6 Drug Study

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VIII.

DRUG STUDY

St. Michael’s College


College of Nursing
Iligan City

DRUG STUDY FORM 1

Name of Patient: C.J Date/Shift: 7:00 AM 0 3:00 pm


Area: Vossler station
DRUG ID:
 Generic/Brand name NURSING RESPONSIBILITIES
 Classification/Subclassification (what need to assess to
 Dosage range CLIENT’S RESPONSE/ administer safely & pertinent
 Client dosage MECHANISM INDICATIONS teaching specific to client’s meds)
DESIRED ACTION
 Frequency/Route OF ACTION ADVERSE/SIDE EFFECTS CONTRAINDICATIONS Use AIM H format
(Own interpretation/words)

CNS: Indication :  The Clients Dx:


 Cefuroxime / Ceftin  Interferes with Chills, fever, headache, response after A. Obtain a history to
  Cephalosporin bacterial cell wall seizures  Treatment if the taking the determine previous
antibiotics synthesis by following infections Cefuroxime stated use of and reaction
 The inhibiting the final CV: caused by that he feels to penicillin or
recommended step in cross Edema susceptible better, cefuroxime cephalosporins
dosage of linking organisms: conclude that it B. Assessed for signs
cefuroxime and peptidoglycan EENT: Respiratory tract works by stopping and symptoms of
dextrose is strands. Hearing loss, oral infection, Urinary the growth of infection
750 mg to 1.5 Peptidoglycans candidiasis tract infections, C. Check doctor’s
bacteria and it is
grams every 8
makes the cell Skin to skin used to treat a order
hours for 5 to 10 GI:
days.
membrane rigid structure infections. wide variety or Tx:
and protective. Abdominal cramps, Contraindications : bacterial A. Give drug with
 750 mg q8 diarrhea, elevated liver
Without it, bacterial  Contraindicated infections. food, to decrease
 IVTT enzymes, hepatic failure,
cells rupture and with allergy to GI upset and
die. nausea, vomiting Cephalosporins or enhance
Penicillin . Use absorption
Source : GU: cautiously with B. Discontinue if
VIII. DRUG STUDY

Learning, J, Learning, B. Renal failure, vaginal renal failure, hypersensitivity


(2019). Nurse’s Drug candidiasis lactation and reaction occurs
Handbook (8th edition). pregnancy. C. Observe if patient
Pp219 HEME:  Hypersensitivity to took in medication
Unusual bleeding, cefuroxime, other Edx:
hemolytic anemia cephalosporins. Or A. Educated that this
other components. drug is specific for
OTHER: this infection and
Anaphylaxis, injection site should not be used
edema, pain, and redness, to self-treat other
superinfection problems.
B. Instructed the
client to swallow
tablets whole, do
not crush them,
take the drug with
food.
C. Educated the client
that they may
experience these
side effects:
stomach upset or
diarrhea

St. Michael’s College


VIII. DRUG STUDY

College of Nursing
Iligan City

DRUG STUDY FORM 2

Name of Patient: CJ Date/Shift: 7:00 am – 3:00 pm


Area: Vossler
DRUG ID:
 Generic/Brand name NURSING RESPONSIBILITIES
 Classification/Subclassification (what need to assess to
 Dosage range CLIENT’S RESPONSE/ administer safely & pertinent
 Client dosage MECHANISM INDICATIONS teaching specific to client’s meds)
DESIRED ACTION
 Frequency/Route OF ACTION ADVERSE/SIDE EFFECTS CONTRAINDICATIONS Use AIM H format
(Own interpretation/words)

Indication:  It helps reduce  Monitor urine or


Generic name: Metformin decreases blood  Heartburn Diabetes mellitus- Type 2 glucose production serum glucose
Metformin glucose levels by Insulin resistance- as in the liver, levels frequently to
decreasing hepatic glucose  Stomach pain adjunct to insulin Metformin Controls determine
Brand name: production (also called  Nausea or high blood sugar effectiveness of
Axpinet, Diagemet, Glucient, gluconeogenesis), Contraindications: helps prevent drug and dosage.
Glucophage, Metabet decreasing the intestinal Vomiting Known hypersensitivity to kidney damage,  Do not discontinue
absorption of glucose, and  Bloating metformin hydrochloride, blindness, nerve this medication
Classification: increasing insulin renal disease or renal problems, loss of without consulting
Antidiabetics, Biguanides sensitivity by increasing  Diarrhea dysfunction, cardiovascular limbs, and sexual your health care
peripheral glucose uptake collapse (shock), acute function problems. provider.
Dosage range:  Constipation
and utilization. myocardial infarction,
Initial dose: 500 mg orally  Weight loss septicemia, congestive
every 12 hours or 850 mg heart failure requiring
orally once/day with meals;  Headache pharmacologic treatment,
increase every two weeks acute or chronic metabolic
acidosis, including diabetic
ketoacidosis.
VIII. DRUG STUDY

Client dosage:
500mg/tab

Frequency/ Route:
OD

St. Michael’s College


College of Nursing
VIII. DRUG STUDY

Iligan City

DRUG STUDY FORM 3

Name of Patient: C.J Date/Shift: 7:00 AM 0 3:00 pm


Area: Vossler station
DRUG ID:
 Generic/Brand name NURSING RESPONSIBILITIES
 Classification/ (what need to assess to
Subclassification CLIENT’S RESPONSE/ administer safely & pertinent
 Dosage range MECHANISM INDICATIONS teaching specific to client’s meds)
DESIRED ACTION
 Client dosage OF ACTION ADVERSE/SIDE EFFECTS CONTRAINDICATIONS Use AIM H format
 Frequency/Route (Own interpretation/words)

Generic name: Indication:


Lactulose Lilac Lactulose is a synthetic Use as a laxative in the After taking Lactulose Lilac Monitor for possible
 Nausea
Brand name: treatment of chronic the patient movement adverse GI reaction
sugar used in the treatment
Getz Bros  Vomiting constipation in adults and returns to normal.
Classification: of constipation and liver geriatric patients. Monitor fluid and
Laxatives, Osmotic  Bloating electrolyte status: urine
disease. It consist of the output, input-output ratio to
Dosage range:  Musclecramps/ Contraindications:
The usual dose is 1 to 2 monosaccharide’s fructose identify fluid loss
tablespoonful (15 to 30 mL, Weakness Galactosemia (patients
and galactose. require low-galactose diet) Assess patient’s and
containing 10g to 20g of
Lactulose) daily family’s knowledge of drug
Client dosage: therapy.
30 ml
Frequency/Route
OD at hs
VIII. DRUG STUDY

St. Michael’s College


College of Nursing
Iligan City
VIII. DRUG STUDY

DRUG STUDY FORM 4

Name of Patient: C.J Date/Shift: 7:00 AM 0 3:00 pm


Area: Vossler station
DRUG ID:
 Generic/Brand name NURSING RESPONSIBILITIES
 Classification/ (what need to assess to
Subclassification CLIENT’S RESPONSE/ administer safely & pertinent
 Dosage range MECHANISM INDICATIONS teaching specific to client’s meds)
DESIRED ACTION
 Client dosage OF ACTION ADVERSE/SIDE EFFECTS CONTRAINDICATIONS Use AIM H format
 Frequency/Route (Own interpretation/words)

Generic name: Atorvastatin -Inhibits 3-hydroxy- Adverse effects: Indications:  The expected
3methylglutarly-coenzyme - Headache -To lower cholesterol and outcome of -Monitor serum lipid levels
Brand name: Lipitor A (HMG-CoA) reductase - Nausea triglycede (fats) levels in atorvastatin, regularly.
- Rash the blood. Lowering your
Classification: -By preventing the - Decreased libido -May help prevent medical blood level of -For muscle pain,
HMG-CoA reductase conversion of HMG-CoA problems that are caused cholesterol and administer pain medication
inhibitors meralonate decrease by fats dogging the blood fats with as ordered.
cholesterol production in Side effects: vessels. atorvastatin has
Dosage range: the liver. - Liver effects been shown
40mg - Increased blood Contradictions: to prevent heart
-Increase the number of sugar -Having a history of liver disease, angina
Clients Dosage: LDC receptors on the - Pain (muscle) disease. (chest pain),
surface of hepatic cells. - Impaired memory -Regularly drinking large strokes, and heart
Route: - Tiredness quantities of alcohol attacks.
PO - Fatigue -Having history of muscle
related side effects.
VIII. DRUG STUDY

St. Michael’s College


College of Nursing
Iligan City

DRUG STUDY FORM 5


VIII. DRUG STUDY

Name of Patient: C.J Date/Shift: 7:00 AM 0 3:00 pm


Area: Vossler station
DRUG ID:
 Generic/Brand name NURSING
 Classification/Subclassification RESPONSIBILITIES (what
 Dosage range need to assess to administer
 Client dosage MECHANISM INDICATIONS CLIENT’S RESPONSE/ safely & pertinent teaching
 Frequency/Route OF ACTION CONTRAINDICATIONS DESIRED ACTION specific to client’s meds) Use
ADVERSE/SIDE EFFECTS
(Own interpretation/words) AIM H format

 Chest pain  INDICATIONS:  Clopidogrel is used to Assess blood pressure


 Clopidogrel bisulfate/ Clopidogrel inhibits To reduce thrombotic events prevent heart attacks periodically and
Plavix adenosine  Headache in patients with and strokes in persons compare to normal
 Antiplatelet Agents, diphosphate (ADP) atherosclerosis documented with heart values. Report a
 Dizziness
Hematologic from binding to its by recent CVA, MI or disease (recent heart sustained increase in
 Dosage for recent receptor sites on the  Runny or stuffy peripheral arterial disease. attack), recent stroke, or blood pressure
heart attack, recent platelets and blood circulation diseas (hypertension) to the
subsequent nose physician.
stroke or peripheral To reduce thrombotic events e (peripheral vascular
activation of  Urinary tract in patients with acute disease).
arterial disease
Adult dosage (ages 18 glycoprotein GP coronary syndrome. Monitor excessive
IIb/IIIa complex thus infection coughing, chest pain,
years and older)
Typical dosage: 75mg preventing  Itching  CONTRAINDICATIONS or difficult, labored
fibrinogen binding, : breathing. Report
taken once per day platelet adhesion  Pain, Nausea , Hypersensitivity. Active severe or prolonged
 75mg/tab and aggregation. pathological bleeding admin respiratory symptoms.
Vomiting
within 7 days after MI and
 OD
 Constipation ischemic stroke, coagulation
disorder lactation.

Monitor signs of
hypersensitivity
reactions, including
pulmonary symptoms
VIII. DRUG STUDY

(tightness in the throat


and chest, wheezing,
cough, dyspnea) or
skin reactions (rash,
pruritus, urticaria).
Notify physician or
nursing staff
immediately if these
reactions occur

St. Michael’s College


College of Nursing
Iligan City

DRUG STUDY FORM 6


VIII. DRUG STUDY

Name of Patient: CJ Date/Shift: 7:00 am – 3:00 pm


Area: Vossler station
DRUG ID:
 Generic/Brand name NURSING RESPONSIBILITIES
 Classification/ (what need to assess to
Subclassification administer safely & pertinent
CLIENT’S RESPONSE/
 Dosage range MECHANISM INDICATIONS teaching specific to client’s meds)
DESIRED ACTION
 Client dosage OF ACTION ADVERSE/SIDE EFFECTS CONTRAINDICATIONS Use AIM H format
 Frequency/Route (Own interpretation/words)

Generic name: Serious Reaction Indication:  After taking


Losartan Losartan's prevention of Treatment of hypertension, Losartan, it lowers Monitor patient blood
Anaphylaxis, Hypotension, pressure
Brand name: angiotensin II binding alone or in combine with his blood pressure.
Cozaar Hyperkalemia, Anemia, other antihypertensive Losartan is a
Classification: causes vascular smooth agents. medicine to treat Instruct patient to avoid
Hepatitis salt substitutes
Angiotension II receptor muscle relaxation, lowering high blood
blocker Common Reaction Contraindications: pressure and is
Dosage range: blood pressure. Patient hypertensive to used to reduce the Assess patient renal
Diarrhea, Fatigue, Chest drug, breastfeeding is not function
Initial dose: 50 mg orally risk of stroke.
once a day. pain, Weakness, Cough, recommended, caution if
Maintenance dose: 25 to volume depletion Assess and monitor fluids
Dizziness, Musculoskeletal and electrolytes level
100 mg orally in 1 to 2
divided doses. pain
Client dosage:
50mg/ tab
Frequency/ Route:
OD
VIII. DRUG STUDY

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