University of Southern Mindanao

College of Health Sciences

Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: __35____ Sex: ___F__ Room: ________ Date:
___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

Generic Name: Pharmacologic  HIV-infection, .A thymidine  Contraindicated in  CNS: asthma,  CNS: anxiety,  Monitor patient for
STAVUDINE class: nucleoside with other nucleoside patients hypersensitive fever, dizziness, depression, sign and symptoms of
(d4T) reverse transcriptase antiretrovirals analogue that to drug. headache, malaise, pancreatitis, especially
inhibitor prevents replication insomnia, nervousness, if he takes stavudine
of retroviruses, nervousness, peripheral with didanosine or
Brand Name: Pregnancy risk including HIV, by . neuropathy hydroxyurea. If patient
ZERIT category C inhibiting the  CV: chest pain. has pancretitis,
enzyme reverse EENT: reinstate drug
transcriptase and  GI:, diarrhea, conjunctivitis cautiously.
causing termination nausea, vomiting,
of DNA chain  GI: abdominal Monitor liver function
growth. pain, anorexia, test result
pancreatitis,
constipation, Motor weakness,
dyspnea mimicking the clinical
Presentation of
Guillain-Barre
syndrome (including
respiratory failure)

Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATION SIDE EFFECTS ADVERSE NURSING

DRUG ACTION EFFECTS RESPONSIBILITIES

. . HEMATOLOGIC In HIV patients taking

: neutropenia, stavudine with other
thrombocytopenia, antiretrovirals may
anemia occur, especially in
patients with lactic
HEPATIC: acidosis, including
hepatotoxicity, generalized fatigue, GI
severe problems, tachypnea,
hepatomegaly with or dyspnea.
steatosis Symptoms may
continue or worsen
when drug is stopped.
Patients with these
symptoms should
promptly interrupt
antiretroviral theraphy
and rapidly receive a
full medical workup.

Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM CONTRAINDICATION SIDE ADVERSE EFFECTS NURSING

DRUG OF ACTION EFFECTS RESPONSIBILITIES

. . METABOLIC: lactic Consider permanently

acidosis, weight loss stopping drug.

MUSCULOSKELETAL Peripheral
: arthralgia, back pain, neuropathy appears to
myalgia be the major dose-
limiting adverse effect;
RESPIRATORY: it may or may not
dyspnea resolve after drug is
stopped.
SKIN: diaphoresis,
pruritus, rash, Monitor CBC results
maculopapular rash and creatinine.

OTHERS: chills Tell patient that drug

may be taken without
regard to meals.

 Warn patient not to

take other drugs for

Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. . HIV or AIDS unless

prescriber has
approved them.

 Inform patient that

drug doesn’t cure HIV
infection, that
opportunistic
infections and other
complications of HIV
infection may still
occur, and that
transmission of HIV to
others through sexual
contact or blood
contamination is still
possible.

Teach patient signs

and symptoms of
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. . Peripheral neuropathy
(pain, burning, aching,
weakness, or pins and
needles I the limbs)
and tell him to report
these immediately.

 Tell patient to report

symptoms of lactic
acidosis, including
fatigue, GI problems,
dyspnea, or
tachypnea.

 Tell patient to report

symptoms of
pancreastitis, including
abdominal pain,
nausea, vomiting,
weight loss or fatty
stools.
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. .  Tell patient to
monitor weight
patterns and report
weight loss or gain.

 Explain to patient
who has difficulty
swallowing that
extended-release
capsules can be
opened and contents
mixed with 2
tablespoons of yogurt
or applesauce.
Caution patient not to
chew or crush the
beads while
swallowing.

Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES
 Monitor closely for
. . signs and
symptoms of lactic
acidosis,
hyperlactatemia, or
pronounced
hepatotoxicity
(which may include
hepatomegaly and
steatosis even in the
absence of marked
transaminase
elevations). Consult
prescriber about
suspending drug if
these
occur. Consider
permanent
discontinuation of drug
for patients with
confirmed lactic
acidosis.
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. .  Monitor patient for

signs and symptoms
of immune
reconstitution
syndrome

 Watch for and

report onset and
worsening of
peripheral neuropathy.

 Monitor CBC.
Report evidence of
bone marrow
depression.
stavudine 1169
Reactions in bold are
life-threatening.

Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. .  Monitor liver
function tests and
blood chemistry
results.

Caution female
patient not to
breastfeed, because
she may transmit drug
effects and HIV to
infant.

As appropriate,
review all other
significant and life-
threatening adverse
reactions and
interactions, especially
those related to the
drugs and tests
mentioned above
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. . reflexes, vital Assess for the

signs, ect.) to mentioned cautions
establish and contraindications
baseline data (e.g. drug allergies,
before drug hepatorenal
therapy begins,. impairment,
to determine pregnancy and
effectiveness of lactation, ect.) to
therapy, and to prevent any untoward
evaluate for complications
occurrence of
any adverse . Perform a thorough
effects physical assessment
associated with (other medications
drug therapy. taken, orientation and
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor
 University of Southern Mindanao
College of Health Sciences
Department of Nursing

DRUG STUDY
Name of Patient: ___________________________________________________ Age: ______ Sex: _____ Room: ________ Date: ___________________________
Admitting Diagnosis: _______________________________________________ Attending Physician: __________________________ Diet: __________________

NAME OF CLASSIFICATION INDICATION MECHANISM OF CONTRAINDICATIO SIDE EFFECTS ADVERSE NURSING

DRUG ACTION N EFFECTS RESPONSIBILITIES

. . reflexes, vital signs,

ect.) to establish
baseline data before
drug therapy begins,.
to determine
effectiveness of
therapy, and to
evaluate for
occurrence of any
adverse effects
associated with drug
therapy.
Bibliography: _________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

Submitted By: Submitted to:

___________________________________ ___________________________________
Student Nurse Clinical Instructor