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Drug Study:

DRUG

CLASSIFICATION

ACTIONS

INDICATIONS

CONTRAINDICATION

ADVERSE SIDE
EFFECTS

NURSING CONSIDERATION

Generic:
prednisone
Brand Name:
Sterapred

corticosteroids

is used to
treat
conditions
such as
arthritis,
blood
disorders,
breathing
problems,
severe
allergies, skin
diseases,
cancer, eye
problems,
and immune
system
disorders.

1.
Replacement
therapy for
adrenals
cortical
insufficiency.
2.Hematologic
disorder:
thrombocytop
enia purpura
3.erythroblast
openia

Use cautiously with


heart failure,
hypertension,
thromboembolic
disorders, diabetes
mellitus, hepatic
disease and
pregnancy

Nausea, vomiting,
loss of appetite,
heartburn, trouble
sleeping, increased
sweating, or acne
may occur.

History:infections, renal or
liver disease
hypothyroidism, ulcerative
colitis with impending
perforation, hypertension.

Pyridostigmine
bramide

Antimyasthenic
cholesterase
inhibitor

Treatment of
myasthenia
gravis

Contraindicated with
hypersensitivity to
anticholinesterases,
adverse reaction to
bromides,intestinal
or urogenitals tract
obstruction,peritoniti
s,lactation

CNS:seizures,dizzi
ness,dysarthria,dro
wsiness,loss of
consciousness
CV:Bradycardia
,cardiac arrest

Hypersensitivity to
anticholines,asthma,peptic
ulcer and pregnancy

Potassium

electrolyte

Increase the
concentration
of
acetycholine
at the sitesof
cholinerginic
transmission
and prolongs
with
exaggerates
the effect of
cetylcholine
Principal

Prevention

Contraindicated with

GI:abdominal

Urinary output,abdominal

chloride

Mefenamic
acid

intracellular
cation of
most body
tissues

NSAID

ponstan

Azithromycin

Macrolide
antibiotic

zithromax

cefuroxime

Antibiotic,cephal
osporine

Antipyretics,antiinflammatory,
analgesics

Bacteriostatic
,bactericidal
in susceptible
bacteria

Bactericidal:i
nhibit
synthesis of
bacterial
cell,causing
cell death

and correction
of potassium
deficiency

Relief of
moderate pain
when therapy
will not
exceed one
week
Treatment of
primary
dysmenorrhea
Treatment of
lower
respiratory
infection,pneu
monia

Lower
respiratory
infection
UTI

allergy to therapy
with potassium
sparing diuretics or
aldosteroneinhibiting agent,GI
disorder,that delay
passage in the GI
tract
Caustiously with
pregnancy lactation
Contraindicated with
hypersensitivity to
mefenamic acid
Cautiously with
asthma,GI
bleeding,hypertensio
n,pregnancy
lactation
Contraindicated with
allergy
toerythromycin and
other macrolide
antibiotics
Use cautiously with
syphilis
Contraindicated with
penicillin
Use cautiously renal
failure,pregnant,lact
aion

discomfort,Gi
obstruction

examination,bowel
sounds,skin color,lesions,

CNS:headache,diz
ziness,tiredness,

Allergies to mefenamic acid

GI
pain,diarrhea,vomiti
ng

Skin color and


lesions,CBC,renal
function,serum
electrolytes,stool

CNS:dizziness,hea
dache,vertigo,fatigu
e
GI:diarrhea,abdomi
nal
pain,nausea,flatule
nce,vomiting

Site of infection:bowel
sounds,skin color,liver
evaluation,urinalysis,renal
function test

CNS:dizziness,hea
dache
GI:nausea,vomiting
,diarrhea,abdomina
l pain

Hephatic renal
impairment,lactaion and
pregnancy
Sensitivity test

Calcium salts

Antacid
Electrolyte

Helps
maintain the
functional
intergrity of
nervous and
muscular
system

Uncomplicate
d and
gonorrhea,bon
e and joint
infection
Treatment of
calcium
deficiency
Dietary
supplement
when calciu,
intake is
inadequate.

Contraindicated with
allergy to calcium
,hypercalcemia

CV:slowed heart
rate,
Local irritation
severe necrosis
Hypercalcemia
,rebound
hyperacidity

Allergy to calcium ,renal


calculi,renal impairment,
lactation,pregnancy
Allergy to any
ingredient:sulfite ,anemias

Ferrous
sulfate

Iron preparation

Elevates the
serum iron
concentration

Prevention
and treatment
of iron
deficiency
anemias

Contraindicated with
allergy to any
ingredient:sulfite
allergy

CNS toxicity
,acidosis,coma and
death with
overdose

Allergy to any ingredient


;sulfite
;hemachromatosis,hemosid
erosis, normal iron
balance,regional enteritis ,
ulcerative colitis .

Brand name:
Conzace
Generic
name:Multivita
mins

Vitamins and
Minerals

Cellular
maintenance
,repair and
prevention of
premature
aging
maintenance
of healthy
skin

Fight infection
and wound
healing since
it has vitamin
A,C,E, and
zinc

Contraindicated to
allergy to
Conzace,empty
stomach

CNS:dizziness,hea
dache

It needs to be taken with


breakfast or lunch or dinner
.

GI:nausea

Priority #1:
ASSESSMENT

DIAGNOSIS

Subjective "
nahihirapan ako sa
paghinga" as
manifested by the
patient
Objective:
- Rapid shallow
breathing

Ineffective
breathing
pattern related
to respiratory
muscle
weakness as
manifested by
disease
process as
evidence by
dyspnea.

SCIENTIFI
C
RATIONAL
E
Myastheni
a Gravis
->
Respirator
y muscle
weakness
in the
lungs ->
Narrowing
of
pathway
of air ->
ineffectiv
e airway

PLANNING

INTERVENTION

After 6hrs of
nursing
intervention
the patient will
establish an
effective
respiratory
pattern

Independent:
1. Auscultate chest

2. elevate head of the bed for


about 30 degrees and place
the client in dorsal
recumbent position.

3. Encourage deep breathing


Dependent:
4. Give supplemental oxygen
as ordered (2LPM via nasal
canulla)
Collaborative:
5. Obtain blood specimen for
arterial blood

RATIONALE

1. To note the characteristic


of breath sounds

2. Elevation of the bed


facilitates respiratory
function. It also decreases
pressure on the abdomen
of the patient.

3. To promote lung
expansion
4. Helps in giving adequate
oxygen to the client

5. Assess the condition of


the client

EVALUATION

Goal was met.


After 6 hours of
nursing
intervention the
patient
established
respiratory
pattern.

Priority 2:
ASSESSMENT

DIAGNOSIS

Subjective:
" Nanghihina ako, hindi ako
makakilos ng maayos" as
verbalized by patient

Impaired physical
mobility related to
weakness of
voluntary muscle as
manifested inability
to move purposely
within the physical

Objective:
Limited Range of Motion
Decreased muscle strength
and control

SCIENTIFIC
RATIONALE

PLANNING

INTERVENTION

RATIONALE

After 6 hours of
nursing intervention
the client will
increase the
strength ang
function of the
affected body part

1. Establish rapport
2. Encourage patient to
take few steps a day
3. Encourage light
exercise
4. Use side rails of the
bed

1. To gain patients trust


2. This will help the patient
mobilize and recover faster
3. To promote blood
circulation
4. To prevent the patient from
possible fall of accident that
may happen ( position
changes/tranfer)
5. Feeling of
frustration/powerlessness may
slow the progress of the
attainment of goal.

5. note
emotional/behavioral
responses to problems of
immobility

6. To promote well-being ang


maximizes enery production
6. encourage adequate
intake of fluid/nutritious
foods
Independent:

7. To promote muscle
relaxation

7.Administer
( antispasmodic)
medication as ordered
8. Administer
(multivitamins) as
ordered

8. To promote cellular/tissue
maintenance and repair

Priority 3:
ASSESSMENT

DIAGNOSIS

Objective:

Altered nutrition
less than body
requirement
related to
inadequate food
intake less than
recommended
daily allowance
( RDA) as
evidence by loss
of weight,
weakness of
muscle required
for swallowing
and anorexia

loss of weight
weakness of muscle
requird for swallowing
anorexia

SCIENTIFIC
RATIONALE

PLANNING

INTERVENTION

RATIONALE

EVALUATION

After 6 hours of
nursing
intervention the
patient will
demonstrate
progressive
weight gain

1. Establish rapport
2. Identify patients at
risk for malnutrition
( dyphagia weakness in
swallowing)
3. Auscultate the
bowel sound
4. increase protein,
carbohydrate calories
and fats.
5. determne ability to
chew, swallow or
taste
Dependent:
6. Administer
pharmaceutical
agents as ordered.
( digestive drugs, iron

1. To gain patients
trust
2. To know the
causative effect of the
disease
3. To note if there is
any abnormal bowel
movement
4. To provide diet
modification as
indicated
5. To know the factors
that can affect
ingestion or digestion
of nutrients.
6. To restore patients
metabolic pattern
to help diagnose

Goal was met. After 6


hours of nursing
intervention the
patient established
respiratory pattern.

supplements/vitamits
)
7. assist with
diagnostic
procesdure
( gastrointestinal
series)

problems of the upper


GI tract