Drug Study

Patient’s Name: Ms. R.K.P. Age: 26 years old

Status: Single Room/Bed No: Semi-Private 1
Date of Admission: September 16, 2009 Hospital No: 34292

Generic Brand Classification Indications Contraindications Side Effects How Dosage and Nursing
Name Name Supplied Frequency Responsibilities
Celecoxib Celebrex NSAID Analgesic and Contraindicated CNS: 500mg 500mg > Take
(non- anti- in the presence of headache, tablet tablet, 1 immediately
steroidal inflammatory significant renal dizziness, tablet, three after meals.
anti- activities impairment, somnolence times a day
inflammator related to pregnancy, , insomnia, of as >Administer
y drug) inhibition of lactation. fatigue, needed for drug as ordered
the COX-2 tiredness, pain. by the doctor.
enzyme, dizziness,
which is tinnitus, >Monitor
activated in ophthamolo patient for
inflammation gic effects adverse reaction
to cause the to drug.
signs and
symptoms >If adverse
associated reaction is
with resent stop
inflammation; administering
does not affect drug and inform
the COX-1 physician
enzyme, immediately.
which protects
the lining of >tell patient to
the GI tract store drug in a
and has blood cool dry place

49
clotting and in a tightly
renal closed
functions. container.

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 Generic Brand Classification Indications Contraindications Side Effects How Dosage Nursing
Name Name Supplied and Responsibilities
Frequency
Cefalexin Cefalin Antibiotics Infection Hypersensitivity GI 500mg 500mg >Administer
caused by to Cephalosporins disturbances capsule capsule ,1 drug as ordered
susceptible ; capsule by the doctor.
organisms in hypersensiti three
the repiratory vity times a >May be taken
and urinary reactions day for with meals to
tract, and in five days. reduce GI
skin and soft disturbances.
tissues
>Monitor patient
for adverse
reaction to drug.

>If adverse
reaction is resent
stop
administering
drug and inform
physician
immediately.

>Tell patient to
store drug in a
cool dry place in
a tightly closed
container.

Generic Brand Classification Indications Contraindications Side Effects How Dosage Nursing

49
 Name Name Supplied and Responsibilities
Frequency
Nefedipine Adalat Antianginals Vasospastic Contraindicated May 30mg 30mg >Closely
angina to patients increase tablet tablet, monitor vital
(Prinxmetal’s hypersensitive to ALT; AST, 1tablet signs during
or variant drugs. Use alkaline once a infusion,
angina) cautiously in phosphatase day. particularly
Classic patients with and LHD blood pressure,
chronic stable heart failure or levels especially in
angina hypotension and patient with
pectoris, elderly patients. MI. Excessive
Hyprrtension Use extended hypotension
release tablets may worsen
cautiously in the MI.
patients with
severe GI >Monitor
narrowing. blood pressure
and intensity
and duration of
drug response.

>Advice
patients who
complain with
tingling
sensation with
S.L. drug to try
holding tablet
in check.
>Advice
patient to

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 avoid alcohol.

>tell patient to
store drug in a
cool dry place
in a tightly
closed
container.

Generic Brand Classification Indications Contraindications Side Effects How Dosage Nursing
Name Name Supplied and Responsibilities
Frequency

49
Hydralazine Apresoline Antihypertensi Essential Contraindicated May 25mg 25mg >Monitor Bp,
ve hypertension to patients decrease tablet tablet, pulse rate, and
(orally, alone hypersensitive to hemoglobin 1tablet body weight
or with other drug, patients level. May every four frequently.
anti- with coronary decrease hours Drug may be
hypertensives) artery disease or neutrophil, given with
severe mitral walvular WBC, diuretics beta
essential rheumatic heart granulocyte, blockers.
hypertension disease. platelet, and
(parenterally RBC >Instruvt
to lower blood counts. patient to take
pressure oral forms
quickly), with meals to
preeclampsia, increase
eclampsia, absorption.
heart failure.
>Inform
patient that
low Bp and
dizziness upon
standing can
slowly and
avoiding
sudden
position
changes.

>Tell woman
of childbearing
age to notify

49
 prescriber if
she suspects
pregnancy.

>Tell patient
to notify
prescriber of
unexplained
prolonged
general
tiredness of
fever, muscle/
joint aching or
chest pain.

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 IVF STUDY

TYPE OF CONTENT CLASSIFICATION INDICATIONS CONTRA- HOW NURSING

SOLUTION INDICTIONS SUPPIED RESPONSIBILITIES
LACTATED Electrolytes Water and This medication is Diabetes, heart 500 ml and 1. Monitor injection
RINGERS Electrolyte an intravenous problems, 1000 ml sties regularly to
SOLUTION Per L: Replenisher (IV) solution use kidney plastic provide warm
to supply water problems, liver containers compresses and gentle
130 mEqof and electrolytes problems , high massage to injection
Sodium Ion. (e.g. , calcium, levels of at 30 sites if painful or
potassium, potassium gtts/min swollen. If signs of
109 mEq of sodium, chloride), (hyperkalemia), phlebitis occur, remove
Chloride Ion either with or high levels of IV line and reinsert in
without sodium a different vein.
28 mEq of calories(dextrose), (hypernatremia), 2. Arrange supportive
Lactate to the body. It is acid/base care and comfort
also used as a problems (e.g. measures including
4 mEq of mixing solution acidosism rest, environmental
Potassium (diluent) for other alkalosis), controls and other
Ion IV medications. swelling measures.
(edema), 3. Provide thorough
3 mEq of allergies patient teaching
Calcium Ion (especially drug including measure to
allergies). avoid adverse effects
Caution is used and warning signs of
in pregnancy, problem, as well as
lactation and proper administration,
pediatrics. to increase knowledge
about drug therapy
and to increase
compliance with drug

49
 regimen.
4. Offer support and
encouragement to deal
with the drug regimen.
5.Check vital signs for
possible overload

Bibliography:

50
Kozier et. Al., Fundamentals Of Nursing: Concepts, Process, and Practice, 7th ed., Addison –Wesley Publishing Co., Inc., 2002.

Marieb, E. Essentials Of Human Anatomy And Physiology, 6th ed., Addison- Wesley Longman, Inc., 2000

Pillitteri, A. Maternal And Cjild Health Nursing: Care of Chilbearing and Childbearing Family, 3rd ed., Lippincott Williams ans
Wilkins, 1998.

Karch, A. Focus On Nursing Pharmacology, Philadephia: Lippincott Williams and Wilkins, 2000.

Broadribb et. Al., Maternal- Child Nursing, Philadelphia: J.B. Lippincott Company, 1973.

Myles. Textbook For Midwives. 12th ed.,Longman Group UK Ltd. 1993.

http://www.parknicollet.com/Clinic /HealthInfo/Womens_Health/Nausea_In_pregnanct/nausea_in_pregnancy.html

http://www.marchofdimes.Com/pnhec/159_161192.asp

http://www.babycenter.com/refcap/pregnancy/prenatalhealth/262.html

http://www.marchofdimes.com/pnhec159_15245.asp

http://www.pennhealth.com/health_info/pregnancy/000100.htm

http://www.birthsource.com/scripts/article.asp?articleid=107

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