Generic Name Dosage / Frequency Action Side Effects Nursing Responsibility

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Generic Dosage / Action Side effects Nursing Responsibility

Name Frequency

Paracetamo 500mg Indicated in Hematologic: 1. The preparation should be used with care in patients with
diseases hemolytic anemia, liver and renal diseases because of hepatoxicity.
500 mg 2 2. In severe renal failure the interval between two
manifesting neutropeni and consecutive takings should not be shorter than 8 hours.
tab PRN
with pain leukopenia 3. The treatment with Paracetamol may change the
and fever: laboratory tests of uric acid and blood glucose analysis.
headache, Hepatic: severe 4. The treatment with the preparation is not advisable
liver damage, during the first trimester of the pregnancy.
toothache, The preparation should be used with strictly observation of the
mild and jaundice
therapeutic dose and duration of the treatment.
moderate Metabolic:
postoperativ Hypoglycemia
e and injury
pain, high Skin: rash, urticaria
temperature
, infectious
diseases
and chills
(acute
catarrhal
inflammatio
ns of the
upper
respiratory
tract, flu,
small-pox,
parotitis).

Generic Dosage / Action Side effects Nursing Responsibility


Name Frequency
Trade Amp. IV q8 Ranitidine is Nausea, diarrhea, Nurses should do the following:
Name: used to treat headache, or dizziness
and prevent
Ranitidine ulcers in the
The medicine should be taken as directed with or immediately following
stomach and
Notify your doctor if you meals.
intestines. It
experience: unusual
also treats
bleeding or bruising,
conditions in
rash, difficulty sleeping,
which the Make sure that the client doesn’t take any aspirin-containing products
mental changes, extreme
stomach and beverages that contain caffeine.
weakness,
produces too
fast/slow/irregular
much acid,
heartbeat.
such as
Zollinger-Ellison Symptoms of an allergic
syndrome. reaction include: rash,
Ranitidine also itching, swelling,
treats dizziness, trouble
gastroesophag breathing.
eal reflux
disease
(GERD) and
other conditions
in which acid
backs up from
the stomach
into the
esophagus,
causing
heartburn.
Generic Dosage / Action Side effects Nursing Responsibility
Name Frequency

Trade 1 capsule Treatment GI: Nausea; • Monitor renal function carefully during treatment.
Name: 3x a day of infections vomiting; diarrhea; • Monitor for signs of infection, especially fever, and
for 7 days of anorexia; abdominal positive response to antibiotic therapy.
Cephalexin respiratory pain or cramps; • Assess for signs and symptoms of anaphylaxis
tract, flatulence; colitis, (shortness of breath, wheezing, laryngeal spasm). Have
urinary including resuscitation equipment available.
Generic tract, skin pseudomembranous • Assess for signs of superinfection, such as vaginitis or
Name: and skin colitis. stomatitis.
structures
Apo- GU: Pyuria; renal • Assess for diarrhea with blood or pus, which may be
and bone;
Cephalex dysfunction; symptom of pseudomembranous colitis. Symptoms may
treatment of
(CAN), dysuria; reversible occur after antibiotic treatment.
Biocef, otitis media
due to interstitial nephritis;
Keflex, Novo-
susceptible hematuria; toxic
Lexin (CAN), • Instruct patient to complete full course of therapy.
Nu-Cephalex strains of nephropathy.
(CAN), PMS- specific HEMA: Eosinophilia; • Advise patient to take with food or milk if GI distress
Cephalexin microorgani neutropenia; occurs.
(CAN) sms. lymphocytosis; • Remind patient to check body temperature daily. If
leukocytosis; fever persists for more than a few days or if high fever
thrombocytopenia; (> 102°F) or shaking chills are noted, physician should
decreased platelet be notified immediately.
function; anemia; • Advise patient to maintain normal fluid intake while
aplastic anemia; using this medication.
hemorrhage. HEPA: • Instruct patient to report these symptoms to physician:
Hepatic nausea, vomiting, diarrhea, skin rash, hives, muscle or
dysfunction; joint pain.
abnormal liver
• Instruct patient to report signs of superinfection: black
function test
“furry” tongue, white patches in mouth, foul-smelling
results.
stools, vaginal itching or discharge.
OTHER: • Warn patient that diarrhea that contains blood or pus
Hypersensitivity, may be a sign of serious disorders. Tell patient to seek
including Stevens- medical care and not to treat at home.
Johnson syndrome, • Instruct patient to seek emergency care immediately if
erythema wheezing or difficulty breathing occurs.
multiforme, toxic
epidermal
necrolysis; candidal
overgrowth; serum
sickness—like
reactions (eg, skin
rash, polyarthritis,
arthralgia, fever).
Nursing Care Process

Cues Diagnosis Analysis Goal and intervention Rationale Evaluation


Objectives

Goal:

Objective Risk for injury At risk of Goal Met


Cues: related to unjury as a
decreased result of After nursing The client was
platelet count environmental intervention, freed from any
conditions the client will physical injury
- Decreased
interacting be able to and managed
platelet count
prevent and minimized
of 80 x 10 ^ with the physical injury complications
g/L individual’s and minimize of decreased
adaptive and complications platelet as
defensive of decreased evidenced by
resources. platelet count. absence of
any
Infection of complications
dengue virus of bleeding.
(flavivirus)
throught the 1. Monitor Decreased
bite of Aedes Vital pulse and
aegypti signs blood pressure
mosquito. may signifies
bleeding
Platelet count
and response
decreased risk
for injury.
2. Discuss That may
importa contribute to
nce of the occurrence
Ref:
self of injury
Marilyn E. monitori
Doenges ng of
Nurses Pocket conditio
ns To avoid
Guide 11th
severe
edition, 2008,
3. Monitor bleeding
page 414
for any
signs of
bleedin
g and
closely
monitor
the
amount
of
bleedin
g which
may
occur To decrease
any chance of
4. Handle
physical injury
the
client
gently
To decrease
5. Encourage any chance of
the client not physical injury
to blow the
nose or insert
object in the
nose
To avoid
6. Teach the
trauma in the
client to use
mouth
soft bristled
toothbrush, no
flossing, no
dental
extraction, no
hard food,
make sure
dentures fit.

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