Name of the Drug

Dosage/Route

Action/ Classification

Indication/ Contraindication

Adverse Effects/ Side Effects

Nursing Responsibilities

Generic Name: Epinephrine Brand Name: Injection, OTC nasal solution: Adrenalin Chloride

IV Cardiac arrest: 1 mg of 1:10,000 solution q 3-5 min; double dose if administering via ET tube Anaphylaxis: 0.11 mg SQ or IM of 1:1000 solution. Asthma: 0.1-0.3 mg SQ or IM of 1:10,000 solution Refractory bradycardia and hypotension: 210ug/min

Action: Stimulates beta receptors in lung. Relaxes bronchial smooth muscle. Increases vital capacity B P, H R, PR Decreases airway resistance. Classification: Beta2 Adrenergic Agonists

Indications: Asthma Bronchitis Emphysema All cardiac arrest, anaphylaxis Used for symptomatic Bradycardia. Relief of bronchospasm occurring during anesthesia Exercised-induced bronchospasm Contraindications: patients with angle-closure glaucoma, shock, organic brain damage, cardiac dilation, arrhythmias, coronary insufficiency, or cerebral arteriosclerosis.

Adverse Effects: nervousness, tremor, vertigo, pain, widened pulse pressure, hypertension nausea Side Effects: headache

>Monitor V/S. and check for cardiac dysrhythmias >Drug increases rigidity and tremor in patients with Parkinsons disease therapy interferes with tests for urinary catecholamine >Avoid IM use of parenteral suspension into buttocks. Gas gangrene may occur >Massage site after IM injection to counteract possible vasoconstriction. >Observe patient closely for adverse reactions. Notify doctor if adverse reaction develop >If blood pressure increases sharply, rapid-acting vasodilators such as nitrates or alpha blockers can be given to counteract.

ASSESMENT

NURSING DIAGNOSIS

PLANNING

NURSING INTERVENTION INDEPENDENT: Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain. Assist the patient indentifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol. Reinforce the importance of adhering to treatment regimen and keeping follow up appointments. Suggest frequent position changes, leg exercises when lying down. Help patient identify sources of sodium intake. Encourage patient to decrease or eliminate caffeine like in tea, coffee, cola and chocolates. Stress importance of accomplishing daily rest periods.

RATIONALE

EVALUATION

SUBJECTIVE: Bakit kayamadalas sumsaskitulo ko atnahihilo? asverbalized by the patient. OBJECTIVE: Request for information. Agitated behavi or Inaccuratefollo w throughof instructions. V/S takenas follows: T: 36.3 PR: 82 RR: 21 BP: 140/90 Risk for prone behavior related to lack of knowledge about the disease. After 8hours of nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen.

Provides basis for understanding elevations of BP, and clarifies misconceptions and also understanding that high BP can exist without symptom or even when feeling well. These risk factors have been shown to contribute to hypertension. Lack of cooperation is common reason for failure of antihypertensive therapy. Decreases peripheral venous pooling that may be potentiated by vasodilators and prolonged sitting or standing. Two years on

After 8 hours of nursing

interventions, the patient was able to verbalize understanding of the disease process and treatment regimen.

DEPENDENT:

Give due medication

moderate low salt diet may be sufficient to control mild hypertension. Caffeine is a cardiac stimulant and may adversely affect cardiac function. Alternating rest and activity increases tolerance to activity progression. Refer to drug study. After 8 hours of nursing interventions, the patient was able to verbalize understanding of the disease process and treatment regimen.

ASSESMENT

NURSING DIAGNOSIS

PLANNING

NURSING INTERVENTION

RATIONALE

EVALUATION

Ineffective airway clearance related Nahihirapan ako to increased huminga production of As verbalized by the secretions. patient. Bronchial asthma is a chronic inflammatory Objective: disease of the airways, associated with Use of accessory recurrent, muscle. reversible airway Abnormal breath obstruction with sounds. intermittent episodes of wheezing and V/S taken as dyspnea. Bronchially follows: per sensitivity is T: 37.3 caused by various PR: 82 stimuli, which RR: 25 innervate the vagus BP: 110/80 nerve and beta adrenergic receptor cells of the airways, leading to bronchial smooth muscle constriction, hyper secretion of mucus, and mucosal edema. Subjective:

.After 3 days of nursing interventions, the patient will demonstrate behaviors to improve airway clearance.

Independent: Auscultate breath sounds. Note Some degree of adventitious breath sounds like bronchospasmis present wheezes, crackles and ronchi. with obstructions in airway and mayor may Elevate head of the bed, have not be manifested in patient lean on over bed table or adventitious breath sit on edge of the bed. sounds. Keep environmental pollution to a minimum like dust, smoke and feather pillows, according to individual situation. Encourage or assist with abdominal or pursed lip breathing exercises. Assist with measures to improve effectiveness of cough effort. Elevation of the bed facilitates respiratory function by use of gravity. Precipitators of allergic type of respiratory reactions that can trigger or exacerbate onset of acute episode.

After 3 days of nursing interventions, the patient was able to demonstrate behaviors to improve airway clearance.

Increased fluid intake to 3000 Provides patient with ml/ day. Provide warm or tepid some means to cope liquids collaborative: with or control dyspnea and reduce air tapping. Administer bronchodilators Coughing is most effective in an upright

as prescribed.

position after chest percussion Hydration helps decrease the viscosity of secretions, facilitating expectoration. Using warm liquids may decrease bronchospasm. To reduce the viscosity of secretions.

Family Nursing Care Plan And Drug study

Submitted to: Ms. Jennifer Dughico Submitted by: Janine A. Palabay