DRUG Dosage Mechanism of Indications & Side Effects/ Nursing Responsibilities

Action Contraindications Adverse Effects

Assessment
Generic Name: ferrous 1 tablet, Elevates serum Indication: Side Effects:  Check the drug name, dosage,
fumarate PO, TID iron  Prevention and  nausea frequency, route and the right patient to
concentration, treatment of  vomiting whom the drug is given.
Brand Name: which helps to iron deficiency  constipation  Assess for skin lesions, color of gums,
Femiron form anemia.  GI upset teeth, assess for bowel sounds.
haemoglobin or  Dietary  Check for the result of CBC, Hgb, Hct,
trapped in supplement for serum ferritin and iron levels.
reticuloendotheli iron.
al cells for Planning
storage and  Administer oral drug with meals,
eventual avoiding milk, eggs, coffee, and
conversion to a Contraindication: tea, if GI discomfort is severe,
Functional class: usable form of  Contraindicated Adverse Effects: slowly increase to build up
Iron preparation iron. with allergy to tolerance.
 CNS toxicity
any ingredient;  Coma and  Administer drug on empty
sulphite allergy; death with stomach with water.
Chemical class: hemochromatos overdose
is, Implementation
hemosiderosis,  Explain to the patient what the
hemolytic drug is for and its side or
anemias. adverse effects.
 Inform patient that stool may be
 Use cautiously dark or green.
with normal
 Monitor hematocrit and
iron balance;
hemoglobin levels.
peptic ulcer,
 Advise patient to have periodic
regional
blood tests during therapy to
enteritis,
determine appropriate dosage.
ulcerative
colitis.  Instruct patient not to take
drugs with antacids or
tetracyclines.
 Keep the drug out of reach from
children.
 Watch out for or instruct patient
 to report for GI upset, lethargy,
rapid respirations, constipation.

ASSESSMENT NURSIN PLANNING INTERVENTIONS RATIONALE EVALUATION

G
DIAGNO
SIS

Subjective: Activity Short term goal: Independent: GOAL MET

“NO, I cannot move, I intoleran After 8 hours of -Monitored vital
need assistance.” As ce nursing signs. -to maintain a
verbalized by the related intervention the baseline data
patient. to patient will be for the patient’s
insufficie able to current
Objective: nt participate -Assessed condition.
-Post op CABG muscle willingly in functional level
strength. necessary strength. -to determine
-Gordon’s functional activities. the recent
level test: 3 strength of the
Long term goal: patient to the
-presence of edema on After 3 days of environment.
both legs. nursing -Changed
intervention the beddings and
-difficulty turning patient will be Kept bed clothes -to prevent
able to have dry and wrinkled friction that
-Body weakness some limited free. may lead to
mobility and wound
-Lethargic continuously -Performed bed formation.
practice bath and oral
techniques that hygiene. -to maintain the
will improved his cleanliness and
condition. may decrease
the possibilities
of further
infections.
-Provided
protection and -as a means of
comfort measure comfort
through the use measure.
of pillow.
-Assisted patient
while eating. -to maintain
adequate
Dependent: nutrition.
- Regulated the
IV fluid
habitually.
-to avoid
Collaborative: dehydration.
-Assisted the
patient’s relative
to reposition the -as a form of
patient. comfort
measure.
-Instructed
patient’s relative
to turn the
patient atleast -to avoid the
every 2 hours. formation of
pressure ulcers.
-Observed while
the physician
discussed the -to determine
current status of the recent
the patient. update of
patient’s
condition.