UNIVERSITY OF CEBU - BANILAD

Gov. M. Cuenco Ave, Cebu City, 6000 Philippines

College of Nursing
Telephone No: (032) 231- 8631

DRUG STUDY
Patient: VILLACORTA, IMELDA POSADAS Age: 54 Hospital No.: 35249
Allergies: NO KNOWN ALLERGY Attending Physicians: DR. JESUSA SANTOS, DR ATHENA MARJULIE CUBETA MEJIA Room No: ICU-1
DIAGNOSIS: (1) CARDIOGENIC SHOCK SECONDARY TO FOOD INDUCED ANAPHYLAXIS (2) HYPERTHYROIDISM SECONDARY TO GRAVES DISEASE (3) AKI ON TOP OF CKD TO NSAID NEPHROPATHY
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GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ MECHANISM ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Ordered: Indications GI: bowel Administer with meals. Do Instruct patient to take
Reduction of serum obstruction/perforation, not break, chew, sevelamer with meals as
SEVELAMER Tablet 800mg 1 tab phosphate levels in patients esophageal or crush tablets; contents directed and to adhere to
with hyperphosphatemia obstruction, diarrhea, expand in water. prescribed diet.
Brand Name: Timing: associated with end-stage dyspepsia, vomiting,
renal choking, constipation, Assess patient for GI side Advise patient to notify health
RENAGEL BID disease. dysphagia, flatulence, effects periodically during care professional if
nausea. therapy. GI effects are severe or
Classification Name: Other drugs forms: Action prolonged.
A polymer that binds Contraindicated in: ● Lab Test Considerations:
electrolyte modifiers Powder for oral suspension
phosphate in the GI tract, Hypersensitivity; Monitor serum phosphorous,
preventing its absorption. Hypophosphatemia; calcium, bicarbonate, and
. Bowel obstruction. chloride levels periodically
during therapy.
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

DRUG STUDY
GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ MECHANISM ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Ordered: Indications CNS: SEIZURES, Monitor BP before and Inform patient about the importance of
compliance with dietary restrictions.
Anemia associated with headache. during therapy. Inform Advise patient to eat foods high in iron
Erythropoietin 4,000 IU/ml chronic kidney disease CV: CHF, MI, STROKE, health care professional if and low in potassium this includes:
(CKD) THROMBOEMBOLIC severe hypertension is liver, pork, beef, peas, eggs, broccoli,
Brand Name: Timing: EVENTS (especially with present or if BP begins to apple juice, watermelon ,oatmeal, and
enriched bread.
Action hemoglobin 11 g/dL), increase. Additional
Epoetin Alfa q10d Stimulates erythropoiesis hypertension. antihypertensive Inform patient that Epoetin will result in
(production of red blood Derm: transient rashes. therapy may be required increased sense of well-being, but it
Classification Name: Other drugs forms: cells). . during initiation
does not cure underlying disease.

Contraindicated in: of therapy. .

erythropoiesis-stimulating agents Injection
Hypersensitivity to albumin
(ESAs).
or mammalian cell-derived
products; Uncontrolled
hypertension; Patients with
erythropoietin levels more
than 200 Units/mL
Monitor for symptoms of
anemia (fatigue, dyspnea,
pallor).
Monitor dialysis shunts
(thrill and bruit) and
status of artificial kidney
during hemodialysis.
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

DRUG STUDY
GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ MECHANISM ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Ordered: Indications CNS: depression, euphoria, Assess for signs of adrenal Advise patient to take
Used systemically and headache, personality insufficiency (hypotension, medication as directed. Take
hydrocortisone IVTT 50mg locally in a wide variety of changes, psychoses, weight loss, weakness, missed doses as soon as
chronic diseases including: restlessness. nausea, vomiting, anorexia, remembered unless almost
Brand Name: Timing: Inflammatory, Allergic, EENT: cataracts, lethargy, confusion, time for next dose.
Hematologic, Neoplastic, CV: hypertension. restlessness) before Do not double doses.
Cortef, Cortenema, q8h Autoimmune disorders GI: peptic ulceration, and periodically during
Hycort, Solu-CORTEF anorexia, nausea, vomiting. therapy. Corticosteroids cause
Other drugs forms: Action Derm: acne, ecchymoses, immunosuppression and
In pharmacologic doses, all fragility, hirsutism, Monitor intake and output may mask symptoms of
Classification Name: CAPSULE, TABLET, IM, IV
agents suppress petechiae. ratios and daily infection. Instruct patient
inflammation and the Endo: adrenal suppression, weights. Observe patient for to avoid people with known
corticosteroids normal immune response . hyperglycemia. peripheral edema, contagious illnesses
F and E: fluid retention steady weight gain, and to report possible
(long-term high rales/crackles, or dyspnea. infections immediately.
doses), hypokalemia,
hypokalemic alkalosis. Inform patient to report
Hemat: unusual swelling, weight gain,
Thromboembolism, tiredness, bone pain, bruising,
thrombophlebitis. nonhealing sores,
Metab: weight gain. MS: visual disturbances, or
muscle wasting, behavior changes.
osteoporosis, avascular
necrosis of joints, muscle
pain.

Contraindicated in:
Hypersensitivity; Active
untreated infections
 UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631

DRUG STUDY
GENERIC/BRAND AND DOSE, STRENGTH, AND INDICATION/ MECHANISM ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
CLASSIFICATION FORMULATION OF ACTION CONTRAINDICATIONS
Generic Name : Drug form & Dosage Ordered: Indications CNS: confusion, Assess for signs and Explain to patient purpose of
Treatment/prevention of restlessness, weakness. symptoms of hypokalemia the medication and the need to
potassium chloride 1 tab potassium depletion. CV: ARRHYTHMIAS, (weakness, fatigue, U wave take as directed.
ECG changes. on ECG, arrhythmias, Advise patient regarding
Brand Name: Timing: Action GI: abdominal pain, polyuria, polydipsia) and sources of dietary potassium
Maintain acid-base balance diarrhea, flatulence, nausea, hyperkalemia (see Toxicity Encourage compliance
Kalium Durules BID vomiting; tablets, capsules and Overdose). with recommended diet.
only,
Classification Name: Other drugs forms: GI ulceration, stenotic Monitor pulse, BP, and ECG Instruct patient to report dark,
lesions. periodically during tarry, or bloody stools;
mineral and electrolyte IV
replacements/ Local: irritation at IV site. IV therapy. weakness; unusual fatigue; or
supplements Neuro: paralysis, tingling of extremities. Notify
paresthesia. Toxicity and Overdose: health care professional if
Symptoms of toxicity nausea, vomiting, diarrhea, or
Contraindicated in: are those of hyperkalemia stomach discomfort
Hypersensitivity; (slow, irregular heartbeat; persists.
Hyperkalemia; Severe renal fatigue; muscle weakness;
impairment . paresthesia; confusion;
dyspnea;

GENERIC/BRAND AND
CLASSIFICATION
Generic Name : Drug form & Dosage Ordered:
pantoprazole
Brand Name:
Pantoloc, Protonix, Protonix IV
Classification Name:
antiulcer agents
proton-pump inhibitors
UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631
DRUG STUDY
DOSE, STRENGTH, AND INDICATION/ MECHANISM ADVERSE EFFECTS AND
NURSING RESPONSIBILITIES CLIENT TEACHING
FORMULATION OF ACTION CONTRAINDICATIONS
Indications CNS: headache. GI: Assess patient routinely for Instruct patient to take
Erosive esophagitis abdominal pain, diarrhea, epigastric or abdominal medication as directed for
IVTT 40mg associated with GERD. eructation, flatulence. pain and for frank or occult the full course of therapy, even
Decrease relapse rates of Endo: hyperglycemia. blood in stool, emesis, or if feeling better.
Timing: daytime and nighttime F and E: hypomagnesemia gastric aspirate.
heartburn symptoms on Advise patient to avoid
q24h patients with GERD. Contraindicated in: Lab Test Considerations: alcohol, products containing
Pathologic gastric Hypersensitivity; May cause abnormal aspirin or NSAIDs, and foods
Other drugs forms: hypersecretory conditions liver function tests, including that may cause
AST, ALT, alkaline an increase in GI irritation.
tablet
Action phosphatase, and bilirubin.
Binds to an enzyme in the Advise patient to report onset
presence of acidic gastric May cause hypomagnesemia. of black, tarry
pH, preventing the final Monitor serum magnesium stools; diarrhea; or abdominal
transport of hydrogen ions prior to and periodically pain to health care
into the gastric lumen. . during therapy. professional promptly.
DRUG STUDY
UNIVERSITY OF CEBU - BANILAD
Gov. M. Cuenco Ave, Cebu City, 6000 Philippines
College of Nursing
Telephone No: (032) 231- 8631