N C M 1 0 7 - R L E

CASE STUDY
THE STUDENT NURSES WHO PERFORMED THE CASE STUDY

Evangelista, Shanaiah Mitch N. Pagola, Hazel Marsha

OVERVIEW

1. PATIENT'S
INFORMATION
(NAME, AGE, GENDER, ETC.)

2. FDAR
(FOCUS, DATA, ACTION, AND RESPONSE)

3. DRUG STUDY
(BASED ON THE MEDICATIONS THAT HAS

BEEN ADMINISTERED TO THE PATIENT)

 PART 1:

PATIENT'S
INFORMATION
ROOM N209
Name: Pilapil, Jaime
Age: 38 years old
Gender: Male
Diagnosed with: Left Cavenous Sinus
Attending Physician: Dr. Paraiso
PART 2:

FDAR
(Focus, Data, Action, and Response)
FOCUS

Left Cavenous Sinus

Swelling of Left Eye

November. 8, 2022
Time: 9:40 PM
DATA
The patient has minimal swelling on his (L) eye.

V/S: BP - 120/90 mmHg

T - Afebrile (35.3 °C)
PR - 45 bpm
RR - 16 bpm

November. 8, 2022
Time: 9:40 PM
ACTION
The vital signs of the patient has been monitored

Safety secured
Need attended

November. 8, 2022
Time: 9:40 PM
RESPONSE
The patient has a minimal swelling on his left eye

V/S: BP - 120/80 mmHg

T - Afebrile (35 °C)
PR - 52 bpm
RR - 15 bpm

November. 8, 2022
Time: 9:40 PM
FOCUS

Left Cavenous Sinus

November. 9, 2022
Time: 8:59 PM
DATA
"Wala naman nang masyadong masakit" as

verbalized by the patient.

V/S: BP - 110/90 mmHg

T - 35.2 °C
PR - 64 bpm
RR - 19 bpm
November. 9, 2022
Time: 8:59 PM
ACTION
The vital signs has been monitored

Due medications come as ordered (Coumadin 5mg)

November. 9, 2022
Time: 8:59 PM
RESPONSE
The patient is not complaining about any pain.

V/S: BP - 119/90 mmHg

T - 35.4 °C
PR - 65 bpm
RR - 15 bpm
November. 9, 2022
Time: 8:59 PM
 PART 3:

DRUG STUDY

The medications that will be mention on the next slide is based on the
medications that has been given to the patient on 9th of November.

 Nursing
Patient
Generic-
Classification
Side Effect/
Consideration Teaching
Brand Name /Indication Adverse Effect

● Monitor closely for

Tell patient he may

CNS: dizziness, fatigue,

signs and symptoms

take with or without

headache of hypersensitivity

food.
Vancomycin is
CV: hypotension,
reactions, including

indicated in adult
palpitations anaphylaxis.
• For children who can't

and pediatric
ENT: sinus disorders,
swallow tablets or

rhinitis, pharyngitis ● Assess BUN and

patients for the

children for whom
GI: nausea, diarrhea,
creatinine levels
treatment of
calculated dosage

constipation, abdominal
every 2 days, or

doesn't correspond to

septicemia,
pain, dry mouth daily in patients with
Vancomycin available tablet

infective
GU: albuminuria, renal
unstable renal

(Firvanq),
strength, show

endocarditis,
impairment function.
caregiver how to

(Vancocin) Hematologic: neutropenia

skin and skin

prepare a suspension.

Metabolic: hyperkalemia
● Monitor urine

structure
M4 Instruct female of

Musculoskeletal: back pain,

output daily. Weigh
infections, bone
childbearing age to

joint pain, muscle cramps patient at least

report pregnancy

infections, and
Respiratory: cough, upper
weekly.
immediately.
lower respiratory
respiratory tract infection

Skin: alopecia, angioedema

● Assess hearing

tract infections. • Advise breastfeeding

Other: dental pain, fever,

before and during
patient to avoid

viral infection, edema therapy; stay alert

breastfeeding while

for hearing loss.

 Generic-
Classification/
Side Effect/ Nursing
Patient
Brand Name Indication Adverse Effect Consideration Teaching

CNS: dizziness, fatigue,

Tell patient he may

headache take with or without

CV: hypotension,
food.
For children who

palpitations
can't swallow

ENT: sinus disorders,

● Monitor I.V. site.

tablets or children

rhinitis, pharyngitis Avoid prolonged

Metronidazole:
for whom calculated

Nitroimidazole GI: nausea, diarrhea,

use of indwelling
dosage doesn't

MetroCream,
derivative, catheter.
constipation, abdominal
correspond to

MetroGel,

pain, dry mouth available tablet

Noritate,
Anti-infective GU: albuminuria, renal
● Evaluate
strength, show

impairment hematologic
caregiver how to

Vandazole

prepare a

Antiprotozoal Hematologic: neutropenia studies, espe

(Flagyl, Flagyl
suspension. M4

Metabolic: hyperkalemia
cially in patients

ER, and Flagyl

Musculoskeletal: back pain,
with history of

Instruct female of

childbearing age to

IV RTU) joint pain, muscle cramps blood report pregnancy

Respiratory: cough, upper

dyscrasias. immediately.
respiratory tract infection

Advise patient to

Skin: alopecia, angioedema avoid potassium-

Other: dental pain, fever,

containing salt

viral infection, edema substitutes.

 Generic-
Classification/
Side Effect/ Nursing
Patient
Brand Name Indication Adverse Effect Consideration Teaching

● Monitor for extreme

CNS: headache,
confusion, Instruct patient to

confusion,
tonic-clonic seizures,
report persistent

hemipare- sis,
and mild hemiparesis
diarrhea, bruising,

lethargy,
when giving high doses. or bleeding.
paresthesia,
● Monitor coagulation
Caution patient not

Third-
syncope, studies. to use herbs unless

generation CV: hypotension,

● Assess CBC and
prescriber

Ceftriaxone kidney and liver function

cephalosporin palpitations, chest

approves. As

(Rocephine)
test results.
pain, vasodilation
appropriate, review

● Monitor for signs and

Anti-infective ENT: hearing loss allot significant and

symptoms of

Gl: nausea,
life-threatening

superinfection and
vomiting, diarrhea,
other serious adverse reactions

abdominal cramps,
adverse reactions. and interactions,

oral candidiasis,
● Be aware that cross-
especially those

pseudomembranou
sensitivity to related to the
s colitis, penicillins and
drugs, tests, and

cephalosporins may herbs mentioned

occur. above.
 Generic-
Classification/
Side Effect/ Nursing
Patient
Brand Name Indication Adverse Effect Consideration Teaching

Treatment of

venous
Advise patient to

thromboembolism
avoid cranberry
and related
juice or products

pulmonary
Nausea, loss of
during therapy.

embolism. Use as
appetite, or
Caution patient to

● Monitor PT, INR, and

adjunct therapy to
stomach/abdomin
avoid IM injections

Warfarin
liver function
reduce mortality,
al pain may occur.
and activities

(Coumadin) tests.
recurrent
If any of these
leading to injury.
● Watch for signs and

myocardial
effects persist or
Instruct patient to

symptoms of
infarction, and
worsen. use a soft

bleeding and hepatitis.

thromboembolic
toothbrush, not to

events post
floss, and to shave

myocardial
with an electric

infarction. razor during

warfarin therapy.
 Generic-
Classification/I
Side Effect/ Nursing
Patient
Brand Name ndication Adverse Effect Consideration Teaching

Abdominal discomfort,

epigastric distress,

headache, nausea,

Relief of mild to
peripheral edema (mild),

● Monitor GI status.

moderately severe
tinnitus and vertigo. The

Take drug with food or

following adverse
Stay alert for signs
pain, with or without
meals if GI upset

events are rare but have

and symptoms of GI

accompanied
occurs; take only the

been reported: Alopecia,

bleeding.
inflammation eg,
anaphylactic reactions
prescribed dosage.

musculoskeletal
to naproxen and
Dizziness, drowsiness

● Monitor

Naproxen trauma, postoperative

naproxen sodium
can occur (avoid

formulations,
cardiovascular status

(Flanax Forte) pain and postdental

driving or the use of

angioedema, aplastic
for tachycardia,

extraction. It is also
dangerous machinery).
and hemolytic anemia,
palpitations,

indicated for the relief

Report sore throat;

cognitive dysfunction,
hypertension,
of pain associated
fever; rash; itching;

eosinophilic
and edema.
with postpartum
pneumonitis, epidermal
weight gain; swelling in

ankles or fingers;

cramping and necrolysis, erythema

multiforme, fatal
● Monitor blood
changes in vision;

dysmenorrhea.
hepatitis,
glucose level closely black, tarry stools.
gastrointestinal bleeding
in diabetic patients
and/or perforation.

 CASE STUDY #1 CLOSED.

Thank you for listening.

PRESENTATION DESIGNED BY: SHANAIAH MITCH N. EVANGELISTA