Drug Name Generic Name: Amoxicillin Brand Name: Amox Classification: Anti infective Availability: Capsules: 250mg, 500mg

g Tablet: 500mg, 875mg

Action Inhibits cell wall synthesis during bacterial multiplication, leading to cell death. Shows enhanced activity toward gram negative bacteria compared to natural and penicillinase resistant penicillins. -

Indication Uncomplicated gonorrhea Bacterial endocarditis prophylaxis Lower respiratory Tract infections

Contraindication Hypersensitivity to drug or any penicillin

Side Effect CNS: lethargy, hallucinations, anxiety, confusion, dizziness, fatigue, seizure ( with high doses) GI: nausea and vomiting, diarrhea, bloody diarrhea, abdominal pain, gastritis GU: interstitial nephritis Hematologic: thrombocytopenia, hemolytic anemia Respi: wheezing Skin: rash

Nursing Consideration - Monitor for signs and symptoms of hypersensitivity reaction - Evaluate seizure when giving high doses - Monitor patient temp. - Tell patient to immediately report signs and symptoms - Tell patient to take with food to decrease GI upset

Drug Name Generic Name: Ketorolac tromethamine Brand Name: Apo ketorolac, taradol Classification: Analgesic, Anti pyretic, anti inflammatory Availability: Injection: 15mg/ml in 1ml preloaded syringes, 30mg/ml in 1-and-2ml preloaded syringes Tablet: 10mg

Action Interferes with prostaglandin biosynthesis by inhibiting cyclooxygenase pathway of arachidonic acid metabolism; also acts as potent inhibitor of platelet aggregation

Indication Moderately severe acute pain -

Contraindication Hypersensitivity to drug, its components, aspirin or other NSAIDs Peptic ulcer disease GI bleeding or perforation Labor and delivery breastfeeding

Side Effect CNS: drowsiness, headache, dizziness CV: HPN, EENT: tinnitus GI: nausea and vomiting, diarrhea, constipation, flatulence, dyspepsia, epigastric pain Hematologic: thrombocytopenia Skin: rash, pruritus, diaphoresis

Nursing Consideration - monitor side effects - monitor fluid intake and output - inform patient that drug is meant only for short term pain management - advise patient to minimize GI upset by eating small frequent servings of healthy foods - caution female patient not to take drug if she is breastfeeding

Drug name Generic Name: Methylergonovine maleate Brand Name: Methergine Classification: Oxytocic Availability: Injection: 0.2mg/ml Tablet: 0.2 mg

Action Directly stimulates vascular smooth muscles contractions in uterus and cervix and decreases bleeding after delivery

Indication Prevention and treatment of post partum hemorrhage

Contraindication hypersensitivity to drug HPN Toxemia Pregnancy (except during third stage of labor)

Side Effect CNS: dizziness, headache, hallucination, seizures, CVA (with I.V use) CV: HPN, thromboplebitis GI: nausea and vomiting, diarrhea GU: hematuria Musculoskeletal: leg cramps Respiratory: dyspnea Skin: diaphoresis, rash, allergic reaction

Nursing Consideration - Monitor VS - Monitor patient for adverse effects - Inform patient and family of reason for using drug, and provide reassurance .

Drug Name Generic Name: Mefenamic Acid Brand Name: Ponstant. Ponstel Classification: Nonsteroidal anti inflammatory drug Availability: Capsule: 250mg

Action Produces anti inflammatory, analgesic and antipyretic effects possibility through inhibition of prostaglandin synthesis

Indication Mild to moderate pain Dysmenorrhea

Contraindication - Hypersensitivity to drugs

Side Effect CNS: drowsiness, dizziness, nervous, headache CV: edema EENT: blurred vision, eye irritation GI: nausea and vomiting, diarrhea, peptic ulceration, hemorrhage GU: dysuria, hematuria

Nursing Consideration - Contraindication in GI ulceration or inflammation - Stop drug if rash - Administer with food to minimize GI adverse reaction - Use Cautiously in history of peptic ulcer disease.

Drug Name Generic Name: Ampicillin Brand Name: Omnipen Classification: Anti-infective Availability: Capsules: 250 mg, 500 mg Oral suspension: 125 mg/5 ml, 250 mg/5 ml Powder for injection: 125 mg, 250 mg, 500 mg, 1g, 2g, 10 g

Action -Binds to bacterial cell wall,resulting in cell death. Therapecific effect: Bactericidal action; spendrum is broader than penicilin

Indication -Respiratory infection -otitis media -Sinusitis -Genitourinary infection -prevention of infection in certain high-risk patients undergoing sesarean section

Contraindication -Hyper sensitivity to penicillins

Side Effect -CNS: Seizures GI: Diarrhea N2 V DERM: Rashes urticaria Hematology: Blood Dyscrasias

Nursing Consideration -Assess patient for infection -Monitor VS -Observe patient for signs and symptoms

ASSESSMENT Subjective: Masakit pag gumagalaw ako as verbalized by the patient Objective: - Facial grimace - Guarding behavior - Protective gesture - P- surgical incision - Q-slicing - R-near the incision site at left side - S-9/10 - T-when moving mas masakit - 1 min ang matagal na sakit

DIAGNOSIS Acute pain related to surgical incision as manifested by facial grimace

PLANNING Short term goal: within 8 hours of nursing intervention the patient will decrease her pain from 9/10 to 7/10 Long term goal: Within 2-3 days of nursing intervention the patient verbalize controlled of pain and diminished pain

INTERVENTION Independent: - Monitor VS Note location of surgical procedures

RATIONALE For baseline data To know the complication that make worsening the pain To promote pain managemen t and comfort To prevent fatigue To distract attention and reduce tension

Provide comport measures Positioning Quiet environment Calm activities Encourage adequate rest periods Instruct in and encourage use of relaxation technique like Deep breathing Watching tv

EVALUATION Short term goal: After 8 hours of nursing intervention the patient decreased her pain from 9/10 to 7/10 Goal met Long term goal: After 2-3 days of nursing intervention the patient verbalized controlled of pain and diminished pain Goal met

Dependent: - Administer analgesic as prescribed by doctors Collaborative: Collaborate in treatment of underlying condition causing pain occur

To maintain level of pain

To rule out worsening of underlying condition

ASSESSMENT Subjective: hindi ako masyadong makatulog as verbalized by the patient Objective: - Change in normal sleep (3-4 hours) - Discomfort - Decrease ability to function Weak Yawning Nap (15-30 mins)

DIAGNOSIS Disturbed sleep pattern related to interruption (monitoring) as manifested by change in normal sleep

PLANNING Short term goal: Within 1 day of nursing intervention the patient will improved sleep pattern Long term goal: Within 2-3 days of nursing intervention the patient will feel rested

INTERVENTION Independent: - Monitor VS - Identify presence of factors known to interfere with sleep - Minimize sleep disrupting factors - Provide bed rest - Provide quiet environment - Determine clients usual sleep pattern and expectation Dependent: - Refer to physician as indicated Collaborative: - Perform monitoring and care activities without waking client whenever possible

RATIONALE -

EVALUATION Short term For baseline goal: data After 1 day of Helps to nursing identify the intervention the cause of patient interrupt improved sleep sleep pattern pattern To promote Goal met sleep Long term goal: To promote After 2-3 days relaxation of nursing To promote intervention the relaxation patient feel Provides rested comparative Goal met data

For specific intervention including medication Allows longer periods of uninterrupte d sleep, especially during night

ASSESSMENT Subjective: nanghihina ako hindi ako makatayo as verbalized by the patient Objective: - Weakness - Discomfort - Pain - Pale - Sleepy

DIAGNOSIS Activity intolerance related to surgical pain as manifested by weakness

PLANNING Short term goal: Within 1 day of nursing intervention the patient will decrease her weakness Long term goal: Within 2-3 days of nursing intervention the patient will increase her activity tolerance

INTERVENTION Independent: - monitor VS - note presence of factor contributing to fatigue - provide bed rest - assist with activities and monitor client - promote comfort measures and provide for relief of pain - note client reports of weakness, fatigue, pain - quiet environment

RATIONALE for baseline data fatigue affects activity to conserve energy to protect client from injury to enhance ability to participate in activities symptoms may be result of contribute to intolerance of activity helps minimize frustration and provide comfort to decrease fatigue and promote comfort to the

EVALUATION Short term goal: After 1 day of nursing intervention the patient decrease her weakness Goal met Long term goal: After 2-3 days of nursing intervention the patient increased her activity tolerance Goal met

Dependent: - Provide and monitor response to supplement

oxygen, medication and changes in treatment regimen Collaborative: - Note presence of medical diagnosis and therapeutic regimen

patient

to perform at a desired level of activity