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College of Nursing
DRUG STUDY
Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson
Methyldopa Nu – Medopa Mechanism of action • Hypertension • Contraindicated with CNS: Sedation, headache, • Take the drug exactly
not exclusively • Unlabeled use: hypersensitivity to asthenia, weakness, dizziness, as prescribed, it is
demonstrated; Hypertension methyldopa, active light headedness, symptoms of important not to miss
probably due to of pregnancy hepatic disease, cerebrovascular insufficiency, doses
drug’s metabolism previous methyldopa paresthesias, parkinsonism, • Discontinue drug if
to alpha- methyl associated with liver Bell’s palsy, mental acuity, fever appears as
norepinephrine, disorders. involuntary choreoathetotic ordered
which lowers arterial • Use cautiously with movements, psychic • Monitor blood counts
BP by stimulating previous liver disease, disturbances. periodically to detect
CNS alpha2- renal failure, dialysis, CV: Bradycardia, prolonged hemolytic anemia
adrenergic receptors, bilateral carotid sinus hypersensitivity, • Discontinue therapy if
which in turn cerebrovascular aggravation of angina pectoris, involuntary
decreases disease, pregnancy, paradoxical pressor response, choreothetic
sympathetic outflow lactation orthostatic hypotension, edema movements occur
from the CNS. DERMATOLOGIC: rash seen • Discontinue if edema
as eczema or lichenoid progresses or signs of
eruption, toxic epidermal CHF occur
necrolysis fever, lupuslike • Monitor BP carefully
syndrome • Encourage to report
ENDOCRINE: breast unexplained, prolonged
enlargement, gynecomastia, general tiredness
lactation, hyperprolactinemia,
amenorrhea, galactorrhea,
impotence, failure to ejaculate,
to ejaculate
GI: nausea, vomiting,
distension, constipation, flatus,
diarrhea, colitis, dry mouth,
sore or black tongue,
pancreatitis, sialadenitis,
abnormal liver function tests,
jaundice, hepatitis, hepatic
necrosis
HEMATOLOGIC: Positive
Coombs’ test, hemolytic
anemia, bone marrow
depression, leucopenia,
granulocytopenia,
thrombocytopenia, positive
tests for antinuclear antibody,
lupus-like syndrome, and
rheumatoid facto
OTHER: Nasal stuffiness, mild
arthralgia, myalgia, septic
shock – like symdrome
The College of Maasin
College of Nursing
DRUG STUDY
Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson
Hydralazine Apresoline Acts directly on Oral: essential • Contraindicated with CNS: headache, peripheral • Give oral drug with food
Hydrochloride vascular smooth hypertension alone hypersensitivity to neuritis, dizziness, tremors; to increase availability
muscle to cause or in combination hydralazine, psychotic reactions • Encouraged the ptx to
vasodilatation, with other drugs tartrazine; CAD mitral characterized by depression, take drugs as prescribed
primarily arteriolar; valvular rheumatic disorientation, or anxiety • Inform that the
maintains or renal heart disease CV: palpitations, nausea, medication may let her
and cerebral blood • Sever hypertension vomiting, diarrhea, experience some side
flow. with uremia, lactation, constipation, paralytic ileus effects such as dizziness,
pregnancy, pulmonary GU: impotence weakness, GI upset;
hypertension HEMATOLOGIC: blood constipation, impotence;
dyscrasias numbness, tingling and
HYPErSENSITIVITY: rash, stuffy nose
urticaria, pruritus; fever, chills, • Encouraged to report
arthralgia, eosiophilia ; rarely, persistent or severe
hepatitis and obstructive constipation; unexplained
jaundice fever or malaise, muscle
OTHER: nasal congestion, or joint aching; chest
flushing, edema, muscle pain; rash; numbness,
cramps, dyspnea tingling
The College of Maasin
College of Nursing
DRUG STUDY
Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson
Mefenamic acid Mefenamic Anti- inflammatory, • Relief of • Contraindicated with CNS: headache, • Give milk or food to GI
Acid anlgesics, and moderate pain hypersensitivity to dizziness, somnolence, upset
antipyretic activities r/t when therapy mefenamic acid and insomnia, fatigue, • Arrange for periodic
inhibition of will not aspirin allergy tiredness, ophthalmologic
prostaglandin synthesis; exceeded 1 • Use cautiously with DERMATOLOGIC: examinations during long
exact mechanisms of wk. asthma, renal failure or rash, pruritus, sweating, term therapy
action are not known. • Treatment of liver dysfunction, dry mucous • Advice ptx. to take drug
primary peptic ulcer disease, GI membranes, stomatitis with food
dysmenorrhea bleeding, hypertension, GI: nausea, vomiting, • Encouraged to discontinue
CHF,pegnancy, constipation, flatulence, drug and consult health
lactation dyspepsia, GI pain, care provider if rash,
diarrhea diarrhea, or digestive
problems occur
• Ask to report dizziness or
drowsiness
• Encouraged to report if
sore throat, fever, rash,
itching, weight gain,
swelling in ankles or
fingers; changes in vision;
black tarry stools; sever
diarrhea occurred.
The College of Maasin
College of Nursing
Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson
Patient’s Name: Conato, Carolina Ordiz Ward: OB Ward Students Name: Pere, Kristine W. Year Level & Section: BSN III- Henderson