West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City
Name of Patient:__________________________________ Age:__________
Name of Drug
Dosage, Route, Frequency and Timing
Generic: sultamicillin tosylate
Dosage: 70mg/tab 1tab
Brand: Unasyn
Route:PO
Frequency:BID Classification
Functional: Antibacterial
Chemical: Aminopenicillin Beta-Lactamase inhibitor
Timing:8 6
Ward/Bed Number:__________
Mechanism of Action
Sulbactam is a semisynthetic betalactamase inhibitor which, in combination with ampicillin, extends the antibacterial activity of the latter to include some beta-lactamase-producing strains of bacteria that would otherwise be resistant *Karch, Amy M. 201 Lippicott’s nursing drug guide *Deglin, J., vallerand,A., davis’sDrug Guide for nurses 11th Edition. *Nursing Spectrum Drug handbook 2010 5th edition
Indication
For infections caused by susceptible microorganisms: Intraabdominal infections, UTIs, skin and soft tissue infections
Contraindications
History of allergic reactions to penicillins
Adverse Reactions
GI: melena, enterocolitis pseudomembranous colitis, black hairy tongue, stomatitis, glossitis CNS; (rare)Convulsions, seizures Hema:anemia, thrombophlebitis Resp.: apnea Side Effects
CNS:dizziness GI:diarrhea/loose stool, nausea/vomiting epigastric distress, abd. Cramps/pain Resp. dyspnea
Student's Name:__________________________________________ Clinical Instructor:________________________________________ West Visayas State University
Attending Physician:_______________________________ Impression/ Diagnosis:______________________________
Special Precautions
Renal Impairment or severe renal insufficiency Epstein-Barr Virus infection Cytomegalovirus infection Infectious mononucleosis
Nursing Responsibilities * Instruct patient to immediately report signs and symptoms of hypersensitivity hypersensitivity reaction, such as rash, fever, or chills. * Advise patient to minimize GI upset by eating small, small, frequent servings servings of food and drinking plenty of fluids. * Inform patient that drug lowers resistance to certain infections. Instruct him to report new signs or symptoms of infection, especially in mouth or rectum.Tell patient to promptly report report unusual bleeding bleeding or bruising. *Instruct patient to avoid activities that can cause injury. Advise him to use soft toothbrush and electric razor to avoid gum and skin injury.
COLLEGE OF NURSING La Paz, Iloilo City
Name of Patient:__________________________________ Age:__________
Name of Drug
Generic: hydroxyurea
Dosage, Route, Frequency and Timing
Dosage: 30mg/kg/day 2caps
Brand: Krabinex Route: PO Classification
Functional: Anti neoplastic
Chemical: antimetabolites
Frequency: TID
Ward/Bed Number:__________
Mechanism of Action
It has a cytotoxic effect inhibiting an enzyme that is crucial for DNA synthesis. It takes the place of normal protein thus inhibiting growth of cancer cells. *Nursing spectrum Drug handbook 2010. 5th Edition. P. 557-559
Indication
For myelogenous leukemia
Attending Physician:_______________________________ Impression/ Diagnosis:______________________________
Adverse Reactions
Bone marrow suppression, megaloblastosis, infertility, tubular dysfunction, leukopenia
Special Precautions
Impaired renal or hepatic function
Nursing Responsibilities *Assess allergies to hydroxyurea, as well as renal or hepatic function *Be aware of precautionary measures of handling such antineoplastic drug(may be carcinogenic) *Instruct patient not to chew, crush, or chew the drug
Contraindications
Hypersensitivity to hydroxyurea and in severe bone marrow suppression
Timing: 8 1 6
Side Effects
Headache, dizziness, disorientation, maculopapular rash, stomatitis, anorexia, vomiting, diarrhea, constipation, fever, chills, malaise
Student's Name:__________________________________________ Clinical Instructor:________________________________________ West Visayas State University
*Inspect oral mucosa for erythema and ulcerations; and instruct to use a soft bristled toothbrush to prevent blee ding of gums. *Educate patient about maintenance of frequent small meals and maintenance of good nutrition and hydration(2-3L of fluid) *Instruct to report about fever, chills, sore throat, unusual bleeding or bruising, severe nausea, vomiting, loss of appetite and mouth sores and thus prompt interventions can be done
COLLEGE OF NURSING La Paz, Iloilo City
Name of Patient:__________________________________ Age:__________
Name of Drug
Generic: paracetamol Brand: Biogesic
Classification
Functional: Antipyretics
Chemical: Non-opioid analgesic
Dosage, Route, Frequency and Timing
Ward/Bed Number:__________
Mechanism of Action
Dosage: 500mg/tab 1 tab
Unclear. Pain relief may result from inhibition of prostaglandin synthesis in CNS, with subsequent blockage of pain Route: PO impulses. Fever reduction may result from vasodilation and increased Frequency: PRN peripheral blood flow in hypothalamus, which Timing: Q4H for dissipates heat and lowers T=37.8C and↑ body temperature.
Indication
Treatment of fever/hyperthermia
Contraindications
Hypersensitivy Alcohol use
*Karch, Amy M. 201 Lippicott’s nursing drug guide *Deglin, J., vallerand,A., davis’sDrug Guide for nurses 11th Edition. *Nursing Spectrum Drug handbook 2010 5th edition P 14-15
Adverse Reactions
Attending Physician:_______________________________ Impression/ Diagnosis:______________________________
Special Precautions
CV: myocardial damage Anemia Hema: thrombocytopenia, Renal and Hepatic hemolytic disease anemia, neutropenia, leukopenia, pancytopenia Hepatic: hepatotoxicity, renal failure Metabolic: hypoglycemic coma Side Effects
CNS: headache CV: chest pain Resp: Dyspnea Meta: hypoglycemia GU: hematuria, anuria GI:abd. pain Hepatic: jaundice Skin: rash, urticaria Other: hypersensitivity reactions (such as fever)
Student's Name:__________________________________________ Clinical Instructor:________________________________________ West Visayas State University
Nursing Responsibilities
*Assess allergy, renal and hepatic function, *Observe for acute toxicity and overdose. * Tell patient, parents, or other caregivers not to use drug concurrently with other acetaminophen-containing Products to avoid overdose and/or toxicity *Aware the patient that there is increased risk of hepatotoxicity with alcohol, thus instruct to avoid drinking alcoholic beverages
COLLEGE OF NURSING La Paz, Iloilo City
Name of Patient:__________________________________ Age:__________
Name of Drug
Generic: Nystatin Brand:
Classification
Functional: antiinfective Chemical: antifungal
Dosage, Route, Frequency and Timing
Mechanism of Action
Dosage: 5cc
Fungistatic/fungicidal: Binds to fungal cell membrane allowing leakage of cellular Route: PO(swish contents. and swallow) Interferes with fungal cell-wall synthesis, inhibiting formation of ergo sterols, increasing Frequency: TID cell-wall permeability, and causing osmotic instability. Timing: 8 1 6
Ward/Bed Number:__________
*Deglin, J., vallerand,A., davis’sDrug Guide for nurses 11th Edition. *Nursing Spectrum Drug handbook 2010 5th edition
Indication
Attending Physician:_______________________________ Impression/ Diagnosis:______________________________
Adverse Reactions
Oral/oropharyngeal candidiasis and GI infection
Contraindications
Hypersensitivity(some products may contain ethyl or benzyl alcohol)-avoid use in patients who are hypersensitive or intolerant of these additives)
Student's Name:__________________________________________ Clinical Instructor:________________________________________
Special Precautions
renal or hepatic disease, achlorhydria denture wearers(require soaking)
Side Effects
GI: nausea, vomiting, diarrhea, GI distress, oral irritation(large doses)
Nursing Responsibilities
*if patient missed a dose, instruct to take dose as soon as possible but not if almost time for next schedule, and then resume his regular dosing schedule *patient should hold suspension in mouth before swallowing, then gargle or swish and swallow *increased irritation of mucous membranes may indicate the need to discontinue medication
