R.T.

Romualdez Memorial Schools

Makati Medical Center

DRUG STUDY

Medical Diagnosis: Acute Gastroenteritis with some signs of dehydration

ALLERGIES: None Allergic Responses: None

DRUG NAME MECHANIS RATIONAL ADVERSE NURSING

M OF E FOR THIS DRUG IMPLICATION
ACTION PATIENT EFFECT S
GENERIC: Racecadotril Treatment of  Drowsiness  Assess
Racecadotril is an acute  nausea & patient’s
BRAND: enkephalinase diarrhea. vomiting diarrhea and
Hidrasec inhibitor that Powder is  constipatio bowel
DOSE AND reduces adjunct to n, pattern
FREQUENCY: pathologically oral or  dizziness before
10mg/1sachet increased parenteral  headache. starting
mixed with milk, secretion rehydration  glucose & therapy
three times a day within a few in the galactose  Assess
hours in treatment of malabsorpti hydration
TIME: diarrhea of acute watery on status and
0800H, 1400H, either viral or diarrhea in syndrome electrolytes
2000H bacterial infants & level
origin. Also children.
ROUTE: an oral
Per orem rehydation in
treating acute
Rx watery
CLASSIFICATIO diarrhea in
N: children
Anti diarrheal

SOURCE/S:
http://www.mims.com.ph/Page.aspx?
menuid=mng&name=Hidrasec+powd&h=racecadotril&CTRY=PH&searchstring=Racec
adotril
(2009, May 11) Acute Infectious Diarrhea in Children Retrieved January 2, 2010 from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737434/

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 DRUG NAME MECHANIS RATIONAL ADVERSE NURSING
M OF E FOR THIS DRUG IMPLICATION
ACTION PATIENT EFFECT S
GENERIC: Loperamide Adjunct in  Constipatio  Assess
Loperamide acts on the the n patient’s
BRAND: nerve endings symptomatic  colic diarrhea and
Lomotil and/or management  abdominal bowel
DOSE AND intramural of acute distress pattern
FREQUENCY: ganglia of the diarrhea  nausea, and before
¼ paper tab (0.5g) intestinal wall vomiting starting
mixed with milk, to decrease  fatigue therapy
two times a day motility,  somnolence  Assess
resulting hydration
 dizziness
TIME: retention of status and
 dry mouth
0800H, 2000H feces and electrolytes
decrease loss  mild skin
level
ROUTE: of fluids and rash
 Dry mouth
Per orem electrolytes can be
relieved by
Rx frequent sips
CLASSIFICATIO of water or
N: milk
Anti diarrheal

SOURCE/S:
http://www.mims.com.ph/Page.aspx?
menuid=mng&name=Lomotil+tab&h=loperamide&CTRY=PH&searchstring=Loperami
de
PPD’s Nursing Drug Guide for Nursing Students and Professional Nurses 2nd Edition

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 DRUG NAME MECHANIS RATIONA ADVERSE DRUG NURSING
M OF LE FOR EFFECT IMPLICATIO
ACTION THIS NS
PATIENT
GENERIC: Cefuroxime, Treatment  Thrombophlebiti  Reconstitut
Cefuroxime a of s e the
BRAND: semisynthetic infections  Hypersensitivity medicine
Zengen , broad- due to  Pseudomembran following
DOSE AND spectrum 2nd cefuroxime- ous colitis the
FREQUENCY: generation sensitive  Chills, fever manufactur
150 mg/6ml cephalosporin organisms  Headache er’s
dissolved 750 mg antibiotic, like sepsis  Unusual instruction
in 7.5 ml sterile exerts its bleeding  Store
water using 20 ml bactericidal reconstitute
 superinfection
syringe, aspirate activity by d
7.5 ml sterile interfering parenteral
water then add with the drug for up
2.5 ml of the synthesis of to 96
solution attach to the bacterial hours in
500 mm connect cell wall. It refrigerator
and retain 6 ml, binds to  Monitor IV
every 12 hrs penicillin- site for
binding extravasati
TIME: protein 3, on and
0500H, 1700H responsible phlebitis
for the  Monitor
ROUTE: synthesis of signs of
IV Push peptidoglycan allergic
,a reaction to
Rx heteropolyme the drug
CLASSIFICATI ric structure  Instruct
ON: that gives the patient to
Antibiotics- cell wall its immediatel
Second mechanical y report for
Generation stability. severe
Cephalosporin diarrhea or
evidence of
blood
dyscrasia
SOURCE/S:
http://www.mims.com.ph/Page.aspx?
menuid=mng&name=Zegen+cap&brief=false&CTRY=PH#Warnings
Nursing Drug Handbook 2007

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