GAPASIN, MA. CHEALZEA C. =BSN IV-INTERNATIONAL A SURGERY WARD (DRUG STUDY) MR. ARTHUR FRANK T.

CARIAGA
DRUG MECHANISM OF ACTION INDICATION NURSING RESPONSIBILITIES
BEFORE DURING AFTER
GENERIC: Used for clinical conditions -Check blood pressure before -Monitor serum electrolytes· - Monitor electrolytes: K, Na, Ca,
Spironolactone acts on the associated with augmented initiation of therapy Mg; also include BUN, ABGs
Spironolactone distal renal tubules as a aldosterone production, as -instruct watcher or patient to
competitive antagonist of in essential hypertension, -Assess for signs for fluid observe for and report -Emphasize the importance of
BRAND: aldosterone. It increases refractory edema electrolyte imbalance immediately the onset of mental
continuing to take this medication,
the excretion of sodium due to CHF, hepatic changes
Aldactone, CaroSpir -Monitor daily I&O, check for even if feeling well. Instruct
chloride and water while cirrhosis, nephritic
conserving potassium and syndrome and idiopathic edema -Avoid intake of high potassium patient to take medication at the
CLASS: foods and salt substitutes same time each day. Take missed
hydrogen ions. edema
·-Weigh pt under standard doses as soon as remembered
Electrolyte and water conditions, and daily once therapy
balance agent; potassium unless almost time for next dose.
commences
sparing diuretic Do not double doses.

DOSAGE: -Emphasize the need for follow-up

exams to monitor progress.
25 mg(1 tab)

FREQUENCY

OD(once a day)

ROUTE:

Per orem(oral)

Source:

davisplus.fadavis.com/397
6/meddeck/pdf/spironolact
one.pdf

DRUG MECHANISM OF ACTION INDICATION NURSING RESPONSIBILITIES

BEFORE DURING AFTER
GENERIC: Anti-inflammatory and Used for Short-term - Assess pain (note type, location, -Patients who have asthma, -Caution patient to avoid the
analgesic activity; management and intensity) prior to and 1– 2 hr aspirin-induced allergy, and nasal concurrent use of alcohol, aspirin,
Ketorolac inhibits prostaglandins of pain (up to 5 days) following administration. polyps are at increased risk for NSAIDs, acetaminophen, or other
and leukotriene developing hypersensitivity OTC medications without
BRAND: synthesis -Instruct patient on how and when reactions. Assess for rhinitis, consulting health care
to ask for and take pain asthma, and urticaria. professional.
Toradol medication.
- Assess for rash periodically -Advise patient to inform health
CLASS: - Instruct patient to take during therapy. May cause care professional of medication
medication exactly as directed. Stevens-Johnson syndrome or regimen prior to treatment or
Antipyretic, NSAID
toxic epidermal necrolysis. surgery.
-Do not double doses. Do not Discontinue therapy if severeor if
DOSAGE: takemore than prescribed or for accompanied with fever, general -Advise patient to consult health
longer than 5 days. care professional if rash, itching,