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Classification
name/Brand
name
Mechanism of
Specific
route
Action
indication
Contra-indication
Adverse
Nursing
reaction
Precaution
Frequency
antibiotic
Ambrolex
Dose/
OD 75 mg
Concentration
Acute and
PO
of antibiotics
chronic
no
when given
disorder of
contraindications
concomitantly.
the
but
respiratory
with
tract
ulceration
associated
relative
caution
with
should
be
pathologically
observed.
Observe
absolute gastrointestinal
in
side
respiratory
effects rate
and
are baseline
normally mild.
data. Check
drug
interactions
if
taking
thickened
other
mucus and
medications.
impaired
It
mucus
advisable to
transport.
avoid
use
during
the
is
first trimester
of
pregnancy.
25
Generic
Classification
/brand name
Salbutero bronchodilato
l
Dose/ route
Mechanism
Specific
Contra-
Frequency
of Action
indication
indication
1 neb
Stimulates
Relief of
Hypersensitivit
Adverse
Nursing
reaction
Fine skeletal
Precaution
-Assess
Beta 2
bronchospas
y to
muscle
cardio-
receptors of
m in bronchial
salbutamol,
tremors, leg
respiratory
bronchioles by
asthma,
function, BP,
increasing
chronic
and its
palpitations,
levels which
bronchitis,
derivatives.
tachycardia,
rhythm, and
relaxes smooth
emphysema
Threatened
hypertension
breathe
muscles to
and other
abortion during
, headache,
sounds.
produce
reversible
first or second
nausea,
-Determine
bronchodilation
obstructive
trimester.
vomiting,
history of
. Also cause
pulmonary
dizziness,
previous
CNS
disease
stimulation,
insomnia,
ability to self-
cardiac
hypotension,
medicate.
stimulation,
heartburn,
-Monitor for
increase in
epistaxis,
evidence of
diuresis,
cough
allergic action
skeletal muscle
and
tremors and
paradoxical
increase
bronchospas
gastric acid
m
26
secretions.
Generic
Classification
Dose/ route
Mechanism
Specific
27
Contra-
Adverse
Nursing
/brand name
Omeprazole
Antisecretory
Frequency
40mg IVTT
Proton pump
OD
inhibitor
of Action
Gastric acid-
indication
Reduction
indication
Contraindicate
reaction
Headache,
Precaution
-Arrange
pump
of risk of
d with
dizziness,
regular
inhibitor:
upper GI
hypersensitivity
asthenia,
medical
Suppresses
bleeding
to Omeprazole
vertigo,
check-ups.
gastric acid
or its
insomnia,
-Advise pt to
secretion by
components.
apathy,
report
specific
anxiety,
immediately
inhibition of
paresthesias,
for side
the
dream
effects.
hydrogen-
abnormalities
potassium
, rash,
ATPase
inflammation,
enzyme
urticaria,
system at
pruritus,
the
alopecia, dry
secretory
skin,
surface of
diarrhea,
the gastric
abdominal
parietal
pain, nausea,
cells; blocks
vomiting,
constipation,
of acid
dry mouth
28
production.
29
Generic
Classification
/brand name
Dose/
Mechanism of
Specific
Contra-
route
Action
indication
indication
Adverse reaction
Nursing
Precaution
Frequency
Paracetamol Antipyretic
PRN for
Inhibits the
>Mild
~ Advise
fever q 4
synthesis of
pain
to
anemia,
parents or
prostaglandins >Fever
acetaminophen
neutropenia,
caregivers to
that may
or phenacetin;
leukopenia,
check
serve as
use with
pancytopenia.
concentrations
mediators of
alcohol.
Hepa: jaundice
of liquid
pain and
Metabolic: hypoG
preparations.
fever, primarily
GI: HEPATIC
Errors have
in the CNS
FAILURE,
resulted in
HEPATOTOXICITY
serious liver
(overdose)GU:
damage.
~ Assess fever;
doses/chronic use).
note presence
hrs
of associated
Derm: rash,
signs
urticaria.
(diaphoresis,
tachycardia,
and malaise).
30
~ Adults should
not take
acetaminophen
longer than 10
days and
children not
longer than 5
days unless
directed by
health care
professional.
~ Advise
mother or
caregiver to
take
medication
exactly as
directed and
not to take
more than the
recommended
amount.
31
BRAND
GENERI
MECHANISM
ADVERSE
NAME
C NAME
OF ACTION
REACTIO
Acetylcystein
N
> fever
e exerts its
>
mucolytic
drowsiness
Reference :
action
>
Daviss drug
through its
guide for
Acetylcystein
e
Exflem
Mucolyti
c
SIDE EFFECTS
DOSAG
NURSING
RESPONSIBILITIE
Usual:
S
>Assess type,
,
fever, rhinorrhea,
frequency, and
60 mg 1
characteristics of
tab in
patients cough
glass of
free sulfhydryl
> dyspnea
water
>Monitor patient
nurses 11th
group, which
> rash
edition
opens the
> chills
drowsiness, clamminess,
broncho constriction
fortachycardia
disulfide
bonds and
aspiration of excess
lowers mucus
viscosity. This
Bronchospasm
action
(unpredictable);
increases with
Actual:
increasing pH
600 1
notify physician
and is most
tab+
immediately if either
significant at
glass of
occurs.
pH 7 to 9. The
H2O OD
mucolytic
@hs
32
>Instruct patient to
action of
notify prescribe
acetylcysteine
immediately about
is not affected
nausea, rash or
by the
vomiting
presence of
DNA.
33
Assessment
Subjective:
gahi kayo akong
Diagnosis
Ineffective
Planning
After 8 hours
Interventions
Monitor
Evaluation
Serves as
Patient was
baseline
able to
data
expectorate
airway
of continues
clearance r/t
nsg.
increased
Interventions
Place the
Conscious/coherent
production of
pt. in
maximum
Productive cough
bronchial
able to
fowlers or
lung
(yellow to green
secretions as
maintain
semi-
expansion
sputum
manifested by
airway
fowlers
patency
position
ubo as verbalized.
Objective:
Restlessness noted
Body malaise
Discomfort noted
Wheezes
Facial Grimace
noted
Expectorate
Vital signs
Rationale
Teach the
To facilitate
Improves
ventilation
and helps
secretions
pt. how to
in
Learn and
do proper
mobilizing
perform
deep
secretions
cough (yellow
breathing
breathing
w/o
to green
and
and
causing
sputum
coughing
coughing
fatigue
exercise.
exercise
upon
auscultation
Productive
Restlessness
Chest pain
Verbalized
Discomfort
relief form
34
Avoid
exposure to
To avoid
allergic
reaction
secretions,
goal met.
Facial
dyspnea.
irritants
such as
Grimace
cigarette
To
smoke,
ascertain
aerosol and
status and
fumes
note
Auscultate
breath
sounds
Increase
fluid intake
progress
Helps
liquefy
secretions
To clear
airway
Suction as
ordered
adequate
Provide
amount of
oxygen
inhalation
as ordered
Administer
35
Provide
oxygen
Will help
loosen
secretions
medication
for easy
as ordered
expulsion.
Assessment
Diagnosis
Planning
36
Interventions
Rationale
Evaluation
Subjective:
Gitugnaw ko as
Ineffective
After 8
Monitor VS
Serves as
baseline
temperature is
data
fluctuating,
thermoregula
hours of
tion r/t
continuous
increased
TSB, the
body
pt.s
Conscious/coherent
temperature
temperatur
as
e will
manifested
decrease
decrease
Febrile with a
by
from 37.9
metabolism
verbalized
Objective:
temperature of
37.9C
Warm to
Increase
fluid intake
To help cool
down core
Maintain bed
rest
to 37C
touch
Provide
temperature
To
that
sufficient
produce
Flushed face
clothing
heat
Febrile with a
Perform
temperature
TSB
Facilitate
comfort
of 38.2C
Administer
Facilitate
antipyretics
heat loss by
as ordered
means of
evaporation
Helps lower
temperature
within
37
The patient
goal partially
met.
normal
range
Assessment
Subjective:
dili ko
Diagnosis
Altered
nutrition less
Planning
Interventions
Rationale
After 4 hours
Monitor vital
For baseline
of nursing
signs
38
data
Evaluation
ganahan mo
than body
interventions,
kaon
requirements
patients
R/T loss of
Weight on
Monitor
nutritional
to understand
appetite will
state and
the importance
appetite as
be improved:
effectiveness
of nutritious food
Refusal to eat
evidenced by
from 2
of
Poor muscle
dysfunctional
tablespoons
eating habits
interventions
eating
to at least 5
including
pattern.
tablespoons
food
client likes
per meal.
preferences.
and dislikes
Objective:
tonicity
Body
weakness
regular basis
Discuss
To appeal to
Serve
noted
favourite
Restlessness
foods that
To stimulate
the appetite
are not
contraindicat
ed.
To stimulate
the appetite
Serves foods
that are
palatable and
negative
attractive.
effect on
Prevent and
minimize
unpleasant
39
May have
appetite/eatin
g
Promote
fair appetite.
odours.
Emphasize
the
importance of
wellbalanced
nutrition diet
40
wellness