Generic

Classification

name/Brand
name

Mechanism of

Specific

route

Action

indication

Contra-indication

Adverse

Nursing

reaction

Precaution

Frequency
antibiotic

Ambrolex

Dose/

OD 75 mg

Concentration

Acute and

There are Occasional

PO

of antibiotics

chronic

no

when given

disorder of

contraindications

concomitantly.

the

but

respiratory

with

tract

ulceration

associated

relative

caution

with

should

be

pathologically

observed.

Observe

absolute gastrointestinal
in

side

respiratory

effects rate

and

patients may occur but obtain

gastric these

are baseline

normally mild.

data. Check
drug
interactions
if

taking

thickened

other

mucus and

medications.

impaired

It

mucus

advisable to

transport.

avoid

use

during

the

is

first trimester
of
pregnancy.
25

Generic

Classification

/brand name
Salbutero bronchodilato
l

Dose/ route

Mechanism

Specific

Contra-

Frequency
of Action
indication
indication
1 neb
Stimulates
Relief of
Hypersensitivit

Adverse

Nursing

reaction
Fine skeletal

Precaution
-Assess

Beta 2

bronchospas

y to

muscle

cardio-

receptors of

m in bronchial

salbutamol,

tremors, leg

respiratory

bronchioles by

asthma,

also to atropine cramps,

function, BP,

increasing

chronic

and its

palpitations,

heart rate and

levels which

bronchitis,

derivatives.

tachycardia,

rhythm, and

relaxes smooth

emphysema

Threatened

hypertension

breathe

muscles to

and other

abortion during

, headache,

sounds.

produce

reversible

first or second

nausea,

-Determine

bronchodilation

obstructive

trimester.

vomiting,

history of

. Also cause

pulmonary

dizziness,

previous

CNS

disease

hyperactivity, meds and

stimulation,

insomnia,

ability to self-

cardiac

hypotension,

medicate.

stimulation,

heartburn,

-Monitor for

increase in

epistaxis,

evidence of

diuresis,

cough

allergic action

skeletal muscle

and

tremors and

paradoxical

increase

bronchospas

gastric acid

m
26

secretions.

Generic

Classification

Dose/ route

Mechanism

Specific
27

Contra-

Adverse

Nursing

/brand name
Omeprazole

Antisecretory

Frequency
40mg IVTT

Proton pump

OD

inhibitor

of Action
Gastric acid-

indication
Reduction

indication
Contraindicate

reaction
Headache,

Precaution
-Arrange

pump

of risk of

d with

dizziness,

regular

inhibitor:

upper GI

hypersensitivity

asthenia,

medical

Suppresses

bleeding

to Omeprazole

vertigo,

check-ups.

gastric acid

or its

insomnia,

-Advise pt to

secretion by

components.

apathy,

report

specific

anxiety,

immediately

inhibition of

paresthesias,

for side

the

dream

effects.

hydrogen-

abnormalities

potassium

, rash,

ATPase

inflammation,

enzyme

urticaria,

system at

pruritus,

the

alopecia, dry

secretory

skin,

surface of

diarrhea,

the gastric

abdominal

parietal

pain, nausea,

cells; blocks

vomiting,

the final step

constipation,

of acid

dry mouth
28

production.

29

Generic

Classification

/brand name

Dose/

Mechanism of

Specific

Contra-

route

Action

indication

indication

Adverse reaction

Nursing
Precaution

Frequency
Paracetamol Antipyretic

PRN for

Inhibits the

>Mild

Hypersensitivity Hema: hemolytic

~ Advise

fever q 4

synthesis of

pain

to

anemia,

parents or

prostaglandins >Fever

acetaminophen

neutropenia,

caregivers to

that may

or phenacetin;

leukopenia,

check

serve as

use with

pancytopenia.

concentrations

mediators of

alcohol.

Hepa: jaundice

of liquid

pain and

Metabolic: hypoG

preparations.

fever, primarily

GI: HEPATIC

Errors have

in the CNS

FAILURE,

resulted in

HEPATOTOXICITY

serious liver

(overdose)GU:

damage.

renal failure (high

~ Assess fever;

doses/chronic use).

note presence

hrs

of associated
Derm: rash,

signs

urticaria.

(diaphoresis,
tachycardia,
and malaise).

30

~ Adults should
not take
acetaminophen
longer than 10
days and
children not
longer than 5
days unless
directed by
health care
professional.
~ Advise
mother or
caregiver to
take
medication
exactly as
directed and
not to take
more than the
recommended
amount.
31

BRAND

GENERI

MECHANISM

ADVERSE

NAME

C NAME

OF ACTION

REACTIO

Acetylcystein

N
> fever

e exerts its

>

mucolytic

drowsiness

Reference :

action

>

Daviss drug

through its

guide for

Acetylcystein
e

Exflem
Mucolyti
c

SIDE EFFECTS

stomatitis, nausea, vomiting

DOSAG

NURSING

RESPONSIBILITIE

Usual:

S
>Assess type,

,
fever, rhinorrhea,

frequency, and
60 mg 1

characteristics of

tab in

patients cough

tachycardia chest tightness, and

glass of

free sulfhydryl

> dyspnea

water

>Monitor patient

nurses 11th

group, which

> rash

edition

opens the

> chills

drowsiness, clamminess,
broncho constriction

fortachycardia

disulfide

>Monitor for S&S of

bonds and

aspiration of excess

lowers mucus

secretions, and for

viscosity. This

Bronchospasm

action

(unpredictable);

increases with

Actual:

withhold drug and

increasing pH

600 1

notify physician

and is most

tab+

immediately if either

significant at

glass of

occurs.

pH 7 to 9. The

H2O OD

mucolytic

@hs
32

>Instruct patient to

action of

notify prescribe

acetylcysteine

immediately about

is not affected

nausea, rash or

by the

vomiting

presence of
DNA.

NURSING CARE PLAN

33

Assessment

Subjective:
gahi kayo akong

Diagnosis

Ineffective

Planning

After 8 hours

Interventions

Monitor

Evaluation

Serves as

Patient was

baseline

able to

data

expectorate

airway

of continues

clearance r/t

nsg.

increased

Interventions

Place the

Conscious/coherent

production of

the pt. will be

pt. in

maximum

Productive cough

bronchial

able to

fowlers or

lung

(yellow to green

secretions as

maintain

semi-

expansion

sputum

manifested by

airway

fowlers

patency

position

ubo as verbalized.
Objective:

Restlessness noted

Body malaise

Discomfort noted

Wheezes

Facial Grimace
noted

Expectorate

Vital signs

Rationale

Teach the

To facilitate

Improves
ventilation
and helps

secretions

pt. how to

in

Learn and

do proper

mobilizing

perform

deep

secretions

cough (yellow

breathing

breathing

w/o

to green

and

and

causing

sputum

coughing

coughing

fatigue

exercise.

exercise

upon
auscultation
Productive

Restlessness
Chest pain

Verbalized

Discomfort

relief form

34

Avoid
exposure to

To avoid
allergic
reaction

secretions,
goal met.

 Facial

dyspnea.

irritants
such as

Grimace

cigarette

To

smoke,

ascertain

aerosol and

status and

fumes

note

Auscultate
breath
sounds
Increase
fluid intake

progress
Helps
liquefy
secretions
To clear
airway

Suction as
ordered

adequate

Provide

amount of

oxygen
inhalation
as ordered
Administer

35

Provide

oxygen
Will help
loosen
secretions

medication

for easy

as ordered

expulsion.

Assessment

Diagnosis

Planning

36

Interventions

Rationale

Evaluation

Subjective:
Gitugnaw ko as

Ineffective

After 8

Monitor VS

Serves as
baseline

temperature is

data

fluctuating,

thermoregula

hours of

tion r/t

continuous

increased

TSB, the

body

pt.s

Conscious/coherent

temperature

temperatur

Warm to touch noted

as

e will

Flushed face noted

manifested

decrease

decrease

Febrile with a

by

from 37.9

metabolism

verbalized
Objective:

temperature of
37.9C

Warm to

Increase
fluid intake

To help cool
down core

Maintain bed
rest

to 37C

touch

Provide

temperature
To

that

sufficient

produce

Flushed face

clothing

heat

Febrile with a

Perform

temperature

TSB

Facilitate
comfort

of 38.2C
Administer

Facilitate

antipyretics

heat loss by

as ordered

means of
evaporation
Helps lower
temperature
within

37

The patient

goal partially
met.

normal
range

Assessment

Subjective:
dili ko

Diagnosis

Altered
nutrition less

Planning

Interventions

Rationale

After 4 hours

Monitor vital

For baseline

of nursing

signs
38

data

Evaluation

Goal was met

because the

ganahan mo

than body

interventions,

kaon

requirements

patients

R/T loss of

Weight on

Monitor

patient was able

nutritional

to understand

appetite will

state and

the importance

appetite as

be improved:

effectiveness

of nutritious food

Refusal to eat

evidenced by

from 2

of

intake and was

Poor muscle

dysfunctional

tablespoons

eating habits

interventions

able to eat with

eating

to at least 5

including

pattern.

tablespoons

food

client likes

per meal.

preferences.

and dislikes

Objective:

tonicity
Body
weakness

regular basis

Discuss

To appeal to

Serve

noted

favourite

Restlessness

foods that

To stimulate
the appetite

are not
contraindicat
ed.

To stimulate
the appetite

Serves foods
that are
palatable and

negative

attractive.

effect on

Prevent and
minimize
unpleasant
39

May have

appetite/eatin
g
Promote

fair appetite.

odours.
Emphasize
the
importance of
wellbalanced
nutrition diet

40

wellness