X.

DRUG STUDY

CLASSIFICATION INDICATION ACTION CONTRA- ADVERSE NURSING

INDICATION REACTION CONSIDERATION
NAME: Anti- cough Acute cough Exerts - hypersensi . Rarely, skin - tell patient not
Sinecod of any expectorant, tivity rash, nausea, to used this
etiology. Pre- moderate - Allergy to diarrhea or drug for other
& post-op bronchodilati bultamirate dizziness health
cough ng and anti- citrate. conditions
sedation for inflammatory .
surgical action.
procedures &
bronchoscopy.
 CLASSIFICATION INDICATION ACTION CONTRA- ADVERSE NURSING
INDICATION REACTION CONSIDERATION
NAME: Anti- tuberculosis Combination Inhibits - hypersensi . paresenthiasis, . – Check for early
Strepto agent with other protein tivity stomatitis, damage of
mycin tubercular synthesis by - allergy to hepatotoxicity, vestibular portion of
sulfate drugs in binding amino- blood eight cranial nerve.
treatment of directly to glycoside dyscariasis, - Monitor intake
all forms of the Nephrotoxicity, and output.
active ribosomal enceplalopathy,
tuberculosis sub-unit; skin rashes,
caused by bactericidal. pruritus
susceptible
organism.
 CLASSIFICATION INDICATION ACTION CONTRA- ADVERSE NURSING
INDICATION REACTION CONSIDERATION
NAME: Central nevous Patients with Reduces - hypersensi . it provides - Monitor signs
paraceta system agent; non- fever.. fever by tivity temporary and symptoms
mol narcotic analgesic, direct action . analgesia for of
antipyretic to mild to moderate hepatotoxicity.
hypothalamu pain. - Advice the
s heat patient or the
regulating relative not to
center with take other
consequent medications
peripheral containing
vasodilation, acetaminophen
sweating without medical
and advice.
dissipation of - Tell them also
heat. not to have a
self medication.
XI. NURSING CARE PLAN

ASSESSMENT NSG DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: ineffective airway After 30 minutes > assess respiratory > diminish breath After 30
“nahihirapan clearance related of nursing function sounds may minutes of
akong huminga” to sputum intervention, reflect atelectasis nursing
as verbalized by production as patient will intervention,
the patient. evidence by poor expectorate >position the patient >maximizes the patient can
Objective: coughs effort of secretion without into semi- fowlers lung expansion expectorate
- thick the patient. assistance. position secretion
viscous without
secreation >instruct the client to >for easier assistance
do the coughing and expectoration of
- productive
breathing exercise phlegm
cough
- dyspnea
>encourage fluid >to loosen and
- difficulty intake moisten the
vocalizing secretion
- abnormal >administer oxygen
respiratory 2lpm via nasal >prevent on
rate anf canula drying mucus
cardiac membrane
rate: >administer
PR: 130 bpm medication as >reduces the
RR: 34 cpm indicated thickness and
stickiness of
secretion
 ASSESSMENT NSG DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Subjective: Imbalance After 6days of > discuss eating > to appeal to After 6days of
“wala akong nutrition: less than nursing habits include food clients likes and nursing
ganang kumain” body intervention, preference desires intervention,
as verbalized by requirements patient will patient had
the patient. related to inability demonstrate of >assess if there is >to know if this is demonstrate of
Objective: to ingest adequate weight gain. drug interaction one factor that weight gain
>loose of weight nutrients as maybe affecting
60kg from 65kg manifested by appetite, food
>muscle reported lack of intake or the
weakness absorption.
interest of food.
>note total daily >to reveal
intake changes that
should be made
in clients dietary
intake

>encourage the >to stimulate the

patient to choose appetite
foods that are
appealing

>promote pleasant, >to enhance

relaxing environment intake of food

>prevent or minimize >this may have

unpleasant odors or negative effect on
sights appetite or on
eating