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    Drug Study Ok

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    Lene Therese
    This document summarizes the medical records of a 47-year-old female patient named H.T. who is being treated for massive ascites. She is prescribed multiple medications including furosemide 20mg by mouth twice daily as a diuretic, ferrous sulfate 1 tablet by mouth twice daily for iron deficiency anemia, spironolactone 50mg by mouth twice daily as a potassium-sparing diuretic, and isosorbide-5-mononitrate half a 60mg tablet by mouth once daily for angina prevention. Her attending physician is Dr. G and she is in ward/bed number OB GYNE 15.

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    © All Rights Reserved
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    Drug Study Ok

    Uploaded by

    Lene Therese
    132 views4 pages
    This document summarizes the medical records of a 47-year-old female patient named H.T. who is being treated for massive ascites. She is prescribed multiple medications including furosemide 20mg by mouth twice daily as a diuretic, ferrous sulfate 1 tablet by mouth twice daily for iron deficiency anemia, spironolactone 50mg by mouth twice daily as a potassium-sparing diuretic, and isosorbide-5-mononitrate half a 60mg tablet by mouth once daily for angina prevention. Her attending physician is Dr. G and she is in ward/bed number OB GYNE 15.

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    drug study

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    This document summarizes the medical records of a 47-year-old female patient named H.T. who is being treated for massive ascites. She is prescribed multiple medications including furosemide 20mg by mouth twice daily as a diuretic, ferrous sulfate 1 tablet by mouth twice daily for iron deficiency anemia, spironolactone 50mg by mouth twice daily as a potassium-sparing diuretic, and isosorbide-5-mononitrate half a 60mg tablet by mouth once daily for angina prevention. Her attending physician is Dr. G and she is in ward/bed number OB GYNE 15.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    132 views4 pages

    Drug Study Ok

    Uploaded by

    Lene Therese
    This document summarizes the medical records of a 47-year-old female patient named H.T. who is being treated for massive ascites. She is prescribed multiple medications including furosemide 20mg by mouth twice daily as a diuretic, ferrous sulfate 1 tablet by mouth twice daily for iron deficiency anemia, spironolactone 50mg by mouth twice daily as a potassium-sparing diuretic, and isosorbide-5-mononitrate half a 60mg tablet by mouth once daily for angina prevention. Her attending physician is Dr. G and she is in ward/bed number OB GYNE 15.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    West Visayas State University

    COLLEGE OF NURSING
    La Paz, Iloilo City

    DRUG STUDY
    Name: H.T.
    Age: 47 y.o.
    Massive Ascites
    Name of Drug

    Attending Physician: Dr. G


    Ward/Bed Number: OB GYNE #15

    Generic:

    Dosage, Route,
    Frequency,
    Timing
    Dosage:

    furosemide

    20 mg

    Brand:

    Route:

    Lasix

    P.O.
    Frequency:

    Classification
    Functional:

    BID

    Antihypertensive

    Timing:

    Chemical:

    86

    Loop diuretic

    Mechanism of
    Action

    Indication

    Inhibits sodium and


    Edema associate
    chloride
    with heart failure,
    reabsorption at the
    cirrhosis and renal
    proximal and distal
    disease.
    tubules and
    ascending limb of
    the loop of Henle,
    leading to a sodiumContraindication
    rich diuresis.
    Contraindicated
    s
    with allergy to
    furosemide,
    sulfonamide;
    anuria, severe renal
    failure.

    Students Name: _______________________________________________


    Clinical Instructor:_____________________________________________

    Impression/Diagnosis: G3P3 Cervical Tuberculosis,


    Adverse Reactions

    Special Precautions

    Irreversible hearing
    loss, Orthostatic
    hypotension, cardiac
    arrhythmias,
    leukopenia, anemia,
    thrombocytopenia,
    fluid and electrolyte
    imbalances,
    hyperglycemia,
    hyperuricemia

    Use cautiously in
    patients with
    hepatic cirrhosis
    and in those allergic
    to sulfonamides.

    Side Effects

    Dizziness, vertigo,
    Weakness, headache,
    drowsiness, fatigue,
    blurred vision,
    tinnitus,
    thrombophlebitis,
    nausea, anorexia,
    vomiting, oral and
    gastric irritation,
    constipation,
    diarrhea,

    Do not expose to
    light, which may
    discolor tablets or
    solution; do not use
    discolored drugs or
    solutions.

    Nursing Responsibilities

    Measure and record


    weight to monitor fluid
    changes.
    Monitor if oliguria or
    azotemia develops or
    increases, drug may be
    stopped.
    Monitor fluid intake and
    output and electrolyte
    and carbon dioxide
    levels frequently.

    West Visayas State University


    COLLEGE OF NURSING
    La Paz, Iloilo City

    DRUG STUDY
    Name: H.T.
    Age: 47 y.o.
    Ascites
    Name of Drug

    Attending Physician: Dr. G


    Ward/Bed Number: OB GYNE 15

    Generic:

    Dosage, Route,
    Frequency,
    Timing
    Dosage:

    ferrous sulfate

    1 tab
    Route:

    Brand:

    PO

    Sorbifer durule

    Frequency:

    Classification

    BID

    Functional:

    Timing:

    Anti-anemic

    86

    Chemical:

    Mechanism of Action

    Enters the blood


    stream and
    transported to the
    organs of the
    reticuloendothelial
    system and
    becomes part of iron
    stores.

    Indication

    For treatment of
    anemia.
    Treatment for iron
    deficiency anemia.

    Impression/Diagnosis: G3P3 Cervical Tuberculosis, Massive


    Adverse Reactions

    Navel congestion, GI
    discomforts,
    Iron toxicity

    Special Precautions

    Use cautiously in
    large term basis.
    Inform physician if
    you are allergic to it.
    GI upset may be
    revealed to dose

    Contraindication
    Hypersensitivity
    to
    s
    drug
    causing
    allergic reactions
    and Severe
    hypotension.

    Side vomiting,
    Effects
    Nausea,
    dizziness,
    constipation, black
    stool, diarrhea

    Nursing Responsibilities

    Monitor vital signs and


    duration of drug
    response.
    Tell patient to take
    tablets with juice or
    water, but not with milk
    or antacids.
    Instruct patient not to
    crush or chew extended
    release form.
    Caution patient not to
    substitute one iron salt
    for another because
    amounts of elemental
    vary.
    Monitor weight and fluid
    intake and output.

    Students Name: _______________________________________________


    Clinical Instructor:_____________________________________________

    West Visayas State University


    COLLEGE OF NURSING
    La Paz, Iloilo City

    DRUG STUDY
    Name: H.T.
    Age: 47 y.o.
    Ascites
    Name of Drug

    Attending Physician: Dr. G


    Ward/Bed Number: OB GYNE 15

    Generic:

    Dosage, Route,
    Frequency,
    Timing
    Dosage:

    spironolactone

    50 mg

    Brand:
    Aldactone

    Route:
    P.O.

    Classification
    Functional:

    Frequency:

    Aldosterone

    BID

    receptor
    antagonist

    Timing:

    Chemical:

    86

    Potassiumsparing diuretic

    Mechanism of
    Action
    Completely blocks
    the effects of
    aldosterone in the
    renal tubule,
    causing loss of
    sodium and water
    and retention of
    potassium.

    Indication

    Impression/Diagnosis: G3P3 Cervical Tuberculosis, Massive


    Adverse Reactions

    Use spironolactone
    if:
    Edema due to heart
    failure, hepatic
    cirrhosis, or
    nephritic syndrome
    Hypertension
    Diuretic-induced
    hypertension

    Lethargy, ataxia,
    gastric bleeding,
    ulceration,
    agranulocytosis,
    hyperkalemia,
    hyponatremia,
    urticarial, breast
    soreness.

    Contraindicated to
    patients
    Contraindication
    hypersensitive to
    s
    drug and in those
    with anuria, acute
    or progressive renal
    insufficiency, or
    hyperkalemia.

    Headache,
    drowsiness,
    confusion, diarrhea,
    cramping, gastritis,
    vomiting, menstrual
    disturbances,
    dehydration, mild
    acidosis, drug fever

    Students Name: _______________________________________________


    Clinical Instructor:_____________________________________________

    Side Effects

    Special Precautions

    Use cautiously in
    patients with fluid or
    electrolyte
    imbalances, impaired
    renal or hepatic
    function.

    Nursing Responsibilities

    Monitor electrolyte
    levels, fluid intake and
    output, weight and
    blood pressure.
    Inform laboratory that
    patient is taking
    spironolactone because
    drug may interfere with
    tests that measure
    digoxin level.

    West Visayas State University


    COLLEGE OF NURSING
    La Paz, Iloilo City

    DRUG STUDY
    Name: H.T.
    Age: 47 y.o.
    Ascites
    Name of Drug

    Generic:
    isosorbide-5mononitrate
    Brand:
    Imdur Monoket

    Classification
    Functional:
    Antianginal
    Chemical:
    Nitrate

    Attending Physician: Dr. G


    Ward/Bed Number: OB GYNE 15
    Dosage, Route,
    Frequency,
    Timing
    Dosage:
    (60 mg/1 tab)
    tab
    Route:
    PO
    Frequency:
    OD
    Timing:
    8

    Mechanism of
    Action
    Relaxes vascular
    smooth muscle with
    a resultant
    decrease in arterial
    BP, which reduces
    left ventricular
    workload and
    decreases
    myocardial oxygen
    consumption.

    Indication

    Prevention of
    angina pectoris;
    treatment of
    angina pectoris.

    Contraindication
    Contraindicated
    s
    with allergy to
    nitrates, severe
    anemia, head
    trauma, cerebral
    hemorrhage,
    hypertrophic
    cardiomyopathy,
    narrow-angle
    glaucoma,
    orthostatic
    hypotension.

    Students Name: _______________________________________________


    Clinical Instructor:_____________________________________________

    Impression/Diagnosis: G3P3 Cervical Tuberculosis, Massive


    Adverse Reactions

    Orthostatic
    hypotension,
    tachycardia,
    palpitations, ankle
    edema, flushing,
    fainting and
    sublingual burning

    Side Effects
    Headache,
    occasional
    hypotension with
    dizziness and
    nausea, weakness

    Special Precautions

    Nursing Responsibilities

    Monitor or watch
    out for hypertrophic
    obstructive
    cardiomyopathy,
    constrictive
    pericarditis, low
    filling pressure in
    acute MI or left
    ventricular heart
    failure, BP
    reduction, mitral
    stenosis, orthostatic
    hypotension,
    conditions
    associated with
    increased
    intracranial
    pressure.

    Monitor blood pressure


    and heart rate and
    intensity and duration
    of drug response.
    Caution patient to take
    drug regularly, as
    prescribed, and to keep
    it accessible at all
    times.
    Caution patient to avoid
    alcohol because it may
    worsen low blood
    pressure effects.
    Give proper amount or
    dosage of drugs
    Monitor patient for
    unwanted reactions of
    the body to the drug

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