Assessment Diagnosis Planning Intervention Rationale Evaluation

S– Fluid volume After 8 hours of Independent Goal met: the

"Pakiramdam deficient nursing patient was
ko lagi akong related to intervention, able to
nanghihina failure of the patient will Dx demonstrate
saka regulatory demonstrate
Monitored vital Serve as the adequate
nauuhaaw” as mechanism adequate
sign every 4 baseline data. hydration as
verbalized by manifested by hydration.
hours. manifested by
the patient. renal failure.
stable vital sign
and good skin
To ensure
turgor.
O – dry skin, Monitored I&O accurate
noted balance. picture of fluid
status.
-poor skin Tx
turgor To promote
Promote
comfort and
-vital signs therapeutic
wellness.
taken as environment.
follows:
To facilitate
Offered fluids
rehydration.
T:37.4 between meals.

P:85 Edx
To regained
R:20 Encouraged
and reserved
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Assessment Diagnosis Planning Intervention Rationale Evaluation

S – “Masaki Risk for prone After 8 hours of Independent Goal met: the
tang batok ko.” behavior nursing patient was
as verbalized by related to lack interventions, able to
the patient. of knowledge the patient will Dx verbalize
about the verbalized understanding
disease. understanding Monitored vital Serve as the of the disease
of the diasease sign every 4 baseline data. process and
O – agitated
process and hours. treatment
behavior
treatment regimen.
Tx
-flushy face regimen. To promote
.
Promote comfort and
-vital signs
therapeutic wellness.
taken as
environment.
follows:
Edx
To decrease
Suggest peripheral
T:37
frequent venous pooling
P:85 position that maybe
changes, leg potentiated by
R:20
exercises when vasodilators
BP:140/100 lying down. and prolonged
sitting or
standing.

To avoid cardiac
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 Name Action Indication Contra- Side Interactions Nursing
Effect Considerat
indication
ion

Indicated for DIGOXIN:

the change serum
Generic A treatment of Patients with The most digoxin levels or Watch for
dihydropyridi hypertension. known common digoxin renal signs and
ne calcium sensitivity to side clearance in symptoms of
It may be
antagonist amlodipine effects normal ototoxicity.
Amlodipine used alone or volunteers.
(calcium ion in are -Monitor CBC,
antagonist or combination headache ETHANOL BUN, and
slow-channel and (alcohol): had electrolyte,
with other no significant
blocker) that antihyperten edema. uric acid, and
effect on the
inhibits the sive agents. pharmacokineti CO2 levels.
transmembra cs of ethanol. - Moitor
Brand ne influx of blood
WARFARIN: Co-
calcium ions administration pressure,
into vascular of pulse, fluid
Norvasc smooth NORVASC with intake and
Dosage
muscle and warfarin did not output, and
cardiac Pt. dose: PO change the weight.
10 gram TID warfarin
muscle. -Monitor
Ideal dose: 5- prothrombin dietary
10 mg OD response time.
potassium
intake.
Classification
Watch for
signs and
symptoms of
calcium l
 Name Action Indication Contra- Side Effect Interaction Nursing
s Considerat
indication
ion

Hepatic
encephalopathy - Moitor
Generic Inhibits Indicated in Contraindicat May increase
in patients blood
primarily the adults and ed in patients the ototoxic
with pressure,
absorption of pediatric with anuria potential of
hepatocellular pulse, fluid
Furosimide sodium and patients for and in aminoglycosi
insufficiency intake and
chloride not the patients with de
pancreatitis output, and
only in the treatment of a history of antibiotics,
,jaundice weight.
proximal and edema hypersensitiv especially in
(intrahepatic -Monitor
distal tubules associated ity to the presence
cholestatic dietary
but also in with furosemide. of impaired
jaundice) potassium
the loop of congestive renal
anorexia oral intake.
Brand Henle. The heart failure, function.
and gastric Watch for
action on the cirrhosis of Except in life-
irritation signs and
distal tubule the liver and threatening
cramping,diarr symptoms of
Lasix is renal situations,
hea hypokalemia
independent disease, avoid this
constipation,na
of any including the combination.
usea vomiting,
inhibitory nephrotic
tinnitus and
effect on syndrome
hearing loss
carbonic and may be
 anhydrase used in paresthesias,
and adults for the vertigo
Classification
aldosterone. treatment of dizziness
hypertension headache
. blurred vision
Diuretics
xanthopsia

Dosage
Pt. dose: OP
80 g IV stat
Ideal dose:
20-800
20-800 mg OD

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 Name Action Indication Contra- Side Effect Interactions Nursing
Considerat
indication
ion

Generic Forms of the Recommend Contraindicat Transient Limited Give the

vitamin are ed for the ed in those mild evidence meds in the
believed to prevention persons who soreness suggests that morning for
Vitamin C be important and have shown may occur at ascorbic acid easy
in oxidation- treatment of hypersensitiv the site of may influence absorption of
reduction scurvy. Its ity to any intramuscula the intensity and the vitamin.
reactions. parenteral component r or duration of
-Watch for
The vitamin administratio of this subcutaneou action of
the vitamin
is involved n is desirable preparation. s injection. bishydroxycoum
toxit.
Brand in tyrosine for patients Too-rapid arin.
metabolism, with an intravenous
conversion acute administratio
Ascorbic of folic acid deficiency or n of the
Acid to folinic for those solution may
acid, whose cause
carbohydrat absorption of temporary
e orally faintness or
metabolism, ingested dizziness.
synthesis of ascorbic acid
lipids and is uncertain.
Classificatio proteins,
n iron
metabolism, Dosage
… Nursing Care Plan
Drug
Study
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