DRUG STUDY

Name of Patient: Samut, Jedah Date of Admission: January 15, 2022 Room: 401a Age: 42 y/o Sex: Female

Civil Status: Married Religion: Attending Physician: Dr. Ran

N/a
DATE DRUG NAME CLASSIFICATION/ INDICATION CONTRAINDICATION ADVERSE/SIDE EFFECT NURSING
ORDERED MECHANISM OF RESPONSIBILITY
ACTION
Brand Names: The antihistaminic Relief of allergic Hypersensitivity to Side effect  Warn pts to avoid
Jan 15, 2022 Zyrtec activity of cetirizine is symptoms caused cetirizine, hydroxyzine,  Headache driving and
Generic Name: mediated via selective by histamine levocetirizine, or their  Fatigue performing other
Cetirizine inhibition of peripheral release including: components  Dry mouth dangerous
H1 -receptors to Seasonal and PREGNANCY: Use with  Abdominal pain activities if
alleviate urticaria. perennial allergic caution only if benefit to drowsiness occurs
 Somnolence
rhinitis, Chronic mother outweighs or until stabilized
urticaria potential risk to fetus. on the drug.
Adverse effect
Pharmacologic class: LACTATION: Patient  Advise pts to
 CNS: Dizziness,
Histamine-1 (H-1) should check with fatigue, feeling avoid alcohol and
receptor antagonist prescriber before hot, headache, other central
Therapeutic class: breastfeeding. insomnia, nervous
Antihistamine irritability, depressants.
Dosage: 10mg
paresthesia,  Encourage patient
Route: PO to take drugs as
Frequency: presyncope,
sedation, prescribed. Notify
Once a day @ a health care
bedtime somnolence
provider if
 EENT: Dry mouth,
References: Vallerand, epistaxis, confusion or
A.H. & Sanoski, C.A. pharyngitis, taste hypotension
(2019). Davis’s drug alteration occurs.
guide for nurse (16th  Institute safety
ed.). F.A. Davis  GI: precautions,
Company Abdominal pain, because drug
diarrhea, can cause
dyspepsia, nausea, sedation and
vomiting somnolence
 RESP:
Bronchospasm,
cough
 SKIN:
Diaphoresis

GALVEZ, ANNALIZA M.
 Nursing Care Plan

Name of Patient: Samut, Jedah Date of Admission: Jan 15,2022 Room: 401a Age: 42 y/o Sex: Female

Civil Status: Married Chief Complaint: Dizziness Religion: N/A Attending Physician: Dr. Ran
DATE CUES NURSING GOALS/ INTERVENTIONS RATIONALE EVALUATION
& TIME DIAGNOSIS OBJECTIVES
J Subjective data: Risk for deficit After 8 hours of nursing  Administer IVF as  To replace fluid After 8 hours of nursing
A “nalipong man ko fluid volume related interventions the client will ordered by the loss and prevent interventions the patient
atong paingon ko diri to hyperglycemia as be able to: Doctor dehydration was able to:
uy mao naka-
N desisyon ko magpa-
evidenced
by glycosuria.
  Administer
 To avoid
vomiting
 Maintained
glucose in
admit nalang” Maintain blood satisfactory
glucose normal metoclopramide
U verbalized by the It will give the range
range 
patient correct and
 Administer insulin
A
Scientific Basis:
Hyperglycemia
(70-105 mg/dL)
medications as proper 
leads to excessive  directed. management of Patients
urination and Achieve normal imbalanced showed
R Objective data: urine output glucose level. an improvement
excessive thirst in
 Looks pale, an attempt of the range in fluid balance;
Y & sleepy body to rid excess (30-60cc/hr)  Hypovolemia normal range of
 Pallor noted glucose along with  Maintain adequate  Monitor vital signs can be urine output
1  Palmar water, and hydration manifested by
erythema electrolytes putting evidenced by hypotension vital signs stable,
5, the patient at risk stable vital signs, and

noted clear peripheral
for fluid volume palpable tachycardia. pulse pressure,
2  (+) nausea & deficit peripheral pulse,  This is an
vomiting good skin turgor,
0 skin turgor and indicator of the capillary refill
 (+) capillary refill well  Assess peripheral level of
2 pulses, well and mucous
Glycosuria dehydration membranes moist
2  BP capillary refill, skin
or wet
130/80mmHg turgor, and mucous  provide the
 PR 99bpm membranes estimated need “GOAL MET”
 RR 23cpm  Monitor intake and for fluid
output. Record the replacement,
Labs:
urine specific renal function
 OGTT gravity. and
Fasting:
120
 mg/dL 1 Reference: effectiveness of
hour Vera, M. (2020). 17 a given therapy
 post- Diabetes Mellitus  Encourage patient  To replace fluid
prandial: Nursing Care Plans. to increase fluid loss and prevent
190 Retrieved on March intake. dehydration
mg/dL 2 2, 2020 from  The patient
hours https://nurseslabs.c  Educate the patient needs to learn
 post- om/diabetes- about the proper about taking
prandial: mellitus-nursing- ways of taking insulin or oral
165 care-plans/9/ prescribed hypoglycemic
mg/dL medications. drugs to lower
 FBS 6.9 blood glucose.
mmol/L  Exercise
 Discuss the balances glucose
importance of levels by
balance exercise facilitating
with food intake. uptake of
glucose into
cells. The patient
needs to
understand the
relationship of
exercise, food
intake, and blood
glucose levels.

GALVEZ, ANNALIZA M.