HOLY ANGEL UNIVERSITY

School of Nursing and Allied Medical Sciences

1st Semester, SY 2023-2024
NCM112 RLE
Care of Clients with Problems in Oxygenation, Fluid and Electrolyte, Infectious, inflammatory
and Immunologic Response, Cellular Aberration, Acute and Chronic
Name of Student: Karl Michael P. David Date: 10/27/23
Section: NU-303
NURSING DRUG STUDY

DRUG CLASSIFICATION USE OF MEDICATION DOSAGE CONTRAINDICATION SIDE EFFECTS NURSING IMPLICATIONS
Generic Name: Clinical: -Treatment of edema PO: ADULTS, Hypersensitivity to Expected: -Thoroughly monitor patient
Furosemide Diuretic. Antihy- associated with HF and ELDERLY: Initially, furosemide. Anuria. Increased urinary medical history for any
pertensive. renal/hepatic disease, 20–40 mg once, frequency/ conditions contraindicated for
Brand Name: acute pulmonary then titrate as Cautions: volume. use of Furosemide.
Furoscix, Lasix Pharmacologic: edema. needed. May titrate Hepatic cirrhosis,
loop diuretics up to 600 mg/day in hepatic coma, severe Frequent: -Monitor patient's intake and
- Oral furosemide is severe edematous electrolyte depletion, Nausea, output constantly. Changes in
prescribed either as a states. systemic lupus dyspepsia, output may indicate fluid
standalone treatment erythematosus, abdominal volume loss or dehydration
for mild to moderate CHILDREN: Initially, prostatic cramps, diarrhea
0.5–2 mg/kg/dose. hyperplasia/urinary or consti- -Monitor vital signs before and
hypertension or in
May increase by 1–2 stricture. pation, electrolyte after administering
conjunction with other
mg/kg/ dose at 6–8 disturbances. Furosemide.
antihypertensive
hr intervals.
drugs for the -Check patient's labs and
Maximum: 6 Occasional:
management of mg/kg/day Dizziness, light- Electrolyte levels periodically
severe hypertension headedness, throughout the course of
IV: ADULTS, headache, blurred treatment.
ELDERLY: 20–40 mg vision,
-Encourage patient to have an
once, then titrate as paresthesia,
needed. Maximum photosensitivity, intake of potassium rich foods.
single dose: 200 mg. rash, fatigue, bananas to help replace
bladder spasm, potassium loss.
restlessness,
diaphoresis.
CHILDREN: Initially,
0.5–2 mg/kg/dose. Rare: Flank pain. -Instruct patient to monitor for
Maximum: 6 signs of Hypokalemia and
mg/kg/ dose. immediately notify Physician or
Nurse for muscle weaknesses.

-Instruct patient to move slowly

when changing positions to
avoid injuries as a result of loss
of balance muscle weakness
 HOLY ANGEL UNIVERSITY
School of Nursing and Allied Medical Sciences
1st Semester, SY 2023-2024
NCM112 RLE
Care of Clients with Problems in Oxygenation, Fluid and Electrolyte, Infectious, inflammatory
and Immunologic Response, Cellular Aberration, Acute and Chronic
Name of Student: Date:
Section:
NURSING DRUG STUDY

DRUG CLASSIFICATION USE OF DOSAGE CONTRAINDICATION SIDE EFFECTS NURSING IMPLICATIONS

MEDICATION
Generic name: Clinical: -Adjunct in ADULTS, ELDERLY, Contraindications: Frequent: - Assess for contraindications.
Dopamine Cardiac stimulant, treatment of CHILDREN: Range: Hypersensitivity to Headache, - Assess body weight, skin color,
vasopressor. shock such as MI, 2–20 mcg/kg/min. dopamine, sulfites. arrhythmias, tachy- V/S, urine output, serum
Brand Name: trauma, Titrate to desired Pheochromocytoma, cardia, anginal pain, electrolytes, Hct, ECG.
Dopamax, Inotropin, Pharmacologic renal failure, response. May ventricular fibrillation. palpitations, - Observe the 15 rights of drug
Myocard Classification: cardiac gradually increase by Uncorrected vasoconstriction, administration.
Sympathomimeti decompensation, 5–10 mcg/kg/min tachyarrhythmias. hypotension,
- Reduce initial dosage to one-
c (adrenergic open heart Increments nausea, vomiting,
tenth of usual dose in patients who
agonist). surgery, persisting Cautions: dyspnea. have been on MAOIs.
after NEONATES: Ischemic heart disease,
adequate fluid 2–20mcg/kg/min. occlusive vascular Occasional: - Administer into large veins of the
antecubital fossa in preference to
volume Titrate gradually by 5– disease, hypovolemia, Piloerection (goose veins in hand or ankle.
replacement. 10 mcg/kg/min to recent use of MAOIs bumps),
desired response. (within 2–3wks), bradycardia, - To prevent sloughing and
necrosis after extravasation,
OFF-LABEL: ventricular widening of QRS infiltrate area with 10-15 mL saline
Symptomatic arrhythmias, post-MI. complex. containing 5-10 mg phentolamine.
bradycardia or
Monitor client for at least 30
heart block
minutes.
unresponsive to
atropine or - Educate client on the side effects
cardiac pacing of the medication and what to
expect.

- Instruct client to report pain at

injection site.