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Name of Mechanism of Dosage Indications Contraindication Adverse reaction Nursing alert

Drug Action
Generic Vitamin K is The For those In patients Decreased appetite; decreased  If you take warfarin (a blood
Name: integrally recommend with vitamin receiving movement or activity; difficulty thinner), you should know
Vitamin K involved in the ed dietary K deficiency, anticoagulants inbreathing; enlarged liver; that vitamin K or foods
clotting allowance thus usually (blood thinners) general body swelling; containing vitamin K can
Brand mechanism of (RDA) for more likely as vitamin K irritability; muscle stiffness; affect how the drug works.
Name: blood. A vitamin K to have decreases the paleness; yellow eyes or skin.
AquaMEPH deficiency of is 80 mg bruising Effects of these  Vitamin K deficiency is
YTON, vitamin K per day for and bleeding. drugs. Less common: Difficulty in very rare. It occurs when the
Mephyton results in adult males Vitamin K is swallowing; fast or irregular body can't properly absorb
decreased blood and 65 mg routinely breathing; lightheadedness or the vitamin from the
levels of per day for given to fainting; shortness of breath; intestinal tract.
prothrombin adult newborn skin rash, hives and/or itching;
and clotting females, infants to swelling of eyelids, face, or lips;  Vitamin K deficiency can
factors IV, IX, and 5 prevent tightness in chest; troubled also occur after long-term
and X, with mg/day for bleeding breathing and/or wheezing. Blue treatment with antibiotics.
subsequent the problems. color or flushing or redness of
hemorrhagic newborn skin; dizziness; fast and/or weak  If you are taking
tendencies infant. heartbeat; increased sweating; anticoagulant medicine
low blood pressure (temporary). (blood thinners), the amount
of vitamin K in your diet
Rare: Flushing of face; redness, may affect how well these
pain, or swelling at place of medicines work. Your
Injection; skin lesions at place of doctor or health care
injection (rare); unusual taste. professional may
recommend changes in your
diet to help these medicines
work better.
Generic Brand Name Indication Side Effect Contraindication Nursing Responsibilities

Ferrous sulfate Feosol • Prevention and • Constipation; • Hypersensitivity • Advice patient to take
treatment of iron medicine as prescribed.
deficiency anemia. • Darkened or • Severe hypotension • Caution patient to make
green stools; position changes slowly to
• Dietary supplement minimize orthostatic
for iron. • Diarrhea hypotension.
• Instruct patient to avoid
• Nausea concurrent use of alcohol or
OTC medicine without
• Stomach upset. consulting the physician.
• Advise patient to consult
physician if irregular
• Teeth Stain if
heartbeat, dyspnea, swelling of
liquid
hands and feet and
hypotension occurs.
• Inform patient that angina
attacks may occur 30 min.
after administration due reflex
tachycardia.
• Encourage patient to comply
with additional intervention
for hypertension like proper
diet, regular exercise, and
lifestyle changes and stress
management.
Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: Impaired After 4 days of  Identify energy Limits fatigue will After 4 days of
“hirap na syang physical nursing conserving maximize Nursing intervention
kumilos” as mobility intervention, the techniques for participation the patient was able
verbalized by the Secondary to patient ADL’s. to participate in
patients caregiver. old age related will participate in  Encourage Promotes well ADL’s and desired
to decreased ADL’s and desired adequate intake of being and activities and was
Objective: muscle strength activities and will fluids/nutrition maximizes energy able to maintain or
V/S Taken: as manifested maintain or increase foods. production increase strength
BP: 110/80 by limited strength and function  Consult with and function of
PR: 74 range of motion of affected and or physical/occupati To develop affected and or
RR: 22 compensatory body onal therapist, as individual compensatory body
T: 36.6 part. indicated exercise/mobility part.
 Slowed program and
movement identify appropriate
 Limited mobility devices
range of motion
 Limited
ability to
perform
gross/fine motor
skills
Assessment Diagnosis Planning Intervention Evalutaion

Subjective: Ineffective After 3 hours of Independent: After 3 hours of nursing


“Parang nahihirapan airway clearance nursing • Assess rate/depth of respirations and intervention the patient
syang huminga dahil related to increased intervention the chest movement. displayed patent airway with
sa ubo nya” as sputum production patient will display breath sounds clearing,
verbalized by the as evidenced by patent airway with • Auscultate lung fields, noting areas of absence of dyspnea
patient’s mother. dyspnea, abnormal breath sounds decreased/absent airflow and
breath sounds and clearing, absence adventitious breath sounds.
Objective: cough of dyspnea
• Dyspnea • Elevate head of bed, change position
• Abnoraml breath frequently.
sounds
• Cough • Suction as indicated.
• V/S Taken:
Temp- 37 Dependent:
RR- 55 • Administer medications such as
PR- 152 analgesics, mucolytics, expectorants,
bronchodilators as ordered by the
doctor.

Collaborative:
• Assist with laboratory & diagnostic
studies as indicated (e.g. CXR, ABGs,)

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