University of Iloilo - PEN College of Nursing DRUG STUDY Patients Name: ___________________________________ Ward/Bed No.

: ___________________ Impression/Diagnosis: __________________________ Age: ____________________________________________ Chief Complaints: __________________ Attending Physician: __________________________

Drugs

Classification/Mechanism of Action

Indication

Contraindication

Side Effect/Adverse Reaction Body as a Whole System: Flu symptoms, chills, photosensitivity. Cardiovascular System: Arrhythmia, hemorrhage, hypertension, cardiovascular disease, angina pectoris, heart failure, postural hypotension, thrombosis, vasodilatation, migraine, syncope. Digestive System: Constipation, GI distress, GI hemorrhage, gastritis, melena, aphthous stomatitis, eructation.

Special Precaution/Nursing Responsibility Observe 10 rights in administering medication. Assess platelet counts every 2 days for 1 week and every week thereafter, response should begin after 1-2 weeks; Hgb and WBC. Monitor BP, pulse during treatment until stable; Take BP lying, standing (orthostatic hypotension is common) Monitor cardiac status; chest pain (what

Generic: Antiplatelet anagrelide Brand: Agrylin Dosage: 0.5mg Route: PO Frequency: BID Timing: 8AM 6PM Indicated for the treatment of patients Reduces platelet with count and prevents thrombocythemia early platelet shape secondary to changes in response myeloproliferative to aggregating disorders, to reduce agents thus inhibiting the elevated platelet platelet aggregation. count and the risk of thrombosis and to ameliorate associated symptoms including thrombo-hemorrhagic events. Hypersensitivity to drug and hypotension.

Hemic & Lymphatic System: Anemia, thrombocytopenia, ecchymosis, lymphadenopathy. Hepatic System: Elevated liver enzymes Musculoskeletal System: Arthralgia, myalgia, leg cramps. Nervous System: Depression, somnolence, confusion, insomnia, nervousness, amnesia. Respiratory System: Rhinitis, epistaxis, respiratory disease, sinusitis, pneumonia, bronchitis, asthma. Skin and Appendages System: Skin disease, alopecia. Special Senses: Amblyopia, abnormal vision, tinnitus, visual field abnormality,

aggravates or ameliorates condition) Teach patient/family:

That medication is not a cure; may have to be taken continuously in evenly spaced doses only as directed. To avoid hazardous activities until stabilized on medication; dizziness may occur. To rise slowly from sitting or lying to prevent orthostatic hypotension. Not to use alcohol or OTC medications unless approved by prescriber. To report cardiac reactions (increased bruising, bleeding) Evaluate therapeutic response (decreased platelet count)

diplopia. Urogenital System: Dysuria, hematuria.

Students name: _____________________________________ Year & Section: _____________________________________

Clinical Instructor: ________________________________ Date Submitted: __________________________________