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DRUG Dosage Mechanism of Action

Indications &Contraindications

Side Effects/Adverse Effects

Nursing Responsibilities

Generic Name: ferrous

fumarate

Brand Name:Femiron

Functional class:

Iron preparation

Chemical class:

1 tablet,

PO, TID

Elevates serum

ironconcentration,which helps to

formhaemoglobin or

trapped inreticuloendotheli

al cells forstorage and

eventualconversion to ausable form of

iron.

Indication:

Prevention andtreatment ofiron deficiencyanemia.

Dietarysupplement foriron.

Contraindication:

Contraindicated

with allergy toany ingredient;sulphite allergy;hemochromatosis,hemosiderosis,hemolyticanemias.

Use cautiouslywith normaliron balance;peptic ulcer,regionalenteritis,ulcerativecolitis.

Side Effects:

nausea vomiting

constipation

GI upset

Adverse Effects:

CNS toxicity

Coma anddeath withoverdose

Assessment

Check the drug name, dosage,

frequency, route and the right patient towhom the drug is given.

Assess for skin lesions, color of gums,

teeth, assess for bowel sounds.

Check for the result of CBC, Hgb, Hct,

serum ferritin and iron levels.

Planning

Administer oral drug with meals,avoiding milk, eggs, coffee, andtea, if GI discomfort is severe,slowly increase to build up

tolerance. Administer drug on empty

stomach with water.

Implementation

Explain to the patient what thedrug is for and its side oradverse effects.

Inform patient that stool may bedark or green.

Monitor hematocrit and

hemoglobin levels. Advise patient to have periodic

blood tests during therapy todetermine appropriate dosage.

Instruct patient not to takedrugs with antacids ortetracyclines.

Keep the drug out of reach fromchildren.

Watch out for or instruct patient

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to report for GI upset, lethargy,rapid respirations, constipation.

ASSESSMENT NURSING

DIAGNOSIS

PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective:NO, I cannot move, Ineed assistance. As

verbalized by thepatient.

Objective:-Post op CABG

-Gordons functionallevel test: 3

-presence of edema onboth legs.

-difficulty turning

-Body weakness

-Lethargic

Activityintoleran

cerelated

toinsufficie

ntmuscle

strength.

Short term goal:After 8 hours of

nursingintervention thepatient will be

able toparticipatewillingly innecessary

activities.

Long term goal:After 3 days of

nursingintervention thepatient will beable to havesome limitedmobility andcontinuously

practice

techniques thatwill improved his

condition.

Independent:-Monitored vitalsigns.

-Assessedfunctional levelstrength.

-Changedbeddings andKept bed clothesdry and wrinkledfree.

-Performed bedbath and oral

hygiene.

-Providedprotection andcomfort measurethrough the useof pillow.

-to maintain abaseline datafor the patientscurrentcondition.

-to determine

the recentstrength of thepatient to theenvironment.

-to preventfriction thatmay lead towoundformation.

-to maintain thecleanliness andmay decreasethe possibilitiesof furtherinfections.

-as a means ofcomfortmeasure.

GOAL MET

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-Assisted patientwhile eating.

Dependent:- Regulated theIV fluidhabitually.

Collaborative:-Assisted thepatients relativeto reposition thepatient.

-Instructed

patients relativeto turn thepatient atleastevery 2 hours.

-Observed whilethe physiciandiscussed thecurrent status ofthe patient.

-to maintainadequate

nutrition.

-to avoiddehydration.

-as a form ofcomfortmeasure.

-to avoid theformation ofpressure ulcers.

-to determinethe recentupdate ofpatientscondition.

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