DRUG STUDY

Name of the Dosage Classification Mechanism of Adverse Actual Nursing

Drug Frequency action Reaction Adverse consideration
route Reaction
Generic name: 700mg tab Antibiotic, Interferes w/ >headache, Interventions:
Levofloxacin fluoroquinolone DNA gyrase & dizziness, Continue
Frequency: OD topoisomerase insomnia, N&V, therapy as
Brand name: IV.DNA gyrase is diarrhea, indicated for
levaquin Route: IV an enzyme dyspepsia, condition being
needed for heartburn, treated.
replication, constipation. >Ensure that
transcription, & patient is well
repair of hydrated during
bacterial DNA. course of
Topoisomerase therapy.
IV plags a key WARNING:
role in the Discontinue drug
psrtitioning of at any sign of
chromosomall hypersensitivity
DNA during (rash,
bacterial cell photophobia) or
division. at complaint of
tendon pain,
inflammation, or
capture.
>Monitor clinical
response; if no
improvement is
seen or a
relapse occurs,
repeat culture &
sensitivity test.
 Name of Mechanism Adverse Actual Nursing
the Drug Dosage Classification of Action Reaction Adverse Consideration
Reaction
Generic Name: 2 tabs 1 hr Anti-TB Agents Ethambutol ›Disorder of the ›Assess patient
Ethambutol before breakfast interferes w/ blood lymphatic mental status
RNA synthesis, system, immune often: affect
Brand Name: causing system, mood, behavior
Myrin P Forte suppression of metabolic & change, watch
mycobacteria nutrition. out for confusion
multiplication. It ›hepatobilliary & hallucination.
also has ›fever
bacteriostatic ›body malaise ›Assess patient
action against M ›dryness of for visual
tubercolosis by mouth disturbances
acting on rapidly that may indicate
growing optic neurisyis.
pathogens in
cavity walls & is
also effective in
slow growing
pathogens.
 Name of the Mechanism Adverse Actual Nursing
Drug Dosage Classification Of Action Reaction Adverse Consideration
Reaction
Generic Name: 1 amp TIV q6 Antiemetic, GI Stimulates ›Monitor BP
Metoclopramide hrs stimulant motility of upper carefully during
GI tract w/o IV administration
Brand Name: stimulating ›Monitor diabetic
Maxolon gastric, billiary, patient, arrange
or pancreatic for alterations in
secretions; insulin dose or
appears to timing if diabetic
sensitize tissues control is
to action of compromised by
acetylcholine; alterations in
relaxes pyloric timing of food
sphincter,which, absorption.
when combined
w/ effects on
motility,
accelerates
gastric empty &
intestinal transit,
little effect on
gallbladder or
colon motility,
increases lower
esophageal
sphincter
pressure has
sedative
properties,
induces release
of prolactin.
Name of the Dosage Classification Mechanism Adverse Reaction Actual Nursing
Drug Of Action Adverse Consideration
Reaction
Generic Name: 30mg IV Analgesics, Analgesics, anti- CNS: Interventions:
Ketorolac ANST Muscle inflammatory & headache, 1. Be aware that
(-) q8 hrsx3 Relaxant antipyretic. dizziness, patient may be
Brand Name: doses Inhibits somnolence, at
Kortezor prostaglandin insomnia, risk for CV
synthesis by fatigue, events,
inhibition of dizziness, GI bleeding,
cyclo-oxygenase tinnitus, renal
enzyme. It also ophthalmologic toxicity, monitor
inhibits effect. accordingly.
leukotriene 2. Keep
synthesis, help emergency
stabilize equipment
lysosomal readily
membranes & available at time
exert anti- of
bradykinin initial dose, in
activity case
of severe
hypersensitivity
reaction

Name of the Dosage Mechanism Adverse Actual Nursing

Drug Frequency Classification Of Action Reaction Adverse Consideration
Reaction
Generic Name: Dosage: Anti-bacterial Clarithromycin ›diarrhea ›Take this
Clarithromycin 500 mg tab prevents bacteria ›nausea medication with
from growing, by ›abnormal ltaste a full glass
Brand Name: Frequency: interfering with ›dyspepsia and (8ounces) of
Klacid OD their protein ›abdominal water.-
synthesis. discomfort. ›Clarithromycin
›Pseudomembraneou tablets can be
s colitis has been taken with or
reported with without food.
clarithromycin use,
allergic reactions
ranging from
urticaria and mild
skin eruption to rare
cases of anaphylaxis

Name of the Actual Nursing

Drug Dosage Classification Mechanism Adverse Adverse Consideration
Of Action Reaction Reaction
Generic Name: Dosage: Anti-Infectives Binds to bacteria GI: diarrhea, ›Inspect IV
Cefuroxime 750mg cell wall nausea, injection sites
membrane Antibiotic- frequently for
Brand Name: Route: IV causing cell associated colitis. signs of
Ceftin death. phlebitis.
Skin: rash, ›Report onset or
pruritus, urticaria loose stools or
diarrhea.
›Monitor I&O
rates & pattern.
Especially
important in
severely ill
patients
receiving high
doses. Report
any significant
changes.

Name of the Dosage, Classification Mechanism of Adverse Actual Adverse Nursing

drug Frequency, Action Reaction reaction Reaction
route,
preparation
Generic Name: Dosage: Antibiotic, Interferes w/ CNS: headache, No actual >Assess patient
Ciprofloxacin 500 mg tab fluoroquinolone DNA gyrase & dizziness, adverse reaction for s/s of
topoisomerase insomnia, fatigue, infection.
Brand Name: Frequency: IV, DNA gyrase somnolence, >Obtain C/S
Quinosyn is an enzyme depression, before beginning
needed for blurred vision. drug theraphy
Preparation: replication, >Assess for
Tab transcription & CV: Arrhythmias, anaphylaxis
repair of hypotension >Monitor
bacterial DNA. electrolytes
EENT: Dry eye, >Assess bowel
eye pain pattern daily
>Monitor for
GI: N&V,dry bleeding.
mouth, diarrhea,
abdominal pain.

Name of the Dosage Classificatio Mechanism Adverse Actual Nursing

Drug n Of Actions of Adverse Consideration
Reactions Reactions
Generic Name: Dosage: Proton pump Reduces gastric CNS: dizziness, No actual ›Administer
Omeprazole 40mg inhibitor acid secretion headache, adverse reaction before meals.
and increases athenia ›Have regular
Brand name: Route: gastric mucus GI:N&V, diarrhea, medical follow-
Prilosec IV and by constipation, up visit.
carbonate Abdominal pain
production, ›These side
creating effects may
productive occur :dizziness,
coating on Headache,
gastric mucosa (request
and easing medication);N&V
discomfort from (maintain proper
excess gastric nutrition);sympto
acid. ms of upper
respiratory tract
infection,
cough(do not
self-medicate;
consult your
health care
provider if
uncomfortable).

›Report severe
headache,
worsening of
symptoms, fever,
chills.
 Name of the Dosage Classification Mechanism Adverse Actual Nursing
Drug Frequency Of Actions of Adverse Consideration
Route Reaction Reactions
Generic Name: Dosage:500 mg Antidiabetic Decreases Most common: No actual >Monitor fasting
Metformin tab hepatic glucose >hypoglycemia adverse reaction blood glucose,
production, >diarrhea hemoglobin
Brand Name: Frequency: decreases >N&V & renal function
Quinosyn BID intestinal >asthenia >Be alert to
absorption of >flatulence conditions that
glucose& >headache alert glucose
increases >abdominal pain requirements:
peripheral fever, increased
uptake & activity or stress.
utilization of
glucose. Patient
Teaching:
>Discontinue
metformin &
contact the
physician
immediately if
evidence of
lactic acidosis
(unexplained
hyperventilation,
muscle aches,
extreme
tiredness,
unusual
sleepiness)
>Prescribe diet
is principal part
of treatment do
not skip meals.
NURSING CARE PLAN

Assessment Nursing Diagnosis Planning Nursing Rationale Evaluation

Intervention

Subjective: Independent:
Fatigue related to Short term: >after 8 hours of
“Nanghihina ako” as altered body After 1 hour of >alternate activity >prevents nursing intervention
verbalized by the chemistry due to nursing intervention with periods of excessive fatigue the patient
patient insufficient insulin the patient will be rests/uninterrupted displayed improved
able to display sleep ability to paticipate
improved ability to in desired activities
Objective: participate in >monitor Vital signs >indicates and verbalized
desired activities before/after activity physiologic levels of increse in level of
-w/ generalized tolerance energy
body malaise >discuss ways of
-inability to maintain Long term: concerving energy >patient will be able
usual routines After 8 hours of to accomplish more
-lethargic nursing intervention with a decreased
-disinterest in the patient will be expenditure of
surroundings able to display energy
-decresed improved ability to >discuss w/ patient
performance participate in the need for activity.
desired activities Plan schedule and >education may
identify activities provide motivation
that lead to fatigue to increase activity
level even though
Dependent: patient may feel too
weak initially
>administer insulin
as ordered by the
physician
 Assessment Nursing Diagnosis Planning Nursing Rationale Evaluation
Intervention

Subjective: Independent:
High risk for Short term: >observe for signs >patient may be >after 8 hours of
“namamaga ang infection related to After 30 mins of of infection and admitted with nursing
sugat ko” as high glucose levels nursing intervention inflammation infection, may imtervention the
verbalized by the the patient will be develop a patient will be able
patient able to demonstrate nonsocomial to demonstrate
techniques, lifestyle infection techniques, lifestyle
Objective changes to prevent changes to prevent
> w/ redness development of >promote good >reduces risk of development of
>inflammed wound infection hand washing cross-contamination infection
>febrile
Temp- 38 c >encourage >decreases
Long term: adequate dietary susceptibility to
After 8 hours of and fluid intake infection
nursing intervention
the patient will be Dependent:
able to demonstrate
techniques, lifestyle >Obtain specimens >identifies
changes to prevent for culture and organisms so most
development of sensitivities as appropriate drug
infection indicated therapy can be
instituted

>administer >early treatrment

antibiotics as may help prevent
ordered by the infection
physician
 Assessment Nursing Diagnosis Planning Nursing Rationale Evaluation
Intervention

Subjective: Helplessness Independent:

related to long-term Short term: >encourage patient >identifies concerns
“hindi na gagaling uncurable illness After 1 hour of to express feelings and facilitates
sakit ko” as nursing intervention about problem solving After nursing
verbalized by the the patient will hospitalization and intervention the
patient acknowledge disease in general patient
feelings of acknowledged
Objective: helplessness >support >promotes feeling feelings of
participation in self- of control over helplessness
>depression Long term: care and give situation
>apathy After 8 hours of positive feedback
>nonparticipation in nursing intervention for efforts
care/decision the patient will
making acknowledge >encourage patient >communicates to
>anger feelings of to make decisions patient that some
>expressions of helplessness related to care control can be
having no control exercised over care
over situation
>ascertain >unrealistic
expectations of expectations from
patients others or self may
result in feelings of
frustration of control
and may impair
coping abilities