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Name of Patient: _Cayacay______________ Attending Physician: _______________ Impression / Diagnosis: _Bone Marrow Failure to rule out Sepsis_
Age: __11 y.o._____________ Ward/Bed Number: _______________
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: A long-lasting, non- Allergy None Use cautiously in -Hold drug 4 days before
Cetirizine 5mg/mL, 7 mL sedating antihistamine patients with renal or diagnostic skin testing
Hydrochloride that selectively inhibits hepatic impairment. because antihistamines can
peripheral H1 prevent, reduce, and mask
Route: receptors. positive skin test response.
Brand: PO -Instruct folks to look after
(W. Kluwer, Nursing child due to somnolence.
Drug Handbook 2013,
Frequency: 33rd Edition)
OD