Systems Plus College Foundation

Balibago, Angeles City

College Of Nursing

Drug Study

Student Nurse: Buenafe, Ma. Cresencia S. Patients Name: Lovely Judila

Yr. /Level: BSN III Medical Diagnosis: Slight Physical Injuries, T/C CerebralConcussion
Date: September 25, 2012 Age: 4 y/o Sex: F_

Name of Drug Date Ordered Route of Administration Classifications Indication Clients Response with
Date Started Dosage and Frequency General Action Actual Adverse
Date Changed of Reactions
Date Discontinued Administration
Generic Name: September 22, 2012 IV 550mg every 12 Cephalosporins First It was given to Lovely Lovely responded well
Cefazolin Sodium 1:20 am hours generation for treatment of with the treatment
infection of skin caused because she did not
Brand Name: Time Administered: Bactericidal action by Staphylococcus and have any skin infection.
Maxcep 10am against susceptible Streptococcus
bacteria
Stock Dose:
1g Bind to bacterial cell
wall membrane, causing
cell death.
Nursing Considerations for Cefazolin Sodium:

Obtain blood specimen for culture and sensitivity tests before giving first dose. Therapy may begin pending results.
Alert: Dont confuse drug with other cephalosporins that sound alike.
Observe patient for signs and symptoms of anaphylaxis (rash, pruritis, laryngeal edema, wheezing).
Administer the drug by infusing slowly.
Tell patient to report discomfort at IV site.
Use cautiously in patients hypersensitive to penicillin because of the possibility of cross-sensitivity with other beta-lactam antibiotics.
 Name of Drug Date Ordered Route of Administration Classifications and Indication Clients Response with
Date Started Dosage and Frequency General Action Actual Adverse
Date Changed of Reactions
Date Discontinued Administration
Generic Name: September 22, 2012 IV 15 mg every 8 hours Gastrointestinal Agent; It was given to Lovely to Lovely responded well
1:20 am Anti-secretory (H2- reduce acid indigestion with the treatment
Ranitidine Hydrochloride Time Administered: Receptor Antagonist) and sour stomach because she did not
10am experience sour
Brand Name: Competitively inhibits stomach
Zantac the action of histamine
at the histamine2 (H2)
Stock Dose: receptors of the parietal
25mg/2ml cells of the stomach,
inhibiting basal gastric
acid secretion and
gastric acid secretion
that is stimulated by
food, insulin, histamine,
cholinergic agonists,
gastrin,
and pentagastrin.
Nursing Considerations for Ranitidine Hydrochloride:

Administer oral drug with meals and at bedtime.

Decrease doses in renal and liver failure.
Provide concurrent antacid therapy to relieve pain.
Administer IM dose undiluted, deep into large muscle group.
Arrange for regular follow-up, including blood tests, to evaluate effects.