#&$%&

Name of the patient: Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
F
U
R
O
S
E
M
Ì
D
E












Dosage:
400mg

A
P
O
-
F
U
R
O
S
E
M
Ì
D
E








Frequency:
Q6 hours

L
O
O
P
-
D
Ì
U
R
E
T
Ì
C









Route:
ÌVTT
>inhibits
reabsorption of
sodium &
chloride from the
proximal & distal
tubules &
ascending limb
of the loop
henle, leading to
a sodium-rich
diuresis.
>ÌV: acute
pulmonary
edema

>Oral:
hypertension
>contraindicated
with allergy to
furosemide,
sulfonamides,
several renal
failure, hepatic
come, pregnancy,
lactation.

>use cautiously
with SLE, gout, DM
>CNS: dizziness,
vertigo, headache

>CV: orthostatic,
hypotension, cardiac
arrhythmias

>GÌ: nausea, anorexia,
vomiting, oral and
gastric irritation

>GU: polyuria,
nocturia, glycosuria
>Take the drug
early to increased
urination will not
disturbs sleep
>Take with food or
meals to prevent
GÌ upset.
>weigh yourself on
a regular basis at
the same time and
in the same
clothing.
> do not expose
drug to light, which
may discolor
tablets or
solutions.
>report loss or
gain of more than
3 pounds in 1 day,
unusual bleeding
and bruising
fatigue & muscles
weakness

#&$%&
Name of the patient: Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
M
E
T
O
C
L
O
P
R
A
M
Ì
D
E








Dosage:
1 ampule

A
P
O
-
M
E
T
O
C
L
O
P
(CAN)
REGLAN








Frequency:
STAT
>ANTÌEMETÌC

>Dopaminergic
BLOCKER

>GÌ Stimulants
















Route:
ÌVTT
>Stimulant
motility of upper
GÌ tract without
stimulating
gastric biliary or
pancreatic
secretions,
relaxes pyloric
sphincter,
increase lower
esophageal
sphincter
pressure.
>Relief of
symptoms of
acute & recurrent
diabetic
gastroparesis
>Parenteral:
prevention of
nausea &
vomiting
associated with
emetogenic
cancer
chemotherapy.
>single dose
parenteral use:
stimulation of
gastric emptying
& intestinal transit
of barium when
delayed.
>Contraindicated
with allergy to
metoclopramide, GÌ
hemorrhage,
mechanical
obstruction or
perforation,
epilepsy
>CNS: restlessness,
drowsiness, fatigue

>CV: transient
hypertension

>GÌ: nausea, diarrhea
>monitor BP
carefully during ÌV
administration
>monitor for
extrapyramidal
reactions and
consult physician
if they occur.
>monitor diabetic
pt., arrange for
alteration in insulin
dose or timing if
diabetic control is
compromised by
alteration in timing
of food absorption.
>take drug exactly
as prescribe
>do not use
alcohol, sleep
remedies or
sedatives
>report any
unusualities.

#&$%&
Name of the patient: Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
N
Ì
C
A
R
D
Ì
P
Ì
N
E

Hydrochloride








Dosage:
2 mg

C
A
R
D
E
N
E














Frequency:
PRN
>ANTÌANGÌNAL

>ANTÌ-
HYPERTENSÌV
E

>CALCÌUM
CHANNEL
BLOCKER












Route:
ÌVTT


>Ìnhibits the
movements of
calcium ions
across the
membranes of
cardiac &
arterial muscles
cells, calcium id
involved in the
generation of
the action
potential in
specialized
automatic &
conducting cells
in the heart in
atrial smooth
muscles & in
excitation-
contraction
coupling in
cardiac muscles
cells.
>Ìmmediate
release only:
chronic stable
angina. Use
alone with beta
blocker.

>Ìmmediate
release & sustain
release
management of
essential
hypertension
alone.
>Contraindicated
with allergy to
nicardipine,
pregnancy,
lactation

>Use cautiously
with impaired
hepatic or renal
function, sick sinus
syndrome, heart
block and heart
failure.
>CNS: dizziness,
headache, asthenia,
fatigue
>CV: peripheral
edema, angina
>GÌ: nausea, hepatic
injury
>DERMA: flushing,
rashes
>Monitor the
patient carefully
(BP, CR, & output)
while drug is being
titrated to
therapeutic dose.
>Monitor CR
regularly during
stabilization of
dosage & long
term therapy.
>provide small
frequent meals if
GÌ upset occur.
>take exactly as
prescribe. Do not
exceed the
prescribed daily
dose.
> report irregular
heartbeat, SOB,
swelling of hand or
feet.

#&$%&
Name of the patient: Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
N
Ì
F
E
D
Ì
P
Ì
N
E










Dosage:
30 mg


A
P
O
-
N
Ì
F
E
D
(CAN)










Frequency:
OD
>ANTÌANGÌNAL

>ANTÌ ÷
HYPERTENSÌV
E

>CALCÌUM
CHANNEL
BLOCKER











Route:
PO
>Ìnhibits the
movement of
calcium ions
across the
membranes of
cardiac &
arterial muscle
cells inhibition of
transmembrane
calcium flow
results in
depression of
impulses
formation in
specialized
cardiac
pacemaker
cells.
>Angina pectoris,
due to coronary
artery spasm.

>chronic stable
angina.

>Contraindicated
with allergy to
nifedipine
>CNS: headache,
fatigue, blurred vision

>CV: peripheral
edema, angina,
hypotension

>GÌ: nausea, vomiting
>Do not chew or
cut the drug.
>Protect drug from
light & moisture.
>Report irregular
heartbeat, SOB,
swelling of hands
or feet.
>He may
experience
vomiting &
nauseated
>tapes dosage of
beta blocker
before nifedipine
therapy.

#&$%&
Name of the patient:Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
O
M
E
P
R
A
Z
O
L
E











Dosage:
40mg

L
O
S
E
C

(CAN)














Frequency:
OD
A
N
T
Ì
S
E
C
T
O
R
Y

DRUG








Route:
ÌVTT
>Gastric acid-
pump inhibitor.
Suppress gastric
acid secretion
by specific
inhibition of the
hydrogen-
potassium
ATPase enzyme
system at the
secretory
surface of the
gastric parietal
cells; blocks the
final step of acid
production.
>Short treatment
of active
duodenal ulcer
>First line
therapy in
treatment of
heartburn or
symptoms of
GERD.
>unlabelled use;
posterior
laryngitis,
enhance efficacy
of pancreatinin
for the treatment
of steatorrhea in
cystic fibrosis.
>contraindicated
with
hypersensitivity to
omeprazole or its
components.
>use cautiously
with pregnancy,
lactation.
>CNS: headache,
dizziness, insomnia,
anxiety
>DERMA: rash, dry
skin
>GÌ: diarrhea,
abdominal pain,
nausea, vomiting, dry
mouth
>RESP: cough
>Administer
before meals.
> Have regular
medical follow-up
visit.
>You may
experience
dizziness (avoid
driving or
performing
hazardous test);
headache(medicat
ion);nausea,
vomiting, diarrhea
(maintain proper
nutrition)
>report severe
headache.
>worsening of
symptoms such as
fever or chills.

#&$%&
Name of the patient: Naruto Age: 58y/old Sex: Male Marital Status: Married Religion Affiliation: Catholic Room/bed No.: ÌCW/1
Chief complaints/Reason/s for Admission: Vomiting
Medical Diagnosis/Ìmpression: CKD secondary to Diabetic Kidney Disease w/ Uremic Manifestation DM ÌÌ Uncontrolled
Attending Physician: Dr. Michelle Sedillo, MD


Generic Name


Brand Name

Classification


Action

Ìndication

Contraindication

Adverse Reactions
Nursing
Considerations
A
M
L
O
D
Ì
P
Ì
N
E

BESYLATE






Dosage:
10 mg


N
O
R
V
A
S
C











Frequency:
OD
A
N
T
Ì
H
Y
P
E
R
T
E
N
S
Ì
V
E


Route:
PO
>Ìnhibits the
movement of
calcium ions
across the
membranes of
cardiac and
arterial muscles
cells; inhibits
transmembrane
calcium flow,
which results in
the depression
on impulse
formation in
specialized
cardiac pace
maker cells,
these effects
lead to
decreased
cardiac work,
decreased
cardiac oxygen.
>angina pectoris
due to coronary
arteries spasm
>chronic stable
angina, alone or
in combination
with other drugs.
>essential
hypertension,
alone in
combination with
other
antihypertensive.
>contraindicated
with allergy to
amlodipine
impaired in hepatic
or renal function,
sick sinus
syndrome, heart
block, lactation.

>use cautiously
with heart failure,
pregnancy.
>CNS: dizziness,
headache, fatigue,
lethargy
>DERMA; rash
>GÌ: nausea,
abdominal discomfort
>CV: arrythmias
>adjust lightning,
noise &
temperature:
medication may
be ordered.
>Eat frequent
meals.
>Monitor patients
carefully (BP,
cardiac rhythm)
>Report irregular
heartbeat, SOB,
swelling of the
hands or feet,
pronounce
dizziness.
>use special
caution if patients
has a heart failure.

Nursing Care Plan
Data Base
Name of the patient: Naruto Age: 58 years old Sex: Male Marital Status: Married Religion Affilation: Catholic Room/ bed no.: ÌCW/ #1
Chief complaints/reason for Admission: Vomiting
Date & time of Admission: 12/ 11/ 11 @ 10:05 a.m Accompanied by/ informant: Son
Medical Diagnosis/ Ìmpression: CKD secondary to Diabetic Kidney Disease with Uremic Manfestation DM ÌÌ Uncontrolled
Operation performed (if any): none Date & Time: none
Attending physician and/ or Surgeon: Dr, Michelle P. Sedillo, MD
Date/ Time of Assessments: Date/ Time of Evaluation:
Cues & Evidences Nsg. needs Nsg. Diagnosis Objectives Nsg. Ìntervention Rationale Evaluation






Nursing Care Plan
Data Base
Name of the patient: Naruto Age: 58 years old Sex: Male Marital Status: Married Religion Affilation: Catholic Room/ bed no.: ÌCW/ #1
Chief complaints/reason for Admission: Vomiting
Date & time of Admission: 12/ 11/ 11 @ 10:05 a.m Accompanied by/ informant: Son
Medical Diagnosis/ Ìmpression: CKD secondary to Diabetic Kidney Disease with Uremic Manfestation DM ÌÌ Uncontrolled
Operation performed (if any): none Date & Time: none
Attending physician and/ or Surgeon: Dr, Michelle P. Sedillo, MD
Date/ Time of Assessments: Date/ Time of Evaluation:
Cues & Evidences Nsg. needs Nsg. Diagnosis Objectives Nsg. Ìntervention Rationale Evaluation






Nursing Care Plan
Data Base
Name of the patient: Naruto Age: 58 years old Sex: Male Marital Status: Married Religion Affilation: Catholic Room/ bed no.: ÌCW/ #1
Chief complaints/reason for Admission: Vomiting
Date & time of Admission: 12/ 11/ 11 @ 10:05 a.m Accompanied by/ informant: Son
Medical Diagnosis/ Ìmpression: CKD secondary to Diabetic Kidney Disease with Uremic Manfestation DM ÌÌ Uncontrolled
Operation performed (if any): none Date & Time: none
Attending physician and/ or Surgeon: Dr, Michelle P. Sedillo, MD
Date/ Time of Assessments: Date/ Time of Evaluation:
Cues & Evidences Nsg. needs Nsg. Diagnosis Objectives Nsg. Ìntervention Rationale Evaluation


Nursing Care Plan
Data Base
Name of the patient: Naruto Age: 58 years old Sex: Male Marital Status: Married Religion Affilation: Catholic Room/ bed no.: ÌCW/ #1
Chief complaints/reason for Admission: Vomiting
Date & time of Admission: 12/ 11/ 11 @ 10:05 a.m Accompanied by/ informant: Son
Medical Diagnosis/ Ìmpression: CKD secondary to Diabetic Kidney Disease with Uremic Manfestation DM ÌÌ Uncontrolled
Operation performed (if any): none Date & Time: none
Attending physician and/ or Surgeon: Dr, Michelle P. Sedillo, MD
Date/ Time of Assessments: Date/ Time of Evaluation:
Cues & Evidences Nsg. needs Nsg. Diagnosis Objectives Nsg. Ìntervention Rationale Evaluation










Nursing Care Plan
Data Base
Name of the patient: Naruto Age: 58 years old Sex: Male Marital Status: Married Religion Affilation: Catholic Room/ bed no.: ÌCW/ #1
Chief complaints/reason for Admission: Vomiting
Date & time of Admission: 12/ 11/ 11 @ 10:05 a.m Accompanied by/ informant: Son
Medical Diagnosis/ Ìmpression: CKD secondary to Diabetic Kidney Disease with Uremic Manfestation DM ÌÌ Uncontrolled
Operation performed (if any): none Date & Time: none
Attending physician and/ or Surgeon: Dr, Michelle P. Sedillo, MD
Date/ Time of Assessments: Date/ Time of Evaluation:
Cues & Evidences Nsg. needs Nsg. Diagnosis Objectives Nsg. Ìntervention Rationale Evaluation


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