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DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of the Classification Dose, Mechanism Indications Contraindications Side Effects, and Nursing Responsibilities
Drug Frequency and of Action Adverse Reactions
Route
Cefuroxime Antibiotic 750 mg IV q8 Bactericidal: Bone and joint Contraindicate CNS: Headache, Avoid alcohol intake while
sodum Cephalosporin Inhibits infections d to patients dizziness, lethargy, taking this drug and for 3
2nd generation synthesis of cause by S. with allergy to paresthesia days after because of severe
bacterial cell aureus cephalosporin GU: Nephrotoxicity reactions often occur.
wall, causing or penicillin. Local: pain at the Report immediately if
death. injection site, experience severe diarrhea,
inflammation at IV difficulty of breathing,
site fatigue, pain at injection site.
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
PUERTO PRINCESA CITY
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Drug Classification Dose, Frequency Mechanism of Indication Contraindication Side effects Nursing
and Route action responsibilities
Paracetamol Antipyretic, 300 mg IV Exhibits analgesic It is also used to bring Hypersensitivity to CNS: Headache Report rash,
analgesic PRN for fever action by down a high acetaminophen GU: acute kidney unusual bleeding
peripheral temperature. failure, renal or bruising,
blockage of pain For this reason, tubular necrosis yellowing of skin
impulse paracetamol can be Hematologic: and eyes, changes
generation. It given to children after Hemolytic anemia, in voiding patterns
produces vaccinations to hematuria,
antipyresis by prevent post- neutropenia,
inhibiting the immunisation pyrexia leukopenia
huypothalmic (high temperature). Hypersensitivity:
heat-regulating -is often included in rash, fever
centre. Its weak cough, cold and flu
anti-inflammatory remedies
activity is related
to inhibition of
prostaglandin
synthesis in the
CNS.
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
PUERTO PRINCESA CITY
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Drug Classification Dose, Frequency Mechanism of Indication Contraindication Side effects Nursing
and Route action responsibilities
Metronidazole Amebicide 500mg IV q 8 Bactericidal: Prophylaxis for Contraindicated CNS: Headache, The urine may be a
Antibacterial Inhibits DNA patients undergoing with dizziness, ataxia, darker color than
Antibiotic synthesis in abdominal surgery hypersensitivity to fatigue usual
Antiprotozoal specific (obligate) metronidazole,; GU: Dysuria,
anaerobes, pregnancy (do not incontinence, Report dizziness,
causing cell death; use for the first darkening of the unusual fatigue or
antiprotozoal- trimester). urine weakness, fever
trichomonacidal, Use cautiously with Local: Redness, and chills
amebicidal: hepatic disease, burning, dryness
Biochemical CNS diseases, and skin irritation
mechanism of candidiasis
action is not (monoliiasis), blood
known. dyscrasias, lactation
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name of Classification Dose, Frequency Mechanism of Indications Contraindications Side effects and Adverse Nursing Responsibilities
Drug and Route Action reactions
Ranitidine H2-receptor 50 g IV q 8 hr Competitively Treatment of Contraindicated CNS: Headache, malaise, Assess patients GI condition
antagonist inhibits action of heartburn, acid with allergy to dizziness, somnolence, before starting the therapy.
h2 at receptor indigestion, sour ranitidine, lactation insomnia, vertigo
Anti - sites of the stomach CV: Tachycardia, Be alert for adverse
ulcerative parietal cells, Use cautiously with bradycardia, PVCs ( rapid reactions and drug
decreasing gastric impaired renal or IV administration) interactions.
acid secretion hepatic function Dermatologic: Rash,
alopecia Urge patient not to smoke;
Local: pain at injection smoking, may increase
site, local burning or gastric acid secretion and
itching at IV site worsen disease.
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Ketorolac Antipyretic 1 amp slow IV q Anti- Short term Contraindicated with CNS: Headache, dizziness,
trometha 4 inflammatory and management of significant renal somnolence, insomnia, Administer drug on time to
mine Nonopioid analgesic activity; pain (up to 5 impairment fatigue, tinnitus control pain; dizziness,
analgesic inhibits days). Dermatologic: Rash, drowsiness can occur
-NSAID prostaglandins Use cautiously with pruritus, sweating, dry (avoid driving or using
and leukotriene allergies; and GI mucous membranes
dangerous machinery).
synthesis conditions GU: renal impairment,
dysuria Report itching, weight
Respiratory: Dyspnea, gain, swelling of ankles or
hemoptysis, pharyngitis, fingers.
bronchospasm, rhinitis
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Celecoxib Analgesic 400mg tab OD Analgesic and anti- Management of Contraindicated with CNS: Headache, dizziness,
inflammatory activites acute pain allergies to somnolence, insomnia, fatigue, Take only the prescribed
NSAID related to inhibition of sulphonamides, tinnitus dosage
the COX 2 enzyme, celecoxib, NSAIDs or Dermatologic: Rash, pruritus,
which is activated in aspirin; significant sweating, dry mucous You may experience these
inflammation to cause renal impairment membranes side effects: Dizziness,
the signs and symptoms drowsiness
associated with Use cautiously with
inflammation does not impaired hearing, Report fever, rash, itching,
affect the COX 1 hepatic and CV weight gain, swelling in
enzyme, which protects conditions ankles or fingers; changes in
the lining of the GI tract vision
and has blood clotting
and renal failure
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
DRUG STUDY
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
DRUG STUDY
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Amlodipine Calcium channel 10mg tab OD at 7:00 Inhibits the movement of Angina pectoris due Contraindicated with CNS: Dizziness, light headedness, Take with meals if GI upset
Besylate blocker, Anti pm calcium ions across the to coronary artery allergy to amlodipine, headache, asthenia, fatigue, occurs.
angina drug, Anti membranes of cardiac spasm (printzmetals impaired or hepatic lethargy.
Hypertensive and arterial muscle cells; variants. renal function, sick sinus CV: Peripheral edema, You may experience this side
Inhibits transmembrane Chronic stable syndrome, heart block arrhythmias. effects; nausea, vomiting (eat
calcium flow which angina, alone or in (2nd or 3rd degree). GI: Nausea, abdominal
frequent small meals);
results in the depression combination with Use cautiously with CHF. discomfort.
headache, (adjust lighting,
of impulse formation in other agents.
specialized cardiac Essential noise, temperature; medication
pacemaker cells, slowing hypertension, alone maybe ordered).
the velocity of conduction or in combination
of cardiac impulse, with other Report irregular heartbeat,
depression of myocardial hypertensive. shortness of breath, swelling of
contractility, and dilation hands or feet, pronounced
of coronary arteries, and dizziness, constipation.
arterioles, and peripheral
arterioles; this effects
lead to decrease cardiac
work,
decrease cardiac oxygen
consumption, and in
patients with vasospastic
(printzmetals) angina,
increase delivery of the
oxygen to cardiac cells.
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Take drug in the evening. Do
Simvastatin Anti 20mg Tab OD at HS Inhibits HMG- CoA Adjunct to diet in the Contraindicated with CNS: Headache, asthenia, sleep not take grape fruit juice while
hyperlipidemic, reductase, the enzyme treatment of patient allergy with disturbances. using this drug.
HMG- CoA that catalyzes the first elevated total Simvastatin. GI: Flatulence, diarrhea,
reductase step in the cholesterol cholesterol and LDL Use cautiously with abdominal pain, cramps, You may experience this side
inhibitor synthesis pathways, cholesterol with hepatic and renal constipation, nausea, dyspepsia,
effects: nausea (eat frequent
resulting in a decrease in primary hyper function. heartburn, liver failure.
small meals); headache, muscle
serum cholesterol, serum cholesterolemia Respiratory: Sinusitis,
LDLs, and either an (type II A and II B), in pharyngitis. and joint aches and pains (may
increase or no change in those unresponsive Other: rhabdomyolysis, acute lessen); sensitivity to light (use
serum HDLs. to dietary restriction renal failure, arthralgia and a sunscreen and wear
of saturated fat and myalgia. protective clothing).
cholesterol and other
non pharmacologic Report severe GI upset, changes
measures. in vision, unusual bleeding, or
To reduce the risk of bruising, dark urine and dark
coronary disease,
colored stools, fever, muscle
mortality, in CV
events, including pain or soreness.
stroke.
PALAWAN STATE UNIVERSITY
COLLEGE OF NURSING AND HEALTH SCIENCES
Puerto Princesa City
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Amikacin Aminoglycoside 250mg IV OD Bactericidal: Inhibit Contraindicated with CNS: Ototoxicity, confusion,
Sulfate antibiotic protein synthesis in allergy to any disorientation, depression, This drug is only available for IM
susceptible strains of aminoglycosides, renal lethargy, headache, fever, or IV use.
gram-negative bacteria, or hepatic disease. numbness, tingling tremor,
and the functional Use cautiously with seizures, muscular weakness, and You may experience this side
integrity of bacterial cell elderly patients, with apnea. effect: headache, dizziness
membrane appears to be diminished hearing-, CV: Palpitation, hypotension, (reversible; safety measures
distracted, causing cell decreased hearing, hypertension.
may need to be taken if severe)
death. decreased renal function GI: Nausea, vomiting, anorexia,
dehydration, neuro diarrhea. nausea, vomiting.
muscular disorders. Hematologic: Anemia, hymolytic
anemia, and electrolyte Report pain of injection site,
disturbances. severe headache, dizziness,
Hepatic: hepatic-toxicity, difficulty of breathing, rash or
hepatomegaly. skin lesions.
Hypersensitivity: Purpura rash,
urticaria, exfoliative dermatitis,
itching.
Other: Superinfections, pain, and
irritation at IV site.
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Ceftazidime Antibiotic 1 g TIV q 6 Bactericidal: Inhibits Dermatologic Contraindicated with CNS: headache, dizziness,
Cephalosporin synthesis of bacterial cell infections caused by allergy to cephalosporins lethargy, paresthesia. Avoid alcohol while taking this
(3rd generation) wall, causing cell death. P-aeruginosa S. or penicillin. GI: Nausea, vomiting, diarrhea, drug and for three days after
Aureus, E. Coli, anorexia, abdominal pain, because severe reactions often
Serratia, Proteus, flatulence.
occur,
Klebsiella, H. GU: Nephrotoxicity, hematologic:
Influenzae, bone marrow depression- You may experience these side
Enterobacter, S. decreased WBC, decreased
effect: stomach upset, diarrhea.
Pyogens. platelet, decreased Hematocrit.
CNS infection caused Hypersensitivity: Ranging to rah
Report severe diarrhea,
by H. Influenzae, N. to fever to anaphylaxis, serum
sickness reaction. difficulty of breathing, unusual
Meningitides.
Local: Pain, abscess at injection tiredness or fatigue, pain at
site, phlebitis, inflammation of IV injection site.
site.
Other: Super infection, disulfram-
like reaction with alcohol.
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Ceftazidime Antibiotic 1 g TIV q 6 Bactericidal: Inhibits Dermatologic Contraindicated with CNS: headache, dizziness,
Cephalosporin synthesis of bacterial cell infections caused by allergy to cephalosporins lethargy, paresthesia. Avoid alcohol while taking this
(3rd generation) wall, causing cell death. P-aeruginosa S. or penicillin. GI: Nausea, vomiting, diarrhea, drug and for three days after
Aureus, E. Coli, anorexia, abdominal pain, because severe reactions often
Serratia, Proteus, flatulence.
occur,
Klebsiella, H. GU: Nephrotoxicity, hematologic:
Influenzae, bone marrow depression- You may experience these side
Enterobacter, S. decreased WBC, decreased
effect: stomach upset, diarrhea.
Pyogens. platelet, decreased Hematocrit.
CNS infection caused Hypersensitivity: Ranging to rah
Report severe diarrhea,
by H. Influenzae, N. to fever to anaphylaxis, serum
sickness reaction. difficulty of breathing, unusual
Meningitides.
Local: Pain, abscess at injection tiredness or fatigue, pain at
site, phlebitis, inflammation of IV injection site.
site.
Other: Super infection, disulfram-
like reaction with alcohol.
DRUG STUDY
Name: F.S Age: 20 years old Ward: SURGICAL
Diagnosis: MPI 2 vehicular accident Physician: Dr. Tucay
Name of Classification Dose, Frequency, Mechanism of Action Indication Contraindication Side effects and Adverse Nursing Responsibilities
Drug Route Reaction
Ceftazidime Antibiotic 1 g TIV q 6 Bactericidal: Inhibits Dermatologic Contraindicated with CNS: headache, dizziness,
Cephalosporin synthesis of bacterial cell infections caused by allergy to cephalosporins lethargy, paresthesia. Avoid alcohol while taking this
(3rd generation) wall, causing cell death. P-aeruginosa S. or penicillin. GI: Nausea, vomiting, diarrhea, drug and for three days after
Aureus, E. Coli, anorexia, abdominal pain, because severe reactions often
Serratia, Proteus, flatulence.
occur,
Klebsiella, H. GU: Nephrotoxicity, hematologic:
Influenzae, bone marrow depression- You may experience these side
Enterobacter, S. decreased WBC, decreased
effect: stomach upset, diarrhea.
Pyogens. platelet, decreased Hematocrit.
CNS infection caused Hypersensitivity: Ranging to rah
Report severe diarrhea,
by H. Influenzae, N. to fever to anaphylaxis, serum
sickness reaction. difficulty of breathing, unusual
Meningitides.
Local: Pain, abscess at injection tiredness or fatigue, pain at
site, phlebitis, inflammation of IV injection site.
site.
Other: Super infection, disulfram-
like reaction with alcohol.
LABORATORY STUDY
NAME OF PATIENT: F.S AGE: 21years old WARD: Surgical Ward (ONP) ATTENDING PHYSICIAN: Dr. Tucay
URINALYSIS
Albumin (-) Not Present There is no presence of proteins. It is done to determine if the
patient is hypertensive or not.
Specific Gravity 1.015 1.010-1.017 The result is within normal range To determine how concentrated
that indicate that there is no the urine is and to determine
presence of chronic nephritis or presence of diseases
diabetes insipidus
Pus Cells 3.9/hpf 0-5hpf Within normal range that To determine if there is a pus in
indicates that there is no presence the urine
of infection or UTI
Bacteria Few Not Present An abnormal result that may be It is done to determine whether
an indicative of bacterial the bladder mucosa is shredding
infection. normally due to infection.
LABORATORY STUDY
NAME OF PATIENT: F.S AGE: 21years old WARD: Surgical Ward (ONP) ATTENDING PHYSICIAN: Dr. Tucay
CHIEF COMPLAINT:
HEMATOLOGY
Potassium 3.8
BUN 9.9
Creatinin 150
Cholesterol 5.23
Triglycerides 1.55
HDL 1.23
LDL 3.29
VLDL 0.70
RESULT RATIONALE
Radiologist
Dr. Berton C. Arreza