DRUG STUDY

Drug Name

Classification Indication and

Action

Contraindication

Adverse Reaction

Nursing Considerations
Monitor for bleeding, signs of nephrotoxicity , allergic reactions. Give even doses around the clock for 10-14 days, may give with food to prevent GI upset. Advice patient to take entire quantity of exactly prescribed even after feeling better and not to double dose. Tell SO/s to report immediately if there is adverse reaction seen

Amoxicillin (Amoxil) 500 mg 1 cap TID PO for 7 days

Classification: Antibiotic Indication: Treatment of infections Hypersensit ivity to penicillins

Prevents bacterial cell wallsynthesis during replication

Hypersensit No ivity to manifestation penicillins. Possible Adverse Not used to Reaction: treat severe pneumonia, empyema, CNS: lethargy, bacteremia, hallucination, pericarditis seizures , mrningitis GI: during glossitis, acute stomatitis, during gastritis stage GU: nephritis HEMATOLOG IC: anemia, leucopenia, neutropenia HYPERSENSI TIVITY: rash, fever, wheezing

Drug Name

Classification/ Indication

Action

Contraindication

Adverse Reaction

Nursing Consideration

Mefenamic Classification: Acid Analgesic, 500 mg 1 cap Antiinflammato TID PO for 7 ry and antidays
pyretic Indication: relief of pain

Inhibits cyclooxyge nase and also antagonize certain effects of prostagland in

Pregnancy and lactation. Hypersensit ivity. Active ulceration or chronic inflammati on of either the upper or lower gastrointest inal tract.

No manifestation seen on the patient. Possible Adverse Reaction: GI: diarrhea, constipation, gas pain, nausea, vomiting CNS: drowsiness, dizziness, nervousness SKIN: rash, urticaria RESPIRATORY: bronchoconstricti on, asthma HEMATOLOGI C: autoimmune hemolytic anemia

Monitor adverse reaction Should not be more than 7 days Assess patients and familys knowledge on drug therapy

NURSING CARE PLAN

Nursing Cues

Nursing Diagnosis

Goals of Care

Evaluation

Intervention/ Rationale
Subjective: Pano po ba ang tamang pagpapadede as verbalized by the client. Objective: Hold infants breast to mothers breast in supine position. Infant inability to latch onto maternal breast correctly. Health seeking behavior related to ineffective breastfeeding as manifested by Hold infants breast to mothers breast in supine position. Infant inability to latch onto maternal breast correctly Within 1 hour of nursing intervention the client will be able to know the importance and proper way of breast feeding.

Independent: Assess the client knowledge about breastfeedin g. Rationale: Review feeding schedule (at least 8x a day taking both breast each feeding for more than 15minutes

After1 hour of nursing intervention the client will be able to know the importance and proper way of breast feeding

Rationale: Advise to the client the steps for proper breast feeding : Start by placing the nipple between the babys upper lip and nose .

Then encourage her to open wide by gently brushing her upper

When the baby is rooting looking the breast with her mouth open, pull her to your breast to her mouth. As the baby latches on, be sure that your babys mouth be sure that your babys mouth would get a big breast tissue as your babys latches on.

The lips of the baby should be opened wide

around the breast. Hold her close to support your breast , especially if the breast is large.

Nursing Cues

Nursing Diagnosis

Goals of Care

Intervention/Rationale

Evaluation

Independent:

Subjective: hindi pa ako naliligo simula nung dinala ako dito kasi ndi ako masyadong makgalaw ng maayos as verbalized by the client. Objective: Nails is dirty Presence of bad breath and odor Unable to comb hair

Self Care Deficit related to Exhaustion from Childbirth as manifested by: Nails is dirty Presence of bad breath and odor Unable to comb hair

Within 30 minutes of nursing intervention the client will be able to perform self care activities

1.

Encourage independence but intervene when the patient cannot perform Rationale: To decrease patients frustration 2. Identify patients activity tolerance Rationale: To decrease patients frustration 3. Provide patient with positive reinforcement for attempted activities Rationale: To decrease patients frustration

After 30 minutes of nursing intervention the client will be able to perform self care activities as evidenced b client appears clean, dressed well groomed

4. Provide patient privacy during dressing. Rationale: To reduce Energy

Expenditure and frustration So the patient will be able to

rest prior to activity 5. Encourage patient to comb hair. Rationale: To ensure easier dressing and comfort