VISION

A premier university in historic

Cavite

recognized

for

excellence in the development

Republic of the Philippines

CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite

of morally upright and globally

competitive individuals.

MISSION
Cavite State University shall provide
excellent, equitable and relevant
educational opportunities in the arts,
science and technology through
quality instruction and relevant
research and development activities.
It shall produce professional, skilled
and morally upright individuals for
global competitiveness.

COLLEGE OF NURSING
DRUG STUDY
Name of Patient (Initial): AL
Age: 10 years old
Sex: Male
DRUG
Generic Name:
KETOROLAC
THROMETHAMIN
E
Brand Name:
Toradol
Classification:
Nonstreroidal anti
inflammatory drugs
Subclassification:

MECHANISM
OF DRUG
May inhibits
prostaglandin
synthesis, to
produce anti
inflammatory,
analgesic, and
antipyretic

Date of Admission: October 22, 2016

Diagnosis: Acute Appendicitis
Surgery (if any): Appendectomy
INDICATION

CONTRAINDICATION

Short term
management
of pain (up to
5 days)

Contraindicated
with significant
renal impairment,
during labor and
delivery, lactation;
patients wearing
soft contact lenses
(ophthalmic);
aspirin allergy;
concurrent use of
NSAIDs; active
peptic ulcer
disease, recent GI
bleeding or

EFFECTS
Therapeutic
Effect:
Anti inflammatory
And analgesic
activity; inhibits
prostaglandins
and leukotriene
synthesis

Adverse Effect:
CNS Head ache,
dizziness,
somnolence

NURSING
RESPONSIBILITIES
Taking
History Renal
impairment;
impaired hearing;
allergies; hepatic,
CV, and GI
condition; lactation,
pregnancy
Physical Skin
color and lesion;
orientation, reflexes,
ophthalmologic and
audiometric,
evaluation, CBC,

Analgesic

perforation, history
of GI bleeding;
hypersensitivity to
ketorolac; as
prophylactic
analgesic before
major surgery;
treatment of preoperative pain in
CABG; suspected
or confirmed
cerebrovascular
bleeding;
hemorrhagic
diathesis,
incomplete
hemostasis, high
risk of bleeding;
use with
pentoxyphylline

Dosage:
12 mg
Route:
Intravenous route
Frequency:
Every 4 hours
Form:
Liquid
Color:
Transparent

insomnia, fatigue,
tinnitus,
ophthalmologic,
Dermatologic
rash pruitus,
sweating, dry
mucous
membrane
GI may cause
nausea,
dyspepsia, GI
pain, diarrhea,
vomiting,
constipation,
flatulence, gastric
or duodenal ulcers
GU Dysuria,
renal impairment
Hematologic
Bleeding, platelet
inhibition with
Use cautiously with higher doses,
impaired hearing;
leucopenia,
allergies; hepatic
pancytopenia,
CV and GI
thrombocytopenia,
condition
agranulocytosis,
granulocyctopenia
, aplastic anemia,
decrease hbg or

clothing time,LFTs
function test, serum
electrolytes, stool
guaiac
Skin test ( 0.9 water
and 0.1 Ketorolac
tromethamine)
Check for any
allergic reaction
Promote safe and
security
Provide privacy
Teaching Point:
report sore throat,
fever, fever rash,
itching, weight gain,
swelling in ankle or
finger; change in
vision; black tarry
stool, easy bruising.

hct, bone marrow

depression,
menorrhagia
Respiratory
Dyspnea,
hemoptysis,
pharyngitis,
bronchospasm,
rhinitis
Other peripheral
edema,
anaphylactic
shock, local
burning

DRUG

Generic Name:
RANITIDINE
HYDROCHLORID
E
Brand Name:
Zantac
Classification:
Histamine H2
Antagonist
Subclassification:
Antacid
Dosage:
250 mg

MECHANISM
OF DRUG
Competitively
inhibits the
action of
histamine at
the H2
receptor of
the parietal
cells of the
stomach,
inhibiting
basal gastric
acid secretion
that is
stimulated by
food, insulin,
histamine,
cholinergic
agonist,
gastrin and

INDICATION

Treatment
for Active
duodenal
ulcer
Short term
treatment
for active
benign
gastric
ulcer
Pathologic
hypersecre
tory
condition
Treatment
of erosive
esophagitis
and
heartburn,
acid

CONTRAINDICATION

Allergy to ranitidine,
lactation
With impaired renal
and hepatic function

EFFECTS

Side effect:
- GI pain
- diarrhea,
- vomiting,
- constipation
- Headache
Adverse Effect:
CNS Head ache,
malaise dizziness,
somnolence,
insomnia, vertigo
CV Tachycardia
Dermatologic
rash alopecia
GU
Gynecomastia
Hematologic
leucopenia,
pancytopenia,

NURSING
RESPONSIBILITIE
S
Taking
History Renal
impairment;
impaired hearing;
allergies; hepatic,
CV, and GI condition
Physical Skin
color and lesion;
orientation, and
renal function
evaluation CBC,
clothing time,LFTs
function test,
Intervention
Promote safe and
security
Provide privacy

Route:
Intravenous route

pentagastrin

ingestion,
sour
stomach

thrombocytopenia,
agranulocytosis,
granulocyctopenia
,
Other
anthralgias

Frequency:
Every 8 hours
Form:
Liquid
Color:
Transparent
DRUG

MECHANIS
M OF DRUG

Generic
Name:
AMPICILLIN
SODIUM
SULBACTAM
SODIUM

Bactericidal
action
against
sensitive
organisms;
inhibits
synthesis of
bacterial cell
wall, causing
cell death

Brand Name:
Unasyn
Classificatio
n:
Antibacterial

INDICATION

Treatment of
infections caused
by susceptible
strains of Shigella,
Salmonella,
Escherichia coli,
Haemophilus
influenzae, Proteus
mirabilis, Neisseria
gonorrhoeae, enter
ococci, grampositive organisms
(penicillin G
sensitive

CONTRAINDICATIO
N
Allergy to penicillin
cephalosporins, or
other allergens.

EFFECTS

Side effect:
- GI pain
- diarrhea,
- vomiting,
- constipation
- Headache
Adverse Effect:
Hematologic
leucopenia,
pancytopenia,
thrombocytopeni
a, anemia
eosinophilia,

Skin testing
Teaching Point:
report sore throat,
fever, fever rash,
itching, weight gain,
swelling in ankle or
finger; change in
vision; black tarry
stool, easy bruising.

NURSING
RESPONSIBILITIE
S
Taking History
Allergies to
penicillins,
cephalosporins, or
other allergens;
renal disorders;
lactation
Physical: Culture
infected area; skin
color, lesion; R,
adventitious
sounds; bowel
sounds; CBC,
LFTs, renal function

Subclassification
:
Aminopenicilli
n
betalactamas
e inhibitor
Dosage:
750 mg
Route:
Intravenous
route
Frequency:
Every 8 hours
Form:
Powder
Color:
white

staphylococci,
streptococci,
pneumococci)
Meningitis caused
by Neisseria
meningitides

Skin pain at
the insertion site
Other
hypersensitivity,
anaphylaxis

tests, serum
electrolytes, Hct,
urinalysis
Intervention
Promote safe and
security
Provide privacy
Skin testing
Check IV site
Teaching Point:
report sore throat,
fever, fever rash,
itching, weight gain,
swelling in ankle or
finger; change in
vision; black tarry
stool, easy
bruising.

DRUG
Generic Name:
NALBUPHINE
HYDROCHLORIDE

Brand Name:
Nubain
Classification:
Opioid Analgesic
Sub-

MECHANISM
OF DRUG
Binds with
Opiod
receptors in
the CNS,
altering
perception of
and
emotional
response to
pain

INDICATION
Moderate to
severe pain

CONTRAINDICATION

Hypersensitivity to
Opioids

EFFECTS
Side effect
Headache
Nausea
vommiting
Adverse Effect:
CV
Bradycardia
EENT - Dry
mouth
Skin

NURSING
RESPONSIBILITIES

Taking History
Allergies to opioid,
or other allergens;
renal disorders;
lactation
Intervention
Promote safe and
security
Provide privacy
Skin testing

classification:
Opioid partial
agonists
Dosage:
2 mg
Route:
Intravenous route
Frequency:
Every 4 hours

clamminesss,
diaphoresis
CNS - dizziness
Other
hypersensitivity,
anaphylaxis

Check IV site
Inject slowly
Teaching Point:
report sore throat,
fever, fever rash,
itching, weight gain,
swelling in ankle or
finger; change in
vision; black tarry
stool, easy
bruising.

Form:
liquid
Color:
transparent
Submitted by: Leonardo C. Lintao
Year/Sec/Group: 3nd year BSN

Submitted to: Prof. Rolando Pascual Antonio RN, MAN

Date: October 26, 2016