DRUG NAME CLASSIFICATION/ ACTION CONTRAINDICATION SIDE EFFECTS NURSING CONSEDIRATION

INDICATION

Betahistine Antivertigo drug Exerts a relaxant Hypersensitivity to •Mild gastric •Instruct patient that
action on the betahistine or to any complaints drug should be taken
Meniere's precapillary of the excipients of •skin rashes with food.
disease sphincters of the Serc •Patients with
microcirculation of phaeochromocytoma or
the inner ear, and bronchial asthma
thereby increases should be treated with
the blood supply to extra care.
the striavascularis
of the labyrinth.
Investigations into
the acute,
subacute and
chronic effects of
betahistine in
animals have
demonstrated the
low toxicity and
safety of the drug.
 DRUG NAME CLASSIFICATION/ ACTION CONTRAINDICATION SIDE EFFECTS NURSING CONSEDIRATION
INDICATION
 
Lansoprazole Proton pump Lansoprazole Lansoprazole is Infrequent: dry Administer before
inhibitor inhibits gastric contraindicated in mouth, insomnia, meals. Caution patient
Brand Name: acid secretion patients with drowsiness,blurred to swallow capsules
Prevacid Lansoprazole by inhibiting known vision, rash,pruritus whole, not to open,
is indicated for: the the proton hypersensitivity chew, or crush,if
Treatment pump. Both to lansoprazole or Rarely and very patient has difficulty of
of ulcers of the basal and other substituted rarely: taste disturbance, swallowing.
stomach stimulated benzimidazoles liver dysfunction,
and duodenum, acid are such as peripheral oedema, If pt. is unable to
and NSAID- inhibited. omeprazole hypersensitivity reactions swallow capsule, open
induced ulcers or esomeprazole (including bronchospasm, and sprinkle granules
Treatment urinary, angioedema,  on juices which can be
of gastroesoph anaphylaxis), added to 30 mL water,
ageal reflux photosensitivity, stirred, and drunk
disease (GERD fever, sweating, immediately.
) (also known depression, 
as acid reflux interstitial nephritis, Report severe
disease) blood disorders headache, worsening
of symptoms, fever,
Severe: Gastro-intestinal chills. 
disturbances (such
as nausea ,abdominal
pain,diarrhea 
 DRUG NAME CLASSIFICATION/ ACTION CONTRAINDICATION SIDE EFFECTS NURSING CONSEDIRATION
INDICATION

Vitamin B Vitamins A coenzyme Vitamin B complex CV: peripheral BEFORE:

complex and that stimulate should not be used vascular Obtain a sensitivity test history
Minerals metabolic in hypersensitivity thrombosis, heart before administration
function and to any of the failure. Avoid I.V. administration bec.
is needed for vitamins, containing faster systemic elimination will
cell in the preparation, GI: transient reduce effectiveness of
replication, as well as in diarrhea. vitamin.
hematopoiesi patients with 2-nd
s, and or 3-rd degree Respi: pulmonary DURING:
nucleoprotein arterial edema. Don’t give large doses of
and myelin hypertension.  vitamin B12 routinely; drug is
synthesis. Skin: itching, lost through excretion.
transitory Don’t mix parenteral
exanthema, preparation in same syringe
urticaria. with other drugs.

Other: anaphylaxis, AFTER:

anaphylactoid Protect Vit. B12 from light.
reactions with Don’t refrigerate or freeze.
parenteral Monitor patient for
administration, pain hypokalemia for first 48 hours,
or burning at as anemia correct itself. Give
injection site. potassium supplements, as
needed
NAME: PO2 Turingan,Osmundo A.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

OBJECTIVE: High risk for After 8hrs of nursing INDEPENDENT: After 8hrs of nursing
Dizziness injury r/t vertigo intervention the pt. 1.) Assess for vertigo 1.)History provides basis intervention the pt.
Headache will be remained including for intervention remains free of any
Reference: free of any injuries history,onset,description injuries associated with
Medical-Surgical associated with of imbalance &/or fall
Nursing Vol.2 8th imbalance &/or fall attacks,duration,frequen
Edition by: cy & any associated ear
Suzanne C. symptoms
Smerltz & Brenda 2.) Assess extent of disability 2.)Extent disability
G. Bare in relation to activities of indicates risk of falling
daily living
3.) Encourage pt. to lie down 3.)Decrease possibility of
when dizzy;side rails up falling & injury
on bed
4.) Recommend that the pt. 4.)Sensation of vertigo ↓ &
keep eyes straight ahead motion decelerates if eyes
when lying down & are kept in fixed position
experiencing vertigo

DEPENDENT:
Administer Alleviates acute symptoms
antivertiginous meds of vertigo
&/or vertebral sedation
medication as prescribed
by the doctor

COLLABORATIVE:
Secure consent for any
laboratory procedures
NAME: PO2 Turingan,Osmundo A.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

OBJECTIVE: High risk for After 8hrs of nursing INDEPENDENT: INDEPENDENT:
Dizziness injury r/t vertigo intervention the pt. 5.) Assess for vertigo 9.) Assess for vertigo
Headache will be remained including including
Reference: free of any injuries history,onset,description history,onset,descriptio
Medical-Surgical associated with of n of
Nursing Vol.2 8th imbalance &/or fall attacks,duration,frequen attacks,duration,freque
Edition by: cy & any associated ear ncy & any associated
Suzanne C. symptoms ear symptoms
Smerltz & Brenda 6.) Assess extent of disability 10.)Assess extent of
G. Bare in relation to activities of disability in relation to
daily living activities of daily living
7.) Encourage pt. to lie down 11.)Encourage pt. to lie
when dizzy;side rails up down when dizzy;side
on bed rails up on bed
8.) Recommend that the pt. 12.)Recommend that the
keep eyes straight ahead pt. keep eyes straight
when lying down & ahead when lying down
experiencing vertigo & experiencing vertigo

DEPENDENT: DEPENDENT:
Administer Administer
antivertiginous meds antivertiginous meds
&/or vertebral sedation &/or vertebral sedation
medication as prescribed medication as
by the doctor prescribed by the
doctor
COLLABORATIVE:
Secure consent for any COLLABORATIVE:
laboratory procedures Secure consent for any
laboratory procedures
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION