Central Mindanao University

COLLEGE OF NURSING
University Town, Musuan, Maramag, 8710 Bukidnon Tel
No. 088-356-1910/13 Tele-Fax No. 088-356-1912
Email Add: nursing@cmu.edu.ph
Website: www.cmu.edu.ph

CARE OF MOTHER AND CHILD AT RISK OR WITH

PROBLEMS
(Acute and Chronic)

CLINICAL WORKBOOK
(Pediatric Nursing)

NIKKA T. DABLIO
Name of Student

Ellen Gay S. Intong, DM, RN Mark Ryan Y. Contaoi, Ph.D., RN

Ellen Vic N. Agolito, DM, RN Neda Joy L. Espina, MAN, RN, LPT
Emvie Loyd P. Itable, MAN, RN Geobelle I. Taal, MAN, RN
Richard T. Dumaguit, MSN, RN Lal Joy L. Sanchez, MAN, RN
Mila C. Canada, MN, RN Sean C. Dignadice, RN
Lharra Mae C. Postrano, RN, LPT Hanely Mae P. Luceno, RN
Mohammed Bien M. Kulintang, MAN, RN, CHA, OHN, LPT

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 WEEK 1

GENERAL OBJECTIVE AND SPECIFIC OBJECTIVE (GOSO)

Name : Date: March 01, 2022

Hospital: Bukidnon Provincial Hospital - Maramag Shift: 700 am – 3:00 pm
Area: PEDIA - WARD
Clinical Instructor: Ms. Lal Joy Sanchez – Ruba, RN

GENERAL OBJECTIVE
1 DAY
ST
2ND DAY
To develop attitude, knowledge and skills To enhance attitude, knowledge and skills
through working on this training, and be able through working on this training, and be able
to appreciate the importance of team work and to appreciate the importance of team work and
working under a directory. working under a directory.

SPECIFIC OBJECTIVES
1 DAY
ST
Knowledge:
1. To gather data appropriately and
completely, then validating it.
2. To analyze and interpret collected data.
Skills:
1. To show ability to give and respond to the 1. To be able to give health teachings clearly
care needed by the patient.
2. To perform procedure properly such as
doing physical assessment, taking VS, and
giving medication as ordered.
Attitude:
1. To be punctual regularly in attendance.
2. To report to the area neatly and well-
groomed and adhere to dress code
2ND DAY
Knowledge:
1. To demonstrate knowledge in identifying
nursing problems and categorizing it
according to the patients’ need.
2. To explain or discuss the report clearly
and able to answer question correctly.
Skills:
to the patient.
2. To communicate effectively in identifying
the needs of the patient.
Attitude:
1. To be polite and respectful to self and
others
2. To work harmoniously with others

DAILY PLAN OF ACTIVITIES

ACTIVITIES
TIME 1 DAY
ST
2ND DAY
6:30 AM Travel to hospital Travel to hospital
7:00 AM Endorsement Endorsement
Preparation: medications, drug Preparation: medications, drug study,
7:30 AM
study, instruments instruments
Patient care
8:00 – 12:00 PM Patient care

12:00 – 12:30
Lunch break Lunch break
PM
Patient care
12:30 – 3:30 PM Patient care

3:30 PM Endorsement Endorsement

4:00 PM Travel home Travel home

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 PATIENT’S HEALTH PROFILE
Instructions: Kindly fill up the information below thru interview of the patient or
significant others. Be sure to write legibly and accurately.

I. Biographical Data

HRN : N/A Age: 1 Y/O

Birth Date : FEBRUARY 01, 2021 Sex:MALE
Civil Status : SINGLE Religion: RC
:
Address : P-1 KABUSUGAN, KITAOTAO, BUKIDNON Height: N/A
Educational Attainment : N/A Weight: 10 kg
Ethnic Group : N/A Vital Signs
Admission’s Date & Time: MARCH 01, 2022 8:00 AM BP: N/A
Attending Physician : DR. APUGAN RR: 68 CPM
Impression/Diagnosis : PEDIATRIC COMMUNITY ACQUIRED PR: 143 BPM
PNEUMONIA-MODERATE RISK Temp: 38.6 C

II. Client’s History

A. General Health Status:

Patient is awake, weak, and irritable. VS: HR – 143 bpm; RR – 68 cpm; 0 2 Sat – 90%; Temp – 38.6
C; Weight – 10 kg; with dry mucous membranes, (+) wheezes, rales/crackles/ronchi; cough,
fever, and fast breathing

B. Chief Complaints:
Fever, cough, and fast breathing

C. History of Present Illness

3 days PTA, pt. had onset of cough & fever with a temperature  maximum of 39 degree Celsius
Pt. was given with Salbutamol & Disudrin syrup for cough and  paracetamol drops by mother but
without relief. Few hours PTA, pt had fast breathing & cough  worsene

D. Family Health History (Narrative):

Paternal History
The patient’s paternal side is positive with hypertension, diabetes mellitus, seizure, and asthma.

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Maternal History
The patient’s maternal side is positive with asthma

E. Personal History:

a. Prenatal and Birth History

Mother’s Age: 27 Y/0 G: 2 P: 2 (T: 2 , P: 0 , A: 0 , L: 2 )
Birth Weight: NO DATA
Type of delivery: ( ) NSVD (/) CS due to: NO DATA
Age of Gestation: NO DATA ( ) Term, ( ) Preterm;
Place of Delivery: (/) Hospital ( ) LHC ( ) Others:
Complication/s at Birth: Yes ( ); No (/)
If yes, please specify: N/A

b. Feeding History
( ) Breastfeeding (/) Milk formula Duration:
Age solid foods introduced: Vitamin supplement:

F. Hospitalization History:
Patient was hospitalized on July 2021 with complaints of cough, fever, and convulsion at
Simbulan General Hospital with home medications of Montelukast and prednisone

G. Childhood Illness: (Past illnesses)

[ ] Allergies [ ] Childhood Disease [ ] Asthma [ ] Chicken pox
[ ] Measles [ ] Mumps [ ] Tonsillitis
[ ] Operations: [ ] Others:

H. Immunizations:

BCG / HEPA B 3 DOSES DPT 3 DOSES OPV/PV 3 DOSES

Hib Measles / MMR PCV

Typhoid Hepa A Varicella

Others

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 HEAD TO TOE PHYSICAL ASSESSMENT

Instructions: Kindly accomplish this matrix. Be sure to fill out with normal and
abnormal findings. Follow the IPPA or IAPP (Inspection, Percussion, Palpation and
Auscultation) format. (Only for systems that are applicable)

Areas to be 1ST DAY 2ND DAY

Assessed

Normal Findings:
General Awake
Survey/Mental -
Status Abnormal Findings:
weak and irritable

Normal Findings:
light to dark brown skin with no
swelling; good skin turgor
Integumentary -
Abnormal Findings:
Nails are bluish in color with 4
sec capillary refill

Normal Findings:
hair is black with equal
Head & Face distribution; Face is -
symmetrically aligned with no
lesion

Neck - -

Normal Findings:
Eyes pupils equally reactive to light -
and accommodation

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 Ears
- -

Normal Findings: · Nose is

symmetric and straight · no
Nose & Sinuses discharge Abnormal Findings: • -
nasal flaring is noted with dry
mucous

Mouth & Throat - -

Abnormal Findings: · (+)

wheezes, rales/crackles/ronchi in
Lungs & Thorax both lung fields · visible use of -
accessory muscles during
breathing

Breasts & - -
Axillae

Abnormal Findings: · Nails are

Heart bluish in color with capillary refill -
of 4 secs

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 Abdomen Normal Findings:
smooth to touch; round and
symmetrical; rises with -
inspiration in synchrony with
chest

NUTRITION
(BMI: Ideal Body Normal Findings:
-
Weight, Height, Weight: 10 kg
Waist to Hip
Ratio)

Normal Findings:
Both upper and lower extremities
have good range of motion
without limitations
Musculoskeletal -
Abnormal Findings:
visible use of accessory muscles
during breathing

Genitourinary - -

Neurologic - -

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Date: March 01, 2022
Patient’s Name:  Justine B. Nagparaya
Age/Sex: Male/1 y/o

Instruction: Encircle the appropriate score that corresponds to the parameter being
assessed.
PARAMETER CRITERIA SCORE
Less than 3 years old 4
AGE 3 to less than 7 years old 3
7 to less than 13 years old 2
13 years old and above 1
GENDER Male 2
Female 1
Neurological Diagnosis 4
Alterations in Oxygenation (Respiratory
Diagnosis, Dehydration, Anemia, Anorexia, 3
DIAGNOSIS Syncope/Dizziness, etc.)
Psych/Behavioral Disorders 2
Other Diagnosis 1
Not aware of limitations 3
COGNITIVE Forgets limitation 2
IMPAIRMENTS Oriented to own ability 1
History of falls or infant-toddler placed in 4
bed
Patient uses assistive device or
ENVIRONMENTAL infant-toddler in crib or 3
FACTORS furniture/lighting (tripled room)
Patient placed in bed 2
Outpatient area 1
Within 24 hours 3
RESPONSE TO Within 48 hours 2
SURGERY/SEDATI More than 48 hours/none 1
ON/ANESTHESIA
Multiple usage of:
Sedatives (including ICU patients sedated &
paralyzed)
Hypnotics
MEDICATION Barbiturates 3
USAGE Phenothiazines
Anti-depressants
Laxatives/diuretics
Narcotic

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 One of the meds listed above 2
Other medications/None 1
TOTAL 15
Interpretation:
Score Interpretation Note
12 and above High Risk for Fall The highest score to be garnered is 23 points.
7 – 11 Medium Risk for Fall
6 and below Low Risk for Fall

DEVELOPMENTAL STAGES OR MILESTONE

1. Developmental History (Mention month or year when the following were

performed )

Up to 1 year:

(/) smiled ( ) held head ( ) rolled over (/) crawled ( ) Sat with support
(/) Spoke single word ( ) stood with support ( ) First tooth

From 1 year to 3 years:

walked with support

walked alone /
Handedness /
Used sentences
toilet trained

4 to 17 years:
School performance ( ) poor, ( ) average, ( ) excellent
LMP/Menarche

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 2. Developmental Theories

Instruction: Provide brief descriptions of the various developmental tasks of your patient in accordance to the different developmental theories. (Pertains only
to the child’s age)
Stages FREUD
(Psychosexual)
Oral Stage: Birth to 1 year
Erogenous zone: Mouth
During the oral stage, the
Stage infant's primary source of
Description
interaction occurs through the
mouth, so the rooting and
sucking reflex is especially
important. The mouth is vital
for eating, and the infant
derives pleasure from oral
stimulation through gratifying
activities such as tasting and
sucking.
ERIKSON PIAGET
(Psychosocial)
Stage 1: Infancy, trust vs
mistrust: Age 0 – 1 ½
During this stage, the infant is
uncertain about the world in
which they live, and looks
towards their primary caregiver
for stability and consistency of
care. If the care the infant
receives is consistent,
predictable and reliable, they
will develop a sense of trust
which will carry with them to
other relationships, and they
will be able to feel secure even
when threatened.
KOHLBERG HAVIGHURST
(Cognitive) (Moral Reasoning) (Developmental Tasks)
Sensorimotor stage: birth to 2
years
During this earliest stage of
Preconventional Morality
cognitive development, infants
(Stage 2: Individualism and Infancy and early childhood
and toddlers acquire knowledge
Exchange) Learn to walk, talk, use the
through sensory experiences
Definition of what is “good”: toilet, form relationships with
and manipulating objects. A
Action that is agreeable to the others
child's entire experience at the
child and child’s partner
earliest period of this stage
occurs through basic reflexes,
senses, and motor responses.

Mother reported that her baby

Mother reported that her baby
Student sits without leaning on anything
sits without leaning on anything
According to the mother, the or being held up with belly
Nurse’s The patient is on formula for or being held up with belly If the parents left him alone, the
Observation patient cries when they leave; crawl, creep on hands and knees
nourishment and is reliant on crawl, creep on hands and knees toddler would have tantrums by
he extremely relies on them for at 11 mos. They also exclaimed
the parents who is feeding him. at 11 mos.  The parents also crying or throwing items.
comfort and security. that the patient is already
added that he just started to
starting to talk; he can say “ma”
throw small things.
“dada” at 1 year old.

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DIAGNOSTIC PROCEDURE INDICATIONS & PURPOSES RESULTS/ INTERPRETATION NORMAL VALUES NURSING
RESPONSIBILITIES
Complete Blood Count (CBC) A complete blood count (CBC) is a WBC: 15,000x10 3/uL 5,000-10,000 Monitor vital signs, capillary refill,
blood test used to evaluate your overall Monocyte: 2.7 3-12 skin color, and pulse pressure; measure
health and detect a wide range of and assess intake and output; establish
disorders. A complete blood count test 24-hour fluid replacement needs;
measures several components and monitor pain; increase oral fluids.
features of your blood, including: Red
blood cells, which carry oxygen.

Chest Radiograph (CXR- AP) Chest x-ray uses a very small dose of Retricular, hazy infiltrates are seen in Normal chest X-ray shows normal size Remove all metallicobjects. Items such
ionizing radiation to produce pictures both inner to midline lung zones and and shape of the chest wall and the as jewelry, pins, buttons etc can hinder
of the inside of the chest. It is used to retrocardiac region main structures in the chest; white the visualization of the chest. Provide
evaluate the lungs, heart and chest wall Tracheal air column is at the midline shadows on the chest X-ray signify appropriate clothing. Patients are
and may be used to help diagnose The heart is not enlarged solid structures and fluids such as, instructed to remove clothing from the
shortness of breath, persistent cough, Both hemidiaphragm and costophrenic bone of the rib cage, vertebrae, heart, waist up and put on an X-ray gown to
fever, chest pain or injury. sulci are intact. aorta, and bones of the shoulders. wear during the procedure.
The rest of the included osseous Provide comfort. If the test is
structures are unremarkable facilitated at the bedside, reposition the
Impression: Bilateral Pneumonia patient properly.
COVID Ag Test Antibody or serology tests look for It is a nursing responsibility to ensure
antibodies in your blood that fight the that the patient has had the appropriate
virus that causes COVID-19 preparation. For example: a special
diet or fasting. (2) It is a nursing
responsibility to be aware of the
normal and abnormal ranges of blood
tests, in order to understand the
significance of the test results.
Urinalysis (U/A) A urinalysis is a test of your urine. It's Color – Yellow (light/pale to dark/deep Make sure the patient drinks
used to detect and manage a wide amber) adequate amount of water for an
range of disorders. A urinalysis Bacteria – None/absent adequate urine sample. The patient
involves checking the appearance, WBCs - ≤2-5 WBCs/hpf should void in a clean container.
concentration and content of urine. RBCs - ≤2 RBCs/hpf
Ensure the delivery of the urine
sample to the lab.

MEDICAL MANAGEMENT & NURSING RESPONSIBILITIES

12
 Instructions: Fill – out the necessary information required on the tables.
A. Intravenous Fluid Therapy and Nursing Responsibilities
Medical Management General Description Indication or Purpose Nursing Responsibilities
D5 0.3 Nacl ( Fluids 5% D5 0.3NaCl is a hypertonic solution owing to the To compensate cellular dehydration and corrects  Verify the doctor’s order indicating the
dextrose in 0.3% Sodium higher-than-normal amount of Na and Cl ions. It moderate fliud loss, prevents alkalosis provides type of solution, the amount to be
Chloride) pulls fluid and electrolytes from the intracellular calorie and NaCl administered, the rate of flow of the
and interstitial compartments into the infusion and any allergies
intravascular compartments.  Obtain IV solution and check for the
sediments and any crack or leak from the
D5IMB ( Fluid balance D5 IMB is a hypertonic solution, which makes t is used to supply the necessary nutrients to the container.
multiple maintenance the cell shrink. It is composed of water and patient  Check also for the expiration date.
solution with 5% dextrose) carbohydrates as source of energy and both  Check fluid discoloration or defect. If
cations and anions. noted, dispose the defected tubing and
get another.
 Assess client’s vital signs for baseline
data, skin turgor, bleeding tendencies,
disease, or injury to the extremities,
status of vein to determine the
appropriate puncture site.
 Check for swelling around the site for IV
infiltration.
 Assess for any signs of edema or bulging
of vein if it is not properly inserted.
 Regulate IVF as ordered. Apply a
medication label on the solution if a
medication is added.
 Observe for the reaction of the patient to
the solution given.

13
II. Pharmacotherapy & Nursing Responsibilities

Drug General Action
Generic Name: Cefuroxime is a bactericidal agent that
acts by inhibition of bacterial cell wall
synthesis. Cefuroxime has activity in
Cefuroxime the presence of some beta-lactamases,
both penicillinases and
cephalosporinases, of Gram-negative
and Gram-positive bacteria.
Brand Name:
Indications or Purpose
Susceptible mild to moderate
infections including
pharyngitis/tonsillitis, acute maxillary
sinusitis, chronic bronchitis, acute
otitis media, uncomplicated skin and
skin structure, UTIs, gonorrhea, early
Lyme disease
Contraindications
Cefuroxime is contraindicated in
patients with cephalosporin
hypersensitivity or cephamycin
hypersensitivity. Cefuroxime should
be used cautiously in patients with
hypersensitivity to penicillin. The
structural similarity between
cefuroxime and penicillin means that
cross-reactivity can occur.
Side Effects &
Adverse Reactions
Nausea, vomiting, diarrhea, strange
taste in the mouth, or stomach pain
may occur. Diaper rash may occur in
young children. Dizziness and
drowsiness may occur less frequently,
especially with higher doses.
Nursing
Responsibilities
Monitor signs of allergic reactions and
anaphylaxis, including pulmonary
symptoms (tightness in the throat and
chest, wheezing, cough dyspnea) or
skin reactions (rash, pruritus,
urticaria). Notify physician or nursing
staff immediately if these reactions
occur.

Zinnat

Classification:

Cephalosporin antibiotics

Dose & Route:

340 mg IVTT Q8H

ANST

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 Drug General Action Indications or Purpose Contraindications Side Effects & Nursing
Adverse Reactions Responsibilities
Generic Name: Salbutamol relaxes the smooth Salbutamol is indicated for (i) Salbutamol sulphate is  headache. Monitor respiratory rate,
muscles of all airways, from the symptomatic relief and contraindicated in patients with  feeling nervous, oxygen saturation, and lungs
the trachea to the terminal prevention of bronchospasm hypersensitivity (allergy) to any restless, excitable sounds before and after
Salbutamol bronchioles. Salbutamol acts as due to bronchial asthma, of the active substances or the and/or shaky. administration. If more than
a functional antagonist to relax chronic bronchitis, reversible excipients. Salbutamol and  fast, slow or uneven one inhalation is ordered, wait
the airway irrespective of the obstructive airway disease, and non-selective beta-blocking heartbeat. at least 2 minutes between
spasmogen involved, thus other chronic drugs, such as propranolol,  bad taste in the mouth. inhalations. Use a spacer device
Brand Name: protecting against all bronchopulmonary disorders in should not usually be  dry mouth. to improve drug delivery, if
bronchoconstrictor challenges. which bronchospasm is a prescribed together. Caution is  sore throat and cough. appropriate.
complicating factor, and/or (ii) also advised in patients using
 inability to sleep.
Proventil, Ventolin
the acute prophylaxis against cardiac glycosides.
exercise-induced bronchospasm
and other stimuli known to
induce bronchospasm
Classification:

Bronchodilators

Dose & Route:

neb Q15 mins x 3 doses

then 1 neb Q 4H

15
 Drug General Action Indications or Purpose Contraindications Side Effects & Nursing
Adverse Reactions Responsibilities
Generic Name: Ipratropium is an acetylcholine Ipratropium oral inhalation is used to closed angle glaucoma. dizziness Advise patients not to exceed the
antagonist via blockade of muscarinic prevent wheezing, shortness of breath, blockage of the urinary bladder. nausea prescribed dose.
cholinergic receptors. Blocking coughing, and chest tightness in enlarged prostate. heartburn
cholinergic receptors decreases the people with chronic obstructive an inability to completely empty the constipation Rinse mouth after each use of the
Ipratropium production of cyclic guanosine pulmonary disease (COPD; a group of bladder dry mouth inhaler.
monophosphate (cGMP). This diseases that affect the lungs and difficulty urinating
decrease in the lung airways will lead airways) such as chronic bronchitis pain when urinating Frequent drinks and the use of sugar-
to decreased contraction of the smooth (swelling of the air passages that lead frequent need to urinate free gum can help with dry mouth.
muscles. to the lungs) and emphysema (damage back pain
Brand Name: to the air sacs in the lungs). Seek medical attention if more than
serious side effects: the usual dosage is required.
rash
hives
Atrovent, and Atrovent itching
HFA swelling of the eyes, face, lips, tongue,
throat, hands, feet, ankles, or lower
legs
hoarseness
Classification: difficulty breathing or swallowing
fast or pounding heartbeat
Bronchodilators chest pain

Dose & Route:

neb Q15 mins x 3 doses

then 1 neb Q 4H

16
 Drug General Action Indications or Purpose Contraindications Side Effects & Nursing
Adverse Reactions Responsibilities
Generic Name: Hydrocortisone binds to the Collagen diseases. Systemic lupus inactive tuberculosis. Blistering, burning, crusting, dryness, Monitor signs of hypersensitivity
glucocorticoid receptor leading to erythematosus. herpes simplex infection of the eye. or flaking of the skin. reactions or anaphylaxis, including
downstream effects such as inhibition Dermatological diseases. Severe an infection due to a fungus. irritation. itching, scaling, severe pulmonary symptoms (tightness in the
of phospholipase A2, NF-kappa B, erythema multiforme (Stevens- intestinal infection caused by the redness, soreness, or swelling of the throat and chest, wheezing, cough,
Hydrocortisone other inflammatory transcription Johnson syndrome) roundworm Strongyloides. skin. redness and scaling around the dyspnea) or skin reactions (rash,
factors, and the promotion of anti- Allergic states. pheochromocytoma. mouth. pruritus, urticaria). Notify physician or
inflammatory genes. Gastro-intestinal diseases. a condition with low thyroid hormone nursing staff immediately if these
Respiratory diseases. levels. reactions occur. Assess any muscle or
diabetes. joint pain.
Brand Name: insufficiency of the hypothalamus and
pituitary gland.
Hydrocort, Alphosyl,
Aquacort, Cortef,
Cortenema, and Solu-
Cortef.

Classification:

Corticosteroid

Dose & Route:

40 mg IVTT q6H

17
 Drug General Action
Generic Name: Paracetamol has a central analgesic
effect that is mediated through
activation of descending serotonergic
pathways. Debate exists about its
Paracetamol primary site of action, which may be
inhibition of prostaglandin (PG)
synthesis or through an active
metabolite influencing cannabinoid
receptors.
Brand Name:
Indications or Purpose
Paracetamol is a mild analgesic and
antipyretic, and is recommended for
the treatment of most painful and
febrile conditions, for example,
headache including migraine,
toothache, neuralgia, colds and
influenza, sore throat, backache,
rheumatic pain and dysmenorrhoea.
Contraindications Side Effects & Nursing
Adverse Reactions Responsibilities
caloric undernutrition. low fever with nausea, stomach pain, Check that the patient is not taking any
acute liver failure. and loss of appetite; other medication containing
liver problems. dark urine, clay-colored stools; or. paracetamol. - For children who may
a condition where the body is unable jaundice (yellowing of the skin or refuse medicine off a spoon try using a
to maintain adequate blood flow called eyes). medicine syringe to squirt liquid
shock. slowly into the side of the child's
acetaminophen overdose. mouth or use soluble paracetamol
acute inflammation of the liver due to mixed with a drink.
hepatitis C virus

Tempra

Classification:

Analgesic, antipyretic

Dose & Route:

1.2 ml PO Q4H PRN for

T- >37.8

18
 Drug General Action
Generic Name: These medicines contain
Phenylephrine HCl and
Phenylephrine Chlorphenamine maleate.
HCl and Phenylephrine HCl, a nasal
Chlorphenamine decongestant, clears obstructed air
maleate passages and nasal sinuses due to
congestion making breathing easier. It
also reduces postnasal drip.
Chlorphenamine maleate, an anti-
Brand Name: allergy, relieves symptoms of allergy
such as runny nose, sneezing, and -
itchy, watery eyes
Indications or Purpose Contraindications Side Effects & Nursing
Adverse Reactions Responsibilities
These medicines are used for the relief If patient is allergic to any ingredient CNS: Anxiety, restlessness, tremors, Observe caution while driving or
of clogged nose, runny nose, itchy, in the product. If patient has high weakness, insomnia, dizziness, fever, performing other tasks requiring
watery eyes, and sneezing associated blood pressure or severe heart disease headache EENT: Irritation, burning, alertness. • Before taking this
with the common cold, upper airway unless recommended by a doctor. If sneezing, stinging, dryness, rebound medication, tell the doctor if patient
cough syndrome (postnasal drip patient is pregnancy or breastfeeding. congestion GI: Nausea, vomiting, has: high blood pressure or any type of
syndrome), allergic rhinitis, and other anorexia INTEG: Contact dermatitis heart problems; glaucoma; thyroid
minor respiratory tract infections. problems; diabetes; an enlarged
They also help decongest sinus prostate, bladder problems or
openings and passages difficulty urinating. • If symptoms do
not improve or new sympt

Disudrin

Classification:

Nasal
decongestants

Dose & Route:

200mg IVTT q 4hrs for

Temp >39.0 C

19
 DIET & ACTIVITY MANAGEMENT & NURSING RESPONSIBILITIES

Type of Diet/Activity General Description Indication or Purposes Restricted Nursing Responsibilities

Foods/Activities
NPO NPO means “nothing by mouth,” The typical reason for NPO 1. Teach the patient as well as the
from the Latin nil per os. A period instructions is the prevention of family of the patient about the
of time in which the patient should aspiration pneumonia importance of the diet.
not eat or drink anything. 2. Encourage proper nutrition
3. Explain thoroughly special
meals.
4. Maintain the adequate diet
plans for the patient.
5. Monitoring the conditions of
the client like vomiting, input-
output, electrolyte monitoring,
in order to add different
components in the diet.

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0
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1
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