UNIVERSITY OF CEBU- BANILAD

COLLEGE OF NURSING

DRUG STUDY

Patient: J.M.C.M Age:1 year old Hospital No.: 2015805992 Room No.: W7-3RD05

Impression/Diagnosis: Pneumonia severe w/ wheeze Allergy to:None Attending Physician(s): Dr. Jarina

Generic/Brand Dose, Indication/Mechanisms Adverse/Side Nursing Rationale Client

Name & Strength & of Drug Action Effects Drug Responsibilities Teaching
Classification Formulation Interaction
CNS: dizziness, - Assess patients - To avoid - Tell
Generic: Ordered: Indications: fever, headache, infection before alteration patient’s
Cefotaxime Cefotaxime - Perioperative malaise, paresthesia therapy and during significant
Sodium 80mg IVTT prophylaxis in GI: abdominal regularly treatment and others to
every 8 hours contaminated surgery cramps, anal thereafter. also serves as report any
- Gonoccocal urethritis pruritus, anorexia, baseline data. adverse
or cervicitis; rectal diarrhea, dyspepsia, reactions.
Brand: Timing: gonorrhea in women or glossitis, nausea, - Before giving - Serves as - Tell
Claforan 8 am girls oral candidiasis, first dose, obtain baseline data patients’
4pm - Rectal gonorrhea pseudomembranous specimen for prior to significant
 12 mn - Disseminated colitis, tenesmus, culture and initiation of others to
gonococcal infection vomiting sensitivity tests. therapy to report
- Gonoccocal opthalmia GU: candidiasis, Begin therapy avoid decrease
Classification: Duration: pruritus pending results. complications. urinary
Antibiotic 8-12 hours Mechanism of Action: Hematologic: output. May
Chemical Effect: agranulocytosis, - Ask patient’s - To avoid have to
Inhibits cell-wall eosinophilia, significant medication decrease
Other forms: synthesis, promoting hemolytic anemia, others about alteration and total daily
Infusion: 1 g, osmotic instability; thrombocytopenia, patient’s for the dose.
2g usually bacteriacidal. transient previous effectiveness (Kluwer,
Injection: Therapeutic Effect: neutropenia reactions to of the 2009)
500mg, 1 g, 2 Hinders or kills Respiratory: cephalosporins/ treatment.
g susceptible bacteria. dyspnea penicillin.
(Kluwer, 2009)
- Be alert for - Patient
adverse maybe
reactions and unresponsive
drug interactions to medication
treatment that
may cause
further
complications.
- If adverse GI - To avoid
reactions occur, dehydration of
monitor the patient.
patient’s
hydration status.

- Assess - For
patient’s evaluation
family’s purposes.
knowledge on
drug therapy.
(Kluwer, 2009)
Generic/Brand Dose, Indication/Mechanisms Adverse/Side Nursing Rationale Client
Name & Strength & of Drug Action Effects Drug Responsibilities Teaching
Classification Formulation Interaction
CNS: seizures - Obtain history - To determine - Tellpatient’s
Generic: Ordered: Indications: CV: of patient’s previous significant
Ampicillin Ampicillin - Respiratory tract or thrombophlebitis, infection before hypersensitivity others to let
155 mg IVTT skin- structure infection vein irritation therapy and reactions prior patient take
every 6 hours - GI infection, UTI GI: nausea, observe to therapy. entire
- Bacterial meningitis or vomiting, throughout quantity of
septicemia diarrhea, glossitis, therapy to drug as
Timing: - Uncomplicated stomatitis assess prescribed
6 am gonorrhea Hematologic: improvements. even after
Brand: 12 nn - To prevent agranulocytosis, feeling better.
Ampicillin 6 pm endocarditis in patients anemia, - Ask patient’s - A negative -Tellpatient’s
Sodium 12 mn having dental eosinophilia, significant history of significant
procedures leukopenia, others about penicillin others to
Duration: thrombocytopenia, patient’s allergy doesn’t callprescriber
Unknown Mechanism of Action: purpura previous allergic rule out future if a rash
Chemical Effect: Other: reaction to reaction. (most
Classification: Inhibits cell- wall hypersensitivity penicillin. common),
Antibiotic Other forms: synthesis during reactions fever, or
Capsules: 250 microorganism (anaphylaxis, - Obtain - Serves as chills
mg, 500 mg multiplication. maculopapular specimen for baseline data develop.
Infusion: 500 Therapeutic Effect: Kills rash, urticarial), culture and tests prior to - Warn
mg, 1 g, 2 g susceptible bacteria, overgrowth of sensitivity test initiation of patient’s
Injection: 125 including non- nonsusceptible before giving therapy to significant
mg, 250 mg, penicillinase- producing organism, pain at first dose. avoid others to
500 mg, 1 g, gram- positive bacteria injection site complication. never use
2g and many gram- leftover
Oral negative organisms. - Be alert for - This may alter ampicillin for
Suspension: (Kluwer, 2009) adverse the a new illness
125 mg/5 ml, reactions and effectiveness of or to share it
250 mg/5 ml drug interaction. the drug that with others.
leads to - Advise
occurrence of patient’s
more significant
complications. others to let
patient take
- If adverse - To avoid oral
reactions occur, dehydration of ampicillin 1
monitor the patient. hour before
patient’s or 2 hours
hydration status. after meals
for best
absorption.
- Assess - For evaluation (Kluwer,
patient’s purposes. 2009)
family’s
knowledge on
drug therapy.
(Kluwer, 2009)
Generic/Brand Dose, Strength Indication/Mechanisms Adverse/Side Nursing Rationale Client
Name & & of Drug Action Effects Drug Responsibilities Teaching
Classification Formulation Interaction
-Tachycardia Before: -Use drug
Generic: Ordered: Indication: -Nausea and exactly as
Salbutamol Salbutamol - Asthma throat irritation -Assess vital -To have a prescribed by
nebule every 4 - Chronic bronchitis -Dizziness, signs before baseline data your doctor.
hours via face - Any lung disease tremors, drug
mask - Bronchospasm headache, administration -Tell your
- Emphysema vomiting doctor about
Brand: -Lowers During: all of the
Ventolin Timing: Mechanism of action: peripheral medicines you
Every 6 hours Stimulates B2 vascular -Instruct patient -To prevent take.
adrenergic receptors resistance to contact health complications
which are predominant -Increase blood care professional -Do not use
Duration: receptors in bronchial pressure immediately if other inhaled
Classification: 8 hours smooth muscle of the -Tends to shortness medicines
Bronchodilators lung. increase blood of breath is not unless
(Lippincott Williams & glucose levels relieved by prescribed by
Other forms: Wilkins. 2013) medication or is your doctor.
Aerosol: 90 accompanied by
mcg diaphoresis,
Tablet: 2 mg, 4 dizziness
mg ,palpitations, or
Syrup: 2 mg/ 5 chest pain
ml
Injection: 5-10
ml -Use Cautiously -To avoid
to patients with sensitivity
known
sensitivity to (Source:
atropine, JONES &
soybeans, soya BARTLETT,
lecithin, and 2011)
peanuts

After:

-Do chest
physiotherapy
after
nebulization.