West Visayas StateUniversity

College of Nursing
DRUG STUDY
Name of Patient: LAB
Attending Physician: Dr. A
Age:
22 years old
Ward/Bed Number:
Impression/Diagnosis: Degloving injury left foot, thigh fracture closed,

OSW #3
complete transverse displaced middle 3rd
left femur

Dosage, Route,
Name of Drug

Frequency,

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Timing

1. Assess onset, type,

Generic:
Tramadol +

Dosage:
1 tab

Tramadol binds to opiatereceptors

Moderate to
severe pain

Pruritus
Increased

Paracetamol

andinhibitsreuptak

sweating

Brand:

Tinnitus

Dolcet

of norepinephrine
Route:

andserotonin.

PO

Itreducesintensity
of pain

Classification

stimuliincomingfro
Functional:
Analgesic

Frequency:
TID

m sensorynerve
endings,altering
pain perceptionan
d

Chemical:

Dry mouth
Asthenia
Contraindications
Side Effects

intoxication with
alcohol,

Nausea
Vomiting
Hot flushes
Fatigue

hypnotics,

Flatulence

narcotics,

Somnolence

centrally-acting

Dizziness

acting

analgesics,

Vertigo

analgesic

opioids or

Synthetic,

Timing:

centrally

816

emotionalresponse
to pain.

location and duration

patients at risk for

of pain.

seizures or

2. Effect of

respiratory

medication is reduced

depression;

if full pain recurs

increased

before next dose.

intracranial

3. Review past

pressure or head

medical history

injury.

especially epilepsy or
seizures.

Hypersensitivity
Acute

Use cautiously in

4. Give without
regards to meals.
5. Assist with
ambulation if
dizziness or vertigo
occurs.
6. Dry crackers or
cola may relieve
nausea.

psychotropic
drugs

Students Name: ___________________________

Clinical Instructor: _________________________

West Visayas StateUniversity

College of Nursing
DRUG STUDY
Name of Patient: LAB
Age:
22 years old
injury left foot, thigh fracture closed,

Dosage, Route,

Ward/Bed Number:

OSW #3

Attending Physician: Dr. A

Impression/Diagnosis: Degloving
complete transverse displaced middle 3rd
left femur

Name of Drug

Frequency,

Mechanism of Action

Indication

Adverse Reactions

Special Precautions

Nursing Responsibilities

Timing
.
Generic:

Dosage:

Inhibits bacterial

Complicated bone

Seizures

Use cautiously in

1. Monitor intake and

Ciprofloxacin

500 mg/tab 1

DNA synthesis,

infection

Pseudomembrano

patients with CNS

output and observe for

Brand:

tab

mainly by blocking

us colitis

disorders and

signs of crystalluria.

DNA gyrase;

Leukopenia

seizure disorders.

2. Encourage an

bactericidal.
Classification

Contraindications

3. Instruct to avoid

Syndrome

Frequency:
Fluoroquinolone

in the urine.

Steven-Johnsons

Functional:

BID

occurrence of crystals

PO

Chemical:

intake to prevent

Thrombocytopeni

Route:

Antibiotic

increase in oral fluid

Neutropenia

caffeine while on
therapy because of

Side Effects

potential of increased

Rash

caffeine levels.

Confusion

s
Timing:
86

4. Advise to take full

Headache

course of antibiotics

Diarrhea

5. If rash occurs, hold

Nausea and

medication and notify

Vomiting

prescriber.

Crystalluria
Students Name: ___________________________
Clinical Instructor: _________________________

West Visayas StateUniversity

College of Nursing
DRUG STUDY
Name of Patient: LAB
Age:
22 years old
injury left foot, thigh fracture closed,

Ward/Bed Number:

OSW #3

Attending Physician: Dr. A

Impression/Diagnosis: Degloving

complete transverse displaced middle 3rd

left femur

Name of Drug
Generic:
Omeprazole
Brand:
Prilosec

Dosage, Route,
Timing,
Frequency
Dosage:
20 mg/tab 1
tab
Route:
P.O.

Classification
Functional:
Proton pump
inhibitor

Timing:
6
Frequency:
OD

Chemical:
Substituted
benzimidazole

Students Name: ___________________________

Clinical Instructor: _________________________

Mechanism of Action

Indication

Symptomatic,
poorly
responsive
gastroesophage
al reflux
disease(GERD)

Suppresses
gastric
acid
secretion
by
specific inhibition
of the hydrogenpotassium
adenosinetriphos
phatase
enzyme Gastric ulcer
found
at
the
secretory surface
of
the
parietal Contraindications:
cells.
Contraindicated
in patients
hypersensitive
to drug or its
components.

Adverse Reaction

Stevensjohnson
syndrome
Agranulocyto
sis
Anaphylaxis
Pancreatitis
Hemolytic
anemia
Side Effects
Dizziness
Headache
Abdominal
pain
Constipation
Diarrhea
Flatulence
Nausea and
vomiting
Back pain

Special
Precaution
Use
cautiously in
patients with
hepatic
impairment.

Nursing Intervention
1 Encourage
patient to take
drug exactly
as prescribed.
2 Warn patient
not to crush or
chew tablets
or capsules.
3 Inform patient
that OTC drugs
may require 14 days for full
effect,
although some
patients get
complete relief
within 24
hours.
4 Advise patient
to take drug at
least 1 hour
before meals.
5 Warn patient
to report
diarrhea that
does not
improve,
especially with
watery stools,
fever and
abdominal
pain.

West Visayas StateUniversity

College of Nursing
DRUG STUDY
Name of Patient: LAB
Attending Physician: Dr. A
Age:
22 years old
Ward/Bed Number:
Impression/Diagnosis: Degloving injury left foot, thigh fracture closed,

Name of Drug

Dosage, Route,
Timing,
Frequency

Generic:
Carbamazepine Dosage:
Brand:
Tegretol

200 mg/tab 1
tab
Route:
P.O.

Mechanism of Action

Indication

Prevents seizure Generalized

tonic-clonic and
activity;
eliminated
pain complex partial
caused
by seizures, mixed
seizure
trigeminal
patterns
neuralgia.

Timing:
8
6
Classification
Functional:
Anticonvulsant
, analgesic
Chemical:
Iminostilbene
derivative

Frequency:
OD

OSW #3
complete transverse displaced middle 3rd
left femur

Adverse Reaction

Special
Precaution

Worsening of
seizure,
Hypotension,
Congestive
heart failure
Aplastic
anemia, Liver
failure,
agranulocytosis
, hepatitits,
stevensjohnson
syndrome

Use
cautiously in
patients with
mixed seizure
disorders
because drug
may increase
risk seizures
usually
atypical
absence or
generalized.

Contraindications:

Side Effects

Contraindicated
in patients
hypersensitive
to drug or
tricyclic
antidepressants
and with
previous bone

Dizziness,
fatigue
Headache,drow
siness,albuminu
ria
Abdominal pain,
Constipation,
Diarrhea,Flatule

Nursing Intervention
1 Instruct
patient to take
drug with food
to minimize GI
distress.
2 Give drug in
divided doses
to maintain
consistent
level.
3 Instruct
patient to
keep tablets in
original
container,
tightly closed
away from
moisture,
some
formulations
may harder
when exposed.
4 Never abruptly
stop the drug
when treating
seizure or

marrow
suppression.

Students Name: ___________________________

Clinical Instructor: _________________________

nce
Nausea and
vomiting
Back pain,
peripheral
edema

status
epilepticus.
Immediately
notify
prescriber for