INSTRUCTION IN POST TASK FOR MODULE 2 : REPRODUCTIVE AND GENDER-RELATED DRUGS

CHOOSE ONE (1) MEDICATION IN EACH CATEGORY OF DRUGS AND APPLY THE 10 R’S TO MEDICATION

CATEGORY 1 : DRUGS USED FOR OB PATIENTS (CHOOSE ONLY ONE DRUG )

CATEGORY 2 : DRUGS USED FOR PEDIA (PRE TERM OR FULL TERM NEWBORN) - (CHOOSE ONLY ONE
DRUG)

CATEGORY 3 : DRUGS FOR MEN OR WOMEN’S HEALTH (CHOOSE ONLY ONE DRUG)

MALE STUDENT : CHOOSE FOR MEN’S HEALTH

FEMALE STUDENT : CHOOSE FOR WOMEN’S HEALTH

TOTAL OF 3 DRUGS : ( CATEGORY 1, CATEGORY 2, CATEGORY 3 )

NOTE : There are a lot of drugs under each categories, you may do some research of other drugs not
mentioned in this module for additional learning.

FOLLOW THE TABLE BELOW IN YOUR SUBMISSION

CATEGORY 1 : DRUGS USED FOR OB PATIENTS

10 R’s TO MEDICATION BRIEF DISCUSSION OF EACH OF APPLICATION

THE 10R’s TO MEDICATION
1. RIGHT DRUG (Name the drug)
(BASED ON THE DRUG YOU
CHOOSE)
 Confirm and verify the Generic name: Magnesium
order, the drug name sulfate
and its form. Brand names: Concept Ob,
 Beware of look-alike Suflave, Suprep Bowel Prep
and sound-alike Kit, Tis-U-sol
medication names.
 Check the expiration Use:
date  Help prevent seizures
in women with
preeclampsia.
 Can be used as a
tocolytic agent to
prevent preterm labor.
 It can also help
prolong a pregnancy
for up to two days.
This allows drugs that
speed up the baby’s
lung development to
be administered.

2. RIGHT DOSE Check the dosage against the
doctor’s prescription and the
medication sheet.
Contraindications
 Myasthenia gravis
 Hypocalcemia
 Moderate-to-severe
renal failure
 Cardiac ischemia
 Heart block
 Myocarditis
Magnesium sulfate injection
must be diluted to a ≤20%
solution for intravenous use.
Diluents commonly
used are 5% glucose solution
and 0.9% sodium chloride
solution. For a 20% solution,
dilute 10 mL of
magnesium sulfate injection
with 15 mL of diluent.
Dosage:
For patients with
preeclampsia (IV and IM)
 4-5 g (diluted in 250
mL NS/D5W) IV in
combination with
either
o (a) up to 10 g (20 mL
of undiluted 50%
solution) divided and
administered in each
buttock as a deep IM
injection or
o (b) after initial IV
dose, 1-2 g/hr IV; may
administer q4hr as
necessary.
For preterm labor
 Loading dose: 4-6 g IV
over 20 minutes;
 Maintenance dose: 2-4
g/hr IV for 12-24
hours as tolerated after
contractions cease
3. RIGHT TIME  Check the order to see
when it’s scheduled to
be given and when it
was last given.
 Observe the right
intervals to avoid
overdosing.
4. RIGHT ROUTE Check on the order whether
the route prescribed is oral, by preeclampsia
injection, intravenously, or
any other route.
5. RIGHT PATIENT Verify the client using two
identifiers such as the
patient’s full name and date of
birth. Check the ID band
before giving the medication.
6. RIGHT TO EDUCATE Provide the patient with all the Warning:
information and relevant
advice that they need on the
drug they will be taking, both
while they’re in hospital and
when they’re taking the drug
at home.
For patients with
preeclampsia
 Given until about 24
hours after delivery of
the baby.
For preterm labor
 MgSO4 should be
administered when
early preterm birth is
planned or expected
within 24 hours.
For patients with
 IV and IM
For preterm labor
 IV
Name: Skyler White
Date of Birth: Feb 14, 1999
 The patient must not
take MgSO4 if she’s
allergic to magnesium
sulfate or any
ingredients contained
in the drug.
Precautions:
 Fetal skeletal
demineralization, low
blood calcium
(hypocalcemia), and
high blood magnesium
(hypermagnesemia)
abnormalities reported
with continuous long-
term use (i.e., longer
than 5-7 days) for off-
label treatment of
preterm labor in
 pregnant women; the
effect on the
developing fetus may
result in neonates with
skeletal abnormalities.
 In patients with renal
impairment, ensure
that renal excretory
capacity is not
exceeded.
 Use with caution in
digitalized patients.
 Use with extreme
caution in patients
with myasthenia gravis
or other neuromuscular
diseases.
 Low blood magnesium
(hypomagnesemia) is
usually associated with
low blood potassium
(hypokalemia)
(potassium levels must
be normalized).
 Monitor renal
function, blood
pressure, respiratory
rate, and deep tendon
reflex when
magnesium sulfate is
administered
parenterally.

Side effects:
 Circulatory collapse
 Respiratory paralysis
 Low core body
temperature
(hypothermia)
 Excess fluid in the
lungs (pulmonary
edema)
 Depressed/poor
reflexes
 Low blood pressure

7. RIGHT TO REFUSE Patients have the right to
refuse medications. Provide
information about the drug so
they can make informed
decision.
8. RIGHT ASSESSMENT Complete necessary focused
assessment depending on what
medication is to be
administered. Assessment
after medication
administration helps to
(hypotension)
 Flushing
 Drowsiness
 Depressed cardiac
function/heart
disturbances
 Increased sweating
 Low blood calcium
(hypocalcemia)
 Low blood phosphates
(hypophosphatemia)
 Low blood potassium
(hyperkalemia)
 Visual changes
 Breathing difficulties
 Confusion
 Weakness
 Flushing (warmth,
redness, or tingly
feeling)
 Feeling like you might
pass out
 Anxiety
 Cold feeling
 Extreme drowsiness
 Muscle tightness or
contraction
 Headache
A patient has the right to
refuse any drugs, treatment or
procedures to the extent
permitted by law after hearing
the medical consequences of
refusing the drug, treatment or
procedure. The attending
physician may also suggest
alternatives.
 Assess the patient’s
need for the drug.
 Assess if the patient
has an allergy to the
medication via history
taking.

9. RIGHT EVALUATION
10. RIGHT DOCUMENTATION
CATEGORY 2 : DRUGS USED FOR PEDIA PATIENTS ( ANY OF NEWBORN,
PRETERM, FULL TERM )
10 R’s TO MEDICATION
1. RIGHT DRUG (Name the drug)
determine if the medication is
having its intended effect
and/or to determine possible
adverse reactions.
Evaluation is a checkpoint
when nurses consider the
overall goal of safe and
effective medication
administration. Monitoring
safety during and after
administration of medication,
such as sudden changes in
condition to determine a need
for new treatment.
Make sure to write the time
and any remarks on the chart
correctly.
BRIEF DISCUSSION OF EACH OF
THE 10R’s TO MEDICATION
 Confirm and verify the
order, the drug name
and its form.
 Beware of look-alike
and sound-alike
medication names.
 Check the expiration
 Monitor the patient for
any adverse reactions.
Outcome:
Patient maintained blood
pressure below 140/90 mmHg.
 Report signs and
symptoms of any
adverse reaction or
overdose.
 Magnesium sulfate
was administered via
IV at 6:15 pm on Feb
20, 2024 and was
ceased at 6:15 pm on
Feb 21, 2024.
 Patient received
magnesium sulfate
without any evidence
of any adverse reaction
or complications.
 Patient’s vital signs
remained stable.
APPLICATION
(BASED ON THE DRUG YOU
CHOOSE)
Generic name: Phytonadione
Brand names: Vitamin K,
Vitamin K1, Aquamephyton,
Mephyton
Use:
 Used to treat bleeding
 date
2. RIGHT DOSE Check the dosage against the
doctor’s prescription and the
medication sheet.
3. RIGHT TIME  Check the order to see
when it’s scheduled to
be given and when it
was last given.
 Observe the right
intervals to avoid
overdosing.
4. RIGHT ROUTE Check on the order whether
the route prescribed is oral, by
injection, intravenously, or
any other route.
5. RIGHT PATIENT Verify the client using two
identifiers such as the
patient’s full name and date of
birth. Check the ID band
before giving the medication.
6. RIGHT TO EDUCATE Provide the patient with all the
information and relevant
advice that they need on the
drug they will be taking, both
while they’re in hospital and
when they’re taking the drug
at home.
7. RIGHT TO REFUSE Patients have the right to
refuse medications. Provide
information about the drug so
they can make informed
decision.
or blood clotting
problems caused by
vitamin K deficiency
in neonates.
Contraindication:
Hypersensitivity to vitamin K.
0.5 to 1 mg
Within 12 hours after birth
IM: Vastus lateralis
Take a look at the patient’s ID
band.
Inform the mother/parent that
babies are born with very
small amounts of vitamin K in
their bodies which can lead to
serious bleeding problems.
Parental autonomy, parents act
in the best interest of their
child. Based on the drug’s
preservatives that may lead to
adverse reactions, and wanting
to avoid pain for the infant.
Parents have the right to
refuse. But inform the parents
of the consequences on the
infant should they refuse to
 have their newborn be
administered with
phytonadione.
8. RIGHT ASSESSMENT Complete necessary focused Monitor for side effects like
assessment depending on what pain, erythema at the injection
medication is to be site, and skin rash.
administered. Assessment
after medication
administration helps to
determine if the medication is
having its intended effect
and/or to determine possible
adverse reactions.
9. RIGHT EVALUATION Evaluation is a checkpoint The patient doesn’t experience
when nurses consider the any side effects and vital signs
overall goal of safe and are within expected ranges.
effective medication
administration. Monitoring
safety during and after
administration of medication,
such as sudden changes in
condition to determine a need
for new treatment.
10. RIGHT DOCUMENTATION Make sure to write the time  Phytonadione was
and any remarks on the chart administered via IM
correctly. (vastus lateralis) at
10:28 am on Feb 20,
2024.
 Patient received
phytonadione without
any evidence of any
adverse reaction or
complications.
 Patient’s vital signs
remained stable
CATEGORY 3 : DRUGS USED FOR MEN OR WOMEN’S HEALTH

10 R’s TO MEDICATION BRIEF DISCUSSION OF EACH OF APPLICATION

THE 10R’s TO MEDICATION
1. RIGHT DRUG (Name the drug)
(BASED ON THE DRUG YOU
CHOOSE)
 Confirm and verify the Generic name: Avanafil
order, the drug name Brand name: Stendra
and its form.
 Beware of look-alike Use:
and sound-alike  To treat men who have
medication names. erectile dysfunction
 Check the expiration (also called sexual
date impotence). It works
by increasing blood
flow to the penis to
help a man get and
keep an erection.

2. RIGHT DOSE Check the dosage against the
doctor’s prescription and the
medication sheet.
Contraindications:
 Hypersensitivity
 Concurrent use of
nitrates or riociguat;
 Severe renal or hepatic
impairment;
 Concurrent use of
strong CYP3A4
inhibitors
Dosage:
For patients with erectile
dysfunction
 100 mg PO initially as
early as 15 min before
sexual activity; not to
exceed 1 dose/day.
 Based on individual
efficacy and
tolerability, the dose
may be increased to
200 mg taken as early
as ~15 minutes before
sexual activity, or

3. RIGHT TIME  Check the order to see
when it’s scheduled to
be given and when it
was last given.
 Observe the right
intervals to avoid
overdosing.
4. RIGHT ROUTE Check on the order whether
the route prescribed is oral, by take by mouth (PO).
injection, intravenously, or
any other route.
5. RIGHT PATIENT Verify the client using two
identifiers such as the
patient’s full name and date of
birth. Check the ID band
before giving the medication.
6. RIGHT TO EDUCATE Provide the patient with all the Warning:
information and relevant
advice that they need on the
drug they will be taking, both
while they’re in hospital and
when they’re taking the drug
at home.
decreased to 50 mg
taken ~30 minutes.
before sexual activity
 Use lowest effective
dose.
 For men taking the
100-mg or 200-mg
doses, avanafil is
usually taken with or
without food as
needed, about 15
minutes before sexual
activity.
 For men taking the 50-
mg dose, avanafil is
usually taken with or
without food as
needed, about 30
minutes before sexual
activity.
Avanafil comes as a tablet to
Name: Walter White
Date of Birth: March 2, 1997
 The patient must not
take avanafil if he is
taking or have recently
taken riociguat
(Adempas) or nitrates
such as isosorbide
dinitrate (Dilatrate-SR,
Isordil, in BiDil),
isosorbide mononitrate
(Monoket), and
nitroglycerin
(Minitran, Nitro-Dur,
Nitromist, Nitrostat,

7. RIGHT TO REFUSE Patients have the right to
refuse medications. Provide
information about the drug so
they can make informed
decision.
8. RIGHT ASSESSMENT Complete necessary focused
others). Nitrates come
as tablets, sublingual
(under the tongue)
tablets, sprays,
patches, pastes, and
ointments. The patient
should ask a doctor if
any of the medications
the he’s taking contain
nitrates.
Precautions:
 Before taking avanafil,
the patient must tell
the doctor if he’s
allergic to it; or if he
has any other allergies.
This product may
contain inactive
ingredients, which can
cause allergic reactions
or other problems. The
patient may talk to the
pharmacist for more
details.
 The drug may make
the patient dizzy,
alcohol can make the
patient more dizzy, tell
the client to limit
alcohol beverages.
Side effects:
 Headache
 Flushing
 Dizziness
A patient has the right to
refuse any drugs, treatment or
procedures to the extent
permitted by law after hearing
the medical consequences of
refusing the drug, treatment or
procedure.
 Assess if the patient
 assessment depending on what
medication is to be
administered. Assessment
after medication
administration helps to
determine if the medication is
having its intended effect
and/or to determine possible
adverse reactions.
9. RIGHT EVALUATION Evaluation is a checkpoint
when nurses consider the
overall goal of safe and
effective medication
administration. Monitoring
safety during and after
administration of medication,
such as sudden changes in
condition to determine a need
for new treatment.
10. RIGHT DOCUMENTATION Make sure to write the time
and any remarks on the chart
correctly.
has an allergy to the
medication via history
taking.
 Monitor the patient for
any adverse reactions.
The patient doesn’t experience
any side effects and vital signs
are within expected ranges.
 Document or write the
record of when the
drug was administered.
 Patient received
avanafil without any
evidence of any
adverse reaction or
complications.
 Patient’s vital signs
remained stable