Systems Plus College Foundation Balibago, Angeles City College Of Nursing

Drug Study Student Nurse: Buenafe, Ma. Cresencia S. Yr. /Level: BSN III Date: September 25, 2012 Patients Name: Lovely Judila Medical Diagnosis: Slight Physical Injuries, T/C CerebralConcussion Age: 4 y/o Sex: F_

Name of Drug

Generic Name: Cefazolin Sodium Brand Name: Maxcep Stock Dose: 1g

Date Ordered Date Started Date Changed Date Discontinued September 22, 2012 1:20 am

Route of Administration Dosage and Frequency of Administration IV 550mg every 12 hours Time Administered: 10am

Classifications General Action

Indication

Clients Response with Actual Adverse Reactions Lovely responded well with the treatment because she did not have any skin infection.

Cephalosporins First generation Bactericidal action against susceptible bacteria Bind to bacterial cell wall membrane, causing cell death.

It was given to Lovely for treatment of infection of skin caused by Staphylococcus and Streptococcus

Nursing Considerations for Cefazolin Sodium: Obtain blood specimen for culture and sensitivity tests before giving first dose. Therapy may begin pending results. Alert: Dont confuse drug with other cephalosporins that sound alike. Observe patient for signs and symptoms of anaphylaxis (rash, pruritis, laryngeal edema, wheezing). Administer the drug by infusing slowly. Tell patient to report discomfort at IV site. Use cautiously in patients hypersensitive to penicillin because of the possibility of cross-sensitivity with other beta-lactam antibiotics.

Name of Drug

Generic Name: Ranitidine Hydrochloride Brand Name: Zantac Stock Dose: 25mg/2ml

Date Ordered Date Started Date Changed Date Discontinued September 22, 2012 1:20 am

Route of Administration Dosage and Frequency of Administration IV 15 mg every 8 hours Time Administered: 10am

Classifications and General Action

Indication

Clients Response with Actual Adverse Reactions Lovely responded well with the treatment because she did not experience sour stomach

Gastrointestinal Agent; Anti-secretory (H2Receptor Antagonist) Competitively inhibits the action of histamine at the histamine2 (H2) receptors of the parietal cells of the stomach, inhibiting basal gastric acid secretion and gastric acid secretion that is stimulated by food, insulin, histamine, cholinergic agonists, gastrin, and pentagastrin.

It was given to Lovely to reduce acid indigestion and sour stomach

Nursing Considerations for Ranitidine Hydrochloride:

Administer oral drug with meals and at bedtime. Decrease doses in renal and liver failure. Provide concurrent antacid therapy to relieve pain. Administer IM dose undiluted, deep into large muscle group. Arrange for regular follow-up, including blood tests, to evaluate effects.