Nursing Responsibilities:

Before:

Check the doctors order.

Determine the prescribed test and other restrictions prior to the

test.
Get the laboratory requisition slip.
Explain to the patients S.O. what the procedure to be done is.
Inform the patients S.O. that this requires a blood sample.
Inform the patients S.O. how the procedure is performed, the
equipment to be used.

During:

Explain to the patients S.O. what test should be done.

Prepare all the equipments to be used.
Assist the patient if necessary.
Ensure a sterile blood sample from the patient.

Send the blood sample to the laboratory immediately.

Proper documentation.

After:

B.

Drugs

Name of
Drugs:
Generic
Name,
Brand
Name
Generic
Name:
Cefuroxim
e
Brand
Name:
Cefuroxim
e

Date
Ordered
Date
Performe
d Date
Changed
D/C

Route or
Admin
Dosage
and
Frequenc
y of
Admin.

Gen.
Action
Function
Classificati
on
Mechanism
of AX

Indicatio
n (s) or
Purpose(
s)

Clients
response to
the
medication
w/ actual
side effects

DO:
11/10/14
DP:
11/10/14
DC:
---------

300 mg IV
every 8
hours

Antiinffectives,
second
generation
cephalospor
in, bind to
bacterial
cell wall
membrane.
causing cell
death.

Treatment
of
respirator
y tract
infections.

Theres a
decrease of
microorganis
ms causing
the infection
evident by
not having
fever.

Nursing Responsibilities:
Before:

Obtain skin test before the start of the treatment.

Determine previous hypersensitivity to the medication.
Explain the reason to the patients S.O. for prescribing the
medication, the effects and side effects of the drug to the
client.

During:

Administer slowly over 3-5 minutes.

Monitor site frequently for thrombophlebitis (pain, redness

and swelling).
Check the IV patency before administering the medication.

Instruct S.O. to report signs of superinfection (furry

After:
overgrowth on tongue, loose or foul smelling stools) and

allergy.
Instruct clients S.O. to notify any health care professional
if fever and diarrhea develop, especially if stool contains
pus, blood or mucus.

Name of

Date

Route or

Gen. action

Indication(

Clients

Drugs:
Generic

ordered

admin

function

s) or

response

Date

dosage

classificatio

Purpose(s)

to the

Performed
Date

and

medicatio

frequenc

mechanism

n w/

y of

of AX

actual

Name
Brand Name

changed

side

admin.
Generic

DO:

95 mg IV

Antipyretic,

Treatment

effects
The

Name:
Acetaminoph

11/11/14
DP:11/11/1

every 4

nonopioid

for fever.

patients

hours

analgesics.

was

en
Brand Name:
Paracetamol

Inhibits the

maintaine

synthesis of

d within

prostaglandi

normal

ns that may

range.

DC:---------

serve as
mediators of
pain and
fever,
primarily

CNS.

Nursing Responsibilities:
Before:

Obtain culture and sensitivity test before the treatment starts.

Obtain history of hypersensitivity to analgesics.

Get the patients temperature before administering the medication

During:

Check the patency of the IV.

Administer slowly.

After:

Obtain patients temperature.

Instruct S.O. to report signs of superinfection (furry overgrowth on

tongue, loose or foul- smelling stools) and allergy.

Instruct clients S.O. to notify any health care professional if fever and
diarrhea develop, especially if stool contains pus, blood or mucus.

Name of

Date

Drugs:
Generic

ordered

Name
Brand
Name

Date
performe
d Date
changed

Route or
admin
dosage
and
frequenc

Gen. action
function

Indication(s)
or
Purpose(s)

Name:
Albuterol
Brand
Name:

response

classification

to the

mechanism of

medicatio

AX

n w/
actual

y of

side

admin
Generic

Clients

DO:

1 neb.

Bronchodilato

Used as

effects
The

11/10/14
DP:

every 4

rs; binds to

bronchodilat

patient

hours

beta 2-

or to control

maintaine

adrenergic re

and prevent

d patent

ceptors in

reversible

airway.

11/10/14
DC:---------

Salbutam

airway

airway

ol

smooth

obstruction

muscle,

caused by

leading to

respiratory

activation of

conditions.

adenyl
cyclase and
increased
levels of
cyclic-3, 5adenosine
monophospha
te (cAMP).
Increases in
cAMP activate
kinases,
which inhibit
the
phosphorylati
on of myosin
and decrease
intracellular
calcium that
leads to
relaxation of
smooth
muscle
airways.
Nursing Responsibilities:
Before:

Assess lung sounds before administration and during peak of

medication.

Make sure that the equipments are clean before using them.

During:

Shake inhaler well.

Maintain a fowlers position.

Keep the inhaler close to the patient to make sure she inhales the
medication.

After:

Provide mouth care because nebulization can cause bad taste.

Advise patients S.O. to rinse with water, to minimize drying of mouth.