DRUG MECHANISM OF INDICATIONS & ADVERSE NURSING

DOSAGE
NAME ACTION CONTRAINDICATIONS EFFECTS RESPONSIBILITIES

Generic Aluminum hydroxide is Indication: 20 cc now

Name: a basic inorganic salt then 10 cc  Nausea  Note number and consistency of
that acts by neutralizing Aluminum Hydroxide is an TID stools. Constipation is common
 Vomiting
Aluminum hydrochloric acid in antacid used together to and dose related. Intestinal
Hydroxide gastric secretions. relieve heartburn, acid  Rebound hyperacidit obstruction from fecal
indigestion, and upset stomach. y concretions has been reported.
They may be used to treat these
Brand Names: Aluminum hydroxide is  Lab tests: Monitor periodic
symptoms in patients with peptic  Aluminum-
AlternaGEL slowly solubilized in the serum calcium and phosphorus
ulcer, gastritis, esophagitis, hiatal intoxication
Amphojel stomach and reacts with hernia, or too much acid in the levels with prolonged high-dose
Nephrox hydrochloric acid to stomach (gastric hyperacidity).  Low blood phosphat therapy or impaired renal
form aluminum chloride function.
es
Classification: and water. It also Contraindication:
Antacids inhibits the action of (hypophosphatemia)
Patient & Family Education
pepsin by increasing the - Contraindicated to patients  Chalky taste
pH and via adsorption. with known allergies to the
 Constipation (this  Increase phosphorus in diet when
drug.
taking large doses of these
could lead
 low amount of phosphate in antacids for prolonged periods
the blood to hemorrhoids or b  Note: Antacid may cause stools
owel obstruction) to appear speckled or whitish.
 hemorrhoids
 Fecal impaction  Report epigastric or abdominal
 a blockage of the intestines pain; it is a clinical guide for
with stool  Stomach cramps adjusting dosage
 Milk-  Seek medical help if indigestion
 blockage of the stomach or
intestine alkali syndrome is accompanied by shortness of
breath, sweating, or chest pain, if
 constipation/chronic diarrgea  Softening of the
stools are dark or tarry, or if
bones symptoms are recurrent when
 decreased kidney function
taking this medication.
 aluminum poisoning
 DRUG MECHANISM OF INDICATIONS & DOSAGE ADVERSE NURSING
NAME ACTION CONTRAINDICATIONS EFFECTS RESPONSIBILITIES

Generic Reduces viscosity of Indication: 1 tab BID CNS: dizziness,

Name: tenacious secretions by headache, insomnia,  WARNING: Monitor reaction
increasing respiratory  Treatment for respiratory nervousness, tremor to drug; persistent cough for
Salbutamol tract infection and for more than 1 wk, fever, rash,
tract fluid
+Guaifenisin or persistent headache may
excessive mucus CV: hypertension, indicate a more serious
Salbutamol is a secretions palpitations, tachycardia condition.
Classification:
selective β2-  If fever, rash, or headache
Expectorant
adrenoceptor agonist. Contraindication: EENT: drying and occur, consult your health
At therapeutic doses, it care provider.
irritation of nose and
acts on the β2-  Contraindicated to  You may experience these
adrenoceptors of throat
patients with side effects: Nausea, vomiting
bronchial muscle, with hypersensitive to the drug (eat frequent small meals);
little or no action on the GI: heartburn, nausea, dizziness, headache (avoid
and its components
β1-adrenoceptors of vomiting driving or operating
cardiac muscle. dangerous machinery).
METABOLIC:  Report fever, rash, severe
Guaifenesin can make vomiting, persistent cough.
the viscous mucus of hypokalemia, weight
the respiratory pathway loss
more fluid and therefore
expectoration and MUSCULOSKELETAL
reduces cough. : muscle cramps
 DRUG MECHANISM OF INDICATIONS & ADVERSE NURSING
DOSAGE
NAME ACTION CONTRAINDICATIONS EFFECTS RESPONSIBILITIES

Generic Chemical Effect: Indication: 25mg/5ml 6 CNS: Drowsiness,  Assess patient’s pain or
Name: cc q 4 hrs Parathesia temperature before and
May produce analgesic Mild pain or fever PRN during therapy.
Paracetamol  Assess patient’s drug
effect by blocking pain GU: Hematuria
Contraindication: history. Many OTC
Brand Names: impulses, by inhibiting
prostaglandin or pain GI: Nausea products and combination
Tempra Contraindicated in patients
receptor sensitizers. hypersensitive to drug. Patient prescription pain products
Classification: May relieve fever by Hematologic: Hemolytic contain acetaminophen.
undergoing long term therapy
Non-opioid acting in hypothalamic for chronic non congestive anemia, neutropenia, Calculate daily dosage
analgesic heat-regulating center. leucopenia, accordingly.
angle-closure glaucoma, and
patient’s with hyponatremia, pancytopenia,  Be alert for adverse reaction
Therapeutic Effect: thrombocytopenia and drug interactions.
hypokalemia, renal or hepatic
impairment adrenal gland
Relieves pain and failure and hypercloremic Hepatic: liver damage
reduces fever. acidosis.
Metabolic:
Hypoglycemia
 DRUG MECHANISM OF INDICATIONS & ADVERSE NURSING
NAME ACTION CONTRAINDICATIONS DOSAGE EFFECTS RESPONSIBILITIES

Generic Chemical Effect: Indication: 35 mg IVTT q CNS: headache, fatigue

Name: 8 hrs.  Assess patient’s GI condition
Competitively inhibits  Duodenal and gastric CV: Chest pain before starting therapy and
Ranitidine action if H2 at receptors ulcer regularly there after to
sites of parietal cells,  Gastroesophangeal reflux GI: Nausea and monitor the drug’s
Brand Name: decreasing gastric acid disease effectiveness.
Zantac vomiting, abdominal
secretion.
pain  Be alert for adverse reaction
Classification: Contraindication: and drugs interactions.
Anti-ulcerative  Assess patient’s and family’s
 Contraindication in knowledge of drug therapy.
patient’s hypersensitive to  Instruct patient’s not to drink
the drug or any of its alcohol during therapy.
components.
 DRUG MECHANISM OF INDICATIONS & ADVERSE NURSING
DOSAGE
NAME ACTION CONTRAINDICATIONS EFFECTS RESPONSIBILITIES

Generic Chemical Effect: Indication: 500mg IVTT CNS: seizure  Obtain history of patient’s
Name: inhibits cell-wall q 6hrs infection before therapy and
synthesis during  Respiratory tract or skin CV: vein irritation observe throughout therapy
Ampicillin microorganism structure infection to assess improvement.
multiplication.  Gastrointestinal infection GI: nausea, vomiting,
Brand Name:
Novo-  UTI diarrhea, glossitis  Ask patient about previous
Ampicillin  Bacterial meningitis or allergic reaction to penicillin.
septicemia Hematologic: anemia, A negative history of
Classification: Therapeutic Effect: thrombocytopenia, penicillin allergy doesn’t rule
Antibiotic kills susceptible Contraindication: leucopenia out future reaction.
bacteria, including non-
penicillinase producing Contraindicated in patients Other: anaphylaxis  Monitor patient’s hydration
Gram-positive bacteria hypertensive to the drug or status if deserve GI reaction
and many gram- other penicillins. occurs
negative organisms.
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Hyperthermia Within 8 hours of  Establish rapport  To gain trust and Goal met after the
“Mainit pakiramdam related to rendering nursing cooperation span of our care the
ko po” as stated by infection process intervention to our  Close monitoring of  To have a patient & significant
the patient secondary to care patient & V/S, 1&O baseline data others was able to:
dengue fever. significant others
Objective: will be able to:  Perform TSB  To facilitate heat  Maintain core
loss by temperature with
 Flushed skin  Maintain core evaporation & in normal range &
 Warm to touch temperature conduction. decrease of
 With pale and within normal  Encourage to increase  To avoid temperature as
range, decrease OFI dehydration evidence by 37.5º
dry lips
of temperature C temperature.
 Irritability from 38.5º C to  Provide cool  To facilitate heat
Noted normal. environment loss by  Demonstrate
 Body conviction behaviors to
Weakness  Demonstrate  Promote adequate monitor &
Noted behavior to sleep and rest  To decrease promote
 V/S promote and metabolic normothermia.
maintain  Watch out for any demands
monitoring
normothermia. signs & symptoms of  Be free from any
Temp. 38.5, complications or  To be able to complications
PR 88, RR 25,  Be free from unusuality such as detect early signs such as seizures
BP 110/70 any seizures. and symptoms and convulsion.
complication and provide
such as appropriate
seizures or nursing
convulsion. intervention
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Acute pain related Within 4 hours of  Establish rapport  To gain trust and Goal met after our
“Masakit po ang to abdominal rendering nursing cooperation nursing intervention,
aking tiyan” as irritation intervention to our patient and significant
verbalized by the secondary to care patient &  Assess for pain scale  To have a baseline others was able to:
patient. dengue fever. significant others data
will be able to:  Verbalized
Objective:  Provide comfort  To promote non- relieve of pain as
 Verbalize measure & guide pharmacological evidence by pain
 Grimace face relieve of pain environment pain management scale of 4/10.
noted from pain scale
 With pale and dry of 6/10 t0 4/10  Encourage use of  To destruct  Follow
lips noted relaxation technique attention & reduce prescribed
 Not in  Follow such as deep tension pharmacological
respiratory prescribe breathing exercise regiment and
distress pharmacologica non-
 Irritability noted l regiment &  Encourage pharmacological
 Restlessness non verbalization of  To assess the
noted pharmacologica feeling intensity of pain  Demonstrate use
 Body weakness l regiment of divisional
noted activities or
 Pain scale of 6  Demonstrate relaxation scale
over 10 use of diversion such as deep
 Guarded position activity breathing
noted relaxation exercise
scales such as
deep breathing
exercise.
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Sleep retardation Within 8 hours of  Establish rapport  To gain trust and Goal partially met after the
“Hindi po ako related to rendering nursing cooperation span of our care the patient
makatulog ng prolong intervention to our and significant others was be
maayos hindi ako discomfort care patient and  Recommend quit  To reduce able to:
komportable po” as (itchiness & significant others activities such as stimulation to
verbalized by the cough) will be able to: listening to sopping client to relax.  Identify appropriate
client secondary to music. intervention to promote
dengue fever.  Identify sleep.
Objective: appropriate  Provide calm, quit  To assess client
intervention environment & to establish  Report improvement in
 Sunkin eyes to promote manage optimal sleep sleep pattern as
noted sleep controllable sleep pattern evidence by patient
 Restlessness disrupting factors. verbalization of
noted  Report in “maayos na po yung
 Irritability noted improvement  Encourage client to pagtulog ko”
 Body weakness in sleep verbalize feeling  To assess its
noted pattern. regarding intensity
 Yawning noted discomfort.

 Encourage to  To lessen or
increase OFI. reduce coughing
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Nausea related to Within the span  Establish rapport  To gain trust and Goal partially met after the
“Nasusuka po ako pharmaceutical our care the cooperation span of our care patient &
madalas” as side effect patient & significant others was able to:
verbalized by the secondary to significant others  Assess for the  To be able to
patient. dengue fever. will be able to tendency to vomit assess the  Reduce and prevent the
reduce: frequency of Dengue to commit
Objective: nausea
 Reduce &  Provide clean  Relieve and prevent the
 Gagging noted prevent the peaceful  They maybe able feeling of nausea as
 Vomited 3x tendency to environment to reduce the evidence by watcher
with a normal vomit stimulation or verbalization “Mabuti-
amount worsen nausea buti na din naman ang
 Frequent  Relieve &  Provide frequent pakiramdam nya hindi
swallowing prevent the oral care  To cleanse mouth na katulad kanina.”
noted feeling of & minimize bad
 Body weakness nausea  Encourage deep taste  Provide rest and comfort
noted & slow breathing
 Restlessness  Provide rest  To limit dwelling
noted & comfort. on unpleasant
sensation
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Nausea related to Within the span  Establish rapport  To gain trust and Goal partially met after the
pharmaceutical our care the cooperation span of our care patient &
side effect patient & significant others was able to:
secondary to significant others  Assess for the  To be able to
dengue fever. will be able to tendency to vomit assess the  Reduce and prevent the
reduce: frequency of Dengue to commit
nausea
 Reduce &  Provide clean  Relieve and prevent the
prevent the peaceful  They maybe able feeling of nausea as
tendency to environment to reduce the evidence by watcher
vomit stimulation or verbalization “Mabuti-
worsen nausea buti na din naman ang
 Relieve &  Provide frequent pakiramdam nya hindi
prevent the oral care  To cleanse mouth na katulad kanina.”
feeling of & minimize bad
nausea  Encourage deep taste  Provide rest and comfort
& slow breathing
 Provide rest  To limit dwelling
& comfort. on unpleasant
sensation
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

Subjective: Impaired skin Within the span of  Establish rapport  To gain trust and Goal partially met after the
“Lagi pong integrity related our care patient & cooperation span of our care the patient &
nanganagti yung to presence of significant others significant others was able to:
balat ko.” as stated rushes secondary will be able to:  Encourage to  To assess the
by the patient to dengue fever verbalize skin intensity  Participate in prevention
 Participate discomfort measures & treatment
Objective: prevention program.
measures &  Keep the area  To assess body’s
 With skin rushes treatment clean & dry natural process of  Verbalized feelings &
noted program. repair ability to manage
 Restlessness situation as evidence by
noted  Verbalize  Provide comfort  To promote non- patient verbalization of
 Irritability noted feelings & measures pharmacological “Mas kompotable na and
 Not in ability to managements pakiramdam nya at hindi
respiratory manage na ganoon nangangati –
distress situation.  Inspect skin  To assess client ngati ang kanyang
 Body weakness rashes with correcting or balat.”
noted minimize the
 Frequent itching condition