DRUG STUDY

Name of drug

classification

Dosage frequency and route Route: IV

Mechanism of action

indications

contraindications Side effects and adverse reaction Hypersensitivity. History of acute porphyria. Long term therapy. Cardiac arrythmias, brady carcia, headache, naussia, vomiting, abdominal discmfort, diarrhea constipation, panceatitis, hypersensitivity reaction.

Nursing responsibilities

1. Ranitidine

Coumarin anticoagulants

Give by direct IV after diluting 50mg/20 ml of 0.9% d5w, NACl

Inhibits histaminesat H2receptorsite in the gastric parietal cells, which inhibitsgastric acid secretion.

Used in the management of various gastrointestinal dis orders such as dyspepsia,gastro esophagealreflux disease.

Assess potential for interaction with other pharmacological agentspatient may be taking . Evaluate results of laboratory test, therpeutic effectiveness, and adverse reaction bradycardia, tachycardia. Assess knowledge/ teach patient appropriate use, possible side effects/ appropriate interventions, and adverse symptoms to report.

Name of drug

classification

2. ciprofloxacin

Multivalent cationcontaining drugs and minerals.

Dosage frequency and route IV route: For intermittent inf, dilute to 1-2 mg/ml od D5W0.9%NaCl; give over 60 min;it will remain stable under refrigerator for 2 wks.

Mechanism of action

contraindications Side effects and adverse reaction Inhibits bacterial Infections of the Hypersensitivity Commonm: DNA gyrase thus respiratory tract, to quinolones. naussea, preventing abdominal cavity, Concurrent diarrhea, inj replication in risk of infection in administration site reaction, susceptiblebacteria. patient whose with tizanidine. vomiting, immune system Drugs that trancient has been inhibits increase in weakened. peristalsis, transaminases, Selective intestinal infants and rash, GI and decontamination in children , abdominal immunosuppressed growing pains. patients. adolescents. Pregnancy ang lactation.

indications

Nursing responsibilities 1.Assess

patient for previous sensivity reaction. 2.Assess patient for signs and symtoms of infection before and during treatment. 3.Assess for allergy reaction 4.Assess renal function before and during therapy 5.Assess for possible adverse reaction. 6.Assess patients and family knowledge of drug therapy.

NURSING CARE PLAN

CUES NURSING DIAGNOSIS
Risk for deficient fluid volume r/t excessiveloss of fluids and electrolytes

RATIONALE

OBJECTIVES OF CARE/GOAL
After 8 hrs of nursing intervention the ct with the help of the "SO"will be able to demonstrate behaviors to prevent development of fluid volume deficit.

EXPECTED OUTCOME
Identify individual risk and engage in appropriate behaviors .

NURSING INTERVENTION
Independent >Monitor I/Obalance, being aware of altered intake or output. >Offer fluids between meals &regularly through out the day. > Promote intake of highwater contentfoods and/or electrolytereplacement drinks. Dependent: >Providesupplemental fluidsas indicated.

RATIONALE

EVALUATION

subjective: none

Digestive and absorptive malfunction

Goal Meet >To ensure accurate picture of fluid status. After 8 hrs of nursing intervention the ct with the help of the"SO" was able to demonstrate behaviors to prevent development of fluid volume deficit

Objective: passage of loose watery stool vomiting abdominal cramping dehydration nausea fatigue weakness

Increased secretion of fluid and electrolytes in the lumen

>To prevent occurrence of deficit

>To facilitate hydration

Increased water content of the stools acompanied by vomiting

> Fluids may begiven if the ct. isunable to take oral fluid, or when rapid fluid resuscitation isrequired.

Imbalanced fluid and electrolytes

>Administer medication

> To decreasegastrointestinal motility and minimize

Risk for deficient fluid volume

CUES

NURSING DIAGNOSIS

RATIONALE

OBJECTIVES OF CARE/GOAL

Subjective data: Fluid volume ok na rin naman deficit related to ako, di na vomiting sumasakit ang tiyan ko pero medyo nassuka pa ako.as verbalized by the patient. Objective data: >continous vomiting >slightly pale >vital signs taken: T: 36.50C P:82bpm R:18cpm BP: 130/90bpm

Fluid /electrolyte At the end of 8 hours Imbalance nursing interventions, patient will be able to Vomiting maintain normal body fluid bya taking water Dehydration therapy.

EXPECTE D OUTCOM E Patient will stop vomiting

NURSING INTERVENTION

RATIONALE

EVALUATION

> monitor vital signs.

>to monitor changes for prompt intervention.

>To deliver fluids accurately and at desired rates. >to promote comfort and safety.

> administer IV fluids as ordered

After 8 hours of nursing interventions, the patient shall have maintain normal body fluid by a taking water therapy.

> assess skin turgor and mucous membranes. >maintain accurate intake and output record

Fluid volume deficit

>to ensure accurate picture of fluid status

>provide small amounts of oral fluids.

>To prevent from dryness

cues

NURSING DIAGNOSIS

RATIONALE

OBJECTIVES OF CARE/GOAL
Short term: After 8 hours of nursing interventions, the patient will report understanding of causative factors for fluid volume deficit.

EXPECTED OUTCOME

NURSING RATIONALE INTERVENTION

1. To gain patients trust 2. To obtain base line data 3.To be aware of the patients condition and feeling 4. to ensure accurate picture of fluid status

EVALUATION

Subjective:(none) Deficient fluid volume RT Objective: excessive losses The patient through normal manifested: routes AEB frequent passage passage of of loose watery loose watery stool stool vomiting abdominal cramping dehydration nausea fatigue weakness

Acute gastroenteritis is an inflammation of the stomach and intestinal tract that primarily affects the small bowel. The universal manifestation of gastroenteritis is diarrhea which occurs in varying intensity, depending on the organism involved and the health status of the client. Diarrhea is defined as an increase in the frequency, volume and fluid content of stool. Rapid propulsion of intestinal contents through the small bowels may lead to a serious fluid volume deficit.

The patient will 1.Establish rapport report understanding of

causative factors for fluid volume deficit. 2. Monitor and record VS 3.Assess patients condition

Short term: After 8 hours of nursing interventions, the patient shall have reported understanding of causative factors for fluid volume deficit

4. Monitor Input & Output balance

5. Maintain adequate hydration, increase fluid intake. 6. Provide frequent oral care

5. To prevent dehydration & maintain hydration status.

6. To prevent from dryness

7. To deliver fluids

accurately and at desired rates. 7. Administer Intravenous fluids as prescribed 8. Determine effects of age. 8. Very young and extremely elderly individuals are quickly affected by fluid volume deficit 9. To allow for bowel rest and to reduced intestinal workload. 10. To prevent or limit occurrence of fluid def

9. Restrict solid food intake, as indicated 10. Discuss individual risk factors/ potential problems and specific interventions