Atienza, Geleen Margaret P.

BSN 103
Patients Name: De Jesus Emma Bed No: C1

DRUG ORDER MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS NURSING

(Generic name, ACTION OF THE DRUG RESPONSIBILITIES
brand name,
classification,
dosage, route,
frequency)
Generic Name: Clarithromycin For the treatment of Hypersensitivity to • diarrhea, -Take this medication
Clarithromycin prevents bacteria bacterial infection clarithromycin, nausea, with a full glass (8
from growing, by erythromycin, or any of ounces) of water.
abnormal
Brand Name: interfering with their the macrolide
protein synthesis. taste,
Klacid antibiotics. - Clarithromycin
dyspepsia, tablets can be taken
Classification: Concomitant and with or without food.
Anti-Bacterial administration of abdominal
Agents clarithromycin with discomfort.
cisapride, pimozide, or Pseudomemb
Dosage: terfenadine is raneous
500 mg contraindicated. colitis has
Frequency: been
TID reported with
clarithromycin
use, allergic
reactions
ranging from
urticaria and
mild skin
eruptions to
rare cases of
anaphylaxis
 and Stevens-
Johnson
syndrome
have
occurred.
Rare cases of
severe
hepatic
dysfunctions
also have
been
reported.
Hepatic
failure is
usually
reversible,
but fatalities
have been
reported.
Generic Name: Forms a reversible Prevention of heavy Acquired defective Cardiovascular: >assess for heavy
Tranexamic Acid complex that bleeding color vision; active Hypotension (with bleeding, assess for
displaces intravascular clotting; rapid I.V. injection) vital signs
Brand Name: plasminogen from subarachnoid
Hemostan fibrin resulting in hemorrhage Endocrine &
inhibition of metabolic: Unusual
Classification: fibrinolysis; it also menstrual discomfort
Antihemmorhagic inhibits the
proteolytic activity of Gastrointestinal:
Dosage:500mg plasmin Diarrhea, nausea,
Frequency: vomiting
TiD
Ocular: Blurred visio
Generic Name: Inhibits enzymes Bacterial infections of Penicillin Hepatitis, cholestatic -should make sure
Co-Amoxiclab involved in the lower respiratory hypersensitivity jaundice they drink plenty of
formation of tract (lungs, airways) Erythema multiforme fluid to reduce the risk
Classification: peptidoglycan layer (including Stevens- of crystals forming in
Bactericidal of bacterial cell wall Johnson) the urine
Toxic epidermal
Dosage:625mg necrolysis; exfoliative
dermatitis
Frequency: TID
Diarrhoea, vomiting
Rashes
Neutropenia
Anaemia

Cues/ Nursing Analysis Goal and Objectives Intervention Rationale Evaluation

Diagnosis
Ineffective ImmediateCause: After the client will Assess respiratory Respiratory rate
Breathing Pattern Intermediate Cause: be able to establish rate and depth by and rhythm changes
Related to As Root Cause: a effective breathing listening to lung are early warning
manifested by Scientific Analysis: pattern as evidenced sounds. signs of impending
Dyspnea by relieve from respiratory
Subjective: dyspnea difficulties.
>Nahihirapan akong
huminga kaya Objectives: Monitor breathing Specific breathing
madalas naka 1. After nursing patterns: patterns may
oxygen ako Intervention the indicate an
>Inuubo pa din ako client underlying disease
pa minsan minsan process or
 dysfunction.
Objective:
>Tachypnea (RR of Position patient a sitting position
30) with proper body allows for good
> shallow breathing alignment for lung excursion and
>with oxygen optimal breathing chest expansion.
0.5L/min pattern.
>pale in appearance
Ensure that oxygen The appropriate
delivery system is amount of oxygen is
applied to the continuously
patient. delivered so that the
patient does not
desaturate.

Encourage sustained This simple

deep breaths by: technique promotes
deep inspiration.
• Using
demonstratio
n
(emphasizin
g slow
inhalation,
holding end
inspiration
for a few
seconds, and
passive
exhalation)
• Using
 incentive
spirometer
(place close
for
convenient
patient use)
• Asking
patient to
yawn

Maintain a clear To prevent airway

airway by obstruction
encouraging
patient to clear
own secretions
with effective
coughing. If
secretions
cannot be
cleared, suction
as needed to
clear secretions.

Pace and This prevents

schedule dyspnea
activities
providing
adequate rest
periods
This allows for pain
Use pain relief and the ability
 to deep breathe.
management as
appropriate.