diarrhea Pain, mental confusion, physician. Lab test: Frequent
of cardiac, skeletal, and indicated when syndrome;early • Hyperkalemia irritability, listlessness, serum electrolytes are warranted.
Dosage and smooth muscles, potassium is postoperative oliguria • Perforation paresthesia’s
Frequency: maintenance of normal depleted by severe (except during GI and stricture/stenosis of extremities, muscle Monitor for and report signs of GI
4.5g Q8H kidney function, and for vomiting, drainage); of the esophagus or weakness and heaviness ulceration(esophageal or epigastric
enzyme activity. Plays diarrhea; intestinal adynamicileus; acute small intestine of limbs, difficulty in pain or hematemesis).
prominent a role in both drainage, fistulas, dehydration; heat • Ulceration swallowing, flaccid
formation and correction or malabsorption; cramps, • Abdominal paralysis. Monitor patients receiving
Route: Oral of imbalances in acid prolonged hyperkalemia, patients pain Urogenital: parenteral potassium closely with
– base metabolism. diuresis, diabetic receiving potassium- • Rash Oliguria, anuria. signs of right and left bundle block,
Classification: acidosis. Effective sparing diuretics, Hematologic: deterioration of QRS contour and
Electrolytic and in the treatment digitalis intoxication Hyperkalemia. finally ventricular fibrillation and
water balance of hypokalemic with AVconduction Respiratory: death.
agent; alkalosis(chloride, disturbance. Respiratory distress.
replacement not the gluconate). CV: Cardiac monitor.
solution . Hypotension, Irregular heartbeat is usually the

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 UNIVERSITY OF NEGROS OCCIDENTAL RECOLETOS
Bacolod City

COLLEGE OF ALLIED MEDICAL HEALTH SCIENCES BS NURSING

bradycardia; cardiac earliest clinical indication

depression, arrhythmias, of hyperkalemia.
or arrest; altered
sensitivity to digitalis Be alert for potassium
glycosides. ECG changes intoxication(hyperkalemia, see
in hyperkalemia: Tenting S&S, Appendix F);may result from
(peaking) of T any therapeutic dosage, and the
wave(especially in right patient maybe asymptomatic. The
precordial leads), risk of hyperkalemia with
lowering of R with potassium supplement increases (1)
deepening of S waves in older adults because
and depression of of decremental changes in
RST;prolonged P-R kidney function associated with
interval, widened QRS aging, (2) when dietary intake
complex, decreased of potassium suddenly increases,
amplitude and and(3) when kidney function
disappearance of P insignificantly compromised.
waves, prolonged Q-T
interval, signs of right
and left bundle block,
deterioration of
QRScontour and finally
ventricular fibrillation
and death.

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