ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

objective data: Actvity After 4 hours of Independent: -Establishes After 4 hours of

intolerance nursing Evaluate patient’s nursing
Experienced related to interventions, the patient’s capabilities interventions, the
occasional cough exhaustion patient will response to or needs and patient was able
associated with demonstrate a activity. to demonstrate a
Fatigue. discomfort and measurable -Reduces stress measurable
excessive increase in Provide a quiet and excess increase in
83 y/o coughing. tolerance in environment and stimulation, tolerance in
activity with limit visitors promoting rest. activity with
absence of during acute absence of
excessive phase. -These measures excessive
fatigue. promotes fatigue.
Elevate head and maximal
encourage inspiration,
frequent position enhance
changes, deep expectoration of
breathing and secretions to
effective improve
coughing. ventilation.

Encourage -Facilitates
adequate rest healing process
balanced with and enhances
moderate natural
activity. resistance.

Promote -Fluids especially

adequate warm liquids aid
nutritional intake. in mobilization
and
expectoration of
Collaborative: secretions.

Administer - Aids in
medications as reduction of
prescribe: bronchospasm
mucolytics or and mobilization
expectorants. of secretions
GENERIC NAME CLASS AND INDICATION DRUG SIDE EFFECTS
(brand name, MECHANISM, INTERACTIONS
route and
dosage)

Clarithromycin Clarithromycin is a Clarithromycin is Clarithromycin Clarithromycin is

semi- synthetic effective against should be avoided generally well
Biaxin macrolide antibiotic susceptible by patients known tolerated, side
chemically related bacteria causing to be allergic to effects are usually
500 mg/tab 1tab
to erythromycin. It infections of the clarithromycin or mild and transient.
OD
is effective against middle ear, other chemically Commonly reported
PO a wide variety of tonsillitis, throat similar macrolide side effects include
bacteria organisms, infections, antibiotics, such as nausea, diarrhea,
such as laryngitis, erythromycin. It abnormal taste,
Haemophilus bronchitis, can significantly dyspepsia,
influenzae, pneumonia, and increase blood abdominal pain and
Streptococcus skin infections. levels of the active headache.
pneumoniae, Clarithromycin has metabolite of
Mycoplasma been used in terfenadine
pneumoniae, combination with (Seldane) when
Staphylococcus omeprazole, these two
aureus, and omeprazole/sodium medications are co-
mycobacterium bicarbonate administered.
avium, and many (Prilosec) in
others. treating H. Pylori
bacteria that
causes stomach
ulcers.
GENERIC NAME CLASS AND INDICATION DRUG SIDE EFFECTS
(brand name, MECHANISM, INTERACTIONS
route and
dosage)

Furosemide is a Furosemide is a Administration of Common side

furosemide potent diuretic powerful diuretic furosemide with effects of
(water pill) that is that is used to treat aminoglycoside furosemide include
Lasix antibiotics (for
used to eliminate excessive low blood pressure,
example,
40 mg/tab 1tab 2x water and salt from accumulation of gentamicin) or dehydration and
a week the body. In the fluid and/or [ethacrynic acid electrolyte
kidneys, salt swelling (edema) of (Edecrin) - another depletion (for
40mg/tab 1tab M- (composed of the body caused by diuretic] may cause example, sodium,
W-F sodium and heart failure, hearing damage. potassium). Less
chloride), water, cirrhosis, chronic Furosemide common side
PO competes with
and other small kidney failure, and effects include
aspirin for
molecules normally the nephrotic elimination in the jaundice, ringing in
are filtered out of syndrome. It is urine by the the ears (tinnitus),
the blood and into sometimes used kidneys. sensitivity to light
the tubules of the alone or in Concomitant use of (photophobia),
kidney.Furosemide conjunction with furosemide and rash, pancreatitis,
works by blocking other blood aspirin may, nausea, diarrhea,
therefore, lead to
the absorption of pressure pills to abdominal pain,
high blood levels of
sodium, chloride, treat high blood aspirin and aspirin and dizziness.
and water from the pressure toxicity. Increased blood
filtered fluid in the sugar and uric acid
kidney tubules, levels also may
causing a profound occur.
increase in the
output of urine
(diuresis).
GENERIC NAME CLASS AND INDICATION DRUG SIDE EFFECTS
(brand name, MECHANISM, INTERACTIONS
route and
dosage)

Angiotensin used to treat high No important drug The most common

candesartan receptor blockers, blood pressure interactions have side effect with
cilexetil candesartan blocks where it may be been described candesartan is
with candesartan.
the ability of the used alone or in dizziness which
Atacand Since ACE inhibitors
chemical combination with and angiotensin occurs in 1 out of
16 mg/tab 1tab OD angiotensin II to other drugs. It has receptor blockers every 25 persons).
raise the blood less of an effect in both can increase
PO pressure by black patients, as the concentrations
constricting or do ACE inhibitors. of potassium in the
squeezing arteries also approved for blood, other
medications that
and veins. This the treatment of
can increase the
leads to a reduction patients with heart concentration of
in blood pressure. failure in whom it potassium in the
In addition, by reduces the blood, such as
reducing the chances of death or hydrodiuril
pressure against hospitalization due (Dyazide),
which the heart to heart spironolactone
(Aldactone), and
must pump blood, failure. Blockers
potassium
candesartan appear to be supplements,
reduces the work of approximately as should be used
the heart and is effective as ACE cautiously with
useful in patients inhibitors, and the candesartan.
with heart failure. effects of
candesartan add to
the effects of ACE
inhibitors when
they are used
together.

GENERIC NAME CLASS AND INDICATION DRUG SIDE EFFECTS

(brand name, MECHANISM, INTERACTIONS
route and
dosage)
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Nursing Care Plan
and
Drug Study

Submitted by:

Mariveeh P. Obrador