DRUG STUDY

DOSAGE / FREQUENCY /
NAME OF DRUG MECHANISM OF ACTION INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS NURSING RESPONSIBILITIES
ROUTE

Generic Name: Dosage: 40 mg. 1 tab. Febuxostat (Urica) achieves Treatment of chronic Hypersensitivity to  liver function  Assess for joint pain
FEBUXOSTAT and swelling,
its therapeutic effect by hyperuricemia conditions Febuxostat (Urica) or to any abnormalities,
Frequency: Once daily. especially during early
Brand Name: decreasing serum uric acid. where urate deposition has excipients of the  dizziness therapy.
URICA Route: Oral Febuxostat works by blocking already occurred (including formulation. Patients on  nausea,  Monitor for signs and
symptoms of MI and
the production of urate. This a history or presence of treatment with  joint pain
Drug Class: stroke.
XANTHINE OXIDASE brings down the urate levels tophus and/or gouty Azathioprine,  mild rash.  Monitor serum uric
INHIBITORS enough to allow the crystals to arthritis). Mercaptopurine, or acid levels
 Monitor liver function.
begin dissolving and prevent Theophylline.
attacks of gout in the long
term.
 Educate patient that
Generic Name: Dosage: 600mg. 1 sachet. Mucolytic adjuvant therapy Must not be used when  Headache, upon opening the
Acetylcysteine is a naturally sachet the powder
ACETYLCYSTEINE ½ glass H2O
occurring amino acid solution
in the treatment of Phenylketonuria is present,  hypotension, may smell of sulphur
Brand Name: respiratory disorders caused as the product contains  vomiting, (rotten egg smell).
Frequency: Once daily. that is used to help clear
EXFLEM
This is a normal
by thick, viscous mucus aspartame. Patients with
mucus (acts as a mucolytic  diarrhea, characteristic of the
Route: Oral hypersecretion. Just before rare hereditary problems of active substance.
Drug Class: agent) and material entrapped  abdominal
using, completely dissolve fructose intolerance should Upon addition of
MUCOLYTIC AGENTS in mucus in people with pain, water the solution
one sachet in a glass with a not take this medicine.
mucus that may interfere with  nausea will have a citrus
little water, stirring with a odor.
breathing or other functions.
teaspoon as needed.  Make sure patient has
consume the
medication.
 NURSING CARE PLAN
ASSESSEMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

1. Facilitate diaphragmatic 1. This approach relaxes

breathing in a patient muscles while After 5 hours of nursing
Subjective Data: Activity Intolerance related Short Term:
with dry and persistent increasing oxygen intervention, the patient is able
“Kapoy akong lawas, dili ko to exhaustion and sleep After 5 hours of nursing
cough. levels in the patient.
to continuously breathe
katulog og tarong sa gabii, kay interruption secondary to intervention, the patient will 2. Evaluate the patient's 2. This method identifies
responsiveness to the patient's effectively, successfully spit
katol og gahi kayo akong ubo, pneumonia as evidenced by be able to continuously
activities. Take note of capabilities and needs. out phlegm for sputum
gi hilanat sad ko gahapon pero persistent dry cough, verbal breathe effectively, will
any reports of shortness This intervention
collection, and able to sleep
karon nawala na”, as complaints of exhaustion, successfully spit out phlegm, of breath, increased lack makes the treatment
of energy, restlessness, selection easier. comfortably.
verbalized by pt. fatigue, disturbed sleep, and will be able to sleep.
or abnormal vital signs 3. This method aims to
fever, and lethargic in
during or after leisure promote relaxation and After 2 days of nursing
Objective Data: response to activity. Long Term: activities. recovery as soon as intervention, the patient is
discharge from admission in
PR: 82 After 2 days of nursing 3. Reduce the patient’s possible.
the hospital, able to exhibit a
RR: 21 intervention, the patient will tension and over- 4. The patient may be considerable increase in
stimulus. Encourage the more relaxed with the activity tolerance, with no
Temp: 36.2 experience or exhibit a patient to get enough elevated head of the breathlessness or undue
BP: 110/80 considerable increase in rest. bed. fatigue, and vital signs within
4. Assist the patient in 5. This technique the patient’s accepted level
O2sat: 98% activity tolerance, with no
finding a comfortable improves airway
Pt. is responsive, calm and breathlessness or undue
position for sleep or rest. clearance by
oriented. fatigue, and vital signs within 5. Encourage secretion mobilizing secretions.
the patient’s accepted level. clearance with gentle
coughing exercises.
 NURSING CARE PLAN
ASSESSEMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

1. Assess laboratory values. 1. Patients at risk of electrolyte

After 10 hours of nursing
Subjective Data: Risk for Electrolyte Short Term: 2. Provide intravenous or imbalances should have routine
intervention, the patient is able
N/A Imbalance related to After 10 hours of nursing oral hydration as needed, lab work completed to monitor to understand his nutritional
for any changes so that treatment. status and ways to maintain
detection of abnormality in intervention, the patient will ensure patient is
and supplements are not delayed. normal electrolyte levels,
Objective Data: serum electrolyte levels as be able to verbalize maintaining appropriate
2. Patients are more prone to maintained normal fluid
Ionized Calcium: 0.92 evidenced by low in understanding of nutritional hydration status.
electrolyte imbalances when balance and adequate
Potassium: 2.73 potassium, low in sodium, status and ways to maintain 3. Monitor intake and hydration.
experiencing vomiting and/oror
Sodium: 128. 4 low in calcium, urinary normal electrolyte levels, will output. diarrhea.
After 2 days of nursing
frequency, bronchospasm, maintain normal fluid balance, 4. Assess vital
signs 3. Excessive fluid intake or
intervention, the patient is
fatigue. and will maintain adequate routinely. insufficient fluid intake can cause discharge from admission in
hydration. 5. Educate patient and abnormalities in electrolytes. the hospital, able to understand
his individualized medication
family members on the 4. Electrolyte abnormalities can regimen that will help him to
Long Term: importance of taking lead to arrhythmias and develop more independence in
his care and can help him to be
After 5 days of nursing medications as respiratory failure.
more compliment and continue
5. Understanding their
intervention, the patient will prescribed and what their with his medications at home to
individualized medication obtain normal electrolyte levels.
be able to maintain normal specific medications are
regimen will help the patient to
electrolyte levels (calcium, used for.
develop more independence in
sodium, potassium).
their care and can help them to be
more compliment with their
medications.
 NURSE’S NOTES
Patient’s Name: PIZZARAS, E,N.
Age: 64
Sex: Male
Attending Physician: Dr. Gabule

November 8, 2022
Patient is awake, able to focus, with persistent cough, with patent IV line in the left arm, with PNSS, with rashes on both arms with reports
8D of slight itching, is afebrile with a temperature of 36.9 C, vital signs noted: RR: 20 , PR: 83 , O2sat: 95%.

Due meds given, instructed to perform chest tapping after nebulization, instruction given for sputum collection, assessed vital signs and
A noted.

Pt. still calm, still with dry cough, still with patent IV line, with no signs of distress, with vital signs as follows: Temp: 37.1 C, RR, 19, PR:
5R 85, O2sat: 98%.

November 9, 2022
is fully conscious, with non-productive cough, still has rashes on both arms and abdomen, with reports of itching at the rash sites, with
8D discharge order from physician, vital signs as follows: Temp: 36. 8 C, RR: 23, PR: 92, O2sat: 96%, BP: 120/90.

Due meds given, assessed vital signs and recorded, facilitated discharge order form, discharge instructions given, returned unused
A medication inventory, chart given to the billing office.

IV line terminated, still with non-productive cough, prepared for discharge.

3R