Republic of the Philippines

Naval State University

College of Arts and Sciences
NURSING AND HEALTH SCIENCES DEPARTMENT
Naval, Biliran

DRUG THERAPEUTIC RECORD

NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm
DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo
DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE NURSING RESPONSIBILITIES
EFFECTS
-Treatment of hypertensive - CV: tachycardia, angina BEFORE:
- ACE inhibitor alone or in combination with pectoris, heart failure, MI. -Obtained vital signs for baseline
BRAND NAME - Antihypertensive thiazide type diuretics. - DERM: Alopecia, rash, pruritus, data.
scalded mouth sensation, -Assessed for hypersensitivity
- Treatment of heart failure in
photosensitivity -Health teaching done regarding
Captopril patients unresponsive to - GI: Gastric irritation, peptic adverse effects
GENERIC NAME conventional therapy; used with ulcers, cholesterol jaundice, DURING:
diuretics and cardiac glycosides. anorexia, constipation. -To relieve thirst and dry mouth,
25 mg, 1 tablet - GU: Proteinuria, renal advised to have frequent mouth
DOSE MECHANISM OF ACTION CONTRAINDICATIONS insufficiency, renal failure, care or fluids.
Every 6 hours Blocks ACE from converting -Contraindicated with allergy to polyuria, oliguria, urinary -Warned patient to avoid OTC
angiotensin I to angiotensin II, a captopril, history of frequency. medication.
FREQUENCY powerful vasoconstrictor, angioedema, second or third - HEMA: Neutropenia, -Provided safety to patient.
leading to decreased BP, trimester of pregnancy. agranulocytosis, haemolytic AFTER:
decreased aldosterone - Use cautiously with renal anemia -Monitored for S/S of overdose
secretion, a small increase in impairment, heart failure, salt or - OTHER: cough, malaise, dry (cough, GI upset, loss of
TIME serum potassium levels, and volume depletion, history of mouth appetite.
sodium and fluid loss; increased renal artery stenosis, lactation. -Instructed to do deep breathing
Oral prostaglandin synthesis also may exercise
ROUTE be involved in the
antihypertensive action.
 Republic of the Philippines
Naval State University
College of Arts and Sciences
NURSING AND HEALTH SCIENCES DEPARTMENT
Naval, Biliran

DRUG THERAPEUTIC RECORD

NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm
DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo
DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE NURSING RESPONSIBILITIES
EFFECTS
-prophylaxis of postoperative - CNS: Restlessness, drowsiness, BEFORE:
- Antiemetic nausea and vomiting when fatigue, lassitude, insomnia, -Obtained vital signs for baseline
BRAND NAME - Dopaminergic blocker nasogastric suction is parkinsonism like reactions, data.
- GI stimulant undesirable dystonia, dizziness, depression -Health teaching done regarding
- Parenteral: prevention of - CV: Transient hypertension adverse effects
metoclopramide
nausea and vomiting associated - GI: Nausea, diarrhea DURING:
GENERIC NAME with emetogenic cancer -monitor BP carefully during IV
chemotherapy. administration
1 ampule - monitor for extrapyramidal
DOSE MECHANISM OF ACTION CONTRAINDICATIONS reactions, and consult physician
Every 8 hours Stimulates motility of upper GI -Contraindicated with allergy to if they occur.
tract without stimulating gastric, metoclopramide; GI -Provided safety to patient.
FREQUENCY biliary, or pancreatic secretions; haemorrhage, mechanical AFTER:
appears to sensitize tissues to obstruction or perforation; -Monitored for S/S of overdose
action acetylcholine; relaxes epilepsy. (drowsiness, dizziness)
pyloric sphincter, w/c, when - Use cautiously with previously - instructed patient to report
TIME combined with effects on detected breast cancer; involuntary movement of the
motility, accelerates gastric lactation, pregnancy, fluid face, eyes or limbs, severe
IVTT emptying and intestinal transit; overload; renal impairment. depression, severe diarrhea.
ROUTE little effect on gallbladder or
colon motility.
 Republic of the Philippines
Naval State University
College of Arts and Sciences
NURSING AND HEALTH SCIENCES DEPARTMENT
Naval, Biliran

DRUG THERAPEUTIC RECORD

NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm
DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo
DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE EFFECTS NURSING
RESPONSIBILITIES
- Neurotropic - CVA in acute and recovery - citicoline may exert a - Monitor blood
phase. Symptoms and signs stimulating action of pressure, pulse and
BRAND NAME of cerebral insufficiency i.e., the parasympathetic, as well heart rate.
dizziness, headache, as a fleeting and discrete
poor concentration, memory hypotensor effect - Assess allergic reaction
Citicoline
loss, disorientation. Recent - Shock like GI disturbances.
GENERIC NAME cranial trauma. - Hypersensitivity-
- hypotension, - Instruct relative to give
1 gm - insomnia, only prescribed dose.
DOSE MECHANISM OF ACTION CONTRAINDICATIONS - excitement
Every 6 hours Citicoline activates - Hypertonia of parasympathetic - Advise relative to
the biosynthesis of structural p nervous system. consult the physician
FREQUENCY hospholipids in the neuronal Meclofenoxate (clophenoxate) if any problems
membrane, increases cerebral occur to the patient
metabolism and increases the during medication.
TIME level of various
neurotransmitters, including
IVTT acetylcholine and dopamine.
ROUTE Citicoline has shown neuro
protective effects in situations
of hypoxia and ischemia
 Republic of the Philippines
Naval State University
College of Arts and Sciences
NURSING AND HEALTH SCIENCES DEPARTMENT
Naval, Biliran

DRUG THERAPEUTIC RECORD

NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm
DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo
DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE EFFECTS NURSING RESPONSIBILITIES
- Neuromuscular agent Cerebral insufficiency and chronic - Hyperkinesia - Monitor heart rate,
manifestation of CVA, post - weight gain ECG and BP
BRAND NAME traumatic syndromes, severe - asthenia periodically
mental cloudiness and vascular - nervousness throughout the
coma of a traumatic of - agitation therapy.
Piracetam
toxicorigin, chronic alcoholism and - irritability - Drug has strong
GENERIC NAME addiction, predelirium, chronic vert - anxiety taste. Mixing oral
igo of peripheral or central origin, - sleep disturbances form with orange
12 gm, 3gms pediatric therapy - fatigue or drowsiness juice mask the taste.
DOSE MECHANISM OF ACTION CONTRAINDICATIONS - GI disturbances - Assess patient to
Every 8 hours Piracetam acts selectively upon Cerebral hemmorhage, end stage clear airway
telencephalon by improving its renal disease - Provide support
associative function. It increases the ventilation, if it is
FREQUENCY
energy output of the brain cell and needed.
activates its neurophysiological - Assess and support
potentialities, especially in cardiac function.
TIME deficit conditions. - Reassure patient tha
Nootropilis virtually nontoxic a t communication abi
IV bulos, IVTT nd has no stimulating, sedative lities will return as t
ROUTE or neurovegetative activities he medicationwears
off.