DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

DRUG STUDY
Name of Patient: Patient G J Date of Admission: October 4, 2021 Room: DR
Age: 30 years old Sex: Female Civil Status: Single Attending Physician: Dr. Liza Dela Cuesta

CLASSIFICATION /
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING RESPONSIBILITY
ACTION S

BRAND NAME: Classification Moderate to severe Contraindicated in: Adverse Reactions/Side

 Methergin Therapeutic: opioid pain. Also Hypersensitivity to Effects Patient / Family teaching
analgesics provides: nalbuphine or bisulfites; CNS: dizziness, 1.Instruct patient on how and
GENERIC: Analgesia Patients physically headache, sedation, when to ask for pain
Pharmacologic: during labor, dependent on confusion, dysphoria, medication.
Methylergometrine opioid Sedation before opioids and who have euphoria, floating feeling,
agonists/analgesics not been detoxified hallucinations, 2. May cause drowsiness or
surgery,
DOSAGE: Pregnancy (may precipitate unusual dreams. dizziness. Advise patient
Category C Supplement withdrawal). EENT: blurred vision, to call for assistance when
● 1-tab TID X 3
days PO to balanced Use Cautiously in: diplopia, ambulating and to
ROUTE: Action anesthesia. Head miosis (high doses). avoid driving or other activities
Binds to opiate Prevention or trauma;qintracranial Resp: respiratory requiring alertness until response
receptors in the treatment of pressure; Severe renal, depression. to the medication is known.
FREQUENCY: CNS. Alters the opioid-induced hepatic, or pulmonary CV: hypertension, 3. Caution patient to change
perception of and pruritus disease; orthostatic hypotension, positions slowly to minimize
response to painful Hypothyroidism; palpitations. orthostatic hypotension.
stimuli while Adrenal insufficiency; GI: dry mouth, nausea, 4.Advise patient that frequent
producing Alcoholism; vomiting, constipation, mouth rinses, good
generalized CNS Undiagnosed ileus. oral hygiene, and sugarless gum
depression. In abdominal pain; GU: urinary urgency. or candy may
addition, has Prostatic hyperplasia; Derm: clammy decrease dry mouth.
partial antagonist Patients who have feeling, sweating.
properties, which recently received Misc: physical 5. Encourage patient to turn,
may result in opioid agonists; dependence, cough, and breathe
opioid withdrawal in OB: Has been used psychological deeply every 2 hr to prevent
physically during labor but dependence, atelectasis.
dependent patients. may cause respiratory tolerance. 6. Advise patient to avoid
Therapeutic depression in the concurrent use of alcohol
Effects: Decreased newborn; or other CNS depressants with
pain. Geri: Dosepsuggested. this medication.

Pharmacokinetics Evaluation/Desired Outcomes

Absorption: Well ● Decrease in severity of pain
absorbed after IM without significant alteration in
and subcut level of consciousness or
administration respiratory
status.
Distribution:
Probably crosses
the placenta and
enters breast milk.
Protein Binding:
50%.
Metabolism and
Excretion: Mostly
metabolized
by the liver and
eliminated in the
feces via biliary
excretion. Minimal
amounts excreted
unchanged by
the kidneys.

Half-life: Children
1–8 yrs: 0.9 hr;
Adults: 3.5–5
hr.

CReference:
Vallerand, A. H.,
Sanoski, C. A.,
& Deglin, J. H.
(2013). Davis’s
Drug Guide for
Nurses (13th
ed.). F.A. Davis
Company.

ROMERO, JEAR F.
NAME OF STUDENT