IX.

NURSING CARE PLAN

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS EXPLANATION
S> “Wala po akong Knowledge deficit Absence or After 8 hours of  Vital signs taken  Serves as After 8 hours of
alam tungkol sa related to lack of deficiency of nursing and recorded. baseline data. nursing
sakit ko” as ideas/knowledge information / interventions, the interventions the
verbalized by the regarding to dengue knowledge patient should  Health teaching :  To have ideas patient have ideas
patient. fever. related to have ideas and / information and knowledge
specific topic knowledge regarding to regarding to
O> Temp = 360C regarding regarding to dengue fever. dengue fever and
BP = 100/70 condition, dengue fever. agreed to the
RR = 24 treatment,  Watch out for  To know what instructions given.
bpm lifestyle changes. signs and they are going
PR = 73 bpm symptoms like: to do if they
>Asking >headache observe the
questions >nausea signs /
>looking at me >pallor symptoms of
>listening dengue.
attentively
 Instructed to avoid  To distinguish
drinking / eating whether the
dark colored foods stool are
like: normal or with
>chocolates blood.
>softdrinks
>red meat
>ice tea

 Advised to return  To identify if

to hospital when the dengue is
signs and already
symptoms are persist.
 observed.
 To prevent
 Instructed to dehydration
increase fluid and support
intake. circulating
volume.

 Advised the client  To provide

to have enough conducive
rest and provide place to rest
safe & quite to promote
environment fastest
recovery.
 X. DRUGS STUDY

NAME OF CLASSIFICA INDICATION SIDE EFFECTS CONTRAINDICATION NURSING MONITORING

DRUGS TION RESPONSIBILITIES PARAMETERS
Generic Analgesic  Temporary  CNS-  With allergy in  Do not exceed  Increased
Name: Antipyretic reduction of headache paracetamol the recommended toxicity with long
· Paracetamol fever,  CV- chest  Use cautiously dosage. term
 relief of minor pain, with impaired  Avoid using  May decrease
Brand Name: aches and dyspnea hepatic function, multiple neutrophil,
· Biogesic pains caused  Hematologic chronic preparation WBC, RBC, and
by common - Hemolytic alcohism, containing platelet counts.
Dosage: cold and Anemia, pregnancy and paracetamol.  Decreased
250-mg orally influenza, Neutropenia, lactation Carefully check effectiveness
every 4-6  headache, Leukopenia, all OTC products. with
hours.  toothache,  Skin- rash,  Discontinue drug anticholinergics
 backache, fever if hypersensitivity  May decrease
 muscle occur. glucose and
arthritis  Report rash, hemoglobin
unusual bleeding, levels and
yellowing of skin hematocrit..
and eyes.
NAME OF CLASSIFICA INDICATION SIDE EFFECTS CONTRAINDICATION NURSING MONITORING
DRUGS TION RESPONSIBILITIES PARAMETERS
Generic Water  Needed for  Nausea,  Use cautiously  Administer  Decreased
Name: soluble carbohydrate vomiting, with renal vitamins with food ascorbic acid
Ascorbic Acid vitamins metabolism, diarrhea, calculi, gout, to promote uptake with
protein and increased anemia; sickle absorption salicylate
Brand Name: lipid synthesis. urination. cell,  Store drug in  Decrease effect
Ceelin Plus  Preserves  Parenteral; sideroblastic, light-resistant of oral
integrity of flushing, thalassemia. container anticoagulants
Dosage: blood vessels headache,  Administer IM  Decrease
7. 5mL orally  To prevent dizziness, primarily for eliminations of
OD and treat soreness at clients unable to aspirins
Vitamin C injection site. take by PO route.  Lab; may
deficiency.  Explain to the decrease
 To increase client that there is bilirubin, urinary,
wound healing no scientific pH
evidence that
megadoses of Vit.
C will cure a cold.
 Alert client not to
take megadoses
of Vit. C with
aspirin or
sulfunamides
because crystals
may form in the
kidneys and
urine.
 NAME OF CLASSIFICA INDICATION SIDE EFFECTS CONTRAINDICATION NURSING MONITORING
DRUGS TION RESPONSIBILITIES PARAMETERS
Generic Antibiotic  Infections due  CNS –  Contraindicated  Culture infected  Increased effect
name: to susceptible lethargy, with allergy to area prior to with probenecid
Amoxicillin strains; hallucination, penicillins, or treatment;  Decreased
trihydrate  helicobacter seizures other allergens reculture area if effectiveness
pylori  GI –  Use cautiously response is not with
Brand name: infections in glossitis, with renal expected tetracyclines
amoxil, combination stomatitis, disorders and  Give in oral  Reduced GI
amoxial with other gastritis, lactation preparations only; absorption of
pediatric agents; sore mouth amoxicillin is not food
drops,  post-  Hematologic affected by food
exposure – anemia,  Continue therapy
prophylaxis leucopenia, for at least 2 days
against prolonged after signs of
bacillus bleeding infection have
anthracis; time disappeared;
 Hypersensiti continuation for
vity – rash, 10 full days is
fever, recommended
wheezing,  Use
anaphylaxis corticosteroids or
 Others – antihistamines for
superinfectio skin reactions
ns: oral and
rectal
moniliasis,
vaginitis