DRUG STUDIES

Drug Name

Classification

Mechanism of

Contraindication

Adverse Reaction

Action
Ampicillin

Anti-infective

Nursing
Responsibility

Inhibits cell wall

> Contraindicated

CNS: seizures,

> Before giving

synthesis during

in patients

lethargy,

drug ask patient

bacterial

hypersensitive to

hallucinations,

about allergic

multiplication.

drug or other

anxiety, confusion,

reaction to

penicillin.

agitation,

penicillin.

> Use cautiously in

depression

patients with other

drug allergies
because of possible
cross-sensitivity and

CV: vein irritation,

thrombophlebitis

> Give drug IM or

IV only if infection

in those with

is severe and if

mononucleosis

patient cant take

because of high risk

oral dose.

of maculopapular
rash.

.Watch for signs and

symptoms of
hypersensitivity.

GI: diarrhea,

> Give drug 1-2

nausea,

hours before or 2-3

pseudomembranous

hours after meals.

colitis, vomiting,
gastritis,
enterocolitis

GU: interstitial

> Monitor sodium

nephritis,

level because each

nephropathy

gram of penicillin
contains 2.9 mEq of
sodium

HEMATOLOGIC:
leukopenia,
thrombocytopenia,
anemia

OTHER:
hypersensitivity

> In patient with

impaired renal
function, decrease
dosage.

reaction, over
growth of non
susceptible
organism

Drug

Classification

Name

Amikacin

Mechanism of

Contraindication

Adverse Reaction

Contraindicated in patients
hypersensitive to drug or other
amino glycosides.

CNS:-neuromuscular blockade

Nursing Responsibility

Action

Amino

Inhibits protein

glycoside

synthesis by
binding directly
to the30S
ribosomal
subunit;
bactericidal

Use cautiously in patients with

impaired renal function or
neuromuscular disorders, in
neonates and infants and in
elderly patients

EENT:- ototoxicity

>Correct dehydration before

therapy because of increase risk
of toxicity.
>Watch for signs
and symptoms of super infection
(especially URT), such as
continued fever, chills, and
increased pulse rate.

Drug Name

Classification

Mechanism of

Contraindication

Adverse Reaction

Nursing Responsibility

Action

Trade name :
Salbutamol Neb
Generic name:
Albuterol
Sulfate

Bronchodilator

Acts relatively
selectively at beta 2
adrenergic receptors to
cause broncho
dilation and
vasodilation.

Contraindicated with
hypersensitivity to
albuterol;
tachyarrhythmia,
tachycardia cause by
digitalis intoxication.

CNS: Restlessness,
apprehension, anxiety, fear,
CNS stimulation, vertigo,
headache, weakness,
tremors, drowsiness

doctors order and

Kardex.

Dermatologic: Sweating,
pallor, flushing

Respiratory: Respiratory
difficulties, pulmonary
edema, coughing,
bronchospasm, paradoxical
airway resistance with

Observe rights in
medication
administration such as
giving the right drug
to the right patient
using the right route
and at the right time.

CV: Cardiac arrhythmias,

palpitations, tachycardia

GI: Nausea, vomiting,

heartburn, unusual or bad
taste in the mouth

Check and verify with

Raise side rails up

because client might
be restless and drowsy
because of this drug.

Assess pulse for

rhythm.

Provide oral care after

repeated, excessive use of

inhalation preparations

inhalation to get rid of

the unpleasant
aftertaste of the
inhalation.

NURSING CARE PLAN

Assessment
Subjective:
Mainit ang anak ko, as
verbalized by the mother.

Nursing Diagnosis
Hyperthermia
related to
Inflammatory
Process as
evidenced by an

Objective:

increased in body
temperature and

>Increased body temperature increase in WBC

>Skin warm to touch
>Tachypnea

Planning
Short-term:
After 30 minutes of

Intervention

Rationale

1. Monitor neonates - To determine the

After 30 minutes of

condition.

need for intervention

Nursing Intervention the

and the effectiveness

patient was able to

of therapy.

maintain normal body

Nursing
Intervention the

temperature to 37.4

patient will
maintain normal

2. Monitor Vital

body temperature

Signs

- To have a baseline
data

a total of 15.4 where

in the normal is 5.010.0

3. Provide TSB

- Helps in lowering
down the temperature

>Tachycardia
> WBC a total of 15.4
> Vital Signs taken:
Temp.=37.9
RR=62

Evaluation

4. Do not share

- This would prevent

equipment with other the spread of

infants

pathogens to the
infant from

Goal is met.

PR=174

equipment
5. Administer
Anti-pyretics as

- To lowering down

ordered

temperature

Assessment

Nursing

Planning

Intervention

Rationale

Evaluation

Diagnosis
Subjective: Palaging gutom ang Ineffective

After 30 minutes to

baby ko iyak ng iyak, as

breastfeeding r/t

hours of Nursing

verbalized by the patient mother.

unsatisfactory feeding

Intervention, the baby

process as evidence

will be able to stop

by patients doesnt

crying ad will show

Objective:

> The baby doesnt respond to other respond to other

satisfactory response to

comfort measures given by the

comfort measures

breast feeding process

mother.

given by the mother.

> Good suck

Provided health teachings

about breastfeeding

The mother understands the

>Proper positioning(Hold
baby tummy
to tummy, babys
nose and chin should be
placed against the breast)

of breastfeeding and

importance and benefits

>For effective

demonstrates proper

breastfeeding

breastfeeding technique.
(The goal was completely met)

>Breastfeed every 2-3

hours, 8-10 times daily
>How to get good
attachment (Make sure baby
sucks the areola, not just the
nipple. Baby's top and
bottom lip should be turned
out. Baby's chin should be
pressed into the breast)
>Clean breasts only with
water and cotton, dont use
soap or lotion.

> Soap will

remove the
natural oils
that are present
on your breasts
and nipples

and will
contribute to
drying and
cracking
> To be able
>Support babys head,
neck and back.

to breastfeed
properly and
for the safety
of the baby

Assessment

Nursing
Diagnosis
.

Planning

Intervention

Rationale

Evaluation