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DRUG
CLASSIFICATION
ACTIONS
INDICATIONS
CONTRAINDICATION
ADVERSE SIDE
EFFECTS
NURSING CONSIDERATION
Generic:
prednisone
Brand Name:
Sterapred
corticosteroids
is used to
treat
conditions
such as
arthritis,
blood
disorders,
breathing
problems,
severe
allergies, skin
diseases,
cancer, eye
problems,
and immune
system
disorders.
1.
Replacement
therapy for
adrenals
cortical
insufficiency.
2.Hematologic
disorder:
thrombocytop
enia purpura
3.erythroblast
openia
Nausea, vomiting,
loss of appetite,
heartburn, trouble
sleeping, increased
sweating, or acne
may occur.
History:infections, renal or
liver disease
hypothyroidism, ulcerative
colitis with impending
perforation, hypertension.
Pyridostigmine
bramide
Antimyasthenic
cholesterase
inhibitor
Treatment of
myasthenia
gravis
Contraindicated with
hypersensitivity to
anticholinesterases,
adverse reaction to
bromides,intestinal
or urogenitals tract
obstruction,peritoniti
s,lactation
CNS:seizures,dizzi
ness,dysarthria,dro
wsiness,loss of
consciousness
CV:Bradycardia
,cardiac arrest
Hypersensitivity to
anticholines,asthma,peptic
ulcer and pregnancy
Potassium
electrolyte
Increase the
concentration
of
acetycholine
at the sitesof
cholinerginic
transmission
and prolongs
with
exaggerates
the effect of
cetylcholine
Principal
Prevention
Contraindicated with
GI:abdominal
Urinary output,abdominal
chloride
Mefenamic
acid
intracellular
cation of
most body
tissues
NSAID
ponstan
Azithromycin
Macrolide
antibiotic
zithromax
cefuroxime
Antibiotic,cephal
osporine
Antipyretics,antiinflammatory,
analgesics
Bacteriostatic
,bactericidal
in susceptible
bacteria
Bactericidal:i
nhibit
synthesis of
bacterial
cell,causing
cell death
and correction
of potassium
deficiency
Relief of
moderate pain
when therapy
will not
exceed one
week
Treatment of
primary
dysmenorrhea
Treatment of
lower
respiratory
infection,pneu
monia
Lower
respiratory
infection
UTI
allergy to therapy
with potassium
sparing diuretics or
aldosteroneinhibiting agent,GI
disorder,that delay
passage in the GI
tract
Caustiously with
pregnancy lactation
Contraindicated with
hypersensitivity to
mefenamic acid
Cautiously with
asthma,GI
bleeding,hypertensio
n,pregnancy
lactation
Contraindicated with
allergy
toerythromycin and
other macrolide
antibiotics
Use cautiously with
syphilis
Contraindicated with
penicillin
Use cautiously renal
failure,pregnant,lact
aion
discomfort,Gi
obstruction
examination,bowel
sounds,skin color,lesions,
CNS:headache,diz
ziness,tiredness,
GI
pain,diarrhea,vomiti
ng
CNS:dizziness,hea
dache,vertigo,fatigu
e
GI:diarrhea,abdomi
nal
pain,nausea,flatule
nce,vomiting
Site of infection:bowel
sounds,skin color,liver
evaluation,urinalysis,renal
function test
CNS:dizziness,hea
dache
GI:nausea,vomiting
,diarrhea,abdomina
l pain
Hephatic renal
impairment,lactaion and
pregnancy
Sensitivity test
Calcium salts
Antacid
Electrolyte
Helps
maintain the
functional
intergrity of
nervous and
muscular
system
Uncomplicate
d and
gonorrhea,bon
e and joint
infection
Treatment of
calcium
deficiency
Dietary
supplement
when calciu,
intake is
inadequate.
Contraindicated with
allergy to calcium
,hypercalcemia
CV:slowed heart
rate,
Local irritation
severe necrosis
Hypercalcemia
,rebound
hyperacidity
Ferrous
sulfate
Iron preparation
Elevates the
serum iron
concentration
Prevention
and treatment
of iron
deficiency
anemias
Contraindicated with
allergy to any
ingredient:sulfite
allergy
CNS toxicity
,acidosis,coma and
death with
overdose
Brand name:
Conzace
Generic
name:Multivita
mins
Vitamins and
Minerals
Cellular
maintenance
,repair and
prevention of
premature
aging
maintenance
of healthy
skin
Fight infection
and wound
healing since
it has vitamin
A,C,E, and
zinc
Contraindicated to
allergy to
Conzace,empty
stomach
CNS:dizziness,hea
dache
GI:nausea
Priority #1:
ASSESSMENT
DIAGNOSIS
Subjective "
nahihirapan ako sa
paghinga" as
manifested by the
patient
Objective:
- Rapid shallow
breathing
Ineffective
breathing
pattern related
to respiratory
muscle
weakness as
manifested by
disease
process as
evidence by
dyspnea.
SCIENTIFI
C
RATIONAL
E
Myastheni
a Gravis
->
Respirator
y muscle
weakness
in the
lungs ->
Narrowing
of
pathway
of air ->
ineffectiv
e airway
PLANNING
INTERVENTION
After 6hrs of
nursing
intervention
the patient will
establish an
effective
respiratory
pattern
Independent:
1. Auscultate chest
RATIONALE
3. To promote lung
expansion
4. Helps in giving adequate
oxygen to the client
EVALUATION
Priority 2:
ASSESSMENT
DIAGNOSIS
Subjective:
" Nanghihina ako, hindi ako
makakilos ng maayos" as
verbalized by patient
Impaired physical
mobility related to
weakness of
voluntary muscle as
manifested inability
to move purposely
within the physical
Objective:
Limited Range of Motion
Decreased muscle strength
and control
SCIENTIFIC
RATIONALE
PLANNING
INTERVENTION
RATIONALE
After 6 hours of
nursing intervention
the client will
increase the
strength ang
function of the
affected body part
1. Establish rapport
2. Encourage patient to
take few steps a day
3. Encourage light
exercise
4. Use side rails of the
bed
5. note
emotional/behavioral
responses to problems of
immobility
7. To promote muscle
relaxation
7.Administer
( antispasmodic)
medication as ordered
8. Administer
(multivitamins) as
ordered
8. To promote cellular/tissue
maintenance and repair
Priority 3:
ASSESSMENT
DIAGNOSIS
Objective:
Altered nutrition
less than body
requirement
related to
inadequate food
intake less than
recommended
daily allowance
( RDA) as
evidence by loss
of weight,
weakness of
muscle required
for swallowing
and anorexia
loss of weight
weakness of muscle
requird for swallowing
anorexia
SCIENTIFIC
RATIONALE
PLANNING
INTERVENTION
RATIONALE
EVALUATION
After 6 hours of
nursing
intervention the
patient will
demonstrate
progressive
weight gain
1. Establish rapport
2. Identify patients at
risk for malnutrition
( dyphagia weakness in
swallowing)
3. Auscultate the
bowel sound
4. increase protein,
carbohydrate calories
and fats.
5. determne ability to
chew, swallow or
taste
Dependent:
6. Administer
pharmaceutical
agents as ordered.
( digestive drugs, iron
1. To gain patients
trust
2. To know the
causative effect of the
disease
3. To note if there is
any abnormal bowel
movement
4. To provide diet
modification as
indicated
5. To know the factors
that can affect
ingestion or digestion
of nutrients.
6. To restore patients
metabolic pattern
to help diagnose
supplements/vitamits
)
7. assist with
diagnostic
procesdure
( gastrointestinal
series)