DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

DRUG STUDY

Name of Patient: Patient M. Date of Admission: September 12, 2021 Room: 143
Age: 55y/o Sex: male Civil Status: Not indicated Attending Physician: Dr. Beng Gow

DATE MEDICATI MODE DOSAG INDICATI CONTRAINDICA SIDE ADVERSE NURSING

ORDE ON OF E ON(S) TION(S) EFFECTS EFFECTS RESPONSIBI
RED ACTION LITIES

Septem
ber 12, Generic -restores Dosage -metabolic   -  - Swelling -GI: gastric-use with
2021 Name: buffering : acidosis contraindicated in (edema) distention, extreme
capacity patients with belching, caution in
 Sodium of the 1 tab -systemic metabolic or -High flatulence patients with
Bicarbonat body and or urinary respiratory blood renal
e neutraliz Route: alkalinizati alkalosis and in sodium - insufficiency,
es on those with levels Metabolic: heart failure or
 Brand PO hypokalem other
excess hypocalcemia in
Name: acid. -cardiac which alkalosis -Low blood ia, edematous or
arrest may produce calcium metabolic sodium-
Alka- - sodium levels alkalosis, retaining
  tetany,
Seltze bicarbon hypernatre condition
hypertension,
ate is -Low blood mia,
Classifica Freque seizures, or heart
extensiv potassium hyperosmo -to avoid risk
tion: ncy: failure. Also
ely used levels larity with of alkalosis,
Alkalinizin contraindicated in
for TID patients who are overdose obtain blood
g Agents. -Muscle pH, Partial
manage losing chlorides spasms - pressure of
ment of   because of (associate oxygen, partial
metaboli vomiting or
 c continues GI
acidosis suction and those d with low pressure of
associat receiving diuretics calcium carbon
ed with known to produce levels) dioxide, and
chronic hypochloremic electrolyte
kidney alkalosis. Orally -Metabolic levels. Keep
disease administered alkalosis prescriber
(CKD), sodium informed of
bicarbonate is - laboratory
contraindicated Hyperosm results
for patients with olality
acute ingestion of PATIENT
strong mineral TEACHING
acids.
-tell the patient
not to take
drug with milk
because doing
so may cause
hypercalcemia
, alkalosis and
renal calculi.

Reference: Kizior, R.J. & Hodgson, K.J. (2019). Saunders nursing drug handbook 2019. ELSEVIER.
 General Malvar St., Davao City
Nursing Program

NURSING CARE PLAN

Name of Patient: M Date of Admission: Sept. 12, 2021 Room: 143

Age: 55 yrs. Old Sex: Male Civil Status: N/A Chief Complaint: deep, rapid, shallow breathing, mental
delirium and confused
Religion:N/A Attending Physician: Dr. Beng Gow

CUES NURSING GOALS/ NURSING RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES INTERVENTIONS
CRITERIA
Subjective: Activity Intolerance After 8 hrs. of  Monitor and  To assess GOAL PARTIALLY
“ Dali rana siya related to anemia nursing intervention record vital precipitating MET
kapoyon sir. Dali na as evidenced by the patient will be signs and
niya kaya decreased able to: causative Goal met:
maglakaw og hemoglobin factors. After 8 hrs. of
dugay. Basta secondary to  Participate in  Record I&O nursing intervention
maglakaw na siya chronic renal activity within accurately  To monitor the patient was able
kay pungahon na insufficiency. tolerance. and calculate kidney to:
siyag samot maong fluid volume function and
ning hangyo kog Scientific  Improve balance fluid  Participate in
whelchair ganina Explanation: tissue perfusion retention. activity within
para niya” as Erythropoietin as evidence by tolerance.
verbalized by the production is at the capillary refill  Encourage  To conserve
daughter of the pt. kidneys, it is a <2s, nails and quiet, restful energy and  Improve
hormone that palms are atmosphere. lower tissue tissue
Objective: synthesis new red pink/rosy color. oxygen perfusion as
 Nail beds blood cells. But demand.
 and palms due to chronic renal  Maintains evidence by
are very insufficiency, there activity level capillary refill
pale. is a decrease in within <2s, nails
 Pt had erythropoietin capabilities as and palms
difficulty production and evidenced by  Sleep
are pink/rosy
sleeping. profound anemia normal HR, BL  Monitor deprivation
color.
 (+) Nasal results. When pt during activity patient’s and
flaring have anemia It and absence of sleep pattern difficulties
means they lack of and the during sleep  Maintain
 Incomprehen Shortness of
hemoglobin, low breath, amount of can affect activity level
sible,
restless, hgb less oxygen weakness and sleep the activity within
and agitated distribution to the fatigue. achieved level of the capabilities
tissues cause over the past patient – as evidenced
weakness and  Normalize few days. these needs by normal
fatigue. sleeping to be HR, BL
Lab results: pattern addressed during
 Hgb: 6g/dl (7-8 hrs. of before activity and
(Very Low) Reference: sleep) successful
absence of
 RBC: 3.79 What Is activity
Shortness of
million/mm 3 Erythropoietin  Normalize progression
can be breath,
(EPO) Test, Hgb level
Definition & Side achieved. weakness
Vital Signs: (13- 17 g/dL)
and fatigue.
BP: 180/100 mmhg Effects. (2019, and RBC
RR: 39 cpm December 3). level (4.5- Goal not met :
PR: 108 bpm MedicineNet. 5.5 million/  Assist with
https://www.medicin  Assisting the The patient was not
Temp: 37.5 mm3) ADLs while
enet.com/erythropoi patient with able to:
O2 Sat: 89% avoiding ADLs allows
NVS: 11/15 etin/article.htm patient conservation  Normalize
dependency. of energy. sleeping
Carefully pattern (7-8
balance hrs. of sleep)
provision of
 Normalize
assistance;
 facilitating Hgb level
progressive (13- 17 g/dL)
endurance and RBC
will ultimately level (4.5-
enhance the 5.5 million/
patient’s mm3)
activity
tolerance
and self-
esteem.

 Observe and  Promotes

document activity and
response to exercise with
activity. limits and
adequate
rest

 Monitor  To identify
always the new the extent of
laboratory deficiency
results like Hgb, and for better
Hct, and RBC treatment
plan.

 Encourage  To increase
increase intake iron
of iron-rich foods supplement
of the body.

 Use portable  May

pulse determine
oximetry to the use of
 assess for supplemental
oxygen oxygen to
desaturation help
during compensate
activity. for the
increased
oxygen
demands
during
physical
activity.

 Refrain from
performing  Patient with
nonessential limited activity
activities or tolerance needs
procedures. to prioritize
important task
first.

 Provide  Use of
bedside commode
commode as requires less
indicated. energy
expenditure
than using a
bedpan or
ambulating
to the
bathroom.

 Gradually  Duration and

progress frequency
 patient should be
activity with increased
the following: before
intensity.
-Range-of-motion
(ROM) exercises in
bed, gradually
increasing duration
and frequency (then
intensity) to sitting
and then standing.

-Deep-breathing
exercises three or
more times daily.

-Sitting up in a chair
30 minutes three
times daily.

 Teach  These
energy techniques
conservation reduce
techniques, oxygen
such as: consumption,
-Sitting to do tasks allowing a
-Frequent position more
changes prolonged
-Pushing rather activity.
than pulling
-Sliding rather than
lifting
 Knowledge
  Teach the promotes
patient awareness to
and/or SO to prevent the
recognize complication
signs of of
physical overexertion
overactivity
or
overexertion.

Reference: Belleza, M. (2021). Chronic Renal Failure. https://nurseslabs.com/chronic-renal-failure/

ZAMORA, AJIEVINE M
BBN/DTS/2020 NAME OF STUDENT