Professional Documents
Culture Documents
Drugs Utilized by The Patient
Drugs Utilized by The Patient
Anti-microbials
Nursing Responsibilities
- Check doctors order and double check label (expiry date) and content (must be intact)
- Maintain asepsis in preparation of medications
- On preparation of the drugs, don’t use the same syringe for aminoglycosides and piperacillin
- Assess client’s history of allergy to the drugs stated above.
- Assess the result of skin test.
- Assess baseline CBC (may cause leukopenia, thrombocytopenia), BUN, Creatinine, LFT, C&S and Electrolytes
(K, Na and Ca) results
- Get baseline VS and I&O
- Piperacillin Na + Tazobactam must not be administered simultaneously with Tetracyclines, because
Tetracyclines decrease the efficacy of Piperacillin Na + Tazobactam
- Assess Neurologic functioning
- If taken PO, must be administered 1 hour prior or 2 hours after meals for maximum absorption
- Ask patient to state full name and birth date or check medical bracelet.
- Observe the five rights of drug administration (right drug, dose, patient, route and time PDQ for RN, 2007:
58).
- Review to client or SOs, possible adverse effects of the drugs (rash, hives, severe diarrhea, black tongue, sore
throat, fever, or unusual bleeding or bruising.)
-Documentation
- Advise SOs or client to report immediately any adverse effects
- Encourage SOs or client to administer drug on the time
- Encourage SOs or client, not to stop medication even if they are feeling well
- Tell SOs or client if taken PO, must be administered 1 hour prior or 2 hours after meals for maximum
absorption
-Assess for ototoxicity, nephrotoxicity, hepatoxicity and photosensitivity.
- As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially
those related to the drugs, tests, foods, and herbs mentioned above.
-Observe for the desired therapeutic as evidence by Normal WBC, ABG, X-ray, normalization of breathing and
absence of sputum.
Diuretics
Get baseline V/S( especially BP) of the patient and I&O(Don’t not give if patient is having anuria UO of
50cc/day).
Assess if the patient is allergic to the drugs stated above
Check doctors order and double check label (expiry date) and content (must be intact)
Maintain asepsis in preparation of medications
Administer in the morning, to prevent disturbances in sleep
Assess baseline CBC, BUN, Creatinine, LFT and Electrolytes (K, Na and Ca) Ask patient to state full name
and birth date or check medical bracelet.
To be given with food, to prevent GI upset especially when administered per orem
Observe the five rights of drug administration (right drug, dose, patient, route and time PDQ for RN,
2007: 58).
Explain to SOs, the desired effect of the drugs (pain relief, normothermia and possible closure of PDA)
Documentation
Teach SOs possible adverse effects of the drugs and advise them to report immediately when
presented by the patient
To help prevent esophageal irritation, instruct SO that patient should avoid lying down for 30 to 60
minutes after taking dose.
Watch for possible signs of bleeding( prolong PT time, black tarry stools, petechaie, bleeding in the
gums)
Documentation
Store at room temperature away from moisture and heat.
Report for any adverse effects of the drugs.
Avoid using plastic pants or tight-fitting diapers on treated areas on young children
Documentation
Advise SOs to report adverse effects of the drug
Advise SOs to wash hands after application.
Discuss personal hygiene measures to reduce chances of infection.
Opioid Analgesic