DRUG STUDY

Name: B.P Chief Complaint: Rash, Redness and Pruritus

Age/Sex: 25 Male Admitting Diagnosis:Allergy
Room/Ward: Attending Physician:
Drug Name Classification Indication Mechanism of Adverse Reaction Nursing Patient Teaching
Action Consideration
Generic Name: Antihistamines Benadryl® Allergy Diphenhydramine General: Urticaria, *Assess for *Advised that
diphenhydramine (diphenhydramine) Uses acts as an inverse drug rash, possible this drug may
 temporarily relieves these agonist at the H1 anaphylactic shock, contraindications cause drowsiness
Brand Name: symptoms due to hay fever receptor, thereby photosensitivity, or cautions. and has an
Benadryl or other upper respiratory reversing effects of excessive * Assess the skin additive effect
allergies: histamine on perspiration, chills, color, texture, and with alcohol.
Dosage: o runny nose capillaries, dryness of mouth, lesions to monitor *Tell the patient
25 mg to 50 mg o sneezing reducing allergic nose, and throat for anticholinergic The side effects
o itchy, watery eyes reaction effects or allergy. may occur:
Route: o itching of the nose symptoms. Lastly, Cardiovascular * Evaluate Dizziness,
Parenteral (IM) or throat diphenhydramine System: orientation, affect, sedation,
 temporarily relieves these acts as an Hypotension, and reflexes to drowsiness;
Frequency: symptoms due to the intracellular headache, monitor for epigastric
q6h common cold: sodium channel palpitations, changes due to distress, diarrhea
o runny nose blocker, resulting tachycardia, CNS effects. or constipation ;
Timing: o sneezing in local anesthetic extrasystoles * Assess dry mouth (use
1a-7a-1p-7p properties respirations and frequent mouth
(6 hourly after Hematologic adventitious care, suck
initial dose.) System: Hemolytic sounds to monitor sugarless
anemia, drug effects. lozenges);
thrombocytopenia, * Evaluate renal thickening of
agranulocytosis and liver function bronchial
tests to monitor secretions,
Nervous System: for factors that dryness of nasal
Sedation, could affect the mucosa (use a
sleepiness, metabolism or humidifier).
dizziness, disturbed excretion of the
coordination, drug. *Instruct Patient
fatigue, confusion, to Report
restlessness, difficulty of
excitation, breathing,
nervousness, hallucinations,
tremor, irritability, tremors, loss of
 insomnia, euphoria, coordination,
paresthesia, blurred unusual bleeding
vision, diplopia, or bruising, visual
vertigo, tinnitus, disturbances,
acute labyrinthitis, irregular
neuritis, heartbeat.
convulsions

GI System:
Epigastric distress,
anorexia, nausea,
vomiting, diarrhea,
constipation

GU System: Urinary
frequency, difficult
urination, urinary
retention, early
menses

Respiratory System:
Thickening of
bronchial
secretions,
tightness of chest or
throat and
wheezing, nasal
stuffiness
Reference:
https://www.rxlist.com/benadryl-injection-drug.htm#description