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COLLEGE OF NURSING

La Paz, Iloilo City

DRUG STUDYName of Patient:__________________________________ Attending Physician:____________________________Age:__________ Ward/Bed Number:__________ Impression/ Diagnosis:_________________________

Name of DrugDosage, Route,Frequency and

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilitie

Generic:

hydroxyurea

Brand:Krabinex

Dosage:

30mg/kg/day2caps

Route: PO

Frequency: TID

Timing: 8 1 6

It has a cytotoxic effect

inhibiting an enzyme thatis crucial for DNA

synthesis. It takes theplace of normal protein

thus inhibiting growth ofcancer cells.

*Nursing spectrum Drug

handbook 2010. 5th Edition. P.

557-559

For myelogenous

leukemia

Bone marrow

suppression,megaloblastosis,

infertility, tubulardysfunction, leukopenia

Impaired renal or

hepatic function

*Assess allergies to hydroxyurea, a

as renal or hepatic function

*Be aware of precautionary measu

handling such antineoplastic drug(m

carcinogenic)

*Instruct patient not to chew, crush

chew the drug

*Inspect oral mucosa for erythema ulcerations; and instruct to use a so

bristled toothbrush to prevent bleed

gums.

*Educate patient about maintenanc

frequent small meals and maintena

good nutrition and hydration(2-3L

fluid)

*Instruct to report about fever, chil

throat, unusual bleeding or bruising

severe nausea, vomiting, loss of ap

and mouth sores and thus prompt

interventions can be done

Classification Contraindications Side Effects

Functional: Antineoplastic

Chemical:antimetabolites

Hypersensitivity tohydroxyurea and in

severe bone marrowsuppression

Headache, dizziness,disorientation,

maculopapular rash,stomatitis, anorexia,

vomiting, diarrhea,constipation, fever, chills,

malaise

Student's Name:__________________________________________Clinical Instructor:________________________________________

West Visayas State University

7/21/2019 Sultamicillin, Hydroxyurea, Paracetamol, Nystatin

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COLLEGE OF NURSING

La Paz, Iloilo City

DRUG STUDYName of Patient:__________________________________ Attending Physician:____________________________Age:__________ Ward/Bed Number:__________ Impression/ Diagnosis:_________________________

Name of DrugDosage, Route,Frequency and

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilitie

Generic:

paracetamol

Brand:Biogesic

Dosage:

500mg/tab 1 tab

Route: PO

Frequency: PRN

Timing: Q4H for

T=37.8C and

Unclear. Pain relief may

result from inhibitionof prostaglandin synthesis

in CNS, with subsequentblockage of pain

impulses.Fever reduction may

result fromvasodilation and increased

peripheral blood flow inhypothalamus, whichdissipates heat and lowers

body temperature.

*Karch, Amy M. 201

Lippicotts nursing drug guide

*Deglin, J., vallerand,A.,

davissDrug Guide for nurses

11th Edition.

*Nursing Spectrum Drug

handbook 2010 5th edition P

14-15

Treatment of

fever/hyperthermia

CV: myocardial damage

Hema: thrombocytopenia,hemolytic

anemia, neutropenia,leukopenia, pancytopenia

Hepatic: hepatotoxicity,renal failure

Metabolic: hypoglycemiccoma

Anemia

Renal and Hepaticdisease

*Assess allergy, renal and hep

function,

*Observe for acute toxicity aoverdose.

*Tell patient, parents, or othecaregivers not to use drugconcurrently with other

acetaminophen-containingProducts to avoid overdose antoxicity

*Aware the patient that there

increased risk of hepatotoxiciwith alcohol, thus instruct to

drinking alcoholic beverages

Classification Contraindications Side Effects

Functional:Antipyretics

Chemical:Non-opioid

analgesic

HypersensitivyAlcohol use

CNS: headacheCV: chest pain

Resp: DyspneaMeta: hypoglycemia

GU: hematuria, anuriaGI:abd. pain

Hepatic: jaundiceSkin: rash, urticaria

Other: hypersensitivityreactions (such

as fever)

Student's Name:__________________________________________Clinical Instructor:________________________________________

West Visayas State University

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COLLEGE OF NURSING

La Paz, Iloilo City

DRUG STUDYName of Patient:__________________________________ Attending Physician:____________________________Age:__________ Ward/Bed Number:__________ Impression/ Diagnosis:_________________________

Name of DrugDosage, Route,Frequency and

Timing

Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilitie

Generic:

Nystatin

Brand:

Dosage: 5cc

Route: PO(swish

and swallow)

Frequency: TID

Timing: 8 1 6

Fungistatic/fungicidal:

Binds to fungal cellmembrane allowing

leakage of cellularcontents.

Interferes with fungalcell-wall synthesis,

inhibiting formation ofergo sterols, increasing

cell-wall permeability,and causing osmoticinstability.

*Deglin, J., vallerand,A.,

davissDrug Guide for nurses

11th Edition.

*Nursing Spectrum Drug

handbook 2010 5th edition

Oral/oropharyngeal

candidiasis and GIinfection

renal or hepatic

disease,achlorhydria

denturewearers(require

soaking)

*if patient missed a dose, inst

to take dose as soon as possibbut not if almost time for nex

schedule, and then resume hiregular dosing schedule

*patient should hold suspens

mouth before swallowing, thegargle or swish and swallow

*increased irritation of mucomembranes may indicate the

to discontinue medication

Classification Contraindications Side Effects

Functional:antiinfective

Chemical:

antifungal

Hypersensitivity(someproducts may contain

ethyl or benzylalcohol)-avoid use in

patients who arehypersensitive or

intolerant of theseadditives)

GI: nausea, vomiting,diarrhea, GI distress,

oral irritation(large doses)

Student's Name:__________________________________________

Clinical Instructor:________________________________________