Drug Study Drug Name Action Indication(s) Contraindicati on(s) Side Effects Nursing Consideration s

Generic Name: Omeprazole Brand Name: Losec, Prilosec Classification: Antiulcer Proton pump inhibitor Dosage: 40mg IV Frequency: q12

Suppresses gastric secretion by inhibiting hydrogen/potass ium ATPase enzyme system in gastric parietal cell; characterized as gastric acid pump inhibitor, since it blocks final step of acid production.

Gastroesophage al reflux Hypersensitivity disease, active duodenal ulcers with or without anti-infectives for Helicobacter pylori

-Headache -Dizziness -Drowsiness -Nausea -Chest pain -tachycardia -bradycardia -Palpations -abdominal pain -Diarrhea -Dyspepsia or Indigestion -Flatulence -UTI -proteinuria -hematuria

>Instruct the client to report severe diarrhea; drug may have to be discontinued. >Avoid hazardous activities because dizziness may occur. >Avoid alcohol, salicylates, ibuprofen, because it may cause GI irritation

Drug Name

Action

Indication

Contraindicati on

Side Effects

Nursing Consideration s

Generic Name: Sucralfate Brand Name: Carafate, Sulcrate Classification: Antiulcer Dosage: 1g. PO Fequency: QID

Forms a complex that adheres to ulcer site, absorbs pepsin

-Duodenal ulcers, Gastric Hypersensitivity ulcers, Gastroesophage al reflux

-Drowsiness -Dizziness -Dry mouth -Constipation -Nausea and vomiting -Pruritus -Urticaria -Rash

>Assess Gastric pH (>5 should be monitored ); blood in stool >Do not crush or chew tabs; tabs may be broken or dissolved in water >Take on empty stomach

Drug Name Generic Name: Metrocloprami de Brand Name: Plasil Classification : Antimetic Dosage: Amp IV Fequency: Q12

Action -Stimulates

Indication

Contraindicat ion Hypersensitivit y

Side Effects CNS: Restlessness, drowsiness, fatigue, insomnia,dizzines s, anxiety CV: Transienthyperte nsion GI: Nausea, diarrhea

motility of upper GI tract without stimulating astric, billiary, or pancreatic secretions; appears to sensitize tissues to action of acetylcholine; relaxes pyloric sphincter, which, when combined with effects on motility, accelerates gastric emptying and intestinal transit; little effect on gallbladder or colon motility; increases lower esophagea l sphincter pressu re; has sedative properties; induces release of prolactin

- Short-term therapy for adults with symptomatic GERD who fail to respond to conventional therapyPrevention of nausea and vomiting associated with emetogenic cancer chemother apy- Prophylaxis of postoperative nausea and vomiting when nasogastric suction is undesirableFacilitation of small-bowel intubation when tube does not pass the pylorus with conventional maneuvers

Nsg. Consideratio n - Monitor BP carefully during IV administration . - Educate patient about side effects. - Instruct to report involuntary movement of the face, eyes, or limbs, severe depression, severe diarrhea. - Instruct patient to take drug exactly as prescribed. -Instruct not to use alcohol, sleep remedies or sedatives; serious sedation could occur.

Drug Name Generic Name: Tranexamic

Action -Completely inhibits activation of

Indication -Treating heavy menstrual bleeding

Contraindicat ion -Allergic reaction to the drug or hypersensiti

Side Effects Diarrhea, nausea, vomiting, disturbances in

Nsg. Consider. Unusual change in bleeding pattern should

Assessment SUBJECTIVE: Sumasakit ang tiyan. As verbalized by the patient. OBJECTIVE: -Vital Signs: -Facial Grimace -Guarding behaviour -Disturb sleep -Shallow breathing noted -Impaired mobility -P:Sitting, moving and laughing -Q:Stabbing pain -R:epigastric area -S: 6-7/10 -T: onset at night and when moving.

Nursing Diagnosis Pain related to mucosal trauma due to duodenal ulceration manifested by pain scale of 6/10 and sleep disturbances.

NURSING CARE PLAN Planning Intervention -STG: Within 30 minutes of nursing intervention the patient's pain scale will be decreased to 5/10 or at least lessened to tolerable levels INDEPENDENT: -Perform pain assessment each time pain occurs. Note and investigate changes from previous reports. -Monitor vital signs

Rationale -To rule out worsening of underlying condition or developmen t of complication s. -because usually it is altered in acute pain.

Evaluation -STG: Goal was met. After 2-4 hrs of nursing intervention the patient's pain scale is decreased to 3/10 and improved mobility.

-LTG: Within 8hrs of nursing intervention the patient's pain will be relieved.

-Provide comfort measures. (e.g., back rub, change of position ,quiet environment, DBE ) -Encourage the client to express concerns when in pain -Encourage adequate rest

-LTG: Goal was met. After the 8 hrs -to provide of nursing non intervention the pharmacolog patient's pain is ic pain relieved and no managemen complains at all. t -verbalizing concerns may promote relaxation -to prevent fatigue.

periods -Assess for the response to pain relief measures and for possible adverse effects of the analgesic -Discuss with the significant others ways in which they can assist patient and reduced precipitating factors that may increased pain DEPENDENT: -Administer analgesics as prescribed by the physician - to determine effectivenes s of pain relief measures and need for any change - to prevent any additional complication s and for the fastest recovery

-to decrease the pain of the patient and to provide comfort. -Rich in protein foods can help in fast

COLLABORATIV E: -Consult the dietician for the proper nutrition of the patient.

healing.