COLLEGE OF NURSING

Visca, Baybay City, Leyte, PHILIPPINES

Tel. no.: (053) 563-7226
Email address: nursing@vsu.edu.ph
Website: www.vsu.edu.ph

DRUG THERAPEUTIC RECORD

Name: L.A Reason for Admission: DOB
Age/Sex: Medical Impression:

SIDE/ADVERSE
DRUG CONTRAINDI NURSING RESPONSIBILITIES
DRUG CLASS MOA INDICATIONS EFFECTS
NAME CATIONS (5 each categories)
(per body system)
Generic Therapeutic: Levofloxacin is the CNS effects including Before:
Name: Anti-infectives S(-)enantiomer of Treatment of Hypersensitivit seizures, increased  Introduce yourself to the
racemic ofloxacin. adults >18 yr w/ y to intracranial pressure, patient and state your
Levofloxacin It inhibits bacterial mild, moderate & levofloxacin & lightheadedness, dizziness, purpose
Pharmacologic: topoisomerase IV severe infections other tremor; psychotic reactions  Ensure that it is the right
Brand Quinolones and DNA-gyrase, caused by quinolones. (e.g. hallucinations, medication, dose, route by
Name: the enzymes susceptible nervousness, delirium), checking patient’s MAR
required for DNA strains of History of CNS sensory or sensorimotor  Assess for liver kidney
Loxeva replication, microorganisms in disorders. peripheral neuropathy, dysfunctions
transcription, the following prolonged QT interval,  Perform skin testing as
Complete repair, diseases: Epilepsy. blood glucose disturbances ordered
Rx: recombination and Nosocomial  interactions
transposition, pneumonia, acute Pregnancy & Blood and lymphatic  Obtain culture and sensitivity
thereby inhibiting bacterial lactation. system disorders: Rarely, test before treatment
the relaxation of exacerbation of pancytopenia,
supercoiled DNA chronic bronchitis, Childn & agranulocytosis, haemolytic During:
and promoting acute maxillary adolescents. or aplastic anaemia,
 Obtain and prepare the
breakage of sinusitis, chronic leukopenia, eosinophilia.
proper medication following
bacterial DNA bacterial Patients w/
manufacturers directions.
strands. prostatitis; mild to history of Cardiac disorders:
 Inspect the injection sites for
moderate tendon Dyspnoea, chest pain,
induration and inflammation.
uncomplicated disorders arrhythmia.
skin & skin related to
After:
structure fluoroquinolon Gastrointestinal disorders:
infections, acute es Diarrhoea, vomiting,  Document dose, route, and
pyelonephritis & administration. nausea, dyspepsia, time of administration
uncomplicated constipation, abdominal  Document the patient’s
UTI. pain. response to the medication
 COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Tel. no.: (053) 563-7226
Email address: nursing@vsu.edu.ph
Website: www.vsu.edu.ph

SIDE/ADVERSE
MECHANISM NURSING
DRUG NAME DRUG CLASS INDICATIONS CONTRAINDICATIONS EFFECTS
OF ACTION RESPONSIBILITIES
Generic Therapeutic: Esomeprazole, Short-term  Hypersensitivity to S/E: headache, Before:
Name: Anti-ulcer the S-isomer of treatment of esomeprazole, and diarrhea,  Check and note
omeprazole, is a GERD w/ other proton pump abdominal pain, patient’s vital
Esomeprazol Pharmacologic: substituted erosive inhibitors dizziness, signs to obtain
e Proton pump benzimidazole esophagitis in  Patients with hepatic constipation, baseline data
inhibitor proton pump adults impairment rash  Check for the
Brand Name: inhibitor (PPI) inclusively as rights prior to
that blocks the alternative to medication
Esoget final step in oral therapy A/E: administration
gastric acid when oral hepatotoxicity, (right route, right
Complete secretion by esomeprazole interstitial time, right
Rx: specific inhibition is not possible nephritis (rarely) patient, right
of H+/K+- or appropriate. dose, right
ATPase enzyme documentation)
system present
on the secretory During:
surface of the  Administer over
gastric parietal not less than 3
cells. minutes

After:
 Evaluate for
therapeutic
response
 Document the
interventions.
 COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Tel. no.: (053) 563-7226
Email address: nursing@vsu.edu.ph
Website: www.vsu.edu.ph

DRUG MECHANISM SIDE/ADVERSE NURSING

DRUG CLASS INDICATION CONTRAINDICATIONS
NAME OF ACTION EFFECTS RESPONSIBILITIES
Generic Therapeutic: Atorvastatin Treat high Atorvastatin Side Effects: Before:
Name: Anti-cholesterol inhibits 3- cholesterol, hypersensitivity.
Atorvastatin hydroxy-3- and to lower Nervous system  Ensure that you have the
methylglutaryl- the risk of Unknown cause of -Dizziness and right drug, right patient, that
coenzyme A stroke, heart transaminase elevation headache the drug was stored properly,
Pharmacologic: (HMG-CoA) attack, or or active liver disease is not expired, and is
Brand HMG-CoA reductase other heart Gastrointestinal prepared properly at the right
Name: reductase competitively. complications tract dose
Statin in people with
inhibitors
medications type 2
-Nausea, indigestion,  Explain to the patient as to
Lipitor (statins) vomiting, why he is receiving the drug
reduce diabetes, constipation, and
cholesterol coronary and how it is associated with
diarrhea his illness
production in heart disease,
Complete the liver by or other risk
Rx: preventing the factors EENT During:
conversion of -Nosebleed, sore  Give the tablet to the patient
HMG-CoA to throat, runny nose, while preparing the drinking
mevalonate. blocked nose or water in your other hand
sneezing
After:

Adverse Reactions
 Ensure patient is in
comfortable position before
Nervous system
leaving the room
-memory problems,
peripheral  Aftercare of used equipment
neuropathy and proper waste
segregation
Integumentary  Chart the medication
system administration ( timing is
-Acne or an itchy red encircled with name initial at
rash top)