UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS

MINANTE UNO, CAUAYAN CITY, ISABELA

DRUG STUDY

DRUG NAME INDICATIONS ACTIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

RESPONSIBILITIES

AMLODIPINE 10mg Management of Inhibits calcium ion -Contraindicated in patients CNS: headache, -ALERT: Monitor
tab 1 tab OD (Hold if hypertension, angina influx across cardiac and hypersensitive to drugs. somnolence, fatigue, patient carefully. Some
BP≤120/80) pectoris. smooth muscle cells, dizziness, light patient especially those
thus decrease -Use cautiously in patients headacheness, with severe obstructive
myocardial contractility receiving other peripheral paresthesia coronary artery disease
and Oxygen demands; vasodilators, especially CV: edema, flushing, have developed increase
also dilates coronary those with severe aortic palpitations deficiency, duration or
arteries and inferiors. stenosis, and in those with GI: nausea, abdominal severity of angina or
heart failure. Because drug pain acute MI after initiation
is metabolized by the liver, GU: sexual difficulties of calcium channel
use cautiously and in MUSCULO: muscle blockers therapy or at
reduced dosage in patients pain time of dosage increase.
with severe hepatic disease. RESP: dyspnea
SKIN: rash, pruritis
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA
DRUG NAME INDICATIONS ACTIONS CONTRAINDICATIONS SIDE EFFECTS NURSING
RESPONSIBILITIES

METRONIDAZOLE Prevention of post-op Bactericidal: Inhibits If administered for >10 Dizziness, headache, -History: CNS or
500mg 1 tab, 1 tab TID infections due to DNA synthesis in days, regular clinical & lab diarrhea, nausea, hepatic disease;
anaerobic bacteria specific (obligate) monitoring are stomach pain, change in candidiasis
particularly Bacteroides anaerobes, causing cell recommended. Re- taste sensation or dry (moniliasis); blood
sp & anaerobic Strep. death; antiprotozoal- administer immediately mouth may occur. If dyscrasias;
Treatment of trichomonacidal, after haemodialysis. Patient these effects persist or pregnancy; lactation
septicaemia, amebicidal: Biochemical w/ hepatic encephalopathy. worsen, contact your -Physical: Reflexes,
bacteraemia, peritonitis, mechanism of action is May affect ability to drive doctor. Unlikely but affect; skin lesions,
brain abscess, not known. or operate machinery. report: seizures, loss of color (with topical
necrotising pneumonia, Pregnancy & lactation. consciousness, tingling application);
osteomyelitis, puerperal of hands or feet. Very abdominal exam,
sepsis, pelvic abscess & unlikely but report: liver palpation;
cellulitis, & post-op unsteadiness, urinalysis, CBC, liver
wound infections. mood/mental changes, function tests
Urogenital rash, itching, sore throat,
trichomoniasis in the fever, severe stomach
female (trichomonal pain, vomiting, vaginal
vaginitis) & in male. irritation.
Bacterial vaginosis,
amoebiasis, giardiasis,
acute ulcerative
gingivitis, leg ulcers &
pressure sores. Dental
infections (eg acute
pericoronitis & acute
apical infections).
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

DRUG NAME INDICATIONS ACTIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

RESPONSIBILITIES

CLONIDINE DRIP: Management of mild Stimulates alpha- -Contraindicated in patients CNS: drowsiness, -Assess I&O ratio and
90cc D5W + 1 amp moderate hypertension adrenergic receptors in hypersensitive to drug. depression, dizziness, daily weight and assess
clonidine in solucet x the CNS which results in nervousness, nightmares for edema daily,
15ugtts/min increment decrease sympathetic -Transdermal form is CV: bradycardia, especially throughout the
5ugtts/min every 1 hour outflow inhibiting contraindicated patients hypotension, beginning.
if BP-140/90 cardio-acceleration and hypersensitive to any palpitations -Monitor BP and Pulse
vasoconstriction. component of the adhesive GI: dry mouth, frequently.
layer of transdermal constipation, nausea, -During initial dosage
system. vomiting. adjustment and
GU: erectile dysfunction periodically throughout
-Epidural form is therapy
contraindicated in patients -Assess pain location,
receiving anticoagulant intensity
therapy, in those with an -Monitor for fever as
injection site infection, and potential signs of
in those who are catheter infections.
hemodynamically unstable
or have severe CV disease.

-Use cautiously in patients

with severe coronary
insufficiency, conduction
disturbances, recent MI,
cerebro vascular disease,
chronic renal failure, or
impaired liver function.
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

DRUG NAME INDICATIONS ACTIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

RESPONSIBILITIES

SULTAMICILLIN 750 Upper and lower -an injectable -History of allergic GI disturbances, -Before giving drug, ask
mg tab TID PO respiratory tract antibacterial reaction to any penicillins. phlebitis, skin rashes, patient about sllergic
infections, UTI and combination consisting itching, blood disorders, reactions to penicillin
pyelonephritis; skin and of the semisynthetic anaphylaxis and although a negative
soft tissue and antibiotic ampicillin superinfection. history of penicillin
gonococcal infections. sodium and the beta- allergy is no guarantee
lactamase inhibitor against future allergic
sulbactam sodium for reaction. Also obtain
intravenous and specimen for culture and
intramuscular sensitivity tests. Therapy
administration may begin pending
results.

-Dosage is expressed as
total drug. Each 1.5-g
vial contains 1 g
ampicillin sodium and
0.5 g sulbactam sodium.

-In patients with

impaired renal function,
decrease dosage.

-for IM injection,
reconstitute with sterile
water for injection or
0.5% or 2% lidocaine
hydrochloride injection.
UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA
Add 3.2 ml to a 1.5-g
vial (or 6.4 ml to a 3-g
vial) to yield a
concentration of 375
mg/ml. give deep into
muscle.
-In children, don’t use
IM route.
-Monitor liver function
test results during
therapy, especially in
patients with impaired
liver function.
-if large doses are given
or if therapy is
prolonged, bacterial or
fungal superinfection
may occur, especially in
elderly, debilitated, or
immunosuppressed
patients.
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

DRUG NAME INDICATIONS ACTIONS CONTRAINDICATIONS SIDE EFFECTS NURSING

RESPONSIBILITIES

TRANEXAMIC ACID Hemorrhage or risk of -At low concentration, Thromboembolic disease. Nausea, vomiting, -tranexamic acid has a
500mg 1 cap BID hemorrhage in increase tramexamic acid, which diarrhea, disturbances in smilar mechanism of
fibrinolysis or binds to the kringle color vision. action to aminocaproic
fibrogenolysis. domain of plasminogen, acid, but is
is a competetive approximately 10 times
inhibitor of plasminogen more potent in vitro
activation into plasmin
(fibrinolysin), an -prolonged use carries a
enzyme that degrades risk of thrombosis in
fibrin clots, fibrinogen, patients who have an
and procoagulant plasma underlying
proteins such as factor V prothrombotic state
and factor VIII. At
higher concentrations it -contraindicated in
is a noncompetetive patients with
inhibitor of plasmin. It disseminated
binds to the strong and intravascular coagulation
weak receptor sites of without concomitant
plasminogen with heparin therapy
affnities about 10 times
greater than -tranexamic acid should
aminocaproic acid. be avoided in patients
with acquired
-Inhibits cell wall disturbances in colour
synthesis during vision; ophthalmic exam
bacterial multiplication is recommended before
and during therapy if
UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

patient is treated beyond

several days

-primarily eliminated as
unchanged drug (>90%)
in urine

-use with caution in

patients with renal
insufficiency,
cardiovascular or
cerebrovascular disease

-not indicated in
hematuria caused by
diseases of the renal
parenchyma
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

NURSING CARE PLAN

Received, lying on bed with ongoing IVF of D5W ½ L x KVO @ 260cc level infusing well, inserted at right arm.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Decreased Cardiac After 8 hours of nursing -Established rapport to -To build trust and gain After 8 hours of nursing
Output related to altered intervention, the blood the patient and cooperation. intervention, the blood
“Parang mabibiyak sa stroke volume as pressure will decreased. significant other. Pressure was decreased
bandang ulo ko dito” manifested by BP- from 150/90 mmHg to
(temporal area) as 150/90mmHg. -Keep client on bed or -It decreases oxygen 130/100 mmHg
verbalized by the patient. chair in semi-fowler’s consumption and risk of
position. decompensation

Objective: -Monitored vital signs -To note response to

-weak looking frequently. activities/interventions.

-BP-150/90mmHg -Restricted or .-To provide adequate

administered fluids fluid.
(IV/PO), as indicated.

-Monitored intake and -To allow for timely

output every 4 hours. alterations in therapeutic
regimen.

-Administered -Amlodipine is use for

Amlodipine as management and
prescribed by the treatment of
physician. hypertension.
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

Received, sitting on chair with ongoing IVF of D5W ½ L x KVO @ 100cc level, inserted at right arm, infusing well.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Ineffective breathing After 1 hour of nursing -Established rapport to -To build trust and gain After 1 hour of nursing
pattern related to intervention, the patient the patient and cooperation. intervention, the patient
“Barado ang ilong ko, presence of nasal pack as will be able to establish significant other. was able to establish an
hindi ako makahinga”as manifested mouth an effective respiratory effective respiratory
verbalized by the patient. breathing. pattern as evidenced by -Encouraged -To assist client in pattern as evidenced by
absence of cyanosis. slower/deeper “taking control” of the absence of cyanosis.
respirations, use of situation.
Objective: pursed-lip-technique.
-alterations in depth
breathing -Have client to breathe -To correct
into a paper bag, if hyperventilation.
-cyanosis appropriate.

-weak looking -Assisted client in the -To lessen anxiety.

use of relaxation
-RR-21 techniques.

-Encouraged position of -To facilitate ventilation.

comfort.

-Discussed relationship -Provide information to

of smoking to respiratory possible disease acquired
function. and complications.
 UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA

Received, lying on bed with ongoing IVF of D5W ½ L x KVO @ 440cc level, inserted at right arm, infusing well.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Readiness for enhanced After 2 hours of nursing -Established rapport to -To build trust and gainAfter 2 hours of nursing
“Iiwas na ako sa pag- therapeutic regimen intervention, the patient the patient and to cooperation in intervention, the patient
inom” as verbalized by management related to will be able to assume Significant Other. interventions to be done.
was able to assume
the patient. willingness to promote responsibility for responsibility for
wellness as manifested managing treatment -Identify steps necessary -It enhances commitment managing treatment
Objective: by cooperation in regimen. to reach desired health and the likelihood of regimen.
-willingness to cooperate interventions. goals. achieving the goals.

-weak looking -Advised to lessen/avoid -To prevent for further

vices such as smoking complications of
-verbalization of and drinking liquor. respiratory function.
readiness for progress.
-Accept patient’s -To promote sense of
evaluation of own self-esteem and
strengths/limitations confidence to continue
while working together efforts.
to improve abilities.

-Acknowledge individual -It provides positive

efforts/capabilities to reinforcement
reinforce movement encouraging continued
toward attainment of progress toward desired
desired outcomes. goals.

-Identify additional -Provide further

community resources/ opportunities for role
UNIVERSITY OF PERPETUAL HELP SYTEM-ISABELA CAMPUS
MINANTE UNO, CAUAYAN CITY, ISABELA
support groups. modeling, skill training,
etc.