HEALTH

PROBLEM

FAMILY
NURSING
PROBLEMS

Presence of health
threats r/t
accidents
(example: broken
wooden flooring)

Inability to provide
a home
environment
conducive to
health
maintenance and
personal
development due
to inadequate
family resources.

GOAL OF
CARE
After nursing
intervention, the
family will take
appropriate
actions in
repairing their
house.

OBJECTIVES
OF CARE
After nursing
intervention, the
house damaged
flooring will be
repaired and will
be able to achieve
its stability.

INTERVENTION PLAN
NURSING
INTERVENTIONS
1. Discuss with
family the
accidents that
may arise
because of the
holes in the
wooden
flooring.

METHOD OF
NURSE-FAMILY
CONTACT

RESOURCES
REQUIRED

Home visit
Effort of family
and nurse
Expenses for fare
of nurse and
family

HEALTH
PROBLEM

FAMILY
NURSING
PROBLEMS

Presence of health
threats r/t threat
of cross infection
from a
communicable
disease case

Inability to provide
a home
environment
conducive to
health
maintenance and
personal
development due
to:
a. Inadequate
knowledge
of
importance
of hygiene
and
sanitation
b. Lack of
knowledge
of
preventive
measures

GOAL OF
CARE
After nursing
intervention,
other family
members must
not be affected by
the disease
condition.

OBJECTIVES
OF CARE
After nursing
intervention the
family will be able
to practice
appropriate
hygiene and good
sanitation to
prevent the
spread of disease.

INTERVENTION PLAN
NURSING
INTERVENTIONS
1. Give
appropriate
health teaching
about proper
hygiene and
good
sanitation.
2. Demonstrate
proper treating
of scabs to
prevent the
spread of
infection.
3. Discuss with
the family ways
of spreading
the diseases for
it to be
prevented.

METHOD OF
NURSE-FAMILY
CONTACT
Home visit

RESOURCES
REQUIRED
CHN bag: cotton
balls with
povidone iodine,
cotton balls with
sterile water,
gloves, forceps,
sulfur soap
Guava leaves,
casserole, water,
matchbox,
Effort of family
and nurse
Expenses for fare
of nurse and
family

HEALTH
PROBLEM

FAMILY
NURSING
PROBLEMS

Poor home
condition r/t
presence of
breeding or
resting sites of
vectors of disease

Inability to provide
a home
environment
conducive to
health
maintenance and
personal
development due
to inadequate
knowledge on
preventive
measures.

GOAL OF
CARE
After nursing
intervention,
breeding areas of
vectors will be
eradicated.

OBJECTIVES
OF CARE
After nursing
intervention, the
couple will be able
to cut tall grasses
beside their
house.

INTERVENTION PLAN
NURSING
INTERVENTIONS
1. Give health
teaching about
the tall grasses
that could be a
possible
breeding place
of mosquitoes.
2. Discuss with
the family the
possible sign
and symptoms
of dengue.
3. Demonstrate
with the family
measures in
managing signs
and symptoms
of dengue.
4. Instruct the
family to cut
tall grasses,
turn containers
upside down it
not in use and
cover water
containers.

METHOD OF
NURSE-FAMILY
CONTACT
Home visit

RESOURCES
REQUIRED
Trowels, scissors
Effort of family
and nurse
Expenses for fare
of nurse and
family

HEALTH
PROBLEM
Scabies

FAMILY
NURSING
PROBLEMS
Inability to provide
adequate nursing
care to the sick,

GOAL OF
CARE
After nursing
intervention, the
family will take

OBJECTIVES
OF CARE
After nursing
intervention the
family will be able

INTERVENTION PLAN
NURSING
INTERVENTIONS
1. Involve the
whole family in

METHOD OF
NURSE-FAMILY
CONTACT
Home visit

RESOURCES
REQUIRED
CHN bag: cotton
balls with

disabled,
dependent or
vulnerable
member of the
family due to
a. Inadequate
family
resources
for care,
specifically
financial
constraints.
b. Lack of
knowledge
of disease
condition

HEALTH

FAMILY

necessary
measures to
properly manage
scabies.

to manage the
disease by
applying the
prescribed
medicine and
following
appropriate skin
care.

OBJECTIVES

giving health
teaching about
scabies, how it
is managed,
prevented and
cured.
2. Teach family
about the use
of alternative
medicines (e.g.
boiling of
guava leaves
used in
cleaning
scabies)
3. Demonstrate to
the family the
measure for
treating scabies
(e.g. use of
sulphur soaps).
4. Demonstrate to
the family how
to clean
wounds by
dressing it as
part of the
proper
management of
scabies.

povidone iodine,
cotton balls with
sterile water,
gloves, forceps,
sulfur soap
Guava leaves,
casserole, water,
matchbox,
Effort of family
and nurse
Expenses for fare
of nurse

INTERVENTION PLAN

PROBLEM

NURSING
PROBLEMS

Ear discharge

Inability to provide
adequate nursing
care to the sick,
disabled,
dependent or
vulnerable
member of the
family due to
c. Inadequate
family
resources
for care,
specifically
financial
constraints.
d. Lack of
knowledge
of disease
condition
Inability to make
decisions with
respect to taking
appropriate health
actions due to
inaccessibility of
appropriate
resources for care,
specifically
financial
inaccessibility.

HEALTH

FAMILY

GOAL OF
CARE
After nursing
intervention, the
family will take
necessary
measures to
properly manage
ear discharge.

OF CARE
After nursing
intervention the
family will be able
to manage the
disease by setting
a schedule for
check-up and
taking prescribed
medications.

OBJECTIVES

NURSING
INTERVENTIONS

METHOD OF
NURSE-FAMILY
CONTACT

1. Assess child
Home visit
through IMCI.
2. Advise the
family to set for
a check- up in
the rural health
center.
3. Discuss with
the family the
importance of
managing ear
discharge
appropriately to
prevent other
complications.
4. Give
appropriate
health teaching
on proper
management of
ear discharges
like taking
appropriating
antibiotics.

RESOURCES
REQUIRED
IMCI booklet
Effort of family
and nurse
Expenses for fare
of nurse and
family

INTERVENTION PLAN

PROBLEM
rash

NURSING
PROBLEMS

GOAL OF
CARE

OF CARE

Inability to provide
adequate nursing
care to the sick,
disabled,
dependent or
vulnerable
member of the
family due to
c. Inadequate
family
resources
for care,
specifically
financial
constraints.
d. Lack of
knowledge
of disease
condition
Inability to make
decisions with
respect to taking
appropriate health
actions due to
inaccessibility of
appropriate
resources for care,
specifically
financial
inaccessibility.

After nursing
intervention, the
family will be able
to take
appropriate health
actions in
managing the
disease.

After nursing
intervention the
family will be able
to
a. Schedule for
a check- up
in RHU to
know the
cause of the
disease
condition.
b. Appropriate
antibiotics to
manage the
disease
c. Eradicate
the disease
condition.

NURSING
INTERVENTIONS
1. Advice parents
to visit rural
health unit for
consultation.
2. Assess child
through IMCI.
3. Counsel the
parents about
childs
condition and
give
appropriate
health
teaching.

METHOD OF
NURSE-FAMILY
CONTACT

RESOURCES
REQUIRED

Home visit
Effort of family
and nurse
Expenses for fare
of nurse and
family

HEALTH
PROBLEM

FAMILY
NURSING
PROBLEMS

Risk for
cardiovascular
diseases r/t
cigarette smoking

Inability to
recognize the
presence of the
condition or
problem due to
lack of knowledge.

GOAL OF
CARE
After nursing
intervention,
cardiovascular
diseases will be
prevented by the
family.

OBJECTIVES
OF CARE
After nursing
intervention Mr.
Hermonio will be
able to gradually
decrease number
of cigarettes use
every day until
such time he is
able to stop it.

INTERVENTION PLAN
NURSING
INTERVENTIONS

METHOD OF
NURSE-FAMILY
CONTACT

1. Give
Home visit
appropriate
health
teaching
about the
possible risk
to health of
cigarette
smoking.
2. Discuss to
the family
about 1st, 2nd
and 3rd hand
smokers
and their
effects to
health.

RESOURCES
REQUIRED

Effort of family
and nurse
Expenses for fare
of nurse and
family

WEST VISAYAS STATE UNIVERSITY

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient:Princess Mael Hermonio

Bed/ Ward No.: __________________ Attending Physician: _____Dr. Zeny Dequilla
_
Age: 2 years old
Impression/ Diagnosis: _____________________________________
Name of Drug
Dosage, Route,
Mechanism of
Indication
Adverse
Special
Nursing
Frequency and
Action
Reaction
Precaution
Responsibilities
Timing
1.Note for any
Generic:
Dosage:
Anti-inflammatory, Relief of moderate CNS:Somnolence,
Use cautiously
headache, insomnia,
mefenamic acid
500mg/capsule
analgesic, and
pain.
with asthma, renal allergies, renal or
fatigue, tinnitus,
hepatic failure, CV
antipyretic
or hepatic
ophthalmic effect
activities related
impairment, peptic and GI conditions,
Dermatologic: Rash
pregnancy, and
Brand:
Route:
to inhibition of
ulcer disease, GI
pruritus, dry mucus
lactation.
membranes,
Harfevan
PO
prostaglandin
bleeding,
2.Check for skin
stomatitis
synthesis.
hypertension,
color, lesions,
GI:Nausea, vomiting,
heart
pregnancy,
orientation, reflexes.
dyspepsia, GI pain,
3. Recheck name of
diarrhea, constipation, and lactation.
Frequency:
flatulence, ulcers, GI
drug and expiration
bleeding
date.
Q6H
Classification
Contraindication
Side Effects
3.Give with milk or
food when GIupset
Functional:
Contraindicated
Dizziness,
occurs.
Non-steroidal Antiwith
tiredness,
4. Encourage and
inflammatory Drug
hypersensitivity to sweating
ensure patient to
mefenamic acid,
Timing:
comply with drug
aspirin allergy,
6 12 6 12
regimen.
Chemical:
and as treatment
5. Discontinue drug
of preoperative
if adverse effects
pain with coronary
happen.
bypass grafting.
Clinical Instructor: ______Zanita Glenda Plaga, RN______
Reference: Karch, A. (2011). Nursing Drug Guide. Philadelphia: Lippincott Wiliams
and Wilkins
Evelyn Bacalangco, RN
.

West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient: ____Princess MaelHermonio ______

Bed/ Ward No.: __________________ Attending Physician: __Dr. Zeny Dequilla
_________
Age: ________________
Impression/ Diagnosis:
_____________________________________
Name of Drug
Dosage, Route,
Mechanism of
Indication
Adverse Reaction
Special
Nursing
Frequency and
Action
Precaution
Responsibilities
Timing
Generic:
Dosage:
It relieves nasal
1.
To control
1. Insomnia
1.
Cardiac
1.
Assess lung
salbutamol
5ml/teaspoon
congestion and
and prevent
2. Restlessness
disease including
sounds, PR and
reversible
reversible
3. Palpitations
coronary
BP before drug
bronchospasm by
airway
4. Angina
insufficiency, a
administration
Brand:
Route:
relaxing the
obstruction
5. Arrhythmias
history of
and during
PO
smooth muscles
caused by
6. Hypertension
stroke, coronary
peak of
of the
asthma or
7. Hyperglycemia
artery
medication.
bronchioles. The
chronic
8. Hypokalemia
diseaseand
2.
Observe
relief from nasal
obstructive
9. Tremor
cardiac
fore
Frequency:
congestion and
pulmonary
10.
Headach
arrhythmias
paradoxical
TID
bronchospasm is
disorder
e
2.
Hypertension
spasm and
made possible by
(COPD)
11.
Chest
3.
Hyperthyroidi
withhold
the following
2.
Quick relief
pain
sm
medication and
mechanism that
for
12.
Nervousn 4.
Diabetes
notify physician
Timing:
takes place when
bronchospasm
ess
5.
Glaucoma
if condition
8 4 12
Salbutamol is
3.
For the
13.
6.
Geriatric
occurs.
administered.
prevention of
patients older
3.
Administer
exerciseindividuals are at
PO medications
1.
First, it
induced
higher risk for
with meals to
binds to the
bronchospasm
adverse
minimize
beta24.
Long-term
reactions and
gastric
adrenergic
control agent
may require
irritation.
receptors in
for patients
lower dosage
4.
Extendedthe airway of
with chronic or
7.
Pregnancy
release tablet

Classification
Functional:
Mucolytic
Chemical:

the smooth
muscle which
then leads to
the activation
of the adenyl
cyclase and
increased
levels of cyclic35-adenosine
monophosphat
e (cAMP).
2.
When cAMP
increases,
kinases are
activated.
3.
Kinases
inhibit the
phosphorylatio
n of myosin
and decrease
intracellular
calcium.
4.
Decreased
in intracellular
calcium will
result to the
relaxation of
the smooth
muscle
airways.

persistent
bronchospasm

Contraindicatio
n
1.
2.

Hypersensitivity to
adrenergic amines
Hypersensitivity to
fluorocarbons

Side Effects
1.

Nausea and vomiting

especially near
should be
term
swallowed8.
Lactation
whole. It should
9.
Children less
not be crushed
than 2 years of
or chewed.
age because
5.
If
safety of its use
administering
has not been
medication
established
through
10.
Excess
inhalation,
inhaler use which
allow at least 1
may lead to
minute
tolerance and
between
paradoxical
inhalation of
bronchospasm
aerosol
medication.
6.
Advise the
patient to rinse
mouth with
water after
each inhalation
to minimize dry
mouth.
7.
Inform the
patient that
Albuterol may
cause an
unusual or bad
taste.

Clinical Instructor: ______Zanita Glenda A. Plaga, RN; Evelyn Bacalangco_Reference: Karch, A. (2011). Nursing Drug Guide. Philadelphia:
Lippincott Wiliams and Wilkins

WEST VISAYAS STATE UNIVERSITY

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient: ___Pricess Mael Hermonio_______

______
Age: ________________
_____________________________________
Name of Drug
Dosage,
Mechanism of
Route,
Action
Frequency
and Timing
Generic:
Dosage:
Bactericidal:
Co-amoxiclav
5ml/teaspoon
Inhibits synthesis
of cell wall of
sensitive
Brand:
Route:
organisms, causing
PO
cell death.

Frequency:
Q8H
Classification
Functional:
Antibiotics
Chemical:
Penicillin
Combination
Beta-lactamase
inhibitors

Timing:
84 12

Bed/ Ward No.: __________________

Attending Physician: ___Dr. Zeny Dequilla

Impression/ Diagnosis:
Indication

Adverse Reaction

Broad spectrum for

adults and children;
treatment of tonsillitis
and pharyngitis caused
by Streptococcus
pyogenes, infections
due to susceptible
strains of H. influenza,
E. coli, Proteus
mirabilis, N.
gonorrheae, S.
pnuemonae,
Enterococcus faecalis,
streptococci

CNS: lethargy, hallucinations,

seizures
GI: diarrhea, abdominal pain,
glossitis, stomatitis,gastritis, sore
mouth and furry tongue,
pseudomembranous
colitis,enterocolitis, bloody
diarrhea
GU:Nephritis
Hematologic: Anemia,
thrombocytopenia, leukopenia,
neutropenia, prolonged bleeding
time.
Others: Superinfections, fever
wheezing vaginitis

Contraindication
Contraindicated
with
hypersensitivity to
penicillin,
cephalosphorins
and other
allergens.

Side Effects
Nausea, vomiting, rash

Special
Precaution
Use
cautiously
with renal
disorders,
pregnant
women and
lactating
women.

Nursing
Responsibilities
1.Note for any
allergies to penicillin,
cephalosphorins and
other allergens , renal
or hepatic failure, CV
and GI conditions,
pregnancy, and
lactation.
2.Culture infected
area priortreatment.
3. Ensure compliance
to drug regimen,
ensure around-theclock doding.
4. Provide health
teachings susch as
importance of not selfmedicating.
5. Tell client to report
signs of adverse
reactions and
immediately seek
consultation.

Clinical Instructor: ______Zanita Glenda A. Plaga, RN; Evelyn Bacalangco, RN______

Reference: MIMIS Philippines. Retrieved from: http://mims.com/Philippines/drug/info/Amoclav%20Suspension/?q=co-amoxiclav&type=brief

WEST VISAYAS STATE UNIVERSITY

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient: _____Princess Mael Hermonio _________

___
Age: ________________
_____________________________________
Name of Drug
Dosage, Route,
Mechanism of
Frequency and
Action
Timing
Generic:
Dosage:
Antihelmethic
albendazole
400mg/tablet
agents are
indicated for the
treatmenr of
Brand:
Route:
infections by
Wormhooker
PO
certain susceptible
worms and are not
interchangeable.
Antihelmenthics
Frequency:
interfere with
BID
metabolic
processes in
Classification
particular worms;
Functional:
Antihelmenthic
Timing:
66
Chemical:
benzimidazole
derivative agents

Bed/ Ward No.: __________________

Attending Physician: ___Dr. Zeny Dequilla

Impression/ Diagnosis:
Indication

Adverse
Reaction

Albendazole is
indicated for
treatment of
active lesions
caused by prok
tapeworm and
cystic disease of
the liver, lung and
peritoneum
caused by dog
tapeworm.
Contraindication
Contraindicated
with
hypersensitivity to
albendazole,
pregnancy,
neonates,
lactating mothers,
and liver
impairment

GI discomfort,
headache, nausea,
allergic reactions,
pruritus, raised
liver enzymes,
alopecia and dry
mouth, bone
marrow
depression.
Side Effects
dizziness

Special
Precaution
Caution with liver
impairments.
Patients being treated
for neurocysticercosis
should receive
appropriate steroid
and anticonvulsant
therapy as required.
Oral or intravenous
corticosteroids should
be considered to
prevent cerebral
hypertensive episodes
during the first week
of anticysticeral
therapy.
Pre-existing
neurocysticercosis
may also be
uncovered in patients
treated with
albendazole for other
conditions. Patients
may experience
neurological
symptoms (e.g.

Nursing
Responsibilities
1.Monitor blood
counts and liver
function.
2. Administer within
7 days of start of
normal
menstruation in
women of
childbearing age.
3.Adequate
nonhormonal
contraceptive
measures must be
taken during and for
1 mth after therapy.
4.Perform liver
function tests and
blood counts before
and every 2 wk
during high dose
therapy of hydatid
disease.

seizures, increased
intracranial pressure
and focal signs) as a
result of an
inflammatory reaction
caused by death of
the parasite within the
brain. Symptoms may
occur soon after
treatment; appropriate
steroid and
anticonvulsant
therapy should be
started immediately.
Cysticercosis may, in
rare cases, involve the
retina. Before
initiating therapy for
neurocysticercosis, the
patient should be
examined for the
presence of retinal
lesions. If such lesions
are visualized, the
need for anticysticeral
therapy should be
weighed against the
possibility of retinal
damage caused by
albendazole-induced
changes to the retinal
lesion.

Clinical Instructor: ______Zanita Glenda A. Plaga, RN; Evelyn Bacalangco, RN___

Reference: MIMS Philippines. Retrieved from: http://mims.com/Philippines/drug/info/albendazole/?q=albendazole&type=brief&mtype=generic

WEST VISAYAS STATE UNIVERSITY

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient: Arceli Angga-an

___
Age: _____
Name of Drug
Dosage, Route,
Frequency and
Timing
Generic:
Dosage:
Levonorgestrel +
ethinylestradiol
Route:
Brand:
PO
Mycrogynon
Frequency:
OD

Timing:

Bed/ Ward No.: __________________

Mechanism of
Action

Indication

Combination of
Contraception
hormonal
contraceptives
inhibits ovulation
by modulating
pituitary secretion
of
gonadotrophins,
luteinising
hormone and
follicle stimulating
hormone through
a negative
feedback system.
They reduce
sperm
penetration if
ovulation does
occur by altering
the cervical
mucus; cause
changes in the
endometrium
which reduce the
risk of nidation

Attending Physician: _________Dr. Zeny Dequilla

Impression/ Diagnosis: _____________________________________

Adverse Reaction
Special
Nursing
Precaution
Responsibilities
Menstrual
irregularities;
headache,
dizziness; breast
discomfort;
gynaecomastia;
depression;
disturbance of
appetite; wt
changes; fluid
retention; oedema;
changes in libido;
hair loss or
hirsutism; GI
disturbances
(nausea and
vomiting);
genitourinary
changes;
haematologic
disorders;
endocrine and
metabolic
disorders;
cholestatic

Sex-steroid
dependent
cancer; past
ectopic
pregnancy;
malabsorption
syndromes;
functional ovarian
cysts; active liver
disease, recurrent
cholestatic
jaundice, history
of jaundice in
pregnancy;
history of CV or
renal impairment;
DM; asthma;
epilepsy;
migraine;
depression;
lactation;
conditions
exacerbated by
fluid retention;
hypercalcaemia;

1. Counsel clients
about the
indication of
the drug and
the drug are
not indicated
for preventing
or curing HIV or
AIDS.
2. Monitor blood
glucose
concentrations in
patients with
diabetes. Closely
monitor patients
on long-term
corticosteroids
and diabetic
patients on insulin
for infection.
3. Drug is excreted in
breast milk.
4. Levonorgestrel
(oral) is not
recommended for
routine use as a
contraceptive.
5. Instruct patients to

and may change

the tubal
transport of the
ova through the
fallopian tubes.
Absorption:
Absorbed by GI
tract.
Bioavailability:
ethinyl estradiol:
38-48%;
levonorgestrel:
100%.
Distribution:
Distribution:
Ethinyl estradiol:
4.3 L/kg;
Levonorgestrel:
1.8 L/kg. Protein
binding: Ethinyl
estradiol: 95-97%;
Levonorgestrel:
97-99% bind to
sex hormonebinding globulin
and albumin.
Metabolism:
Slowly
metabolised.
Estradiol: hepatic
via oxidation and
conjugation in GI
tract;
hydroxylated via
CYP3A4 to
metabolites; firstpass effect;
enterohepatic

jaundice; local skin

reactions; chorea;
contact lens
intolerance;
steeping of corneal
curvature;
pulmonary
thromboembolism;
carbohydrate
and/or glucose
intolerance;
depression;
chloasma; BP
increase, liver
impairment;
reduced menstrual
loss, 'spotting' in
early cycles,
absence of
withdrawal
bleeding; rarely
photosensitivity;
increased risk in
breast cancer;
elevation of plasma
bound iodine,
cortisol and thyroid
binding,
erythrocyte
sedimentation may
be accelerated;
increases in plasma
copper, iron and
alkaline
phosphatase; may
affect serum
triglyceride and
lipoprotein levels;

CV and gall
bladder diseases;
lipid effects;
familial defects of
lipoprotein
metabolism;
patients at risk of
venous
thromboembolism
, breast cancer,
preexisting
uterine
leiomyomata and
benign hepatic
adenoma; family
history of arterial
disease in 1st
degree relative
<45 yr; BP >
systolic 140
mmHg and
diastolic 90
mmHg; >35 yr;
BMI 30-39 kg/m2;
migraine without
focal aura,
controlled with
5HT1; GI upset
(vomiting and
diarrhoea),
missed pills and
interaction with
other drugs may
require additional
contraceptive
precautions.
Should be taken
at same time

take
levonorgestrel
emergency
contraceptive as
soon as possible
and not more than
72 h after
unprotected
intercourse or
known or
suspected
contraceptive
failure.
6. Monitor VS of
client.
7. Recheck name
of drug and
expiration date
8. Tell patient to
report to health
care provider
immediately if
adverse effect
occurs.

Classification
Functional:
Cotraceptive
Chemical:
Progesterone;
Emergency
contraceptive

recirculation;
reversibly
converted to
estrone and
estriol.
Levonorgestrel:
hepatic involving
CYP3A4;
undergoes
reduction and
conjugation
followed by
hydroxylation;
forms
metabolites.
Excretion: Half life
elimination:
estradiol: 12-23
hr; levonorgestrel:
22-49 hr.
Excretion:
levonorgestrel:
urine (40-68%
parent drug and
metabolites) and
faeces (16-48%
as metabolites);
estradiol: through
urine as
metabolites
estrone and
estriol, also
through faeces in
small quantities
as glucuronide
and sulphate
conjugates.

retinal vascular
thrombosis.
Potentially Fatal:
Hepatic tumours;
increased risk of
thromboembolism.

Contraindicatio
n
Pregnancy,
undiagnosed
vaginal bleeding,
severe arterial
disease (or family
history of
atherogenic lipid
profile); liver
adenoma;
porphyria; after
evacuation of
hydatidiform
mole; history of
breast cancer;
hepatic
impairment;
thrombophloebitis
or
thromboembolic
disorders; breast
carcinoma except
in selected

Side Effects
Acne,
hypertension,
abdominal pain,
nausea, vomiting
and
diarrhea,vaginitis,
dysmenorrhea,
breast pain,
abnormal pap
smear and
decreased
libido,weight gain
and fatigue, back
pain

each day.

patients being
treated for
metastatic
disease;
oestrogendependent
tumour; smoking
40 cigarettes
daily; >50 yr;
diabetes
complications
present; BMI >39
kg/m2; migraine
with typical focal
aura, lasting >72
hr despite
treatment or
migraine treated
with ergot
derivatives; BP
>160 mmHg
systolic and 100
mmHg diastolic;
transient
ischaemic attacks
without
headaches; SLE;
gallstones; history
of haemolytic
uraemic
syndrome, pruritis
during pregnancy;
cholestatic
jaundice; chorea
or deterioration of
otosclerosis
pemphigoid;
breast feeding

during 1st 6 mth

after delivery.

Clinical Instructor: ______Zanita Glenda A. Plaga, RN ; Evelyn Bacalangco, RN

Reference: MIMS Philippines. Retrieved from: http://mims.com/Philippines/drug/info/levonorgestrel%20%2b%20ethinylestradiol/?
q=levonorgestrel%20%2B%20ethinylestradiol&type=brief&mtype=generic

West Visaya State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY

Name of Patient: ___Arceli Angga-an

Dequilla
______
Age: ________________
_____________________________________
Name of Drug
Dosage, Route,
Frequency and
Timing
Generic:
Dosage:
Diethylcarbamazin 500mg/capsule
e citrate
Brand:
Filarizide

Classification
Functional:
anthelmintic
Chemical:
piperazine and
derivatives agents

Route:
PO

Frequency:
Q6H

Timing:
6 12 6 12

______________

Bed/ Ward No.: __________________

Attending Physician: ____Dr. Zeny

Impression/ Diagnosis:
Mechanism of
Action
Diethylcarbamazine is
an anthelmintic that is
used in the treatment
of lymphatic filariasis.
It is active against the
microfilariae and adult
worms of W. bancrofti,
B. malayi, B.
timori and Loa loa but
only against the
microfilariae of O.
volvulus. It is also
used in treatment of
toxocariasis. Repeated
courses may be
necessary.
Absorption: Readily
absorbed from the GI
tract (oral); skin
(topical); conjunctiva
(optical).
Distribution: Widely
distributed in tissues.
Excretion: Urine (as
unchanged drug and
N-oxide metabolite).

Indication

Adverse
Reaction

Special
Precaution

Prophylaxis &
treatment
of filariasis.

Anorexia, nausea,
vomiting, headache,
dizziness, drowsiness;
allergic reactions esp
in onchocerciasis
& Brugia
malayiinfections;
encephalitis & retinal
hemorrhage in loiasis;
acute abdominal
symptoms esp in
childn w/ ascariasis.

Contraindication
Pregnancy,
hypersensitivity;
lactation; infants,
elderly or
debilitated
patients; impaired
renal function;
cardiac disease.

Side Effects
dizziness,
drowsiness,
nausea,headache,
vomiting,

Hypersensitivity
reactions. Monitor
for eye changes in
patients w/
onchocerciasis.
Discontinue use at
the 1st sign of
cerebral
involvement in
patients w/ loiasis.
Cardiac or renal
disease.
Pregnancy. Infant.
Elderly &
debilitated
patients.

Clinical Instructors: ______Zanita Glenda Plaga, RN ______

Reference: MIMS Philippines. Retrieved
from:http://mims.com/Philippines/drug/info/Filarizide/?q=filarizide&type=brief

Nursing
Responsibilities
1. Inform client
of the
indication,
administratio
n and special
precautions
with regards
to drug.
2. Ask client if
he is taking
other
medications
which could
result to a
drug-drug
interaction.
3. Assess
clients health
condition
prior to giving
medication.
4.

Evelyn Bacalangco, RN______