Drug Study

Name of Drug action Indicatio Contraindic Adverse Modes of Drug Nursing

drugs n ation reaction administrat interaction consideration
ion
Generic - increase glucose -diabetc - - Skin: - - Anabolic - Know that insulin
name: transport across ketoacid Contraindic urticaria, Subcutaneo steroids, beta is the drug of choice
Insulin muscle and fat osis ated pruritus, us blockers, to treat diabetes
cell membranes inpatients redness, clotibrate, during pregnancy
to reduce blood with stinging, fenfluramine, - Dosage is always
glucose level. history of warmht at guanitidine. epressed in USP
-Promotes systemic injection Mao inhibitors, units
conversion of aalergic site, salicylates, - be aware that
glucose to its reaction to - other: tetracycline, some patient may
storage form pork Lipoatroph prolonged develop insulin
glycogen; triggers y, hypoglycemic resistance and
amino acids hypersensi effect require large insulin
uptake and tivity - dose to control
conversion to reaction corticosteroids, symptoms
protein in muscle dextrothyroxine - to mix insulin
cells and inhibits , epinephrine, suspension, swirl
protein thiazide vial gently or rotate
degradation; diuretics, between palms/
stimulates thyroid between palms and
triglycerides hormones thigh
formation and - Diazoxide, - know that lente
inhibits release of phenytoin and semilente and
free fatty acids - oral ultralentte insulins
from adipose contraceptives may be mixed in
tissue; stimulates any proportion
lipoprotein lipase - Check expiration
activity which date
converts - Know that the
circulating usual route is SQ
lipoproteins the - Store insulin in
fatty acids cool area
Generic - Inhibits bacterial - - - GI: - PO - Erythromycin - Use cautiously in
name: protein synthesis Infection Contraindic nausea, -kaolin neonates and
Clindamycin by binding to the s ated with vomiting, -neuromuscular patient with renal
300mg 5OS subunit of caused patient pain, blocker and hepatitis
Brand name: the ribosome by with diarrhea disease asthma,
Cleocin HCL sensitiv hypersensit pseudome history of GI dse., or
e ivity to mbranous significant allergies
staphylo drug or colitis - Know that drug
cocci; lincomycin - dose not penetrate
streptoc Hemaologi blood brain barrier
occi; c: - obtain culture and
pneumo transient sensitivity test
cocci leukopenia before giving first
- , dose.
Antiinfe eosinophill - dont refrigrate
ctive ia, reconstituted oral
drugs thrombocy solution because it
openia will thicken
-skin: - observed patient
maculopa for signs of
pular rash, superinfection.
urticaria
- Other:
anaphylaxi
s ,jaundice
, abnormal
liver
function
test,
Thrombop
hlebitis
Generic - Broad spectrum - - - topical Topical -Use with caution in
name: sulfadiazine that Prevent Contraindic Hematolog proteolytic patient with
Silver acts on cell and ated in ic; enzymes hypersensitivity to
sulfadiazine membrane and treatme premature leukopenia sulfonamides
cell wall; nt of and fulkl -skin: pin - Use sterile
bactericidal for wound term burning, application
 many gram (+) infection neonates rash, technique to
and (-) organism in secon during first pruritus, prevent wound
and 2 months skin contamination
third of life necrosis, - Use only in
degree - patients erythema, affected area-keep
burn with multiform this area medicated
hypersensit , skin all times
ivity and in discolorati - iInspect patient
pregnant on daily, and note any
women at changes notify
or near doctor if burning or
term excessive pai
develop
-Monitor serum
sulfadiazine
concentration and
renal function as
orderd and checked
urine for
sulfacrystals in
patients with
extensive burns
- tell doctors if
hepatic or renal
dysfunction occurs
drug may need to
stopped
- discard darken
cream , which
indicates drug is
ineffective
Generic - A second - for - - GI: - IV - -Used cautiously in
name: generation serious Contrraindi pseudome aminoglycoside patient with history
cefuroxime cephalosporin infection cation in mbranous s of sensitivity to
750mg that inhibit cell of lower patient colitis, - diuretics penicillin and in
wall synthesis, respirat with nausea , - probenecid breastfeeding
promoting ory and hypersensit anorexia, woman.
osmotic urinary ivity to vomiting, - obtain specimen
instability;usually tracts, drug or diarrhea for culture and
bactericidal skin and other - sensitivity test
skin cephalospo hematolog before giving first
structur rin ic; dose
e transient , - Iv use: for each
infection neutropeni 750 mg vial of
bone a, keturox,
and eosinophili reconstitutes with
joint a, 9mg of sterile h2o
infection hemolytic for injection.
, anemia, - to give by direct
septice thrombocy injection, inject into
mia , topenia, large vien or into
meningi decreased the tubing of free
tis and hemoglobi slowing IV solution
gonorrh n and 3-5 min.
ea and hematocrit - know that
perioper levels. absorption of
ative -Skin: cefuroxime axetil iis
prophyl maculopa enhance by food.
axis; pular and -with laarge doses
oral erythamat or proloonged
form is ous therapy, monitor for
used to rrashes. superiinfection,
treat -other: especially in high-
otitis transient risk patients.
media and in
pharyng liver
itis, enzymes,
tonsilitis hypersensi
, UTI tivity
,LRI, reactions.
skin and
skin
strucctu
re
infection
 Nursing Care Plan

Patients name: Bana, Elizabeth

Admitting diagnosis: Neuropathic foot, Diabetes mellitus II

Assessment Nursing diagnosis Planning Intervention Rationale Evaluation

Subjective: Risk for infection At the end of 8  Monitor vital  To obtain  After the 8
No verbal cues related to hours of nursing sign base line hour of
Objective: increased blood intervention the  Apply wound data nursing
 + gangrene sugar level as patient will be dressing  to protect intervention
at the right manifested by able to: from to the
foot gangrene at the  blood sugar  Proper skin possible patient, goal
 160 mg/dl- right foot level will care to infection partially met
glucose reduce to gangrenous  to lessen the as
 fatigue normal level site microorganis evidenced
 increased  free from m and by:
WBC : 13.7/L infection  Encouraged promote - blood
 Vital signs the client to wound glucose level
taken: increased healing of the
- T= 36.6 C high fiber  to increased patient is
- p= 82 diet carbohydrat reduced to
bpm e its normal
- RR= metabolism ranged
21cpm and to help - free from
- BP=  encourage control infection
130/70 low cholesterol
mm carbohydrat level
Hg e diet  to control
 Administer glucose
medication intake
as
prescribed:  inhibit
-cefuroxime bacterial
-silver protein
sulfadiazine synthesis
-
Clindamycin

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Impaired skin At the end of 8  increased  To replenish After the 8 hour of
No verbal cues integrity related to hours of nursin fluid intake water loss nursing
Objective: peripheral interventionn the and prevent intervention to the
 160g/dl neuropathy as patient will be dry skin client, goal
glucose mmanifested by able to:  proper skin  to lessen the partiallly met as
 + gangrene dry and scaly skin  blood care microorganis evidenced by:
at the right glucose level specially to m and to  blood
foot will reduce the promote glucose level
 Dry and to normal gangrenous wound will reduce
scaly skin level site healing to normal
 pallor  improved  Encouraged  to supply range
 decrease skin the patient adequate  improved
hematocrit: integrity to take vitamins in skin
0.287g/L multivitamin the body integrity
 Decreased s  to moisten
hemoglobin:  Apply skin and
94 g/L hypoallerge prevent
  Vital signs nic lotion dryness
taken:  to prevent
- T= 36.6 C  Encouraged from
- p= 82 the client to dryness
bpm take a daily
- RR= personal
21cpm hygiene
- BP=
130/70
mmHg