JM Drug Study Case

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CHAPTER VII: DRUG STUDY

Name of Drug Dosage, Mechanism Indication Contraindication Adverse Reaction Nursing Consideration
Frequen of Action
cy,
Route

Generic: Dose: Inhibits Symptomatic Contraindicated in Haemolytic Use liquid form for children and patients
Paracetamol 500 mg prostaglandi relief of pain patients anemia, who have difficulty swallowing.
ns and fever. hypersensitive to neutropenia,
Frequen biosynthesis drug. leucopenia, In children, don’t exceed five doses in 24
Brand Name: cy: in the pancytopenia, hours.
Biogesic q 4 to central Use cautiously in jaundice,
q6 nervous patient with long hypoglycemia. Advise patients that drug is only for short
system but term alcohol use term use and to consult the physician if
Classification: not (or because giving to children for longer than 5 days or
Anti pyretic Route: hardly) in therapeutic doses adults for longer than 10 days.
PO the cause
peripheral hepatotoxicity in Advise patient or caregiver that many
tissues. these patients. over the counter products contain
acetaminophen; be aware of this when
Paracetamol Hepatic: Jaundice calculating total daily dose.
only has
minimal anti Metabolic: Warn patient that high doses or
inflammator Hypoglycemia unsupervised long term use can cause
y action liver damage.
compared Skin: Urticaria
to non
steroidal
anti
inflammator
y agents.
Dosage, Mechanism Indication Contraindication Adverse Reaction Nursing Consideration
Name of Drug Frequen of Action
cy,
Route

Generic: Dose: Second- Pharyngitis , Contraindicated to Body as a whole : Determine history of hypersensitivity
Cefuroxime BID generation tonsillitis, patient thrombophlebitis reactions to cephalosporins, penicillins
cephalospor infections of hypersensitive to (IV site) ; and history of allergies particularly the
in that the urinary drug pain,burning,cell drugs before therapy is initiated.
Brand Name: Frequen inhibits cell and lower ulitis (IM site) ;
Zoltax cy: wall respiratory Use cautiously in super Report onset of loose stools.
1 tab. synthesis, tract and patients infections,possiti
500 mg promoting skin , and hypersensitive to ve coombs’ test Absorption of cefuroxime is enhanced by
Classification: osmotic skin- penicillin because food.
Antibiotic Route: instability; structure of possibility of GI: Diarrhea,
PO usually infections cross-sensitivity nausea, antibiotic Notify prescribed about rashes or
bactericidal. caused by with other beta associated colitis. superinfections.
streptococcu lactam antibiotics.
s pneumonia Skin: Rush
and S. Use with caution pruritus,
Pyogenes, in breastfeeding urticaria.
Hemophillus woman and in
influenza, patients with Urogenital:
staphylococc history of colitis or Increased serum
us renal deficiency. cretonne and
aureus,esche BUN, decreased
richia coli. creatinine
clearance.
Name of Drug Dosage, Mechanism Indication Contraindication Adverse Reaction Nursing Consideration
Frequency, of Action
Route

Generic: Dose: Blocks Managemen Contraindicated Restlessness, Assess patient for nausea, vomiting,
Dobutamine 1 amp dopamine t of to patient drowsiness, abdominal distention and bowel sounds
receptors in esophageal hypersensitivity fatigue. before and after administration.
chemorecept reflux. to drug. Extrapyramidal
Brand Name: Frequency: or trigger Treatment symptoms, May cause drowsiness.
Plasil PRN zone of the and insomnia,
CNS. prevention headache, Advise patient to avoid concurrent use of
Stimulates of dizziness, nausea, alcohol and other CNS depressant while
Classification: Route: motility of postoperati galactorrhea, taking this medication.
Anti-emetics IV the GI tract ve nausea gynecomastia,
and and rash including Advise patient to notify health care
accelerate vomiting. urticaria, bowel professional immediately if involuntary
gastric disturbances, movement of eyes, face or limbs occur.
emptying. increased
prolactin levels:
gastroparesis.
CHAPTER IX: DISCHARGE PLANNING

Medicine Advise the significant others to continue the prescribed home medications to
ensure optimum recovery.

Exercise Advise the client to do daily exercise like walking, jogging and passive exercises.

Treatment Instruct patient or parents to increase fluid intake and have a complete bed
rest.

Health Education Provide a clean environment, use screens or mosquito nets when sleeping. Do
not stock water without cover to avoid mosquito breeding, advise the parents
to use insect repellants, use also insecticides in the house once a month and
maintain good hygiene by taking a daily bath.

Out Patient Dep’t Instruct parents to continue follow-up check up to the doctor.
(Check-up)

Diet Eat healthy foods such as fruits, vegetables and meat. Drink a lot of water,
at least 8-10 glasses of water a day.

Spirituality Advise patient to maintain good and safe environment and always go to church
to attend the mass and have faith in our almighty father.

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