West Visayas State UniversityCOLLEGE OF NURSINGLa Paz, Iloilo City

DRUG STUDY

Name of Patient: Attending Physician: Age:Ward/Bed Number:Impression/Diagnosis: Name of DrugDosage, Route, Frequency and TimingMechanisms of ActionIndicationAdverse ReactionsSpecial PrecautionsNursing Responsibilities

Generic: Dosage:

Route:

Frequency:

Timing:

ClassificationContraindicationsSide Effects

Students Name: Clinical Instructor:

DRUG STUDY

Name of Patient: D. C Attending Physician: Dr. A Age: 21 years oldWard/Bed Number: OBSW / 5Impression/Diagnosis: G1P1, 36 6/7 weeks AOG by UTZ, cephalic presentation via NSVDName of DrugDosage, Route, Frequency and TimingMechanisms of ActionIndicationAdverse ReactionsSpecial PrecautionsNursing Responsibilities

Generic:amoxicillin and clavulanate potassium

Brand: Co-amoxiclavDosage:625 mg

Route:PO

Frequency:BID

Timing:8, 6 Inhibits enzyme degradation of amoxicillin and by synergism extend both spectrum of activity and bactericidal effect of amoxicillin against many strains of beta lactamase- producing bacteria resistant to amoxicillin alone.

Reference:Wilson, B. A., Shannon M., Stang, C. (2004). Prentice Halls Nurses Drug Guide. Upper Saddle River, New Jersey. Pearson Education Inc.Infections of URT, LRT, GUT, skin and soft tissue, bone and joint septic abortion, peripheral sepsis, intra-abdominal sepsis, dental infections, septicemia, peritonits, and post-surgical infections, prophylaxis against infections associated with major surgical procedure (for IV presentations) Agranulocytosis, hypersensitivity reactions, Gi disturbance, Leukopenia, Thrombocypenia, Anemia, Soreness, Confusion

Renal or Hepatic impairment, ensure adequate hydration especially with parenteral therapy or high doses.1. Assess episiotomy site for presence of infection (redness, swelling, foul odor, and presence of pus)2. Assess temperature3. Assess baseline culture and sensitivity4. Monitor for allergic reactions (urticarial, erythematous, maculopapular rash, fever, itching, and dyspnea)5. Notify physician for presence of allergy and infection.6. Teach patient the importance of compliance to the drug. Drug should be taken religiously to avoid resistance.

ClassificationContraindicationsSide Effects

Functional:Antibiotic

Chemical:Aminopenicillin beta-lactam

Pregnancy Category B

Combination shares toxic potential of ampicillin. Hypersensitivity to penicillins; infectious mononucleosis.

GI: Diarrhea, nausea, vomiting. Skin: rash, urticarial. Other: candida vaginitis ; moderate increase in serum ALT, AST ; glomerulonephritis

Students Name: Clinical Instructor: DRUG STUDY

Name of Patient: D. C Attending Physician: Dr. A Age: 21 years oldWard/Bed Number: OBSW / 5Impression/Diagnosis: G1P1, 36 6/7 weeks AOG by UTZ, cephalic presentation via NSVDName of DrugDosage, Route, Frequency and TimingMechanisms of ActionIndicationAdverse ReactionsSpecial PrecautionsNursing Responsibilities

Generic: Mefenamic Acid

Brand: PonstanDosage:500 mg/ tab1 tablet

Route:PO

Frequency:PRN

Timing:PRNInhibits prostaglandin synthesis and affects platelet function.

Reference:Wilson, B. A., Shannon M., Stang, C. (2004). Prentice Halls Nurses Drug Guide. Upper Saddle River, New Jersey. Pearson Education Inc.Relief of mild to moderate pain due to episiotomy.

GI: bleeding. Hematologic: Agranulocytosis

History of kidney or liver disease ; blood dyscrasias ; asthma ; diabetes mellitus ; hypersensitivity to aspirin. Long term use increases risk of serious adverse events. 1. Assess level of pain.2. Assess development of severe diarrhea and vomiting for dehydration and electrolyte imbalance.3. Assist patient when standing due to drowsiness.4. Monitor complete blood counts, Hct and Hgb, and kidney function tests.5. Notify physician if persistent GI discomfort, sore throat, fever, or malaise occur.

ClassificationContraindicationsSide Effects

Functional:NSAID

Chemical:Anthranilic acid derivativeHypersensitivity to drug, GI inflammation, or ulceration.

CNS: Drowsiness, insomnia, dizziness, nervousness, confusion, headache. GI: severe diarrhea, ulceration, nausea, vomiting, abdominal cramps, flatus, constipation, hepatic toxicity. Hematologic: Prolonged prothrombin time, severe autoimmune haemolytic anemia, leukopenia, eosinophilia, thrombocytopenic purpura, megaloblastic anemia, pancytopenia, bone marrow hypoplasia. Urogenital: nephrotoxicity, dysuria, albuminuria, hematuria, elevation of BUN. Skin: Urticaria, rash, facial edema. Special Senses: eye irritation, loss of color vision (reversible), blurred vision, ear pain. Body as a whole: perspiration. CV: palpitation. Respiratory: dyspnea, bronchoconstriction.

Students Name: Clinical Instructor:DRUG STUDY

Name of Patient: D. C Attending Physician: Dr. A Age: 21 years oldWard/Bed Number: OBSW / 5Impression/Diagnosis: G1P1, 36 6/7 weeks AOG by UTZ, cephalic presentation via NSVDName of DrugDosage, Route, Frequency, TimingMechanism of ActionIndicationAdverse ReactionsSpecial PrecautionsNursing Responsibilities

Generic: Multivitamins A C E + Zinc

Brand: Conzace

Dosage:1 tab

Route:PO

Frequency:OD

Timing:8Multivitamins provide vitamins not taken through diet.Promote cellular/ tissue maintenance and repair; prevent premature aging. Maintenance of healthy skin and treatment of various skin disorders like acne, psoriasis. Nausea and vomiting, epigastric pain, constipation, black stool, diarrhea, temporarily stained teeth from liquid formDo not use more than the recommended dose.Do not use after the expiry date on the label.

Teach the family about the Vitamin A toxicity Caution pregnant patient about the taking of vitamin A Teach patient that over consumption of vitamin A can cause nausea, irritability and blurred vision. Teach patient that Vitamin A must be avoided from direct sunlight exposure Instruct patient/family that if there is a sign of over dosage, side effects and adverse effects, it must be reported immediately to the physician.

ClassificationContraindicationSide Effects

Functional:Multivitamins

Chemical:Vitamin A, C, E + Zinc

Hypervitaminosis A, Oral use malabsorption syndromeDo not take if allergic to any component of product.Vitamin A toxicity can cause growth retardation, hair loss and enlarged spleen and liver in its more severe form. Vitamin A overdose can also cause birth defects and has been linked to increased risk of bone fractures in some people.

Students Name: ________________________ Clinical Instructor: _______________________