ASSESMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

EXPLANATION
Subjective: Readiness for When the Within the 8˚ Independent: Goal met.
“Okay na sya, bka Enhanced systems in the shift, the client Within the 8˚
nga daw pwede n Therapeutic body respond well will maintain - establish rapport - to facilitate shift, the client
kami maka-uwi” as Regimen related to medications normal health cooperation as well maintained
verbalized by the to normal health and treatments it status and as to gain pt’s trust normal health
mother status. results to good remain free from status and
health. Thus, our possible - assess the - to assure remained free
Objective: body is ready to complications. client/SO’s level of accuracy and from
- received pt. regain its normal understanding of completeness of possible
awake lying on functioning. therapeutic regimen knowledge based complications.
bed ĉ ongoing IVF for future learning And the client
of #5 D5IMB 500cc - help client’s needs - to maintain high- went home.
to run for and potential level of well-being
12ox31gtts/min problems
@450cc level, - identify contributing - to prevent
infusing well @ left factors that may possible
hand need to be improve complications
- ĉ standby 02 @ now or in the future
bedside - provide suggestions - to broaden ideas
- conscious and to the client/SO for that the pt may
coherent sources of support already have in
-ambulatory that will help order to reinforce
- ĉ dry cough reinforce enhanced positive behaviors
- ĉ good skin behaviors
turgor - monitor vital signs - to note changes
-ĉ good capillary that can affect the
refill in 2-3 secs pt’s condition
- on DFA ĉ SAP
- ĉ poor appetite, - provide health - to promote
consumed ¼ of the teachings such as: optimum wellness
food served  increase oral
- voiding freely fluid intake
- not dyspneic (RR  emphasize the
30 CPM) importance of
- afebrile proper hygiene
 advise the SO
to constantly change
the shirt of the client
whenever playing
 advise SO to
avoid exposing the
client to crowded and
DRUG STUDY
BRAND GENERIC DOSAGE ACTION INDICATION CONTRAINDICATION PRECAUTION NURSING
NAME NAME CONSIDERATIONS
Tempra Paracetamol 120mg/15, 6ml Decreases Relief of mild-to- Hypersensitivity; Pts. with impaired  Assess pt.’s fever
q4o for To fever by moderate pain; intolerance to kidney or liver or pain.
>37.8 inhibiting the treatment of tartrazine, alcohol, function. Pts. with  Assess allergic
effects of fever. table sugar, saccharin. alcohol reactions.
pyrogens on dependence.  Monitor liver and
the renal functions.
hypothalamic  Check input and
heat regulating output ratio.
centers and by  Assess for chronic
a poisoning.
BRAND GENERIC DOSAGE hypothalamic
ACTION INDICATION CONTRAINDICATION PRECAUTION CONSIDERATIONS
NAME NAME action leading
Loviscol Carbocisteine to sweating
100mg/15, 5ml Reduces the Acute and chronic Active peptic ulcer. History of peptic  Obtain pt’s history
TID and of
viscosity disorders of the Concomitantly ulcer and of cough before
vasodilation.
bronchial upper and lower administration with hypothyroidism. therapy and
secretionspain
Relieves and respiratory tract antitussive It is not reassess after giving
by inhibiting
facilitates associated with recommended the drug
prostaglandin
expectoration the secretion and during the first  Assess cough:
synthesis at formation of trimester of type, frequency,
the CNS but excessive and pregnancy character, including
does not have viscid mucus sputum: provide
anti- (chronic sinusitis, adequate hydration
inflammatory otitis, and all to 2L/day to
action forms of decrease viscosity of
because of its tracheobronchitis, secretions
minimal effect emphysema,  Monitor for
on peripheral bronchitis, and possible adverse
prostaglandin chronic reactions: CNS:
synthesis. inflammatory lung drowsiness,
disease) dizziness GI:
nausea, vomiting,
abdominal pain
 Discuss on detail
all information
regarding the drug