DRUG THEREPEUTIC RECORD

DRUG CLASSIFICATION INDICATION SIDE EFFECTS NSG.

RESPONSIBILITIES
Risperidone, 2mg, THERAPEUTIC Schizophrenia, CNS: parkinsonism, BEFORE:
1tab CLASS: Irritability, suicide attempt,
Oral, Hours of sleep Antipsychotic including somnolence, Obtain
aggression, akathisia, agitation, baseline BP
PHARMACOLOGIC self injury and anxiety, dizziness, and monitored
CLASS: temper fever, impaired DURING:
Benzisozole tantrums concentration,
dermative associated abnormal thinking, AFTER:
with an dreaming tremor, Advise patient
MECHANISM OF autistic fatigue, depression to avoid
ACTION: disorder. CV: tachycardia, alcohol
orthostatic Provide O2
Blocks CONTRAINDICATIO hypotension, when
dopamine and N: peripheral edema, necessary
5h2 receptors HPN, syncope Warn patient
in the brain. Hypersensitive EENT: rhinitis, to avoid
to drug and in sinusitis, activities that
breastfeeding pharyngitis, double require
women vision alertness
Caution in GI: constipation, Asses for pain
patients with nausea, vomiting, Monitor for S/S
increase QT abdominal pain, of overdose
interval anorexia, dry mouth, (Drowsiness,
increased saliva, sedation,
diarrhea, tachycardia,
GU: urinary hpn, EPS,
incontinence, seizures
increased urination, Instruct to do
abnormal orgasm, DBE
vaginal dryness Encourage
Metabolic: weight Oral hygiene
gain, Course Pt.
hyperglycemia , high fiber diet
weight loss
Musculoskeletal:
arthralgia, back pain,
limb pain, myalgia, Instruct Pt. to
elevate feet if
Respiratory: not
dyspnea, coughing, contraindicate
upper respiratory d
tract infection
Skin: rash, dry skin,
photosynsetivity,
acne
Other: tooth
disorder, decreased
libido, tooth ache
 DRUG CLASSIFICATION INDICATIONS SIDE EFFCETS NSG.
RESPONSIBILITIES

DIAZEPAM, 5mg, 1 THERAPEUTIC -Anxiety CNS: drowsiness, BEFORE:

tablet/ day, oral, CLASS: -Muscle Spasm dysarthria, slurred -Monitored V/S and
hours of sleep Anxiolytic -Tetanus speech, tremor, BP
transient amnesia, -Assessed for
PHARMACOLOGIC CONTAINDICATION: fatigue, ataxia, hypersensitivity
CLASS: -Hypersensitive to headache, insomnia,
Benzodiazepi drug or soya protein paradoxical anxiety, DURING:
ne -Experiencing shock hallucination, minor -Warned patient to
and coma changes in EEG avoid activities that
MECHANISM OF -Acute angle closure pattern require alertness
ACTION: glaucoma CV: CV collapse, -Instructed SO to
-Caution in patient bradycardia, assist & provided
Probably with liver or renal hypotension safety to patient
potential the impairment, EENT: diplopia, -Advised increased
effects of depression, history blurred vision fiber diet & avoid
GABA, of substance abuse GI: constipation, alcohol
depress the diarrhea with rectal
CNS and pain AFTER:
supress the GU: urinary -Monitored for
spread of incontinence & dizziness, ataxia,
seizure retention mental state
activity RESPI: depression, changes
apnea -Instructed patient
SKIN: rash not to abruptly
HEMA: neutropenia withdraw drug.
HEPA: jaundice
OTHER: altered
libido, physical or
psychological
dependence.
 DRUG CLASSIFICATION INDICATION SIDE EFFECTS NSG.RESPONSIBILITI
ES

CEFTRIAXONE, THERAPEUTIC -Perioperative GI: BEFORE:

500g , IVTT CLASS: prevention pseudomembranous
Antibiotic -UTI, septicaemia, colitis, diarrhea DURING:
skin structure HEMA: Eosinophilia,
PHARMACOLOGIC infection thrombocytosis, AFTER:
CLASS: leukopenia - instruct patient to
Third CONTRAINDICATION: SKIN: pain, report discomfort at
Generation -Hypersensitive to induration, rash IV site
Cephalosporin dry or other OTHER: - tell patient to
, Pregnancy cephalosporin hypersensitivity report adverse
risk category -Cautiously in patient reactions, reactions promptly
B hypersensitive to anaphylaxis - educate and inform
penicillin about the adverse
MECHANISM OF -Cautiously in breast reactions
ACTION: feeding women - tell patient to notify
Inhibits cell prescriber if having
wall loose stools
synthesis, - assess for pain
promoting - administer pain
osmotic meds. As prescribed
instability,
usually
baactericidal
DRUG CLASSIFICATION INDICATION SIDE EFFECTS NSG.RESPONSIBILITI
ES
Mannitol THERAPEUTIC -To reduce CNS: seizures, BEFORE:
CLASS: intraocular or dizziness, headache,
Diuretic intracranial pressure fever DURING:
or cerebral edema CV: edema, -To relieve thirst, give
PHARMACOLOGIC -To prevent oliguria thrombophlebitis, frequent mouth care
CLASS: or acute renal failure hypotension, or fluids
Osmotic -Oliguria hypertension, heart -Emphasized
diuretic failure, tachycardia, importance of
CONTRAINDICATION: vascular overload drinking only the
MECHANISM OF -Hypersensitive to EENT: blurred vision, amount of fluids
ACTION: drug rhinitis ordered.
Increases -Anuria, active GI: thirst, dry mouth,
osmotic intracranial bleeding, nausea, vomiting, AFTER:
pressure severe dehydration, diarrhea -Monitored vital sign
glomerular metabolic edema GU: urine retention and intake and
filtrate, thus META: dehydration output
inhibiting SKIN: local pain, -Instructed patient to
tubular urticaria promptly report
reabsorption OTHERS: thirst, chill adverse reactions
of H2O and and discomfort at I.V.
electrolytes. It site.
elevates
plasma
osmolarity
and increased
H2O flow into
extracellular
fluid.
 DRUG CLASSIFICATION INDICATION SIDE EFFECTS NSG.
RESPONSIBILITIES

Ketorolac THERAPEUTIC Short term CNS: Headache, Renal

Tromethamine CLASS: management dizziness, insomnia, impairment,
NSAID of ain (up to fatigue, tinnitus, Impaired
5days) ophthalmologic hearing,
PHARMACOLOGIC Ophthalmic: effects. allergies,
CLASS: Relief of ocular DERMATOLOGIC: hepatic,
NSAID itching due to Rash, pruritus, Skin color and
seasonal sweating, dry lesions,
THERAPEUTIC conjunctivitis mucous membranes, orientation,
ACTIONS: and relief of GI: Nausea, reflexes,
Anti postoperative dyspepsia, GI pain, peripheral
inflammatory inflammation diarrhea, vomiting, sensation,
and analgesics and pain after constipation, clotting times,
activity; cataract flatulence, hepatic CBC,
inhibits surgery. impairment. adventitious
prostaglandins GU: Dysuria, renal sounds
and CONTRAINDICATIONS impairment Be aware that
leukotriene : HEMATOLOGIC: patient may
synthesis. Contraindicate Bleeding, be at risk for
d with neutropenia, CV events, GI
significant leukopenia, bleeding, renal
renal thrombocytopenia, toxicity,
impairment, granulocytopenia, monitor
during labor aplastic anemia, accordingly.
and delivery , decreased Hgb and Keep
lactation; Hct, bone marrow emergency
patients depression. equipment
wearing soft RESPIRATORY: readily
contact lenses Dyspnea, available at
(ophthalmic); hemoptysis, time of initial
aspirin allergy; pharyngitis, dose, in case
concurrent use bronchospasm, of severe
of NSAIDs; rhinitis. hypersensitivit
active peptic OTHER: Peripheral y reaction.
ulcer disease edema Protect drug
or GI bleeding; vials from light.
hypersensitivit Administer
y to ketorolac; every 6 hours
as to maintain
prophylactic serum levels
analgesics and control p
before major ain.
surgery;
treatment of
perioperative
pain in CABG;
suspected or
confirmed
cerebrovascul
ar bleeding;
hemorrhagic
diathesis,
incomplete
hemostasis,
high risk of
 bleeding; use
with
probenecid,
pentoxyphyllin
e.

DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS NSG.

RESPONSIBILITIES

Ranitidine THERAPEUTIC Short term CNS: Headcahe, Instruct patient

Hydrochloride CLASS: treatment of malaise, dizziness, not to take new
Antiulcer active insomnia, vertigo. medication w/o
duodenal CV: Tachycardia, consulting
PHARMACOLOGIC ulcer. bradycardia physician
CLASS: Maintenance DERMATOLOGIC: Instruct patient
Histamine 2 therapy for Rash, alopecia to take as
anatagonist duodenal ulcer GI: Constipation, directed and do
at reduced diarrhea, nausea, not increase
THERAPEUTIC dosage. vomiting, abdominal dose
ACTIONS: Short term pain,hepatitis. Allow 1 hour
Competitively treatment of GU: Impotence or between any
inhibits the GERD. decreased libido other antacid
action of Short term HEMATOLOGIC: and ranitidine
histamine at treatment and Leukopenis, Avoid excessive
the H2 maintenance granulocytopenia, alcohol
receptors of therapy of thrombocytopenia Assess patient
the parietal active, benign LOCAL: Pain at IM for epigastric or
cells of the gastric ulcer. site local burning or abdominal pain
stomach, Treatment and itching at IV site and frank or
inhibiting maintenance OTHER: Arthralgias occult blood in
basal gastric of healing of the stool,
acid secretion erosive emesis, or
and gastric esophagitis. gastric aspirate
acid secretion Treatment of Nurse should
that is heartburn, know that it may
stimulated by acid cause false-
food, insulin, indigestion, positive results
histamine, sour stomach. for urine protein;
cholinergic test with
agonists, CONTRAINDICATION: sulfosalicylic
gastrin, and Contraindicate acid
pentagastrin. d with allergy Inform patient
to ranitidine, that it may
lactation. cause
drowsiness or
dizziness
Inform patient
that increased
fluid and
fiber intake may
minimize
constipation
Advise patient to
report onset of
black, tarry
 stools; fever,
sore throat;
diarrhea;
dizziness; rash;
confusion; or
hallucinations to
health care
professional
promptly
Inform patient
that medication
may temporarily
cause stools and
tongue to
appear gray
black. Instruct
patients to
monitor for and
report
occurrence of
drug-induced
adverse reaction
 DRUG CLASSIFICATIONS INDICATIONS SIDE EFFECTS NSG.
RESPONSIBILITIES

Dexamethasone THERAPEUTIC Hypercalcemia CNS: Seizures, Tell patient to

Sodium Sulphate CLASS: associated vertigo, headaches, shake
Anti with cancer insomnia, mood suspension
inflammatory Cancer swings, depression, well before
chemotheraph psychosis, use.
PHARMACOLOGIC y induced intracerebral Teach patient
CLASS: nausea and haemorrhage, how to instill
Corticosteroid vomiting. cataracts, glaucoma. drops. Advise
Cerebral CV: Hypertension, him to wash
MECHANISM OF edema heart failure, hands before
ACTION: associated necrotizing angiitis. and after
Suppresses with brain ENDOCRINE: applying
edema, fibrin tumor, Growth retardation, solution, and
deposition, craniotomy, or decreased warn him not
capillary head injury. carbohydrate to touch tip of
dilation, Ulcerative tolerance, diabetes dropper to eye
leukocyte colitis, acute mellitus or surrounding
migration, exacerbations GI: Peptic or tissue.
capillary of MS, and esophageal ulcer, Tell patient to
proliferation, palliation in pancreatitis, apply light
and collagen some abdominal distention finger
deposition. leukemias and GU: Amenorrhea. pressure on
lymphomas. Irregular menses lacrimal sac
HEMATOLOGIC: for 1 minute
CONTRAINDICATIONS Fluid and electrolyte after
: disturbances, instillation.
Contraindicate increase blood sugar, Advise patient
d in patients glycosuria, increase that he/she
hypersensitivit serum cholesterol. may use eye
 y to drug or its HYPERSENSITIVITY pad with
ingredients. : Anaphylactoid or ointment.
Drug contain hypersensitivity Warn patient
sulphite. reactions. not to use
Contraindicate MUSCULOSKELETA leftover drug
d in those with L: Muscle weakness, for new eye
ocular loss of muscle mass. inflammation;
tuberculosis or Osteoporosis, doing so may
acute spontaneous cause serious
superficial fractures. problems.
herpes OTHER: Impaired
simplex wound healing,
(dendritic petechiae,
keratitis), ecchymosis,
varicella, or increased sweating,
other fungal or thin and fragile skin,
viral diseases acne
of cornea and
conjunctiva; in
patients with
acute,
purulent,
untreated
infections of
eye; and in
those who
have had
uncomplicated
removal of
superficial
cornel foreign
body.
 HEALTH TEACHING PLAN

OBJECTIVES CONTENT METHODOLOGY

General:
After 4 days of holistic
student nurse-patient
interaction, the patient
will be able to gain
knowledge, skills and
attitude in dealing with
the condition brain
traumatic injury.

Specific:
After 8 hours of holistic
student nurse-patient
interaction, the patient
will be able to;

1. define Brain
Traumatic Injury Also known as DISCUSSION
intracranial injury
and/or TBI.
Is a substantial
head injury that
results in
damage to the
brain. This
damage can
cause a wide
spectrum of
possible health
outcomes
 The brain is
launched into a
collision course
with the inside of
the skull,
resulting in
possible bruising
of the brain,
tearing of the
nerve fibers and
bleeding.
Is a complex
injury with a
broad spectrum
of symptoms and
disabilities

2. identify the causes DISCUSSION

Bullets or
of brain traumatic smashed piece
injury of skull
penetrating brain
tissue
Falls
Vehicle accidents
Severe jolt or
blow to the head
Open head injury
Closed head
injury
Deceleration
injury
Chemical/toxic
Hypoxia
Infections
Stroke
3. determine Headache that DISCUSSION
symptoms of brain gets worse and
traumatic injury that does not go
needs to be reported away.
immediately Weakness,
numbness or
decreased
coordination.
Repeated
vomiting or
nausea
Confusion
Fatigue(tiredness
and lethargy)
Becoming more
easily distracted
Loss of sense of
smell and taste
Moodiness
Persistent pain in
the back
Light
headedness
Dizziness
Tinnitus
 Always wear a
4. identify preventive DISCUSSION
seatbelt in a
measures to avoid
motor vehicle
brain traumatic injury
Never drive
under the
influence of
alcohol or drugs

Always wear a
helmet when on
bicycle,
motorcycle,
scooter, and
other open
unrestrained
vehicles.

Use the rails on

stairways

Provide
adequate
lightning,
especially on
stairs for people
with poor vision
or who have
difficulty walking

Keep firearms
unloaded in a
locked cabinet or
safe
 Handwashing
Removing the old
5. Demonstrate on how Dressing DEMONSTRATION
to do wound dressing Carefully loosen
properly the tape from
your skin.
Use a clean (not
sterile) medical
glove to grab the
old dressing and
pull it off.
If the dressing
sticks to the
wound, wet it
and try again,
unless your
provider
instructed you to
pull it off dry.
Put the old
dressing in a
plastic bag and
set it aside.

Caring for the Wound

You may use a gauze

pad or soft cloth to
clean the skin around
your wound:

Use a normal
saline solution
(salt water) or
mild soapy water.
 Soak the gauze
or cloth in the
saline solution or
soapy water, and
gently dab or
wipe the skin
with it.

Try to remove all

drainage and any
dried blood or
other matter that
may have built
up on the skin.

Putting on the new

Dressing
Place the clean
dressing on the wound
as your provider taught
you to. You may be
using a wet-to-dry
dressing.
Clean your hands
when you are finished.
Throw away the old
dressing and other
used supplies in a
waterproof plastic bag.
Close it tightly, then
double it before putting
it in the trash.
Wash any soiled
laundry from the
dressing change
separately from other
laundry. Ask your
provider if you need to
add bleach to the wash
water.
Use a dressing only
once. Never reuse it.