Professional Documents
Culture Documents
DRUG STUDY
Management
of pruritus
due to
allergic
condition,
such as
chronic
urticaria,
atopic and
contact
dermatosis,
and in
histamine
mediated
pruritus.
Drug Name Specific Action Mechanism of action Indication Contraindication Adverse Effect Nursing
responsibility
Drug Name Specific Mechanism of action Indication Contraindication Adverse Effect Nursing
Action responsibility
Laitun fluoroquinolo They interfere with DNA • Mild to • Hypersensitivit • Nausea/vomiti • maintain
nes replication in moderate UTI y to quinolones ng adequate
Content: susceptible gram- • Infectious • Restlessness hydration
ciprofloxacin negative bacteria, diarrhea • Anorexia • tell patient that
• Dysphagia it may impair
preventing cell
• tachycardia ability to drive
replication and leading & operate
to death of bacteria machinery
Drug Name Specific Action Mechanism of Indication Contraindication Adverse Effect Nursing responsibility
action
Drug Name Specific Mechanism Indication Contraindication Adverse Effect Nursing responsibility
Action of action
Furosemide Loop Inhibits • Edema •Contraindicated • CNS: headache, • Monitor weight, blood
Diuretic reabsorption • Hypertension in patients vertigo, pressure, and pulse rate
of sodium hypersensitive dizziness, routinely with long term
and chloride to drug and paresthesia, use.
Lasix weakness, • If oliguria or azotemia
from the those with
anuria restlessness, develops or increases,
proximal fever drug
•Use cautiously
and distal
in patient who • CV: orthostatic may need to be stopped.
tubules and Are allergic to hypotension, • Monitor fluid intake and
ascending sulfonamides. thrombophlebitis output and electrolyte,
limb of with BUN,
Henle, IV administration and carbon dioxide
leading to • EENT: transient levels.
• deafness, • Watch for signs of
sodium-rich
blurred or hypokalemia.
diuresis
• yellowed vision, • Consult prescriber and
• tinnitus dietitian about a high-
• GI: abdominal potassium diet or
discomfort and potassium
pain, supplements. Foods rich
diarrhea, in
anorexia, potassium include citrus
nausea, fruits, tomatoes,
vomiting, bananas,
constipation, dates, and apricots.
pancreatitis
• GU: nocturia,
polyuria,
frequent
urination,
oliguria
• HEMATOLOGIC:
agranulocytosis,
aplastic anemia
Sodium electrolyte sodium is the • prophylaxis • congestive •hypernatremia, • Monitor electrolytes, ECG,
chloride major cation of heat heart failure, hypopotassemia liver and renal function
tab of the body's prostration or • hypernatremia , acidosis. studies
extracellular muscle • fluid •Fluid and solute • Note level of
fluid. It plays a cramps retention overload leading consciousness
crucial role in • chloride to dilution of • Assess the heart and
maintaining deficiency serum lung sounds
the fluid and due to electrolyte level • Observe S&S of
electrolyte dieresis or • acute hypernatremia, flushed
balance. salt pulmonary skin, elevated
Excess restrictions edema temperature, rough dry
retention of • prevention or tongue, and edema.
sodium results treatment of • Monitor VS and I&O
in extracellular • Assess urine specific
overhydration volume gravity and serum sodium
(edema, depletion levels
hypervolemia)
, which is
often treated
with diuretics.
Abnormally
low levels of
sodium result
in
dehydration.
X. NURSING CARE PLAN
3. Investigate
V/S changes in the 3. Changes in
T- 37.6 C level of mentation may
consciousness. reflect
P- 110 hypoxemia and
respiratory failure
R-29
which often
BP- 180/100 accompany
4. Keep head of hepatic coma.
the bed elevated.
4. Facilitates
breathing by
reducing
pressure on the
diaphragm and
minimizes risk of
5. Frequent aspiration of
repositioning and secretions.
encourage deep-
breathing
exercises or 5. Aids in lung
coughing as expansion and
appropriate. mobilizing
secretions.
6. Monitor
temperature.
Note presence of
chills, increased
coughing and
changes in the 6. Indicative of
color/character of onset of
sputum. infection.
Collaborative:
1.Monitor serial
ABG, pulse
oximetry, vital
capacity
measurements
and chest x-ray. 1.Reveals
changes in
respiratory status
or developing
pulmonary
complications.
2.Provide
supplemental
oxygen as
ordered.
2.May be
necessary to
3.Demonstrate prevent hypoxia
and assist with and decrease
respiratory work of
adjuncts such as breathing.
incentive
spirometer.
3.Reduces
incidence of
atelectasis, and
enhances
mobilization of
secretions.
Assessment Diagnosis Planning Intervention Rationale Evaluation
>minimal
movement
4. Assist with
selection and 4. Stimulates
pacing of desired patient’s interest
in selected
V/S activities and activities.
exercise.
T- 37.6 C
P- 110
5. Provide diet
R-29 high in 5.Provides
carbohydrates calories for
BP- 180/100 energy and
with protein
intake consistent protein for
with liver healing
function
6. Reposition
every 2 hours,
and provide good 6. Decrease
skin care potential for skin
breakdown.
7. Increase
activities as
patient is able to
tolerate. 7. Assist with
return to optimal
activity levels
while enabling
patient to have
some measure of
control over
situation.
8. Instruct patient
and family on
disease process 8. promotes
and need for knowledge and
extended rest facilitates
compliance with
treatment.
Collaborative:
1.Administer
supplemental
vitamins 1.To provide
additional
nutrients.
>pallor Consider
preferences in
>weak in food status.
appearance
R-29
>Assess degree
of peripheral/
dependent
edema.
>Fluid shift into
tissues as a
result
of sodium and
water retention,
decreased
> Measure albumin, and
abdominal girth. increased anti
diuretic hormone
(ADH).
>Reflects
accumulation of
fluid (ascites)
resulting from
> Encourage bed loss
rest when of plasma
ascites is proteins
present. or fluid into
peritoneal space.
DEPENDENT:
>Administer
medications as >May promote
indicated. Such Recumbency
as diuretics, induced
Albumin, diuresis.
Aldacton,
Furosemide
(Lasix)
> To control
edema
>Monitor and ascites.
Electrolytes. Promotes
excretion of fluid
through the
kidneys and
maintenance of
normal fluid and
electrolyte
balance.
>To correct
further
imbalances.
INDEPENDENT:
5. Prepare
patient and assist
with
paracentesis.
DEPENDENT: 5. Removal of
ascites fluid may
6.Administer decrease
antispasmodic abdominal
and sedative discomfort.
agents as
prescribed. 6. Reduces
irritability of the
gastrointestinal
tract and
decreases
abdominal pain
and discomfort.
Assessment Diagnosis Planning Intervention Rationale Evaluation
4. Monitor 4. Changes in
client’s behavior and
behavior and mental status
mental status can be early
for onset of signs of
restlessness, impaired gas
agitation, exchange.
confusion and
in the late
stages,
extreme
lethargy
5. Observe 5. Central
for cyanosis cyanosis in
in skin: note tongue and
especial color oral mucosa
of tongue and is indication
oral mucous of serious
membrane. hypoxia and
is a medical
emergency;
peripheral
cyanosis seen
in extremities
may not be
serious.
Dependent:
1. Administer
oxygen 1. To
inhalation promote
appropriately enough
. oxygen
supply
2. Administer
salbutamol 2. To provide
bronchodilatio
n.