DAVAO DOCTORS COLLEGE CRITERIA:

General Malvar St.,DavaoCity

Nursing Program
DRUG STUDY
 Content and organization 40%
Analysis 40%
Neatness and promptness 10%
Reference 10%
TOTAL 100%

Name of Patient: NATIVIDAD, J. Date of Admission: February 7, 2021 Room: 401a

Age: 56 Sex: _ M Civil Status: Married Attending Physician: Dr. Sabido

CLASSIFICATION /
DRUG NAME
MECHANISM OF ACTION
BRAND NAME:
Flagyl ER Metronidazole is a Metronidazole is indicated
nitroimidazole anti- for patient with;
GENERIC: infective drug used mainly
Metronidazole in the treatment of
infections caused by
DOSAGE: susceptible organisms,
500mg/tab particularly anaerobic
bacteria, and protozoa.
ROUTE: The nitro group of
Oral metronidazole is
chemically reduced by
FREQUENCY: ferredoxin and the
PO BID products are responsible
for disrupting the DNA
helical structure, thus
inhibiting nucleic acid
synthesis.
REFERENCES:
DRUG HANDBOOK (2020)
INDICATION CONTRAINDICATIONS ADVERSE EFFECTS
CNS Effects
Contraindicated in patients Vertigo, headache, ataxia,
with a prior history of
syncope, confusion,
hypersensitivity to irritability, fever, weakness,
metronidazole or other
 Amoebiasis insomnia, seizures,
nitroimidazole derivatives peripheral neuropathy
 Giardiasis
and during the first CV
 Trichomoniasis trimester of pregnancy.
 Balantidium coli  ECG change (flattened T
infection wave), flushing
 Helicobacter pylori Gastrointestinal
infections Abdominal cramping,
 Duodenal ulcer stomatitis, metallic taste,
epigastric distress,
 Propionic acidemia
nausea, vomiting,
 Methylmalonic
anorexia, diarrhea,
acidemia
constipation, proctitis, dry
mouth.
GU
Darkened urine, polyuria,
cystitis, dyspareunia
Hematologic
Transient leukopenia,
neutropenia,
thrombocytopenia
NURSING
RESPONSIBILITY
Before:
 Assess pt. infection.
 Watch carefully for
edema because it
may cause sodium
retention.
 Assess skin for
severity areas of
local adverse
reactions.
 Assess pt.’s and
family knowledge of
drug therapy
During:
 Give drug meals to
minimize GI distress
 Tablets may
crushed for pt.’s
with difficult
swallowing
After:
 Tell pt. that metallic
taste and dark or
red brown urine
may occur
 Instruct pt. to take
oral form with meals
to minimize
reactions
 Instruct to complete
 full course of
therapy

Pableo, Katrina Darl C.

BBN/DTS/2020 Name of Student