DRUG NAME CLASSIFICATION INDICATION OF ACTION N EFFECTS RESPONSIBILITIES Generic Name: Pharmacologic A competitive It is commonly used Famotidine has CNS (Central Famotidine class: H2 blockers inhibitor of histamine for the management contraindications that Nervous o Perform a focused physical H2-receptors, leading of benign gastric and include System): Adjusting assessment of the patient's Dosage/ Therapeutic to the inhibition of duodenal ulcers, hypersensitivity to the dosage of abdomen through Route class: gastric acid providing relief by famotidine or other famotidine may be inspection, palpation, and /Frequency: Histamine H2 secretion. This reducing stomach H2-receptor necessary to minimize auscultation of bowel 10 mg IV q12 receptor medication primarily acid production. antagonists, which CNS adverse effects, sounds to confirm the antagonists works by blocking the Additionally, can lead to adverse such as dizziness and indication for famotidine effects of histamine, famotidine is reactions like headaches . reducing the prescribed for GERD anaphylaxis, GI o Monitor for adverse effects, production of (gastroesophageal Stevens-Johnson (Gastrointestinal): Fa such as abdominal pain, stomach ac reflux disease) syndrome, motidine can lead to and assess the patient's angioedema, side effects like response to the medication leukopenia, toxic constipation and . epidermal necrolysis, vomiting o Administer famotidine at agranulocytosis, Hepatic (Liver): Some bedtime if using one dose a thrombocytopenia, adverse effects on the day, and decrease doses and pancytopenia liver associated with with renal failure famotidine include . changes in liver o Arrange for the function, hepatitis, and administration of concurrent abnormalities in liver antacids if needed enzymes . Cardio o Monitor for hypersensitivity (Cardiovascular): Sp reactions ecific cardiovascular adverse effects of famotidine were not explicitly mentioned in the provided search results. DRUG STUDY FOR AMPIMAX MECHANISM ADVERSE NURSING DRUG NAME CLASSIFICATION INDICATION CONTRAINDICATION OF ACTION EFFECTS RESPONSIBILITIES Generic Name: Pharmacologic Inhibition of bacterial cell Ampimax is a Individuals with a Central Nervous System o Monitoring Vital Signs: Sultamicillin Class: wall formation. Ampicillin, medication used known hypersensitivity (CNS): Regularly monitor the patient's Antibiotics a key component of for the treatment to Ampimax or any of Headache blood pressure and pulse to Brand Name: Ampimax, inhibits the of various its components should Gastrointestinal (GI): assess their response to the Ampimax biosynthesis of the cell bacterial not take this Diarrhea medication wall mucopeptide, infections. Its medication due to the Nausea o Fluid Intake Monitoring: levels Dosage/Route Therapeutic exerting bactericidal indications risk of severe allergic Vomiting are maintained /Frequency: Class: activity against a wide include reactions like Candidiasis o Administration Instructions: 750 mg IV q8 ANST Beta-lactamase range of gram-positive infections where anaphylaxis or Fatigue Instruct patients to take the inhibitor and gram-negative beta-lactamase Stevens-Johnson Malaise oral medication on an empty aerobic and anaerobic producing syndrome. Secondly, Flatulence stomach, either 1 hour before bacteria organisms might patients diagnosed Abdominal or 2 hours after meals occur. with infectious distension o Medication Stability: mononucleosis should Glossitis avoid Ampimax Urine retention Cardiovascular (CARDIO): Chest pain or tightness Substernal pain Hepatic (HEPATIC): Abnormal liver function, including yellowing of the skin DRUG STUDY FOR KETEROLAC DRUG NAME CLASSIFICATION MECHANISM INDICATION CONTRAINDICATION ADVERSE NURSING OF ACTION EFFECTS RESPONSIBILITES Generic Name: Pharmacologic Ketorolac exerts its Ketorolac is Individuals with a CNS: Check for allergies to ketorolac ketorolac Class: effects by inhibiting the primarily known hypersensitivity Headache, dizziness, or NSAIDs, previous reactions, tromethamine Nonsteroidal anti- enzymes cyclooxygenase indicated for the to ketorolac or other drowsiness, fatigue current medications, and inflammatory drug (COX)-1 and COX-2. short-term NSAIDs. Patients with relevant medical conditions. Brand Name: (NSAID) These enzymes are management of a history of peptic ulcer GI: Ensure the right drug, right crucial for the production moderate to disease or Nausea, diarrhea, dose, right patient, right route, of prostaglandins, which severe pain. This gastrointestinal (GI) heartburn, abdominal and right time are followed. Dosage/Route/ Therapeutic play a key role in pain, can include pain bleeding. Individuals pain, constipation, Explain the medication's Frequency: Class: inflammation, and fever. following surgery, with severe heart indigestion (dyspepsia) purpose, potential side effects, 10 mg IV q8 ANST Analgesic By blocking these injuries, or other failure, kidney disease, and any precautions to take pathways, ketorolac medical or liver disease. Cardiovascular: Record the medication, dose, reduces the production of procedures. Due Fluid retention, edema route, time, and any observed prostaglandins, leading to to potential side (swelling), high blood responses in the patient's decreased pain, effects, its use is pressure medical record. inflammation, and fever. generally limited Assess for side effects like to less than 5 Renal (Kidney): nausea, diarrhea, stomach days. Acute kidney injury, pain, headache, or dizziness. especially with prolonged Document and report any use or high doses concerning symptoms to the health care provider. Skin: Hives Itching
NURSING CARE PLAN FOR ACUTE PAIN
IMPLEMENTATION ASSESSMENT DIAGNOSIS PLANNING EVALUATION INTERVENTION RATIONALE Subjective Data: Acute pain related Within 15 minutes of Independent: Goal Met. The patient has stated pain to Physical trauma nursing After 15 minutes of in her arms as she secondary to interventions, the 1. Evaluated the patient’s overall To determine a proper and efficient nursing interventions, verbalized “masakit po yung vehicular accident as patient is expected condition. Assessed the health care necessary for the the patient was able to mga sugat ko” evidenced by to experience location of incision, and noted patient’s condition. experience alleviation of presence of alleviation of any presence of redness and symptoms and reported Objective Data: abrasions symptoms and inflammation. reduced levels of pain Facial grimacing reports reduced To ensure patient’s concerns are as evidenced by a pain Pain scale of 8 out of levels of pain. 2. Monitored the patient’s being heard and addressed as well scale of 3/10. 10 response to pain, and as to determine if current treatment encourage patient to plan is providing adequate relief. communicate their pain levels. Helps redirect patient’s attention away from pain to other things, 3. Instructed patient to perform reducing their pain perception and deep breathing techniques, discomfort. distraction methods and guided imagery. Prevents or minimize exacerbation 4. Educated the patient about of pain and changes in lifestyle the aggravating factors that promote lower chances of triggers. should be avoided. To address the symptoms of the Dependent: disease process and alleviate pain. 5. Ketorolac 10 mg IV q8 ANST
NURSING CARE PLAN FOR SLEEP DEPRIVATION
IMPLEMENTATION ASSESSMENT DIAGNOSIS PLANNING EVALUATION INTERVENTION RATIONALE Subjective Data: Sleep Deprivation Within 8 hours of Independent: Goal Met. The patient stated difficulty in related to pain and nursing interventions, 1. Assessed and evaluated Helps in identifying factors After 8 hours of nursing sleeping and decreased discomfort secondary the patient will able to patient’s sleeping pattern and affecting patient’s sleep ensuring interventions, the patient quality as she verbalized to Abrasions develop a regular potential causes contributing to formulation of patient centered was able to develop a “Masakit po kasi yung sugat sleep pattern, and sleep deprivation. care and addressing patient’s regular sleep pattern, as ko pag nadadaganan ko” verbalize experience sleeping problems and concerns. the S.O verbalized “Mas of comfort during mahaba na po ang tulog sleep. 2. Provided a calm and supportive Reduces levels of stress and niya ngayon kumpara Objective Data: environment to create anxiety, promoting relaxation, nung nakaraan” Presence of eyebags conducive sleeping which helps in enhancing sleep environment. and overall health.
3. Instructed client to perform Helps patient to relax and loose
relaxation techniques such as tense muscles which makes the deep breathing exercises before patient fall asleep easier. sleeping. Ensures that patient is able to 4. Educated the patient to correct find comfortable sleeping and comfortable positioning of positions tailored to his condition. the body when sleeping.
Dependent: Promote alleviation of pain to the
5. Ketorolac 10mg IV q8 ANST patient
NURSING CARE PLAN FOR RISK FOR INFECTION
IMPLEMENTATION ASSESSMENT DIAGNOSIS PLANNING EVALUATION INTERVENTION RATIONALE Objective Data: Risk for Infection Within 8 hours of Independent: Elevated temperature can Goal Met. - Presence of Abrasions and related to presence of nursing interventions, 1. Monitored the patient’s vital indicates inflammatory response After 8 hours of nursing Laceration Presence of Abrasion the patient will signs, and laboratory results. and is an early indication of interventions, the patient - HGB 10.1 and laceration remain free from infection. has remained free from Risk Factors: secondary to infection, and the SO infection, and the SO was - Low levels of Hemoglobin decreased levels of will be able to 2. Assessed the patient’s wound Presence of edema, discharge, able to demonstrate and hemoglobin. demonstrate and appearance. swelling, skin discoloration and identify methods to prevent identify methods to odor is an indication of infection. and reduce risk of prevent and reduce infection. risk of infection. 3. Promoted clean and sterile Reduces the chance of entry of environment, and used microorganisms when performing appropriate aseptic techniques wound care and change of during procedures and dressing dressings. changes. Proper nutrition enhances, 4. Encouraged and assisted the maintains, and strengthens patient to have proper nutrition. immune functions and promote faster wound healing and recovery. 5. Educated the SO, the importance of hand hygiene Destroys microorganisms in our before and after performing hands and prevents entry of wound care. bacteria in open wounds when performing wound care. 6. Educated SO about different methods to prevent the risk of Knowledge of risk factors infection. encourages patients to prevent the onset and occurrence of the disease.