POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY
Name of Patient: Attending Physician:__________________________________
Age: 31 Sex: F Civil Status: Married
Diagnosis:__________________________________________
Occupation: Religion: Baptist Chief Complaint: Labor Pain__________________________
Address: Tres De Mayo Digos City Date of Admission: _September 05, 2023________________
 DATE/ BRAND ROUTE/ DRUG ADVERSE NURSING
TIME NAME ACTION INDICATIO DOSAGE/ INTERACTION EFFECT PRECAUTION/ RESPONSIBILITIES
CONTRAINDICATION
ORDERE N TIME S
D INTERVAL
Anti- Short-term  Aminoglycosides: CNS: drowsiness, Precautionary Use:  Assess the
inflammatory management IVTT / 30mg / Reduced clearance headache, dizziness Before taking patency of the IV
and analgesic of pain (up to q6 with elevated CV: hypertension Ketorolac talk to the line
activity; 5 days) aminoglycoside levels GI: nausea, doctor if you are  Assess for history
inhibits and potential for vomiting, diarrhea, allergic to it or any renal impairment,
prostaglandin toxicity (especially constipation, other medication. The impaired hearing,
s and indomethacin in dyspepsia, product may contain or allergies to
leukotriene premature infants; flatulence, some inactive ketorolac
GENERIC synthesis HALF-LIFE other NSAIDS epigastric pain, ingredients which will  Administer every
NAME probably) stomatitis cause some serious 6 hours to
3.8 – 6.3 hours  Anticoagulants: Hematologic: allergic reactions or maintain serum
Ketorolac (increased with Excessive thrombocytopenia some other problems. levels and control
impaired renal hypoprothrombinemia Skin: rashes, Talk to your doctor pain
function and in , decreased platelet pruritus, for getting more  Monitor vital
the elderly.) aggregation with diaphoresis details. signs
increased risk of GI Other: excessive  Report any
bleeding. thirst, edema unusuality
 Antihypertensives (α- Contraindicated:  Document and
blockers, angiotensin- Active peptic ulcer record.
converting enzyme disease, chronic
inhibitors, angiotensin inflammation of GI
II receptor blockers, tract, GI bleeding or
β-blockers, diuretics): ulceration, history of
Inhibition of hypersensitivity to
antihypertensive and aspirin or NSAIDs
other favorable
hemodynamic effects
 Aspirin, other
salicylates: May
increase the risk of GI
side effects such as
bleeding
 Bone marrow
depressants: May
increase the risk of
hematologic reactions.
 Corticosteroids:
Increased risk of GI
ulceration.
 Cylosporine:
Increased
nephrotoxicity risk
 Lithium: Decreased
clearance of lithium
Ward: Pedia Room No: 101 Bed No: __6______
Student Name: Year & Sec.: Group No.: Rating:__________________
References_______________________________________________________________________ Criteria: Promptness (15%), Format/Neatness (15%), Assessment (15%),
Nursing Diagnosis (15%), Objectives (15%), Objectives of Care (10%), Nursing Action (30%), Evaluation (10%)
Clinical Instructor:____________________________________