Makati Medical Center College of Nursing DRUG STUDY DRUG NAME GENERIC: Ascorbic acid DOSE: 500mg TIME:

E: q24 ROUTE: Oral MECHANISM OF ACTION Ascorbic acid is a functional and principal in vivo form of vitamin C, an essential water-soluble vitamin which is fundamental in the synthesis of collagen and intercellular materials SIDE EFFECT, ADVERSE DRUG EFFECT Prophylaxis and GI: treatment of scurvy Nausea,vomiting,heartb and as a dietary urn,diarrhea. supplement. Hematologic: Increases protection Acute hemolyticanemia mechanism of the (patientswith deficiency immune system, thus of G6PD); sickle supporting wound cellcrisis. healing. Necessary CNS: for wound healing Headache (highdoses). and resistance to Urogenital: infection. Urethritis, dysuria,crystalluria (highdoses). Other: Mild soreness atinjection site;dizziness andtemporaryfaintness with rapidIV administration . RATIONALE FOR THIS PATIENT NURSING RESPONSIBIILITIES
Take large doses of vit. C in diveded amounts because the body uses only what is needed at a particular time and excretes the rest in urine. Megadoses can intergere with absorption of vitamin B12 Note: Vit C increases the absorption or iron when taken at the same time as iron rich foods.

Makati Medical Center College of Nursing DRUG STUDY DRUG NAME GENERIC: Risperidone DOSE: 2mg TIME: HS ROUTE: Oral MECHANISM OF ACTION May act by antagonizing dopamine and serotonin in the CNS. Decreased symptoms of psychoses RATIONALE FOR THIS PATIENT To manage symptoms of psychosis including schizophrenia SIDE EFFECT, ADVERSE DRUG EFFECT Sedation, weight gain, headaches, dry mouth, photosensitivity, urinary retention, sexual dysfunction, orthostatic hypotension, convulsions NURSING RESPONSIBIILITIES
1. Direct client to avoid potentially dangerous situations such as driving, until drug has been stabilized. 2. Inform client about EPS; instruct the client promptly to report symptoms to the health care provider. 3. Instruct the client to avoid direct sunlight to prevent photosensitivity and to use sunscreen and protective clothing to avoid skin rash. 4. Advise client of orthostatic hypotension and possible dizziness. 5. Teach client who is taking aliphatic phenothiazines, such as chlorpromazines, that the urine might be pink or red brown; this discoloration is harmless. 6. Inform client that changes may occur related to sexual functioning and menstruating.

7. Suggest lozenges or hard candy if mouth dryness occur. 8. Encourage client to avoid extremes in temperatures and increased exercise. 9. Advise client to rise slowly from sitting or lying to standing to prevent sudden decrease in blood pressure. 10. Evaluate the effectiveness of the drug and whether the client has acceptably reduced psychotic symptoms at the lowest dose possible.