College of Health Sciences

Name of Student Nurse: Hannah Roseann P. Loresco Date: November 1, 2020

Level/block/group: 3BSN-6 Hospital/Area: Surgical Ward, November 3rd Rotation Clinical Instructor: Virgie Bauzon, RN., MAN,
NAME OF DRUG MECHANISM OF CONTRAINDICATIONS SIDE ADVERSE NURSING
ACTION EFFECTS EFFECTS RESPONSIBILITIES
GENERIC NAME  Unknown  Contraindicated in  Skin: Rashes  GI: GI bleeding,  Check for allergy to Ibuprofen.
Ibuprofen  Its anti-inflammatory, patients with allergy/ Hepatitis,
analgesic, and antipyretic hypersensitivity to  CNS: Gastric/esophageal  Use liquid form for children/
activities suggests Ibuprofen Drowsiness, ulcer patients who has difficulty of
BRAND NAME inhibiting the synthesis of  Contraindicated in dizziness swallowing.
Advil prostaglandins that may patients with active GI  Respiratory:
serve as mediators of pain bleeding and peptic ulcer  GI: Nausea, Bronchitis,
and fever. disease. vomiting, Pneumonia  Advise patient to report
 Use cautiously in patients constipation immediately if signs and
CLASSIFICATION with renal or hepatic  GU: Renal or hepatic symptoms of GI bleeding are
Nonsteroidal Anti- disease, history of ulcer failure present―blood in stool, urine,
inflammatory Drug disease, pregnancy, and/or vomit, and black, tarry
(NSAID) lactation, and children. stool.

 Advise patient to take

INDICATION medication with a full glass of
Treatment of mild to water and to remain in an
moderate pain; and, upright position for 15-30
Used to reduce fever. minutes.

 Caution patient to avoid the

DOSAGE &
consuming alcoholic drinks with
FREQUENCY
ibuprofen because it may lead to
200-400 mg PO q4 to 6 stomach bleeding.
hours as needed

Name of Student Nurse: Hannah Roseann P. Loresco
Level/block/group: 3BSN-6
NAME OF DRUG
GENERIC NAME
Cefuroxime Sodium
BRAND NAME
Zinacef
CLASSIFICATION
Antibiotic
Cephalosporin (second
generation)
INDICATION
Infections caused by S.
pneumoniae, S. aureus, E. coli,
Klebsiella pneuemoniae, H.
influenzae, S. pyogenes;(e.g.
Bronchitis, Gonorrhea, Lyme
disease, Otitis, Pharyngitis, and
etcetera)
Perioperative Prophylaxis
DOSAGE & FREQUENCY
750mg, 1.5g IM or IV q8h
College of Health Sciences
Date: November 1, 2020
Hospital/Area: Surgical Ward, November 3rd Rotation Clinical Instructor: Virgie Bauzon, RN., MAN
MECHANISM OF CONTRAINDICATIONS SIDE ADVERSE EFFECTS NURSING
ACTION EFFECTS RESPONSIBILITIES
 Binds to bacterial cell  Contraindicated in  CNS: Headache,  GI: Pseudomembranous  Perform skin-testing of the
wall membrane and patients with allergy/ Dizziness colitis, Hepatotoxicity drug before administering.
inhibits cell wall hypersensitivity to
synthesis which cephalosporins or  GI: Nausea,  GU: Nephrotoxicity  Instruct patient to take the
causes cell lysis. penicillin. Vomiting, medication around the clock
Diarrhea,  Superinfection and to finish the course
 Use cautiously to Abdominal Pain, completely, even if feeling
patients with renal Flatulence better.
failure, lactation,
pregnancy  Advice patient to avoid
alcohols while taking the
drug because severe
reactions often occur.
 Advise patient to report
signs of superinfection
(furry overgrowth on the
tongue, vaginal itching or
discharge, loose or foul-
smelling stools) and allergy.