DRUG STUDY

NAME OF DRUG ACTIONS ROUTE/DOSAGE UNDESIRABLE EFFECT UNDESIRABLE EFFECT

 Ceftizidine  Inhibits bacterial cell wall  GI mg IV q  G.I  Monitor WBC counts

(Fortaz) synthesis, most effective 12° Nausea, vomiting, and  Culture pt
against rapidly growing diarrhea  Monitor BUN and creative
 Cephalosporins organism levels in clients with rena;
 I impairment
Increase in glucose  Monitor vital signs
values  Monitor I and O

 A
Anaphylaxis may occur,
alcohol may cause
vomiting

 N
Nephrotoxicity

 T
Thrombosytopnea
 DRUG STUDY

NAME OF DRUG ACTIONS ROUTE/DOSAGE UNDESIRABLE EFFECT UNDESIRABLE EFFECT

 Amikacin  Bacterial bind with 30’s or  10 mg IV q  Anorexia  Audiograms

(amikin) 50’s ribosomal submit, this 12°  Nausea  Vestibular functions test
inhibiting synthesis  Tremurs  BUN and createnine
 Aminoglycosides  Tinnitus  Monitor vital signs
 Photosensitivity  Peak and trough serum
 Super infection or  Dilute and administer slowly
agranulocytes over 60 minutes to prevent
 Significant potential for toxicity
neurotoxicity  Levels routinely
 Nephotoxicity  Monitor I and O
 Aminoglycosides
nephrotoxicity us usually
seen as a gradual
increase in creatinine
over several days
 Ototoxicity with high
levels of extended
periods
 DRUG STUDY

NAME OF DRUG ACTIONS ROUTE/DOSAGE UNDESIRABLE EFFECT UNDESIRABLE EFFECT

 Ampicillin  Bactericidal  1.5 g IV q 12°  Nausea  Monitor WBC’s

(omnipen Inhibits the enzymes in cell  Vomiting  Culture/sensitivity reports
Polycillin) wall synthesis  Diarrhea  I and O
 Rash  Renal function test
 Stomatitis  Lever enzymes and
 Hypersensitivity ranging temperature
from rash  Check for bleeding if high
 Urticaria dosage of penicillin are
 Pruritus to full being given
anaphylaxia  Monitor for seizure in clients
with disease.
 DRUG STUDY

NAME OF DRUG ACTIONS ROUTE/DOSAGE UNDESIRABLE EFFECT UNDESIRABLE EFFECT

 Gentamycin  Bactericidal benide with  1 mg IV OD  Anorexia  Monitor BUN/createnine

Aminoglycoside 30’s or 50’s ribosomal  Nausea  Audiograms
submit this protein  Tremors  Vestibular function test
synthesis.  Tinnitus  Monitor vital signs
 Photosensivity  Peak and through scram
 Super infection or  Levels routinely
agranulocytosis  Dilute and administer slowly
 Significant potential for over 60 minutes to prevent
neurotoxicity toxicity
 Ototoxicity with high  Monitor I and O.
levels of extended
periods.
 Amino glycoside
nephrotoxicity is usually
seen as an gradual
increase in creatinine
over several days.
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
 Increase Hypernatrimia Within the shift the  maintained core  To promote normal  After the shift the
body temp. R/T prolong patient will be able temperature within temperature baby was lessen the
 Flushed skin exposure to hot to demonstrate normal range degree of
 Increase environment decreased or have  Indentify  To easily promote temperature and
R.R phototherapy normal temperature underlying treatment and care have normal
 Weak case/contributing to the patient temperature.
looking factors and
importance of
treatment.  Hyperventilation may
 Monitor initially be present,
respirations but ventilator effort
may eventually be
impaired seizure.
 Lessen body
temperature
 Lessen exposure
to photheraphy

NURSING CARE PLAN

ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Tube feeding  Risk for  After the shift  Noted patient  Improvement in these  Goal met. The patient
 Increase gag aspiration R/T the patient consciousness increase clients risk experienced no
reflex tube feeding will be able to of aspirations aspiration after giving
experience  Assessed ability to  Helps to determine nursing intervention.
no aspiration swallow and presence
as evidenced strength of /effectiveness of
by clear gag/cough reflex protective
breath mechanism
sounds  Noted  Due to potential for
administration of regurgitation and/or
enteralfeeding misplacement of
tube.
 Provided net  Rested client may
periods prior to have less difficulty
feeding tube with swallowing
 Positive on right  Decrease like of
side after feeding drainage into trachea
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 (+) crackle  Ineffective airway  After rendering  Monitored  To assess respiratory  Goal met after
 Irritable clearance R/T an effective respirations and distress or rendering an effective
presence of trachea nursing breath sounds accumulations of nursing intervention the
bronchial intervention routing rate and secretions . baby improved or
secretions the baby sounds maintained clear
improved/  Positioned on  To open and maintain airway.
maintain clear modified high back airway clearance
airway rest
 Administered  To boost immune
vitamin c as system
prescribed
 Administered
bronchodilators as
prescribed
 Insert oral airway as  Maintain anatomic
appropriate position of tongue and
natural airway.
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Cool skin  Hypothermia R/T  After the shift  Wrap in warm  To keep the patient  After giving nursing
 Slow capillary prolonged the patient will blanket and or extra warm interventions the patient
refill exposure to cool be able to clothing as maintained normal
 Pallor environment and maintain body appropriate and body temperature.
inadequate temperature at place krip cap on
clothing normal range. infants head
 Place infant in/under  To reduce potential for
radiant warmer or in fibrillation in cold heart
isolet and monitor
temperature
 Keep patient quite  To reduce potential for
and handle gently fibrillation in cold heart
 Avoid restrictive  To reduce circulatory
clothing/restraints stasis
 Provide well –  To replenish glycogen
imbalance feeding stones and nutritional
balance
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Presence of  Risk for infection  Within the  Note sign and  For baseline of the  After the shift, the
wound R/T broken skin shift the patient symptoms of sepsis observation patient was free from
 Irritable and traumatized will achieved such fever, chills, infection achieved time
tissue timely wound diaphoresis, altered wound healing.
healing and to loc.
prevent risk of  Emphasized proper  To avoid contamination
infection wound care
 Always maintain  To avoid spreading of
aseptic techniques microorganism

 Administered  To combat the infection

medication as
prescribed
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Dry skin and  Fluid volume  After the shift  Administer IV fluids  To maintain normal  Good partially met.
mucous deficit R/T failure the patient will as indicated or body fluids The patient gained fluid
membranes of regulatory be able to replaced blood volume in the body.
 Increase body mechanisms of the maintain fluid products / plasma
temperature body volume at a expander as ordered
functional level  Control humidity  To reduce high fever
as evidenced and ambient air and elevated metabolic
by moist temperature rate
mucous  Bathe every day,  To prevent dry skin
membranes provide optima’s
and has good skin care with
skin turgor. emollients  To prevent injury from
 Provide frequent oral dryness
as well as eye care  To reduce fever
 Administer
medications as
ordered
 NURSING CARE PLAN
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

 Infant crying  Ineffective  After the shift,  Assess the breast  It could affect  Goal met.
within the first breastfeeding R/T the patient will nipples of the mother breastfeeding process The patient has a
hour after interruption in be able to if inverted or flat satisfactory breast
breast feeding breast feeding and achieve nipples feeding regimen.
prematurity mutually  Review feeding  To note increase
satisfactory schedule demand for feeding or
breast feeding use supplements with
regiment with artificial nipple
infant content  Inform mother about  Early recognition of
after feeding early infant feeding infant hunger promoted
cause such as timely /more rewarding
sucking fingers/hand feeding experience for
infant and mother
 Increase skin to skin
contact
 Have mother pump  To enhance mild
breast after feeding production
 Recommended/advis  For the baby to suck
ed to do the proper properly
position in
breastfeeding