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C.

EXAMPLE OF KARDEX
Name: Anjoe Hernandez         CC: Headache, fever and body weakness Attending Physician: Dr.
John Rey Raqueno Date Admission: February 21, 2021
Address: Mindoro, Vigan City Ilocos Sur Female/ 37 years old Room: 69/ 09454089653
Category: ID

Intravenous fluids: Laboratory 


0.9 Sodium Choride 1000 ml x 30 gtts per minute
Urinalysis
D5LRS 1000 ml to run for 8 hours
Fecalysis
CBC with
platelet count 

Medications: Treatment
Mefenamic Acid 500 mg 1 table P.O bid DAT
with aspiration precaution 
Paracetamol 500 mg 1 tablet P.O Od               For
TSB
Ceftriaxone 750 mg I.V. ANST tid
Encourage deep breathing exercises 
Position high
fowler position 
D.

Name of Classificatio Mechanism of Indication Contraindicatio Side Effects Adverse Effects Nursing
drugs n Action n Responsibilities
Generic Antibiotic  Bactericidal: For treatment Contraindicate  Mucus rush  Severe diarrhea Assess any
Name: Cephalospo Inhibits of many d with allergy history of
rin synthesis of different cephalosporin  Rash  Bleeding allergy with this
Cefuroxim bacterial cell types of or penicillins.  drug.  Culture
e wall, causing bacterial Use cautiously  Difficulty in  Lethargy infection, and
cell dea infections with renal breathing arrange for
Brand such as failure,  Anorexia sensitivity tests
Name:  bronchitis, lactation,  Unusual before and
sinusitis, pregnancy.  tiredness  Decreased during therapy
Ceftin tonsillitis, ear platelets Hct if expected
infection,  Fatigue response is not
skin seen.  Give oral
infections,  Itching or drug with food
gonorrhea, irritation to decrease GI
and urinary upset and
tract enhance
infection.. absorption. 
Have vit. K
available in
case
hypoprothrombi
nemia occurs. 
Instruct the pt
to report any
unusualities. 
Name of Classification Mechanism of Indication Contraindication Side Adverse Nursing
Drugs Action Effects Effects Responsibilities
Pharmacologic: Elevates the General: Contraindicated CNS: CNS Before:
Generic Iron serum iron with allergy to any toxicity,
name: > prevention > check the
preparation concentration, ingredient; acidosis, coma
Ferrous and doctor’s order
and is then sulphite allergy; and death with
sulfate Therapeutic: treatment of
converted to Hgb hemochromatosis overdose GI: > assess for
Iron irondeficiency
or trapped in the , hemosiderosis, GI upset, allergy to any
Brand preparation anemias
name/s: reticuloendothelia haemolytic anorexia, ingredient, sulfite;
Pregnancy
Femiron, l cells for storage > dietary anemias nausea, hemochromatosis,
Hemocyte Category Risk: and eventual supplement vomiting, hemosiderosis,
Precaution:
, Ircon A conversion to a for iron constipation, haemolytic
usable form of Use cautiously diarrhea, dark anemias
iron > unlabeled stools,
with normal iron
use: temporary > assess for skin
balance; peptic
supplemental staining of lesions, color;
ulcer, regional
use during teeth (liquid gums, teeth
Onset: 4 days enteritis,
epoetin preparations) (color); bowel
ulcerative colitis
Peak: 7-10 days therapy to sounds
ensure Interactions:
Duration: 2-4 mo. > monitor blood
proper
> drug-drug: studies
Metabolism: hematologic
decreased nti-
Recycled for use, response to > confirm that
infective response
not known epoetin client does have
to ciprofloxacin,
iron deficiency
Distribution: Patient’s norfloxacin,
anemia
crosses placenta, actual ofloxacin;
enters breast milk indication: decreased During:
Ferrous absorption with
Excretion: sulfate is antacids, > verify patient’s
unknown given to the cimetidine; identity
patient for decreased effects > administer the
the of levodopa if right drug in the
prevention taken with iron; right dose and
and increased serum route at the right
treatment of iron levels with
irondeficiency chloramphenicol time
anemia
> drug-food: > do not crush,
brought
decreased chew or cut tablets
about by the
absorption with and capsules
illness 
antacids, eggs or
> give drug with
milk, coffee and
meals (avoiding
tea; avoid
milk, eggs, coffee,
concurrent
and tea)
administration of
any of these > administer liquid
preparations in
water or juice to
mask the taste
and prevent
staining of teeth;
have patient drink
solution with a
straw
> do not take this
drug with antacids
nor tetracyclines
unless prescribed
After:
> warn patient that
stool may be dark
or green
> arrange for
periodic
monitoring of Hct
and Hgb levels
> keep this drug
out of reach of
children (may
cause fetal
poisoning)
> report severe Gi
upset, lethargy,
rapid respirations
and constipation
> document and
recod.

Name of Classification Mechanism of Indication Contraindication Side Adverse Nursing


Drugs Action Effects Effects Responsibilities
Generic Analgesic Paracetamol To relieve mild to Hypersensitivity Hematologic: >Assess
Name: may cause moderate pain to hemolytic patient’s fever
Paracetamol (Nonopioid) analgesia by due to things acetaminophen anemia, or pain: type of
inhibiting CNS such as or phenacetin; leukopenia, pain, location,
  Antipyretic prostaglandin headache, use with alcohol neutropenia, intensity,
synthesis. The muscle and joint pancytopenia, duration,
Brand Name: mechanism of pain, backache thrombocytop temperature,
Biogesic morphine is and period pains. enia. Hepatic: and
believed to It is also used to liver damage, diaphoresis.
  involve bring down a jaundice
decreased high Metabolic: >Assess
  permeability of temperature. For hypoglycemia allergic
the cell this reason, Skin: rash, reactions: rash,
Dose: 500 membrane to paracetamol can urticuria urticaria; if
mg 1 Tablet sodium, which be given to these occur,
results in children after drug may have
Route: Oral diminished vaccinations to to be
transmission of prevent discontinued.
Frequency: q pain impulses postimmunizatio
4° therefore n pyrexia (high >Teach patient
analgesia temperature). to recognize
  Paracetamol is signs of chronic
often included in overdose:
  bleeding,
cough, cold and
flu remedies bruising,
malaise, fever,
sore throat.

>Tell patient to
notify
prescriber for
pain/ fever
lasting for more
than 3 days.
Name of Classificatio Mechanism of Indication Contraindi Side Effects Adverse Nursing
Drugs n Action cation Effects Responsibilities
Generic  Oxytocics/ Causes potent Stimulation of >Hyperse hypertension, Hypertonicity Assess vital signs
Name: Exogenous and selective uterine nsitivity to dysrhythmias, may occur for baseline data.
hormones stimulation of contractions oxytocin. tachysystole,a with tearing
Oxytoci Monitor
uterine and during third nd uterine of uterus,
n >Cephalo frequency,
mammary stage of labor hyperstimulatio increased
pelvic duration, strength
Brand gland smooth and control of n. bleeding,
disproport of contractions.
Name: muscle. postpartum abruption
ion Tachysystole
bleeding or placentae Monitor for signs
Pitocin is 6 or more
haemorrhage >Fetal Fetal of uterine rupture,
uterine
Stimulation of intoleranc bradycardiaL which include
contractions in
uterine e of labor ow Apgar FHR
a 20-min
contractions score at 5 decelerations,
during third >Anticipat window. min, sudden increased
ed non (Hyperstimulati
stage of labor pain, loss of
vaginal on is defined
and control of uterine
delivery as uterine
postpartum Prolonged IV contractions,
contractions
bleeding or hemorrhage, and
lasting at least infusion of
haemorrhage rapidly developing
2╯min or 5 or oxytocin with
excessive hypovolemic
more
shock.
contractions in fluid volume
a 10-min has caused
Maintain careful
window.) severe water
I&O; Be alert to
intoxication
potential water
with
intoxication.
seizures,
Check for blood
coma, death
loss.
Report changes in
vital signs and
FHR, specifically
late decelerations
and any vaginal
bleeding.
 Name: Jemina R. Racadio Section/Year: BSN-II Date:

Cefuroxime

C H E C K

Check why the How will you know if Exact time should the Client Teaching Tips Keys to be given safety
medication is given the medication is medication is gives
effective ?

Cefuroxime is used to Cefuroxime is effective Take this medication


treat certain infections against a wide variety by mouth usually Tell any doctor who Treats a wide range
caused by bacteria, of bacteria, such as twice daily (every 12 treats you that you are of infections such as
such as Staphylococcus hours), or as directed using cefuroxime. those occurring in
bronchitis(infection of aureus, Streptococcus Store cefuroxime oral at the respiratory tract,
by your doctor. Take
the airway tubes pneumoniae, room temperature away ear, on the skin, in
cefuroxime with food
leading to the lungs); Haemophilus
to increase from moisture and heat. the genitourinary
gonorrhea (a sexually influenzae, E. coli, N.
transmitted disease); gonorrhea, and many absorption and Keep the bottle tightly area, and in bone
Lyme disease (an others. reduce stomach closed when not in
infection that may upset. Dosage is use. Cefuroxime injectio
develop after a person based on your n is a powder that must
is bitten by a tick); and medical condition be mixed with a diluent
infections of the skin, and response to before you inject the
ears, sinuses, throat, therapy. Swallow the medicine
tonsils,, and urinary tablets whole.
tract. Cefuroxime is in a
class of medications
called cephalosporin
antibiotics. It works by
stopping the growth of
bacteria.

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