DRUG NAME MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECT

ACTION

Generic name: Interferes with bacterial ∙ Group B ∙ Hypersensitivity to CNS: headache,

CEFTRIAXONE cell wall synthesis and
division by binding to ∙ bacteremia
Brand name: cell wall, ∙ meningitis
Rocephin causing cell to die.
Active against gram-
Dosage: negative and gram-
2 g IV OD for 14 days positive bacteria, with
expanded activity
Pharmacologic against gram-negative
class: Third- bacteria.
generation Exhibits minimal
cephalosporin immunosuppressant
Therapeutic class: activity.
Anti-infective
streptococcal cephalosporins or confusion,
penicillin, allergies hemiparesis,
lethargy, paresthesia,
Use cautiously in: syncope, seizures
∙ Renal impairment, CV: hypotension,
hepatic disease, palpitations, chest
pain, vasodilation
gallbladder disease,
EENT: hearing loss
phenylketonuria
GI: nausea, vomiting,
∙ History of GI
diarrhea,
disease, diarrhea
abdominal cramps, ora
following
antibiotic therapy candidiasis,
pseudomembranous
colitis, pancreatitis,
Clostridium
difficile–associated
diarrhea GU: vaginal
candidiasis
Hematologic:
lymphocytosis,
eosinophilia, bleeding
tendency, hemolytic
anemia,
hypoprothrombine
mia, neutropenia,
thrombocytopenia,
agranulocytosis,
bone marrow
depression Hepatic:
jaundice,
hepatomegaly
Musculoskeletal:
arthralgia Respiratory:
dyspnea
Skin: urticaria,
maculopapular or
erythematous
rash
Other: chills, fever,
superinfection,
pain at I.M. injection
site, anaphylaxis,
serum sickness
 DRUG MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE
NAME ACTION EFFECTS

Generic name: General Action: ∙ antimicrobial Serious hypersensitivity to CNS: Seizures,

MEROPENEM agent for the other beta-lactams Dizziness,Heada
Binds to bacterial cell wall treatment of multi (penicillins or che RESP:
Brand name: resulting to cell death. drug resistant cephalosporins; cross Apnea
Merrem Meropenem resists the sensitivity may occur). GI:
action of many enzymes Pseudomembranou
Dosage: that degrade s colitis,
1.1 g IV q 8 hours most other penicillin and Constipation,
penicillin - like anti Diarrhea, Glossitis,
Pharmacologic: infectives. Nausea,Thrush,
carbapenems Vomiting
Therapeutic class: Therapeutic effects: DERM: Monoliatis,
anti infectives Bactericidal action Pruritusrash
againstsusceptible LOCAL:
bacteria. Inflammation at
theinjection site

GORDON’S TYPOLOGY OF 11 FUNCTIONAL HEALTH

PATTERNS
HEALTH PERCEPTION – HEALTH MANAGEMENT
PATTERN
BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS
On a scale of 1 to 10, where 1 is the lowest and 10 On a scale of 1 to 10, where 1 is the lowest and 10 is
is the highest, he gave a score of 9 about his the highest, he gave a score of 4 about his health
health perception.He has no serious illness nor perception.“Pirmi nala ako nakahigda dinhi ha
any previous hospitalization. He has no allergies hospital, ngan namimingaw ako tak mga kabugto-an.
to food and no known allergies to medication.
He perceives that the food served by his
mother keeps him healthy and fit. He doesn’t
smoke nor drink and eats his meals three
times a day.

NUTRITIONAL – METABOLIC PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Their usual food at home are papaya, banana,
pakong,fried chicken, and tinola in which he
eats 3 times a day with 2 cups of rice with 5
glasses of water per day.
He still eats 3 meals a day. His usual meal in the
hospital are noodles, boiled egg, sayote, okra and
kalabasa with a cup of rice. No difficulty on eating
alone. He would finish a 1 and a
half liter of water every meal.

ELIMINATION PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

He would have 1-2 bowel movement and Now, patient is on diaper with assistance of his
urinates 3-5 timesin a day. He finds no problem elder sister on bathing. Nothing has changed on the
in urinating and defecating. pattern of his defecation and urination. With
impaired emptying bladder.

ACTIVITY – EXERCISE PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient has sufficient energy for desired or Unable to ambulate, movement is now slower
required activities. Is able to maintain long and weaker. He exercises his extremities with
standing hours and was able to play basketball assistance of SO.
in their school.

SLEEP – REST PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

The patient did not find any trouble falling asleep He has sudden awakening usually at 1 or 2 am
and waking up. He would usually sleep at 10 pm because he is still not used with the environment
and wakes up at 5am. He has ample amount of of the hospital.
rest and sleep at home.

COGNITIVE – PERCEPTUAL PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient has no hearing problem. His right eye
still have perception but with limited range and
focus. His memory and concentration were at
its optimum level. He can easily decide on
important decision whether it is easy or difficult
to make.
Patient still has no hearing problem, and His
righteye still have perception but with limited
range and focus. Patient has good memory and is
still oriented to time, place, person, and situation.

SELF – PERCEPTION AND SELF – CONCEPT

PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient is an optimistic and positive person He sometimes feels bad about himself for being
with good self-perception. He has good admitted at the hospital, because that means
patience and understanding, and he is not they will face a financial crisis.
easily angered.
 ROLE – RELATIONSHIP PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient considers himself a responsible brother He feels alone for some time. He became very
to his siblings and an obedient child to his shy because there are lots of strangers in the
parents. hospital.

SEXUAL – REPRODUCTIVE PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient has no problem with his sexuality No changes during admission.
and reproductive pattern.

COPING – STRESS TOLERANCE PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

One coping mechanism of the patient is through
talking with his siblings. Patient is able to
verbalize appropriate emotions, verbal
communication and interacts well with his
support system.
Patient claims that he sometimes feels
stressed. Client continues to communicate with
his support system whenever he encounters
problems.

VALUE – BELIEF PATTERN

BEFORE THE COURSE OF ILLNESS AFTER THE COURSE OF ILLNESS

Patient is a Roman Catholic. He is God Patient continues to have strong faith and
fearing andbelieves that God is very would pray every day for his healing.
important in his life.

PHYSICAL EXAMINATION
General Appearance Client is lying on bed in supine position, able to
communicate and follow verbal commands. With facial
grimace of 4 (moderate) noted.

Vital Signs: Temperature: 36.5 °C

HR: 102 bpm
RR: 21 cpmBP:
90/100
O2 sat: 96%

Skin, Hair, and Nails Dark brown, warm to touch, turgor intact.
Skin: Inspection reveals evenly colored skin tones.
Nocyanosis noted.

Black colored hair, short and straight. No

Hair: scalplesions noted.

Nails plates are soft. Nails are short and clean

Nails: with Capillary refill at 2 seconds and no
clubbing noted.

Head and Neck Head is normally hard without lesions. No

Head: swellingand tenderness noted.

Neck is symmetric with no bulging masses.

Neck: Noactive lesions noted.

Eyebrows sparse with equal distribution. Pale

palpebral conjunctiva noted. Sclera is white
Eyes: nolesions noted.

Auricle equal in size and aligned. Mastoid process

Ears: non tender.
Mouth, Throat, Nose, Sinuses Lips are dry with no lesions or ulcerations.
Mouth:
Nares patent. Nasal septum in midline without
Nose: deviation.

Thorax and Lungs No use of accessory muscles when breathing.

Heart and Neck Vessels No carotid bruit or jugular vein distention noted.

Abdomen Abdomen is soft and non-distended, without

lesions noted. Umbilicus in midline.

Musculoskeletal Decrease muscle tone

Extremities: Muscle pain on both upper and lower
extremities. Weakness on both arms and legs.

DOÑA REMEDIOS TRINIDAD ROMUALDEZ

MEDICAL FOUNDATION COLLEGE OF
NURSING

GUILLAINE-BARRE
SYNDROME

Submitted by:
Anasarias, Zabelle
Ang, Janalee Angela
Aranas, Nicko
Balios, Donna Grace
Basijan, Varielane
Berino, Jaquelyn
Bertos, Ivy
Borata, Fiel Andrei
Borromeo, Kriztian Ralph

GROUP B