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Drug Study

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Generic name

Brand name

Classification Indication

Contraindication Adverse reaction

Nursing considerations Assess patients condition.

Ibuprofen

Alaxan FR

Non-steroidal antiinflammatory drugs (NSAIDS)

Faster relief of mildl to moderately severe pain of musculoskeletal origin.

Patients in whom bronchospasm, angioedema or nasal polyps are precipitated by ibuprofen, aspirin and other NSAIDs. Advanced kidney and liver diseases.

GI, renal, hepatic, CNS, otis and ocular, dermatologic effects.

Cefazolin

Ancef

Anti-infectives

Skin & skin structure infections; bone & joint infections

Hypersensitivity to cephalosphorins. Serious hypersensitivity to penicillin.

Assess patient for infection (vital signs; appearance of Seizures (high surgical site, urine; doses) WBC) at beginning and during therapy. GI: Before initiating Pseudomembranous therapy, obtain a history to determine colitis, diarrhea, previous use of and nausea, vomiting, reactions to penicillins or cramps cephalosphorins. GU: Persons with a negative history of Interstitial nephritis penicillin sensitivity CNS:

may still have an allergic response. Auditory, vestibular, renal toxicity and neuro-muscular blockage, rash. Obtain specimens for culture and sensitivity before initiating therapy. Obtain specimen for culture andsensitivity test before giving firstdose. Therapy may begin whileawaiting the results. Evaluate patients hearing beforeand during therapy if he will bereceiving drug for longer than 2weeks. Notify prescriber if patienthas tinnitus, vertigo, or hearing loss. Assess patients condition Monitor vital signs especially temperature.

Amikacin

Amikacide Anti-infectives

Bacterial septicaemia including neonatal sepsis. Serious infections of the bones and joints.

Hypersensitivity to aminoglycosides

Paracetamol Biogesic

Anti-pyretic

Relief fever

Anemia, cardiac and pulmonary disease. Hepatic or severe renal diseases.

Allergic skin reactions and GI disturbances.

ASSESSMENT Subjective: Hindi na masyado nakakakaen nang maayos ang anak ko, dahil nga sa kalagayan niya ngayon. As verbalized by the patients mother Objective: Conscious and coherent afebrile Weakness Body malaise Weight loss

PLANNING After a series of nursing interventions, the patient will demonstrate behaviors, lifestyle changes to regain and/or maintain appropriate weight.

INTERVENTIONS - Discuss eating habits, including food preferences, intolerances, or aversions. - Assess drug interactions, disease affects, and allergies, use of laxatives and diuretics that may affect appetite, food intake or absorption. - Evaluate impact of cultural, ethnic, or religious desires and influences that may affect food choices. - Review usual activities and exercise program noting repetitive activities or inappropriate exercise. It may reveal obsessive nature or weight-control measures. - Evaluate total daily food intake. - Advise to use flavoring agents. - weigh at regular intervals and document results to monitor effectiveness of dietary plan.

EVALUATION After a series of nursing interventions, the patient is able to demonstrate behaviors, lifestyle changes to regain and maintain appropriate weight.

ASSESSMENT Subjective: natatakot po ako, baka hindi na po ako makalakad muli tulad nang dati as verbalized by the patient. Objective: Conscious and coherent Afebrile Facial flushing Increase pulse Viatal signs taken

PLANNING After a series of nursing interventions, the patient will appear relaxed and report anxiety is reduced to a manageable level.

INTERVENTIONS -Monitor vital signs. - Provide accurate information about the situation. It helps client identify what is reality based. - Encourage client to develop an exercise/activity program, wich may serve to reduce level of anxiety by relieving tension. - Assist developing skills. - Review coping skills used in past to determine those that might be helpful in current circumstances. - Determine current prescribed medications and recent drug history of prescribed or OTC medications. These medications can heighten feeling and sense of anxiety. -Observe behaviors, which can point to the clients level of anxiety.

EVALUATION After a series of nursing interventions, the patient appear a relaxed and report anxiety is reduced to a manageable level.

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