Name of Drug Classification Dosage, Frequency Mechanism of Action Indications Contraindication Side Effects and

and Route s Adverse Reaction R

Generic Name: • Analgesics Dosage: ♥ Decreases fever by ♥ Relief of Contraindicated to Stimulation, ♥ As

Paracetamol • Muscle • 2.5ml inhibiting the effects mild-to- patients with: drowsiness, nausea, or
Relaxants of pyrogens on the moderate vomiting, abdominal lo
Brand Name: Route: hypothalamus heat pain; Hypersensitivity pain, hepatotoxicity, dur
Calpol • PO regulating centers & treatment of hepatic a
by a hypothalamic fever. intolerance to seizure(overdose, Renal
Frequency: action leading to tartrazine (yellow failure(high, prolonged ♥
• q 4hrs sweating & dye #5), alcohol, doses), leucopenia,
vasodilatation. table sugar, neutropenia, hemolytic urtic
saccharin anemia (long term use) dru
♥Relieves pain by thrombocytopenia,
inhibiting Contraindicated pancytopenia, rash,
prostaglandin with allergy to urticaria, ♥
synthesis at the CNS acetaminophen hypersensitivity, re
but does not have anti- cyanosis, anemia, ch
inflammatory action jaundice, CNS, bl
because of its minimal stimulation, delirium ma
effect on peripheral followed by vascular
prostaglandin collaps
synthesis. convulsions,coma, ♥Te
death. pr
fev
 Name of Drug Classification Dosage, Mechanism of Indications Contraindications Side Effects Nursing
Frequency Action and Adverse Responsibilities
and Route Reaction
Ranitidine Histamine H₂ 25 mg IV, Prevent Competitively Cirrhosis of the GI: Do not confuse Zantac
receptor every 8 hours paclitaxel inhibits gastric liver, impaired Constipation, with Xanax (an
blocking drug hypersensitivity; acid secretions renal or hepatic nausea and antianxiety drug) or
reduce the by blocking function. vomiting, with Zyrtec (an H₁
incidence of GI the effect of abdominal pain receptor blocker). Do
hemorrhage histamine on CNS: fatigue, not confuse Ranitidine
associated with histamine H₂ with Rimantadine (an
stress-related receptors. Both antiviral)
ulcers. daytime and
nocyurnal
basal gastric
acid secretion,
as well as
food-and-
pentagastrin-
stimulated
gastric acid are
inhibited.
 NURSING
ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE

Ineffective breathing After 8 hours nursing  Instruct patient to do  Deep breathing exercise Afte
pattern related to intervention patient deep breathing exercise increases oxygen intake inte
presence of tracheo- will be able to and can help alleviate to d
 Shortness of after demonstrating
bronchial secretions demonstrate proper dyspnea. brea
breath(orthopnea) proper technique.
and nasal secretions. deep breathing  Decreased airflow occurs prop
 Dyspnea technique to facilitate  Auscultate lung fields, hyp
in areas with consolidated
 Use of accessory proper oxygenation to noting areas of
fluid. Bronchial breath
alleviate decreased or absent sounds can also occur in
muscles in breathing
hyperventilation. airflow and adventitious these consolidated areas.
 Altered chest excursion
breath sounds: crackles, Crackles, rhonchi, and
 Nasal Flaring wheezes are heard on
wheezes.
 Increased anterior- inspiration and/or
posterior diameter expiration in response to
fluid accumulation, thick
secretions, and airway
spasms and obstruction.

 Doing so would lower the

 Elevate head of bed,
diaphragm and promote
change position
chest expansion, aeration
frequently.
of lung segments,
mobilization and
expectoration of
secretions.

 Teach and assist patient  Deep breathing exercises

with proper deep- facilitates maximum
breathing exercises. expansion of the lungs
and smaller airways.
  Coughing is a reflex and
 Demonstrate proper a natural self-cleaning
splinting of chest and mechanism that assists
effective coughing while the cilia to maintain
patent airways.
in upright position.
 NURSING
ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE

Ineffective airway After 8 hours nursing  Assess the rate and  Tachypnea, shallow Afte
Subjective: clearance r/t Tracheal intervention patient depth of respirations and respirations, and pati
 Dyspnea bronchial should be able to chest movement asymmetric chest dem
inflammation, edema demonstrate movement are frequently achi
formation, increased behaviors to achieve present because of
Objective: sputum production airway clearance. discomfort of moving
 Adventitious breath
chest wall and/or fluid in
sound
lung.
 Excessive sputum  Decreased airflow occurs
 Restlessness in areas with consolidated
 Auscultate lung fields, fluid. Bronchial breath
noting areas of sounds can also occur in
decreased or absent these consolidated areas.
airflow and adventitious Crackles, rhonchi, and
breath sounds: crackles, wheezes are heard on
wheezes. inspiration and/or
expiration in response to
fluid accumulation, thick
secretions, and airway
spasms and obstruction.

 Doing so would lower the

diaphragm and promote
chest expansion, aeration
 Elevate head of bed, of lung segments,
change position mobilization and
expectoration of
frequently.
secretions.
  Deep breathing exercises
facilitates maximum
 Teach and assist patient expansion of the lungs
with proper deep- and smaller airways.
breathing exercises.  Coughing is a reflex and
a natural self-cleaning
mechanism that assists
 Demonstrate proper the cilia to maintain
splinting of chest and patent airways.
effective coughing while
in upright position.