VISION

A premier university in historic Cavite

recognized for excellence in the development
of morally upright and globally competitive
individuals.

MISSION
Cavite State University shall provide excellent, equitable
and relevant educational opportunities in the arts, science
and technology through quality instruction and relevant
research and development activities. It shall produce
professional, skilled and morally upright individuals for
global competitiveness.

Republic of the Philippines

CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite

College of Nursing
Name of Patient(Initial): D.C E

Date of Admission: March 26, 2015

Age : 20 years old

Diagnosis: Dengue Hemorrhagic Fever

Sex: Female
Drug

Mechanism of

Indication

Contraindication

Adverse effects

Nursing

CNS: Headache,

responsibilities
-Antisecretory drug;

hypersensitivity to

dizziness,

Proton pump inhibitor

treatment of

omeprazole or its

asthenia, vertigo,

-IVTT

activeduodenal

components;

insomnia, apathy,

-decrease gastric acid

ulcer; First-line

Use cautiously with

anxiety,

secretion

therapy in

pregnancy,

paresthesias,

- Take the drug before

treatment of

lactation.

dream

meals.

heartburn or

abnormalities

Report severe headache,

symptoms of

Dermatologic:

worsening of

gastroesophageal

Rash,

symptoms, fever, chills.

reflux disease

inflammation,

(GERD);

urticaria, pruritus,

Action
GENERIC NAME:
Omeprazole

. Indicated for:
Gastric acid-pump
inhibitor:
Suppresses gastric

BRAND NAME:

acid secretion by

Losec (CAN)

specific inhibition
of the hydrogen-

CLASSIFICATION: potassium ATPase

enzyme system at
Antisecretory drug
the secretory
Proton pump
surface of the
inhibitor
gastric parietal

Short-term

Contraindicated with

DOSAGE: 40g
cells; blocks the
FREQUENCY: OD

ROUTE: IVTT

final step of acid

production

Short-term

alopecia, dry skin

treatment of

GI: Diarrhea,

active benign

abdominal pain,

gastric ulcer;
GERD, severe

nausea, vomiting,
constipation, dry

erosive

mouth, tongue

esophagitis,

atrophy

poorly

Respiratory: URI

responsive

symptoms, cough,

symptomatic

epistaxis

GERD;
Long-term therapy:
Treatment of
pathologic
hypersecretory
conditions
(ZollingerEllison
syndrome,
multiple
adenomas,
systemic
mastocytosis);

Other: Cancer in
preclinical studies,
back pain, fever

-Swallow the
capsules whole; do not
chew, open, or crush
them.

 Eradication of H.
pylori with
amoxicillin or
metronidazole
and
clarithromycin;

Submitted by: Jenivic E. Puedan BSN 1V-1/ Group 3

Republic of the Philippines

CAVITE STATE UNIVERSITY
Don Severino Delas Alas Campus
Indang, Cavite

Submitted to: Normidia Quion, RN, MAN

MISSION
Cavite State University shall provide excellent, equitable
and relevant educational opportunities in the arts, science
and technology through quality instruction and relevant
research and development activities. It shall produce
professional, skilled and morally upright individuals for
global competitiveness.

VISION
A premier university in historic Cavite
recognized for excellence in the development
of morally upright and globally competitive
individuals.

College of Nursing
Name of Patient(Initial): D.C E

Date of Admission: March 26, 2015

Age : 20 years old

Diagnosis: Dengue Hemorrhagic Fever

Sex: Female
Drug

Mechanism of
Action

Generic:
Paracetamol ,
Acetaminophen

Symptomatic treatment
- Decreases fever of mild to
by a
moderate pain &/or fever
hypothalamic
.
effect leading to
sweating and
vasodilation

Brand: Biogesic,
Panadol, Tylenol
Classification:
Non-narcotic
analgesic,
Antipyretic
Dosage: 500-1,000
mg

-Inhibits pyrogen
effect on the
hypothalamicheat-regulating
centers
-Inhibits CNS
prostaglandin

Indication

Contraindication

Side effects

Nursing
responsibilities

-Nephrotoxicity.
-Renal Insufficiency
-Anemia

Occasionally, skin
1. Do not exceed
rashes &
4gm/24hr. in
hypersensitivity
adults and
reactions. Renal damage
75mg/kg/day in
(long-term use).
children.
Hematological reactions
2. Do not take for
including
>5days for pain
thrombocytopenia,
in children, 10
leukopenia &
days for pain in
methemoglobinemia
adults, or more
resulting to cyanosis.
than 3 days for
Minimal GI upset.
fever in adults.
1. Methemoglobinemi
3. Extended-

Route: Oral, IV
Frequency: 4-6
hrs

Form:

Color: Brown

synthesis with
minimal effects
on peripheral
prostaglandin
synthesis
-Does not cause
ulceration of the
GI tract and
causes no
anticoagulant
action.

a
2. Hemolytic Anemia
3. Neutropenia
4. Thrombocytopenia
5. Pancytopenia
6. Leukopenia
7. Urticaria
8. CNS stimulation
9. Hypoglycemic coma
10. Jaundice

11. Glissitis
12. Drowsiness
13. Liver Damage

Release tablets
are not to be
chewed.
4. Monitor CBC,
liver and renal
functions.
5. Assess for fecal
occult blood and
nephritis.
6. Avoid using OTC
drugs with
Acetaminophen.
7. Take with food
or milk to
minimize GI
upset.
8. Report N&V.
cyanosis,
shortness of
breath and
abdominal pain
as these are signs
of toxicity.

9. Report paleness,
weakness and
heart beat skips
10. Report
abdominal pain,
jaundice, dark
urine, itchiness
or clay-colored
stools.
11. Phenmacetin
may cause urine
to become dark
brown or winecolored.
12. Report pain that
persists for more
than 3-5 days
13. Avoid alcohol.
14. This drug is not
for regular use
with any form of
liver disease.

Submitted by: Jenivic E. Puedan BSN 1V-1/ Group 3

Submitted to: Normidia Quion, RN, MAN