UNIVERSITY OF CEBU – BANILAD

COLLEGE OF NURSING

DRUG STUDY

Patient:Mr. R. B. O. Age: 29 yrs. old Hospital No.: 070022437156 Room No.: A-701
Impression: Multiple Physical Injuries secondary to Motor vehicular Accident Attending Physician(s): Dr. Christopher Ting Go
Allergy to: None

Generic & Dose, Indication/ Adverse/ Side Nursing

Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Paracetamol Give 1 tab Temporary relief Hematologic: 1. Assess patient’s 1. To indicate 1. Tell patient not
by mouth of pain and hemolytic anemia, pain or temperature baseline data and to use drug for
Brand: 3x a day. discomfort from leukopenia, before therapy and monitor drug’s fever that’s higher
Tylenol (Tylenol headache, fever, neutropenia, regularly thereafter. effectiveness. than 103.1 °F,
650 mg tab) cold, flu, minor pancytopenia, (Student’s Drug lasts longer than 3
Classificati- muscular aches, thrombocytopenia. Handbook, 2009: days, or recurs.
on: Timing: overexertion, Hepatic: 101)
Analgesics 8 am menstrual cramps, liver damage, 2Warn patient
( Non- 1 pm toothache, minor jaundice 2, Asses patient’s 2. To prevent that high doses or
opioid) 7 pm arthritic pain. Metabolic: drug history and over dosage that unsupervised
Antipyretics hypoglycemia calculate total daily could lead to long-term use can
Duration: Mechanism of Skin: rash, urticuria dosage accordingly. toxicity and liver cause liver
4-6 hours Action: (Student’s Drug damage. damage.
Paracetamol may Interactions: Handbook, 2009:
Other cause analgesia by Barbiturates, 101) 3. Tell patient to
forms: inhibiting CNS carbamapezine, keep track of
>Caplets: prostaglandin hydantoins, 3. Be alert for signs 3. To establish daily drug intake,
165 mg, synthesis. The isoniazid, rifampin, of reactions proper including OTC
500 mg, mechanism of sulfinpyrazone: and drug precautionary and prescription
650 mg morphine is May reduce interactions. measures and medications.
>Caplets believed to therapeutic effect (Student’s Drug management for
ER: 650 mg involve decreased and enhance Handbook, 2009: possible adverse 4. Tell a breast-
>Capsules: permeability of hepatotoxic effects 101) effects of drug. feeding woman
5oo mg the cell membrane of acetaminophen that drug appears
>Elixir: 80 to sodium, which with high doses or 4. Assess patient’s 4. To determine in breast milk in
mg/2.5 mg, results in long-term use of and family’s the level of levels less than
80 mg/5 ml, diminished these drugs. Avoid knowledge of drug understanding of 1% of dose.
120 mg/5 transmission of use together. therapy. the patient and
ml pain impulses Lamotrigine: Serum (Student’s Drug her family about
>Gelcaps: therefore lamotrigine Handbook, 2009: the drug therapy
500 mg analgesia. concentrations may 101)
>Geltab: be reduced and may
500 mg decrease therapeutic NURSING
effects. DIAGNOSES
Warfarin: May • Acute pain related
increase to patient’s
hypoprothrombin- underlying
emic effect with condition.
long-term use of • Risk for injury
high doses. Monitor related to drug-
PT and INR closely. induced liver
Zidovudine: May damage with toxic
increase risk of doses.
bone marrow • Deficient
suppression because knowledge related
of impaired to drug therapy.
zidovudine
metabolism.
Monitor patient
closely.
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Co- Give 1 tab Respiratory tract, CNS: Agitation, 1. Assess patient’s 1. To indicate 1. Tell patient to
Amoxiclave by mouth GUT, abdominal, anxiety behavioral infection, ask about baseline data and take entire
3x a day. skin and soft changes, confusion, past allergic monitor drug’s quantity of drug
Brand: (Natravox tissues infection. dizziness, insomnia. reactions before effectiveness. exactly as
Augmentin 625 mg tab) GI: Abdominal therapy and prescribed, even
Mechanism of pain, black “hairy” regularly thereafter. after he feels
Classificati- Timing: Action: tongue, diarrhea, (Student’s Drug better.
on: 8 am Prevents bacterial enterocolitis, Handbook, 2009:
Penicillins 1 pm cell-wall synthesis gastritis, glossitis, 147) 2. Tell patient to
7 pm during replication. indigestion, nausea. call prescriber if
Clavulanic acid GU: Vaginal 2, Asses patient’s 2. To prevent rash develops
Duration: increase candidiasis, drug history and over dosage that (sign of allergic
6-8 hr amoxicillin’s vaginitis. calculate total daily could lead to reaction).
effectiveness by Hematologic: dosage accordingly. toxicity and liver
Other inactivating beta Agranulocytosis, (Student’s Drug damage. 3. Instruct patient
forms: lactamases, which anemia, Handbook, 2009: to take drug with
Chewable destroy eosinophilia, 147) food to prevent
Tablets: 25 amoxicillin. leucopenia. GI distress.
mg Other: 3. Be alert for signs 3. To establish
amoxicillin, Hypersensitivity of reactions proper
31.25 mg reactions, and drug precautionary
clavulanic angioedema, interactions. measures and
acid; 200 pruritus, rash, (Student’s Drug management for
mg urticaria. Handbook, 2009: possible adverse
amoxicillin, 147) effects of drug.
62.5 mg
clavulanic 4. Monitor 4. To prevent
ER tablets: hydration status if complications
1000 mg Interactions: adverse GI such as diarrhea.
amoxicillin, reactions occur.
62.5 Drug-drug (Student’s Drug 5. To determine
clavulanic Allopurinol: May Handbook, 2009: the level of
acid cause rash. Monitor 147) understanding of
Tablets patient. the patient and
(film- Probenecid: May her family about
coated): increase level of 5. Assess patient’s the drug therapy
250 mg amoxicillin and and family’s
amoxicillin, other penicillins. knowledge of drug
125 mg Probenecid may be therapy.
clavulanic used for this (Student’s Drug
acid; 500 purpose. Handbook, 2009:
mg 147)
amoxicillin,
125 mg NURSING
clavulanic DIAGNOSES
acid • Ineffective
protection related to
presence of
susceptible
bacteria.

• Risk for deficient

fluid volume
related to drug-
induced adverse GI
reactions.

• Deficient
knowledge related
to drug therapy.
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions

Generic: Ordered: Indications: Adverse Reaction ASSESSMENT

Betahistine Give 1 tab Meniere’s disease, Skin: rashes
DiHCl by mouth vertigo, Meniere- GI: mild gastric 1. Assess patient 1. To indicate
now then 3x like syndrome complaints before therapy and baseline data and 1. If patient
Brand: a day. characterized by regularly thereafter. monitor drug’s misses a dose, tell
Serc (Serc 16 mg attacks of vertigo, Interactions: (Student’s Drug effectiveness. her to take it as he
tab) tinnitus and Handbook, 2009: remembers but
Classificati- sendorineural Antihistamine: May 10) not to double the
on: Timing: deafness. affect how dose.
Antivertigo 8 am betahistine works or
1 pm may be affected by 2, Asses patient’s 2. To prevent 2. Tell patient to
7 pm betahistine. drug history and over dosage that report drug
Mechanism of calculate total daily could lead to adverse reactions
Duration: Action: dosage accordingly. toxicity and liver
Unknown Serc exerts a (Student’s Drug damage. 3. Inform patient
relaxant action on Handbook, 2009: that drug may be
Other the precapillary 101) taken with meals.
forms: sphincters of the
No other microcirculation 3. Be alert for signs 3. To establish 4. Teach patient
than tablet of the inner ear, of reactions proper how to store drug.
and thereby and drug precautionary
increases the interactions. measures and
blood supply to (Student’s Drug management for
the stria vascularis Handbook, 2009: possible adverse
of the labyrinth. 101) effects of drug.
Investigations into
the acute, subacute 4. Assess patient’s 4. To determine
and chronic and family’s the level of
effects of knowledge of drug understanding of
betahistine in therapy. the patient and
animals have (Student’s Drug her family about
demonstrated the Handbook, 2009: the drug therapy
low toxicity and 101)
safety of the drug.
Generic & Dose, Indication/ Adverse/ Side Nursing
Brand Strength & Mechanisms Of Effects Drug Responsibilities Rationale Client Teaching
Name Formulation Drug Action Interactions
ASSESSMENT
Generic: Ordered: Indications: Adverse Reaction 1. Assess patient 1. To indicate
Mupirocin Apply ti Impetigo due to Skin: Burning, before therapy and baseline data and 1. Review
abrasions Staphylococcus stinging or pain, regularly thereafter. monitor drug’s technique for
Brand: twice a day. aureus, itching, rash, (Student’s Drug effectiveness. administering
Bactroban ( Bactroban Streptococcus erythema, dry skin, Handbook, 2008: topical
2% 2% pyogenes, and tenderness, swelling 1058) medications; use
ointment ointment 5 beta-hemolytic contact dermatitis, 2, Note reasons for 2. To determine aseptic measures
gram) streptococcus. increased exudates therapy, onset, the exact reason and handwashing
Classificati- GI: nausea duration, S & S of therapy so that before and after
on: Timing: Mechanism of characteristics. optimum therapy to prevent
Topical 8 am Action: Interactions: (Student’s Drug treatment will be contamination.
Antibiotic 7 pm Binds to bacterial Handbook, 2008: achieved.
isoleucyl transfer Caffeine, alcohol, 1058) 2. Report any
Duration: RNA synthetase, the nicotine from 3. Be alert for signs 3. To establish symptoms of
which results in cigarettes, or street of reactions and precautionary chemical irritation
inhibition of drugs can affect the drug interactions. measures and or
Other protein synthesis action of the drug. (Student’s Drug management for hypersensitivity
forms: by the organism. Handbook, 2008: possible adverse such as increased
Nasal Not absorbed into 1058) effects of drug. rash, itching, pain
ointment: the systemic at site, or lack of
2%. circulation. Serum 4. Assess patient’s 4. To determine healing.
Topical present in and family’s the level of
Cream: 2% exudative wounds knowledge of drug understanding of 3. Report if no
decreases the therapy. the patient and improvement in
antibacterial (Student’s Drug her family about skin infection
activity. Handbook, 2008: the drug therapy. after 3-5 days of
1058) therapy.