DRUG STUDY

Name of Student: Rachelle Megan P. Salunga Name of Patient: Manantian, Anne Diagnosis or Clinical Impression: AGE with some Dehydration; Acute Bronchitis Date of Assignment: September 12, 2011 Ward: Station 3A, LPDH Bed No.: 338 Age: 1 year old Sex: Female

DRUG ORDER (Generic name, Dosage, Route, Frequency, etc.)

Cefuroxime 330 mg IV q8

PHARMACOLOGI C ACTION OF DRUG

INDICATIONS AND CONTRAINDICATIO NS

ADVERSE EFFECTS OF THE DRUG

DESIRED ACTION ON THE CLIENT

NURSING RESPONSIBILITIES/ PRECAUTIONS

Cefuroxime, like the penicillins, is a betalactam antibiotic. By binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, it inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that cefuroxime interferes with an autolysin inhibitor.

I: It is effective for the treatment of penicillinase-producing Neisseria gonorrhoea (PPNG). Effectively treats bone and joint infections, bronchitis, meningitis, gonorrhea, otitis media, pharyngitis/tonsillitis, sinusitis, lower respiratory tract infections, skin and soft tissue infections, urinary tract infections, and is used for surgical prophylaxis, reducing or eliminating infection. CI: Hypersensitivity to cephalosporins and related antibiotics; pregnancy (category B), lactation.

Body as a Whole: Thrombophlebitis (IV site); pain, burning, cellulitis (IM site); superinfections, positive Coombs' test. GI: Diarrhea, nausea, antibioticassociated colitis. Skin: Rash, pruritus, urticaria. Urogenital: Increased serum creatinine and BUN, decreased creatinine clearance.

Decreases or Control the infection.

Paracetamol PRN T > 37.8 C 5 mL It appears that paracetamol inhibits prostaglandin biosynthesis in the central nervous system but not (or hardly) in the peripheral tissues

The relief of fever, headaches, and other minor aches and pains Side effects are rare with paracetamol when it is taken at the recommended doses. Skin rashes, blood disorders and acute inflammation of the pancreas have occasionally occurred in people taking the drug on a regular basis for a long time. One advantage of paracetamol over aspirin and NSAIDs is that it doesn't

Determine history of hypersensitivity reactions to cephalosporins, penicillins, and history of allergies, particularly to drugs, before therapy is initiated. Inspect IM and IV injection sites frequently for signs of phlebitis. Report onset of loose stools or diarrhea. Although pseudomembranous colitis. Monitor I&O rates and pattern: Especially important in severely ill patients receiving high doses. Report any significant changes.

I: Suitable substitute for aspirin & recommended to be given if the fever is 38.5C and above CI: Excessive use can damage multiple organs such as liver and kidney Should check first the temperature before giving the medicine and after 15-30 mins.

Should check first the temperature before giving the medicine and after 15-30 mins. Recheck the temperature of the patient. Do not use for fever persisting longer than 3 days, fever over 39.5 C (103 F), or recurrent fever. Do not give children more than 5 doses in 24 h unless prescribed by physician.

Salbutamol 2.5

DIAGNOSTIC/LABORATORY STUDIES
Name of Student: Rachelle Megan P. Salunga Name of Patient: Manantian, Anne Diagnosis or Clinical Impression: AGE with some Dehydration; Acute Bronchitis NAME OF TEST OR PROCEDUR E Complete Blood Count DATE DONE INDICATION FOR THE TEST Used an as assessment tool for the diagnosis of Acute Bronchitis. 0.40 0.60 Segmenters Can be affected if there is a change in lymphocytes and neutrophils. 0.20 0.40 Lymphocytes One of the confirmatory signs of infection. 0.66 0.34
Segmenters are also known as neutrophils. It is a combination of high lymphocytes and low neutrophils. Some antibiotics (Cefuroxime) can also decrease your neutrophil count.

Date of Assignment: September 12, 2011 Ward: Station 3A, LPDH Bed No.: 338 Age: 1 year old Sex: Female ACTUAL FINDINGS/RESULT S SIGNIFICANCE OF THE RESULT/FINDING

NORMAL VALUE

MCV MCH

Confirms the size of red blood cells and the ability of each to carry oxygen.

80 100 32 - 36

77 25.4

The high results of lymphocytes confirms that there is an infection most likely due to the clients inflammation in the gastrointestinal are and inflammation in the bronchioles.
If MCV and MCH are low, it means your red blood cells are smaller than average (MCV) and paler than average (MCH), and can't carry as much oxygen as normal.