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Drug Study

Brand and Generic Action Uses/ Indication Contraindication Side effects Nursing Consideration
Name

Tramadol Centrally acting Used for Hypersensitivity, Vasodilation, -Assess patient


( Dolotral, analgesic not moderate to acute dizziness/ pain( location and
Milador) chemically severe pain intoxication with vertigo, types)
related to alcohol, headache, -Assess for
opioids but hypnotics, stimulation, hypersensitivity
binds to mu- centrally acting anxiety, reaction: rash and
opioid receptors analgesics confusion and pruritus
and inhibits sleep disorder -Monitor for possible
reuptake of drug induced adverse
norepinephrine reaction
and serotonin CNS;stimulation
dizziness,vertigo,hea
dache,
CV:vasodilation
GI:nausea
Azyth Binds to the P Treatment of Hypersensitivityt Hypersensitivity Assess for sign
(Azythromycin) site of 50s infection of o azithromycin reaction such as: symptoms of
bacterial respiratory tract or or any skin redness infection :fever
ribosomal , skin and skin macrolide with or without drainage,sore throat
subunits thereby structure,and antibiotic itching increased WBC count
inhibiting sexually photosensitivity, positive specimen
protein transmitted joint pains culture
synthesis. disease cause
Treatment of by susceptible
infection in skin organisms
and soft tissues.

Band Name and Action Uses/ indication Contraindication Side effects Nursing
Generic Name consideration
Cefradine Inhibits Infection caused Patients with history GI disturbances -hypersensitivity
(drug maker’s mucopeptide by susceptible of shock, hypersensitivity to drugs
Biotech synthesis in strains of hypersensitivity to reactions. -monitor for
cefradine) bacterial cell staphylococci, any ingredients and positive
wall streptopneumoni to cephem-type response to
a and E-coli antibiotics antibiotic
therapy
-monitor for
signs of
infections
Losartan Selectively Treatment of Pregnancy, breast Dizziness, dose- -assess BP ,
(bepzar,lifezar) blocks the hypertension ,in feeding, hypokalemia related Monitor for
binding at heart failure and orthostatic possible drug
angoitensin II to myocardial hypotension.impa reaction
receptor sites in infarction, ired renal -assess patient’s
many tissues function and and family
especially the rarely knowledge of
vascular smooth ,rash,angioedem drug therapy
muscles and a and raised
adrenal glands. alanine.
This prevents
the
vasoconstricting
and
aldestosterone
secreting of
angoitensin II on
these tissue
Ferrous Sulfate Provides Prevention and Hypersensitivity to Alteration and Obtain baseline
Brotesol,feosol elemental iron, treatment of any abdominal pain assessment of
Spansule,Fer-in- an essential iron-deficiency ingredients,hemoside with nausea, iron deficiency
sol component in anemia rosis, hemolytic vomiting diarrhea before starting
formation of anemia. or constipation. therapy
hemoglobin in -evaluate
red blood cell hemoglobin,
development. hematocrit and
reticulocyte
count during
therapy.
-monitor for
adverse
reaction.
-increase
-assess diet
nutrion
GORDONS 11 TYPOLOGY OF FUNCTIONAL HEALTH PATTERNS

BEFORE HOSPITALIZATION DURING HOSPITALIZATION

A.)HEALTH MANAGEMENT PATTERNS


“asthma at UTI”
® what is your past illnesses? “umiinom lang ng gamot”
®what do you do whenever you “kumakain lang ng mga gulay at
got sick? prutas”
“pumupunta ako sa center , tuwing
®how do you maintain your good nakakaramdam lang ako ng sakit”
health?

®how often do you go to the


doctor to have medical check-up?

B.)SELF-PERCEPTION PATTERN
®how do you describe yourself? “malakas, abala sa mga gawaing “ito nakahiga lang, walang silbi”
®your moods? bahay” “naging maiinitin ang ulo”
®how many times do you take a “madaldal, palatawa at palabiro” “hindi na ako nakakaligo,punas-
bath in a day? “dalawang beses sa isang araw” punas lang”
®how many times do you brush
your teeth in a day? “hindi na ako nagtotoothbrush, wala “mga isang beses lang”
na akong ngipin, mumog- mumog
lang”
C.) NUTRITIONAL-METABOLIC
PATTERN “kanin,gulay at mga fruits” “kung ano lang ang nirarasyon ditto
®what are the foods you usually tulad ng kanin, pansit at tinapay”
eat? “tatlong beses sa isang araw” “ganun pa din, tatlong beses pa din”
“mga apat –anim na beses sa isang “mga apat –anim na beses”
®how many times do you ate in a araw”
day?
®how many times do you drink
water in a day?
D.)ELIMINATION PATTERN
®how many times do you defecate “isang beses sa isang araw” “isang beses lang din”
in a day? “wala naman” “wala”
®any discomfort? “ mga tatlo o apat na beses sa isang “ngayon, naka pampers kasi ako”
®how many times do you urinate araw” “mga dalawang beses”
in a day?
®how many times do you change “wala naman”
your pampers in a day? “wala naman”
®any discomfort?
E.)ACTIVITY- EXERCISE PATTERN
®what are the things you usually “nag aalaga ng mga apo ko, “ito nakahiga lang, pautos utos lang,
do? gumagawa ng mga gawaing bahay at nahihirapan na akong gumalaw-
naglalabada” galaw”
®hobbies? “nanunuod ng T.V, nag-aalaga ng “ditto nakikinig ng music sa
mga apo” cellphone ng anak ko”
®exercise? “dito paunat unat lang”
“Tumatakbo-takbo”
F.)SLEEP-REST PATTERN
®usual no. of hours of sleep and “siyam na oras” “walong oras”
rest @ night?
®at day time? “hindi ako natutulog sa hapon” “Mga dalawang oras”
®how do you relax yourself? “nanunod lang ng t.v” “nakahiga lang dito”
G.)ROLE- RELATIONSHIP PATTERN
“oo” “oo”
®do you have close family ties? “kumakain ng sama-sama, “wala na eh”
®how do you bond with each other? nagkwekwentuhan at nagtatawanan”
”yung mga anak ko at mga “yung anak kong ngababantay sa
kapitbahay ko” akin, mga pasyente din dito at mga
bantay nila”
®who do you talk most often? “super bonding kami, puro tawanan, “wala na eh”
kwentuhan”
®how do you bond with your
neighborhood?

H.)COPING-STRESS PATTERN
”kapag nag aaway ang mga apo ko” “kapag iniiwanan nila ako dito sa
®what are things that made you “nagsesermon, nilalabas ang galit, hospital”
angry? salita ng salita” “wala lang, hindi kumikibo”
®what do you do whenever you got “malungkot, hindi ako
angry? makapaniwala” “malungkot, masama ang loob”

“hindi pa” “hindi pa masyado, nalulungkot ako


kasi namatay ang manugang ko at
®how do you feel towards the hanggang ngayon di pa nahuhuli
death of your son- in law? ang pumatay”
“nagdadasal, pinapasa diyos ko na
®have you accepted about the
lang”
death?

®how do you handle this?

I.)VALUE BELIEF PATTERN


“oo” “oo”
®are you religious?
DIAGNOSIS RANK
Impaired physical mobility 1
Impaired skin integrity 2
Knowledge deficit 3
Risk for infection 4
anxiety 5
Nursing Care Plan

Assessment Nursing Planning Intervention Rationale Evaluation


diagnosis

Subjective: Knowledge deficit After the 8 hour 1. consider old px -new information After the 8 hour
“mas gusto ko r/t difficulty shift the px will; life experience is easier to shift the px was;
magpasemento understanding a.)express when developing assimilate if it is a.)expressed
na lang kaysa disease process understanding of teaching plan built on existing understanding of
magpaopera ng and its effect on disease process, knowledge. disease process,
binti ko” own self care medication 2.provide quiet, medication
regimen and calm -to enable px to regimen and
treatment plan environment for process treatment plan
Objective: b.)px will make learning. information w/o b.)px was
-facial grimace informed choices distraction from informed choices
-poor eye contact when addressing background noise when addressing
-restlessness health care or stress. health care
-unmotivated to problems and self 3.limit length of problems and self
learn care deficits each teaching’s -to avoid care deficits
-economic status c.)px will session. information c.)px was
demonstrate overload demonstrate
ability to 4.ask if the px ability to
effectively wants to learn -open discussion effectively
implement new or additional helps to identify implement
chosen health information. If barriers to chosen health
strategy not discuss why. learning and strategy
determine
5. set aside time
during each
session for -older px may
answering need affirmation
questions and that knowledge
clarifying she possesses is
information. current and
correct.
Discussion may
also stimulate
exchange of
ideas and further
learning.

Assessment Nursing Planning Intervention Rationale Evaluation


Diagnosis

Subjective: Risk for infection At the end of 2 1.wash hands -hand washing is At the end of 2
“ no verbal cues” r/t open fracture weeks of nursing before and after the single best weeks of nursing
as manifested by intervention providing care way to avoid intervention
Objective: open gunshot there will be: spreading of there was:
-(+) open wound @ the left pathogens
fracture@ the left femur a.)reduce risk of 2.monitor WBC a.)reduced risk of
lower femur infection count, as ordered -decreased infection
-(+)skeletal and promptly production of
traction@ the left b.)px will report abnormal WBC indicates b.)px was
tibia maintain good values. infection maintained good
-(+)open gun personal hygiene personal hygiene
shot wound @ 3.instruct client
the left lower c.)results of in proper -to reduce risk for c.)results of
femur laboratory personal hygiene infection laboratory
-(+) edema @ studies won’t studies won’t
the wounded site indicate infection 4.follow facility’s indicate infection
-(+) immobility infection control -to minimize risk
-decreased policy of nosocomial
hemoglobin:95m/ infection
L 5.use aseptic
-Decreased technique when
hematocrit:0.25 performing -to minimize risk
-V/S taken: invasive of inducing
T-36.9 C procedures. pathogens
PR-81 bpm
RR-21 cpm 6. ensure
BP-110/70 mmHg adequate
nutritional intake -To promote
healing
Assessment Nursing Planning Intervention Rationale Evaluation
diagnosis

Subjective ; Impaired physical After the nursing 1.observe px’s -Changes may After the nursing
Nahihirapan mobility r/t intervention functional ability: indicate intervention there
akong gumalaw musculoskeletal there will be: document and progressively was:
galaw” impairment a.)regain/maintai report any decline or
n mobility at the changes using improvement a.)regained/mainta
Objective: highest possible functional level ined mobility at
-Facial grimace level scale the highest
-presence of -this measures possible level
skeletal traction b.)maintain 2.ensure comfort prevent skin
-limited range of position of measures by breakdown b.)maintained
motion function padding position of
-limited ability to extremities function
perform gross c.)increase prone to skin -This prevents
motor skills strength/function break down. joint contracture c.)increased
-difficulty in s of affected and and muscle strength/functions
turning compensatory 3.implement atrophy of affected and
-V/S taken: body parts ROM exercises -maintain muscle compensatory
T-36.9 C every shift tone and body parts
d.)demonstrate
PR-81 bpm prevents
techniques that d.)demonstration
RR-21 cpm 4.promote complication of
enable techniques that
BP-110/70 mmHg progressive immobility
resumption of enable resumption
mobilization to
activities of activities
maximum within
limits of px’s
tolerance for -to reduce
pain anxiety and
promote
5.instruct the px compliance
and family
members in ROM
Assessment Nursing diagnosis Planning Intervention Rationale Evaluation
Subjective: Impaired skin At the end of 2 1. inspects skin -this provides At the end of 2
“ no verbal cues” integrity r/t open weeks of nursing every shift- evidence of weeks of nursing
fracture @ the intervention: describe and effectiveness of intervention:
Objective: lower femur as a) patient document skin skin care a.) patient
-(+) open manifested by will exhibit condition and regimen was exhibit in
fracture@ the left open gun shot in report changes. evidenced of
lower femur wound @ the left evidence skin
-(+)skeletal lower femur of skin 2. assists with -to promote breakdown
traction@ the left breakdown general hygiene comfort and
tibia and comfort sense of well b.)Patient was
-(+)open gun b) Patient will measures being. regained skin
shot wound @ regain skin integrity
the left lower integrity
c.)Patient was
femur c) Patient will 3. Administer -patient needs demonstrated
-(+) edema @ demonstra pain medication pain relief to skill in care of
the wounded site te skill in and monitor its maintain health wound
-(+) immobility care of effectiveness.
-decreased wound d.)Patient
hemoglobin:95m/ 4. use of foam - to avoid was perform skin
L d) Patient will mattress, red potential for care routine
-V/S taken: perform cradle or other infection
T-36.9 C skin care devices
PR-81 bpm routine
RR-21 cpm 5.maintain -to reduce risk of
BP-110/70 mmHg infection control spreading
standards disease

6.change position - reduce pressure


at least every 2 and promote
hours Circulation

-to encourage
7.instruct patient compliance
and family
members in skin
care regimen

Assessment Nursing diagnosis Planning Intervention Rationale Evaluation


Subjective; Anxiety r/t After of 8 hour 1. spend time -specific amount After of 8 hour
“nalulungkot ako situational crises nursing with patient of uninterrupted nursing
kasi namatay ang and intervention the convey a non-care related intervention the
manugang ko at hospitalization patient will able: willingness to time spent with patient was:
hanggang a) appear listen, offer anxious px build a.)appeared
ngayon di pa relaxed verbal trust relaxed and
nahuhuli ang and report reassurance report anxiety
pumatay” anxiety -Anxiety may reduced to a
reduced to 2. give px clear, impair px’s manageable
Objective: a concise cognitive abilities level
-poor eye contact manageabl explanation of
-tearfulness e level anything about to b.)verbalize
-facial tension occur. avoid awareness of
-facial blushing b) verbalize information feelings of
-restlessness awareness overload: an anxiety
-feelings if anger of feelings anxious px cant
-V/S taken: of anxiety assimilate many
T-36.9 C details -This may allow
PR-81 bpm . px to identify
RR-21 cpm 3.listen anxious
BP-110/70 mmHg attentively: allow behaviors and
px to express discover some of
feelings verbally anxiety

-Anxiety often
results from lack
4. Identify and of trust on the
reduce many environment
environmental
stressors as -anxious px may
possible. mistrust own
abilities:
5.include px in involvement in
decisions related decision making
to care when may reduce
feasible. anxious
behaviors.

-involving family
members in
6.support family process of
members in reassuranc4 and
coping with px’s explanation
anxious behavior allays

7.allow extra - this allows px


visiting periods and family to
with family if this support each
seems to allay other according
anxiety. to their abilities
and at their own
race.

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