West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: H.T.
Age: 47 yrs. old
*Name of Drug
Generic:
ferrous
sulfate
Brand:
Sorbifer
Durules
Classification

Ward/Bed Number: GSW, Bed no. 15

Dosage, Route,
Freq., Timing

Mechanism of Action

Indication
Iron Deficiency

Dosage:
1 tab
Route:
P.O.
Frequency:
b.i.d.
Timing:
8
6

Functional:
Iron
Supplements

-Provides elemental
iron
-An essential
component in the
formation of
hemoglobin
-enters the blood
stream and
transported to the
organs of the
reticuloendothelial
system and becomes
part of iron stores.

Contraindications
-Hypersensitivity
and Severe
hpotension

Attending Physician: Dr. G

Impression/Diagnosis: G3P3 Cervical Tuberculosis,

massive ascites secondary

Adverse Reactions
-Navel congestion
-GI discomforts
-Iron toxicity

Special Precautions
-Use cautiously in
large term basis.
-Inform physician if
you are allergic to it.
-GI upset may be
revealed to dose

Nursing Responsibilities
-Tell patient to take tablets
with juice or water, but not
with milk or antacids.
-Instruct patient not to
crush or chew extended
release form.
-Caution patient not to
substitute one iron salt for
another because amounts
of elemental vary.

Side Effects
-Nausea
-Constipation
-Black Stool
-Diarrhea

Chemical:
Hematinic
*Name of Drug

Dosage, Route,
Freq., Timing

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: H.T.
Age: 47 yrs. old
Generic:
isosorbide-5mononitrate
Brand:
Imdur

Classification
Functional:
Anti-anginal

Ward/Bed Number: GSW, Bed no. 15

Dosage:
(60 mg/1 tab)
tab
Route:
P.O.
Frequency:
o.d.
Timing:
8

Thought to reduce
cardiac oxygen
demand by
decreasing preload
and afterload. Drug
also may increase
blood flow through
the coronary vessels.

Contraindications
Hypersensitivity
to nitrocompound; acute
circulatory failure
(shock, circulatory
collapse),
cardiogenic
shock, significant
hypotension
(systolic BP <90
mmHg);concomit
ant therapy with
sildenafil

Chemical:
Nitrate

*Name of Drug

Dosage, Route,
Freq., Timing

Preventive and
long-term
treatment of
angina pectoris,
severe CHF and
pulmonary HTN

Mechanism of Action

Indication

Attending Physician: Dr. G

Impression/Diagnosis: G3P3 Cervical Tuberculosis,

massive ascites secondary

Orthostatic
hypotension,
tachycardia,
palpitations, ankle
edema, flushing,
fainting and
sublingual burning

Side Effects
Headache,
occasional
hypotension with
dizziness and
nausea, weakness

Adverse Reactions

-Monitor or watch out

for hypertrophic
obstructive
cardiomyopathy,
constrictive
pericarditis, low filling
pressure in acute MI
or left ventricular
heart failure, BP
reduction, mitral
stenosis, orthostatic
hypotension,
conditions associated
with increased
intracranial pressure.

Special Precautions

-Give proper amount or

dosage of drugs
-Monitor patient for
unwanted reactions of the
body to the drug

Nursing Responsibilities

West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: H.T.
Age: 47 yrs. old
Generic:
silymarin
Brand:
Liveraide

Classification

Ward/Bed Number: GSW, Bed no. 15

Dosage:
1 capsule
Route:
P.O.
Frequency:
t.i.d.
Timing:
8
1
6

Functional:
Supplements
& Adjuvant
Therapy
Chemical:
A05BA03 silymarin

*Name of Drug

Dosage, Route,
Freq., Timing

- Silymarin is an
active principle from
the fruit of Silybum
marianum, which
contains a mixture of
flavonolignans. It
reduces the turnover
of membrane
phospholipids and
stabilizes the cell
membranes of
hepatocytes. It has
potent antioxidant
action and prevents
lipid peroxidation.

Mechanism of Action

Attending Physician: Dr. G

Impression/Diagnosis: G3P3 Cervical Tuberculosis,

massive ascites secondary

Should be taken with

food: Take after
meals.

Herbal food
supplement.

Contraindications

Side Effects

Pregnancy and
lactation

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: H.T.
Age: 47 yrs. old
Generic:
spironolacton
eBrand:
Aldactone

Classification
Functional:
Diuretic
Chemical:
Potassium
spaning
diuretic;
aldosterone
receptor

Dosage:
50mg/tab
Route:
P.O.
Frequency:
b.i.d.
Timing:
8
6

Ward/Bed Number: GSW, Bed no. 15

- Antagonizes
aldosterone in the
distal tubules,
increasing sodium
and water
excretion.

-Edema due to
heart failure,
hepatic
cirrhosis,
nephrotic
syndrome,
hypertension.

Attending Physician: Dr. G

Impression/Diagnosis: G3P3 Cervical Tuberculosis,

massive ascites secondary

Lethargy, ataxia,
gastric bleeding,
ulceration,
agranulocytosis,
hyperkalemia,
hyponatremia,
urticarial, breast
soreness.

Contraindications

Side Effects

Hypersensitive
to drug and in
those with
anuria, acute or
progressive
renal
insufficiency or
hyperkalemia.

Headache,
drowsiness,
confusion, diarrhea,
cramping, gastritis,
vomiting,
menstrual
disturbances,
dehydration, mild
acidosis, drug fever.

Use cautiously in
patients with fluid or
electrolyte imbalances
impaired renal or
hepatic function.

-Monitor electrolyte levels,

fluid intake and output, and
blood pressure.
-Inform laboratory unit that
patient is taking
spironolactone because
drug may interfere with
tests that measure digoxin
level.