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This document contains a drug therapeutic record for a 42-year-old female patient named Teresa Calvez Curton who was admitted to the medical ward with loss of consciousness, vomiting, and right-sided weakness. The record lists the patient's diagnosis, chief complaints, physician, and details for three medications: Captopril for hypertension, Metoclopramide as an antiemetic, and their classifications, indications, side effects, nursing responsibilities before, during, and after administration.
This document contains a drug therapeutic record for a 42-year-old female patient named Teresa Calvez Curton who was admitted to the medical ward with loss of consciousness, vomiting, and right-sided weakness. The record lists the patient's diagnosis, chief complaints, physician, and details for three medications: Captopril for hypertension, Metoclopramide as an antiemetic, and their classifications, indications, side effects, nursing responsibilities before, during, and after administration.
This document contains a drug therapeutic record for a 42-year-old female patient named Teresa Calvez Curton who was admitted to the medical ward with loss of consciousness, vomiting, and right-sided weakness. The record lists the patient's diagnosis, chief complaints, physician, and details for three medications: Captopril for hypertension, Metoclopramide as an antiemetic, and their classifications, indications, side effects, nursing responsibilities before, during, and after administration.
College of Arts and Sciences NURSING AND HEALTH SCIENCES DEPARTMENT Naval, Biliran
DRUG THERAPEUTIC RECORD
NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE NURSING RESPONSIBILITIES EFFECTS -Treatment of hypertensive - CV: tachycardia, angina BEFORE: - ACE inhibitor alone or in combination with pectoris, heart failure, MI. -Obtained vital signs for baseline BRAND NAME - Antihypertensive thiazide type diuretics. - DERM: Alopecia, rash, pruritus, data. scalded mouth sensation, -Assessed for hypersensitivity - Treatment of heart failure in photosensitivity -Health teaching done regarding Captopril patients unresponsive to - GI: Gastric irritation, peptic adverse effects GENERIC NAME conventional therapy; used with ulcers, cholesterol jaundice, DURING: diuretics and cardiac glycosides. anorexia, constipation. -To relieve thirst and dry mouth, 25 mg, 1 tablet - GU: Proteinuria, renal advised to have frequent mouth DOSE MECHANISM OF ACTION CONTRAINDICATIONS insufficiency, renal failure, care or fluids. Every 6 hours Blocks ACE from converting -Contraindicated with allergy to polyuria, oliguria, urinary -Warned patient to avoid OTC angiotensin I to angiotensin II, a captopril, history of frequency. medication. FREQUENCY powerful vasoconstrictor, angioedema, second or third - HEMA: Neutropenia, -Provided safety to patient. leading to decreased BP, trimester of pregnancy. agranulocytosis, haemolytic AFTER: decreased aldosterone - Use cautiously with renal anemia -Monitored for S/S of overdose secretion, a small increase in impairment, heart failure, salt or - OTHER: cough, malaise, dry (cough, GI upset, loss of TIME serum potassium levels, and volume depletion, history of mouth appetite. sodium and fluid loss; increased renal artery stenosis, lactation. -Instructed to do deep breathing Oral prostaglandin synthesis also may exercise ROUTE be involved in the antihypertensive action. Republic of the Philippines Naval State University College of Arts and Sciences NURSING AND HEALTH SCIENCES DEPARTMENT Naval, Biliran
DRUG THERAPEUTIC RECORD
NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE NURSING RESPONSIBILITIES EFFECTS -prophylaxis of postoperative - CNS: Restlessness, drowsiness, BEFORE: - Antiemetic nausea and vomiting when fatigue, lassitude, insomnia, -Obtained vital signs for baseline BRAND NAME - Dopaminergic blocker nasogastric suction is parkinsonism like reactions, data. - GI stimulant undesirable dystonia, dizziness, depression -Health teaching done regarding - Parenteral: prevention of - CV: Transient hypertension adverse effects metoclopramide nausea and vomiting associated - GI: Nausea, diarrhea DURING: GENERIC NAME with emetogenic cancer -monitor BP carefully during IV chemotherapy. administration 1 ampule - monitor for extrapyramidal DOSE MECHANISM OF ACTION CONTRAINDICATIONS reactions, and consult physician Every 8 hours Stimulates motility of upper GI -Contraindicated with allergy to if they occur. tract without stimulating gastric, metoclopramide; GI -Provided safety to patient. FREQUENCY biliary, or pancreatic secretions; haemorrhage, mechanical AFTER: appears to sensitize tissues to obstruction or perforation; -Monitored for S/S of overdose action acetylcholine; relaxes epilepsy. (drowsiness, dizziness) pyloric sphincter, w/c, when - Use cautiously with previously - instructed patient to report TIME combined with effects on detected breast cancer; involuntary movement of the motility, accelerates gastric lactation, pregnancy, fluid face, eyes or limbs, severe IVTT emptying and intestinal transit; overload; renal impairment. depression, severe diarrhea. ROUTE little effect on gallbladder or colon motility. Republic of the Philippines Naval State University College of Arts and Sciences NURSING AND HEALTH SCIENCES DEPARTMENT Naval, Biliran
DRUG THERAPEUTIC RECORD
NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE EFFECTS NURSING RESPONSIBILITIES - Neurotropic - CVA in acute and recovery - citicoline may exert a - Monitor blood phase. Symptoms and signs stimulating action of pressure, pulse and BRAND NAME of cerebral insufficiency i.e., the parasympathetic, as well heart rate. dizziness, headache, as a fleeting and discrete poor concentration, memory hypotensor effect - Assess allergic reaction Citicoline loss, disorientation. Recent - Shock like GI disturbances. GENERIC NAME cranial trauma. - Hypersensitivity- - hypotension, - Instruct relative to give 1 gm - insomnia, only prescribed dose. DOSE MECHANISM OF ACTION CONTRAINDICATIONS - excitement Every 6 hours Citicoline activates - Hypertonia of parasympathetic - Advise relative to the biosynthesis of structural p nervous system. consult the physician FREQUENCY hospholipids in the neuronal Meclofenoxate (clophenoxate) if any problems membrane, increases cerebral occur to the patient metabolism and increases the during medication. TIME level of various neurotransmitters, including IVTT acetylcholine and dopamine. ROUTE Citicoline has shown neuro protective effects in situations of hypoxia and ischemia Republic of the Philippines Naval State University College of Arts and Sciences NURSING AND HEALTH SCIENCES DEPARTMENT Naval, Biliran
DRUG THERAPEUTIC RECORD
NAME: Curton, Teresa Calvez SEX: Female AGE: 42 years old WARD: Medical DATE: 08 13 17 SHIFT: 7:00am 3:00pm DIAGNOSIS: T/C CVD HCVD CHIEF COMPLAINTS: Loss of consciousness, vomiting, Right Sided Weakness PHYSICIAN: Dr. Borromeo DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS/ ADVERSE EFFECTS NURSING RESPONSIBILITIES - Neuromuscular agent Cerebral insufficiency and chronic - Hyperkinesia - Monitor heart rate, manifestation of CVA, post - weight gain ECG and BP BRAND NAME traumatic syndromes, severe - asthenia periodically mental cloudiness and vascular - nervousness throughout the coma of a traumatic of - agitation therapy. Piracetam toxicorigin, chronic alcoholism and - irritability - Drug has strong GENERIC NAME addiction, predelirium, chronic vert - anxiety taste. Mixing oral igo of peripheral or central origin, - sleep disturbances form with orange 12 gm, 3gms pediatric therapy - fatigue or drowsiness juice mask the taste. DOSE MECHANISM OF ACTION CONTRAINDICATIONS - GI disturbances - Assess patient to Every 8 hours Piracetam acts selectively upon Cerebral hemmorhage, end stage clear airway telencephalon by improving its renal disease - Provide support associative function. It increases the ventilation, if it is FREQUENCY energy output of the brain cell and needed. activates its neurophysiological - Assess and support potentialities, especially in cardiac function. TIME deficit conditions. - Reassure patient tha Nootropilis virtually nontoxic a t communication abi IV bulos, IVTT nd has no stimulating, sedative lities will return as t ROUTE or neurovegetative activities he medicationwears off.