EMILIO AGUINALDO COLLEGE

Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`

Assessment Diagnosis Planning Intervention Rationale Evaluation

(Cesarean Birth) Short term goal: Nursing Independent: Nursing Independent: Short term goal:
Subjective: After 3-5 hours After 3-5 hours
“kumikirot yung with nursing 1.Encouraging the 1.To prevent fatigue and with the nursing
tahi ko” intervention the mother to rest. that focuses in recovery. intervention the
patient will be able patient can move
Objective: to move 2.Inspect the incision 2.For the process of independently in
Facial grimace Surgical independently in site. healing and what type of simple activities,
(+) Recovery some simple drainage is present. and tolerates early
Fatigue (+) activities, and will ambulation around
be able to tolerate 3.WOF complications 3.May cause risks such as the room.
Bp = 120/70 early ambulation such as infection tissue trauma and broken Goal is met.
PR = 59 around the room. skin. This may prolong
RR = 20 the patient healing Long term goal:
Temp = 35.6 After weeks of
02 sat = 96% Long Term goal: 4.Assessing in wound 4.Such as by keeping the nursing intervention
After weeks of care. dressing dry and intact The patient is able
nursing intervention and to protect from other to move and
The patient will be injury and infection. handles the simple
able to move and activities especially
handles the simple 5.Encourage deep 5.This for the patient to in taking care of the
activities especially breathing Exercise relieve pain and lessen infant and there is
in taking care of the stress. no pain present in
infant that there the incision site
will be no pain 6.Assessing in Side 6.The patient may develop also healed
present in the lateral position hypotension due to the completely.
incision site and uterus compress the Goal is met.
will be healed inferior vena cava if they
completely. are in supine position.

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 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`

7.Assess Patient in 7.To promote blood flow

ambulatory and mobilization. Can
reduce pain and lessen the
use of pain killer drugs.
Improve strength

Nursing Dependent: Nursing Dependent:

1.Administering pain 1.If the independent is not

reliver medication. enough for the patient to
tolerate.

2.Collaborate with the 2.For foods such as with

nutritionist for patient. Vitamin A (carrots, sweet
potatoes, spinach or other
green veggies), vitamin C
(Fruits like berries,
melons and others like
tomatoes and bell
peppers)

3.Oral/IV Antibiotic 3. To limit the possible

given development of infection
in the incision site if the
independent wound care is
not adequate.

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 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`

Drug Name Classification Route And Indications Contraindications Adverse Nursing Health
Dose reactions Responsibilities Teachings
Generic Name: Nonsteroid Oral Relief of mild to For person with Headache, History for allergy, Should be taken
Mefenamic Anti- 500mg moderate pain hypersensitivity dizziness, renal, hepatic with meal
Acid Inflammatory Q6 and for primary for mefenamic insomnia, condition.
Drugs dysmenorrhea. acid, aspirin fatigue, If the patient is
Band Name: (NSAIDs) Postoperative allergy, and with tiredness. Avoid for patient experiencing
RiteMED pain and perioperative pain with CV event like rash, diarrhea
Mefenamic rheumatoid with coronary May present hypertension, or digestive
Acid, Finox, arthritis. artery bypass. rashes, diabetes mellitus, problem then
Gardan, Istan With history of sweating. and smoking. they must
recurrent peptic discontinue
ulcer/hemorrhage. For Lactation and drug
gastrointestinal pregnancy
disorder Since drug can
: nausea, cause dizziness
vomiting, and drowsiness
diarrhea, advice patient
constipation. to not drive

May develop
dyspnea,
rhinitis and
anaphylactoid
reaction.

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 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`
Drug Name classification Route and Indications Contraindications Adverse reactions Nursing Health Teachings
dose Responsibilities
Generic Name: Antibiotic, Oral For Pharyngitis, Allergy or Headache, dizziness, Know for Complete the full
Cefuroxime cephalosporins 500mg tonsillitis due to hypersensitivity lethargy, paresthesia. history for course of therapy.
BID S. Pyogenes. to cefuroxime or hepatic, and
Other bacteria the other For Gastrointestinal: renal Should be taken
Brand Name: Other: caused from S. cephalosporins/ Nausea, vomiting, impairment, with meal to avoid
Cefuvex, IV, IM Pneumoniae, Penicillin. diarrhea, anorexia, lactation and GI upset.
RiteMED Moraxella abdominal pain. pregnancy.
cefuroxime, catarrhalis and Be caution with The drug must be
Zoltax, Robisef Haemophilus renal failure, Hematologic: Checking for taken whole not
influenza. lactation and Bone marrow skin status, crush.
pregnancy. depression such as LFTs, renal
Skin and ski due to decreased function test, Inform patient the
structure WBC, the platelets sensitivity tests. side effects are
infections and the Hct. stomach ache or
includes impetigo diarrhea.
by S. aureus, S. Hypersensitivity:
pyogenes Rashes, fever, If blood present
anaphylaxis, serum with pus, mucus,
sickness. rash, DOB,
unusual tiredness,
Others: pain, Fatigue, bruising
phlebitis, and irritation with
inflammation on the itching inform
site. health care
provider and
discontinue.

QF-PQM-035 (02.27.2021) Rev.03

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• VIRTUE • EXCELLENCE • SERVICE
 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`

Drug Name Classification Route and Indications Contraindications Adverse Nursing Health Teaching
Form Reaction Responsibilities
Generic Name: Analgesic Oral Acute and long-term Allergies to Most common Assess if patient has Should be taken
Celecoxib (Non opioid) 250mg treatment of signs and sulfonamides, that shows: Renal impairment, with meal to avoid
NSAIDs BID symptoms of celecoxib, headache, impaired hearing, GI ache.
Brand Name: rheumatoid arthritis NSAIDs, or dizziness, allergies, hepatic, and
Ritemed and osteoarthritis. aspirin and some somnolence CV conditions, Do not double
Celecoxib, that are significant insomnia, Lactation and intake it possible
Trucox, Reducing the number renal impairment. fatigue, pregnancy. forgotten to take
Celexib, of colorectal polyps in tiredness, then move to the
Flamacox familial adenomatous Pregnancy and tinnitus, Test for serum mix time to take
polyposis (FAP) lactation. ophthalmologic electrolytes, reflexes,
effect. peripheral sensation. Inform the patient
Managing to acute Impaired healing the side effects
pain. and hepatic Fluid retention, such as: Dizziness,
condition. oedema, drowsiness best to
Treatment for primary hypertension, stay home while
dysmenorrhea. Treatment for renal papillary taking the drug.
postoperative pain necrosis.
Relief signs and in the setting of Inform and
symptoms of CABG surgery. For discontinue if there
ankylosing spondylitis Gastrointestinal: is sore throat, fever,
and juvenile Nausea, rash, itching,
rheumatoid arthritis. abdominal pain, weight gain,
dyspepsia, swelling in ankles
flatulence, GI or changing in
bleeding. vision.

QF-PQM-035 (02.27.2021) Rev.03

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 EMILIO AGUINALDO COLLEGE
Gov. D. Mangubat Ave., Brgy. Burol Main, City of Dasmariñas, Cavite 4114, Philippines
Tel. Nos. (046) 416-4339/41 www.eac.edu.ph

SCHOOL OF NURSING
`

MEDICAL – SURGUCAL RLE

ASSIGNEMNT
NURSING CARE PLAN
DRUG STUDY

Submitted by:
Tandog, Danika D.
3-1A
CASE:
Patient Name: N. R
Gender: F
Age: 37
Room: 529
Diagnosis: G2P2
Operation: Low transverse cesarean section

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