VI.

DRUG STUDY
Name of Patient: Lines, Honey Angelie Age: 24 years old
Diagnosis: G1P0 PUFT, Non-reassuring Fetal Status Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Contraindicated with CNS: lethargy, Before:
Generic Name: Pharmacologic: Bactericidal  Treatment o allergies to hallucinations,  Check doctor’s order.
Ampicillin Penicillin action against infections penicillins, seizures  Check the name of the drug,
sensitive caused by cephalosporins, or dose, route, timing and the
Brand Name: Therapeutic: organisms; susceptible other allergens. CV: heart failure name of the patient.
Principen Antibiotic inhibits synthesis strains of  Assess for allergies to
of bacterial cell Shigella, Precaution: Use GI: glossitis, penicillins, cephalosporins or
Form: Vial Pregnancy wall, causing Salmonella, cautiously with renal stomatitis, gastritis, other allergens.
Category Risk: B death. E.Colli disorders vomiting, diarrhea  Check for vital signs
Route: IVTT  Meningitis During:
Onset: caused by Interactions: drug- GU: nephritis  Ask the patient to identify
Dosage: Immediate Neisseria drug: increased herself or by looking at her
2g q60 meningitis effect with Hematologic: identification arm band.
x 4doses Peak: 5 mins.  Prevention of probenecid, anemia,  Check patency of the IV site
bacterial increased risk of thrombocytopenia and IV line.
Duration: 6-8 endocarditis rash with allopurinol  Explain the purpose and
hours following oral Hypersensitivity: importance of the drug to the
or respiratory rash, ever, patient.
Metabolism: 1-2 procedures Drug-food: oral wheezing,  Wipe the site with alcohol.
hours ampicillin may be anaphylaxis  Administer the right drug in
Patient’s Actual less effective with Local: pain, phlebitis, the right route and dosage at
Distribution: Indication: food; take on an thrombosis at the right time.
Crosses placenta,  As empty stomach injection site After:
enters breast prophylaxis  Check IV site carefully for
milk during Other: signs of thrombosis or drug
caesarean superinfections-oral reaction.
Excretion: section in and rectal  Report pain or discomfort at
Urine, unchanged certain high- moniliasis, vaginitis sites.
risk patients.  Document and record.
Source: 2011 Lippincott’s Nursing Drug Guide
 DRUG STUDY
Name of Patient: Lines, Honey Angelie Age: 24 years old
Diagnosis: G1P0 PUFT, Non-reassuring Fetal Status Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Contraindicated to CNS: vertigo, Before:
Generic Name: Pharmacologic: Competitive  Active patient malaise, headache  Check doctor’s order.
Ranitidine Histamine2 inhibition of duodenal hypersensitivity to  Check the name of the drug,
Hydrochloride Receptor histamine at H2 maintenance drug and those with CV: tachycardia dose, route, timing and the
Antagonists receptors of the therapy for active porphyrin. name of the patient.
gastric parietal duodenal or EENT: blurred vision  Assess for allergies to drug or
Brand Name: Therapeutic: cells, which gastric ulcer, Use cautiously in other allergens.
Zantac Antiulcer Agent inhibits gastric pathologic patients with GI: constipation,  Check for vital signs
acid secretions, hypersecretory hepatic dysfunction. abdominal pain, During:
Form: Ampule Pregnancy gastric volume, condition such nausea, vomitting  Ask the patient to identify
Category Risk: B and hydrogen ion as Zollinger Adjust dosage in herself or by looking at her
Route: IVTT concentration are Ellison patients with Hepatic: Jaundice identification arm band.
reduced. Does Syndrome, impaired renal  Check patency of the IV site
Dosage: not affect pepsin GERD and function. Other: burning and and IV line.
50mg q80 secretion, heartburn. itching at IV site  Explain the purpose and
pentagastrin- importance of the drug to the
stimulated Patient’s Actual patient.
intrinsic factor Indication:  Wipe the site with alcohol.
secretion, or  Used to  Administer the right drug in
serum gastrin prevent ulcer the right route and dosage at
while patient the right time.
is on NPO and After:
scheduled or  Check IV site carefully for
Caesarian signs of thrombosis or drug
Section. reaction.
 Report pain or discomfort at
sites.
 Document and record.
Source: 2011 Lippincott’s Nursing Drug Guide
 DRUG STUDY
Name of Patient: Lines, Honey Angelie Age: 24 years old
Diagnosis: G1P0 PUFT, Non-reassuring Fetal Status Sex: Female
Drug Mechanism of Indication Contraindication Side Effects Midwife’s Responsibility
Name of Drug Classification Action
General: Hypersensitivity to CNS: dizziness, Before:
Generic Name: Pharmacologic: Binds to opiate  Relief of tramadol, opioids, or vertigo, headache,  Check doctor’s order.
Tramadol Synthetic receptors in the moderate to any component of the somnolence, CNS  Check the name of the drug,
Hydrochloride Derivative CNS causing severe pain. formulation; opioid- stimulation, dose, route, timing and the
inhibition of dependent patients; asthenia, anxiety, name of the patient.
Therapeutic: ascending pain Patient’s Actual acute intoxication confusion, euphoria  Assess for allergies to drug
Brand Name: Opioid pathways, Indication: with alcohol, or other allergens.
Ultram Analgesic altering the Management of hypnotics, centrally- CV: vasodilation  Check for vital signs.
perception of and pain in the acting analgesics, During:
Form: Ampule Pregnancy response to pain; operation site of opioids, or EENT: visual  Ask the patient to identify
Category Risk: C also inhibits the Caesarian psychotropic drugs. disturbances. herself or by looking at her
Route: IVTT reuptake of Section. identification arm band.
norepinephrine GI: nausea,  Check patency of the IV site
Dosage: and serotonin, vomiting, dry and IV line.
50mg q60 which also mouth, diarrhea,  Explain the purpose and
x 4 doses modifies the anorexia importance of the drug to
ascending pain the patient.
pathway. GU: urine retention,  Wipe the site with alcohol.
urinary frequency  Administer the right drug in
the right route and dosage
Musculoskeletal: at the right time.
hypertonia After:
 Check IV site carefully for
Respiratory: signs of thrombosis or drug
respiratory reaction.
depression  Monitor patient for drug
dependence.
Skin: pruritus,  Document and record.
diaphoresis, rash.
Source: 2011 Lippincott’s Nursing Drug Guide
 VII. HEALTH CARE PLAN
Name of Patient: Lines, Honey Angelie Age: 24 years old
Diagnosis: Acute pain related to post-surgical incision as manifested by facial grimace , Sex: Female
guarding behavior and verbal report of pain felt in the lower abdominal region.
Identified Problem Goal of Care Objective of Care Intervention Rationale Evaluation
 Identify Short-term Goal: Independent: Short-term Goal:
Subjective: interventions to Within 30 minutes to  Assess the clients pain scale  To identify the intensity, Within 1 hour of
“Sakit akong tahi sa treat acute 1 hour of continuous and perception regularly. onset, duration, and the continuous nursing
tiyan” as verbalized pain. nursing intervention quality of pain. intervention the client
 Encourage verbal report  Pain is highly subjective and had an improved comfort
by the patient.  Patient uses the client will have
during and after the nursing to identify the effectiveness in the abdominal region.
pharmacologica improved comfort in
interventions. of the interventions. As evidenced by;
Objective: l and non- the abdominal region.  States a decreased in
 Guarding pharmacologica As evidenced by; the rating of the pain
behavior, l pain-relief  States a decrease  Monitor V/S and pain scale.  V/S changes during onset of
from 8 to 2 in the
pain, for future comparison.
protecting the strategies. in the rating of the pain scale.
 Teach client diversional  To divert client’s attention
incision site of  Achieve timely pain from 8 to 3 in  Was able to rest,
activities. from pain.
the abdomen. medication the pain scale. displays reduced
 Advise deep breathing  To allow proper O2 supply in
 (+) restlessness intake.  Is able to rest, tension, and sleeps
exercise. the body. comfortably.
and facial  Patient displays displays reduced  Schedule adequate rest  Prevents fatigue &  Requires decreased
grimacing improvement in tension, and periods. conserves energy for analgesia.
evident. mood, coping. sleeps healing.
 Diaphoresis  To prevent comfortably.  Review importance of  Provides elements Long-term Goal:
noted complications.  Requires decrease nutritious diets and necessary for tissue healing. The client had an
 Throbbing pain analgesia. adequate fluid intake. improved feeling of
reported with a Long-term Goal:  Reposition as indicated.  May relieve pain and comfort as evidenced by
score of 8/10 in The client will have an enhance circulation. verbalizing a sense of
the pain scale. improved feeling of Dependent: control over present
 V/S are as comfort as evidenced  Administer analgesics as  Relieve the client of pain situation and future
follows; by verbalizing a sense prescribed. using pharmacological outcomes within 2 days
BP: 130/80 of control over Collaborative: intervention. of nursing intervention.
T: 37.5oC present situation and  Refer to the physician about  To promote prompt action
HR: 92 bpm future outcomes the client if the pain is still and medical interventions. GOAL WAS MET.
RR: 20 cpm within 2 days of severe after the nrsg.
nursing intervention. interventions were done.

Nursing Pocket Guide, Doenges et.al 1Oth Edition