CASE STUDY

ABUCEJO, JOHN
ABUCEJO, ANGELI
ATON
BAUTISTA
BERNALDEZ
BOLANDO
BONGATO
BUMUTAD
BUNGABONG
 HEALTH TEACHING
TOPIC: Rehydration
Rationale: To restore client’s fluid volume
balance, with the knowledge and information to
be imparted to the client’s parents.
Objectives:
General:
NURSING CARE PLAN
 ASSESSMENT DiaGNOSIS BACKGROUND KNOWLEDGE PLANNING INTERVENTION EVALUATION
SUBJECTIVE Fluid volume, Cerebral Palsy causes structural After client’s follow-  Advice SO to observe After client’s follow-
CUES: risk for abnormalities in both the central up check-up, the S.O. and record stool and up check-up, the S.O.
“Sige pa og ubo- deficiency and peripheral nervous system will be provided all vomiting frequency. has been provided
suka unya related to that regulate involuntary body the information  Encourage the SO to with all the
kalibanga pero excessive losses functions, such as blood flow, needed to facilitate restart client’s fluid information needed
wala na siya gi through heartbeat, digestion and and recuperate the intake gradually. to facilitate and
hilanat.” as vomiting and breathing. Those abnormalities client’s health. Offering clear liquids recuperate the
verbalized by the diarrhea make children with Cerebral hourly and avoid cold client’s health.
mother of client. secondary to Palsy prone to digestive fluids.
cerebral palsy- problems that could interfere  Informed SO regarding
OBJECTIVE CUES: spastic with their ability to digest food the monitoring of vital
 Pale skin quadriplegia. and absorb nutrients. In some signs.
 Sunken cases, children are not able to  Advice SO that client’s
eyeballs eat at all. Unfortunately, medications are taken
 Restlessne digestive symptoms such as on time.
ss diarrhea, vomiting, constipation
 Use of or bladder infections may be the
accessory first sign of a number of
muscle gastrointestinal conditions that
 Abnormal require medical attention before
breath they become unmanageable.
sounds
 Irritability Reference:
 Vital signs: https://www.cerebralpalsy.org/i
T = 35.2C nformation/digestive-health
P = 136bpm
R = 60Bpm
DRUG STUDY
 DOSAGE/F
CLASSI-
RE- MECHANISM OF CONTRAINDIC ADVERSE
DRUG FICATI INDICATION NURSING RESPONSIBILITIES
QUENCY/R ACTION ATION EFFECTS
ON
OUTE

Salbuta Bronch 2g/5ml It relaxes the To control and Hypersensitivi Nervousness Assess lung sounds, PR and BP before drug
mol odilato 3/5ml TID smooth muscles prevent ty to Restlessness administration and during peak of medication.
r, po x 5 days of the reversible airway adrenergic Tremor Observe fore paradoxical spasm and withhold
Adrene bronchioles obstruction amines Headache medication and notify physician if condition
rgics allowing caused by Hypersensitivi Insomnia occurs.
maximum asthma or ty to Chest pain Administer PO medications with meals to
passage of air. It chronic fluorocarbons Palpitations minimize gastric irritation.
decreases obstructive Angina Extended-release tablet should be swallowed-
intracellular pulmonary Arrhythmias whole. It should not be crushed or chewed.
calcium which disorder (COPD) Hypertension If administering medication through inhalation,
will relax the Quick relief for Nausea and allow at least 1 minute between inhalation of
smooth muscles bronchospasm vomiting aerosol medication.
of the lungs by For the Hyperglycemi Advise the patient to rinse mouth with water
mobilizing kinase prevention of a after each inhalation to minimize dry mouth.
through exercise-induced Hypokalemia Inform the patient that Albuterol may cause an
activation of bronchospasm unusual or bad taste.
cyclic-3’5’- Long-term
adenosine control agent for
monophosphate patients with
(cAMP). chronic or
persistent
bronchospasm
 DOSAG
CLASSI- E/FRE-
DRU MECHANISM CONTRAINDIC ADVERSE
FICATIO QUENC INDICATION NURSING RESPONSIBILITIES
G OF ACTION ATION EFFECTS
N Y/ROUT
E

Amo Non- 250g/5 Prevents Treatment of Hypersensitivit  Nausea  Advise the patient’s family to take
xicilli narcotic ml 5ml bacterial cell infection of y to penicillins,  Vomiti the medication with meals for better
n analgesi TID po x wall synthesis respiratory cephalosparins ng absorption & to reduce GI
 Diarrhe discomfort.
c, 1 week during tract, skin & , or imipenem.
a  Instruct the patient’s family to take
Antipyr replication. skin structures, Not used to  Rash medication as prescribed even after
etic,Anti Bactericidal. genitourinary treat severe  Pruritu feeling better and not to double
biotic tract, otitis pneumonia, s dose.
media, empyema,  Urticari  Teach the patient’s family to report
meningitis, bacteremia, a sore throat, bruising, bleeding and
joint pain, this may indicate blood
septicemia, pericarditis,
dyscrasias.
sinusitis, meningitis and  Advise patient’s family to watch out
bacterial purulent or for perineal itching, fever, malaise,
endocarditis septic arthritis redness, pain, swelling, drainage,
prophylaxis. during acute rash, diarrhea, change in cough,
stage . sputum or furry tongue, this may
indicate superinfection.
 Advise patient’s family to report
bloody, mucoid diarrhea which may
indicate pseudomembranous colitis