West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City
DRUG STUDY
Name of Patient: M.V.A Attending Physician: Dr. J and Dr. C
Age: 58 Ward/Bed Number: OSW, Bed 9 Impression/Diagnosis:Fracture: close, complete, displaced
transcervical area left femoral neck s/t motor vehicle accident
Dosage, Route,
Name of Drug Frequency and Mechanisms of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Selectively inhibits the Treatment of acute pain Asceptic meningitis, Severe renal Instruct patient to swallow
celecoxib 200mg/tab, 1 tab enzymatic activity of cerebral impairment, history celecoxib capsules whole with a
cyclooxygenase-2 (COX-2), hemorrhage, of penicillin allergy, full glass of water and with food or
Brand: the enzyme needed to depression, transient history of ulcer milk to prevent stomach upset.
Celebrex Route: convert arachidonic acid to ischemic attacks, disease or GI
prostaglandin. Prostaglandins vertigo bleeding because Tell patient to take celecoxib
PO are responsible for mediating NSAIDs, such as exactly as prescribed and not to
the inflammatory response celecoxib, increase increase dosage or take drug
and causing local the risk of GI longer than prescribed because
Frequency: vasodilation, swelling, and bleeding and serious adverse reactions can
pain. ulceration. occur.
PRN
Classification Contraindications Side Effects Monitor blood pressure closely
throughout therapy because drug
Hypersensitivity to Diarrhea, back pain,
can start or worsen hypertension.
Functional: aspirin, NSAIDs, dizziness, heartburn,
Timing:
Anti- sulfonamides. headaches, nausea,
Monitor Intake and Output
inflammatory abdominal pain,
arthralgia, back pain
Chemical:
Diaryl-substituted
pyrazole
*Saunder’s Nursing Grug
derivative
Handbook, 2016 and Jones
and Bartlett Learning
Nurse’s Drug Handbook,
2011
 West Visayas State University
COLLEGE OF NURSING
La Paz, Iloilo City
DRUG STUDY
Name of Patient: M.V.A Attending Physician: Dr. J and Dr. C
Age: 58 Ward/Bed Number: OSW, Bed 9 Impression/Diagnosis:Fracture: close, complete, displaced
transcervical area left femoral neck s/t motor vehicle accident
Dosage, Route,
Name of Drug Frequency and Mechanisms of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Reduces plasma cholesterol Primary prevention of Potential for Patient currently in Avoid consuming grapefruit
atorvastatin calcium 20mg/tab, 1 tab and lipoprotein levels by cardiovascular disease cataracts, anticoagulant products because this may increase
inhibiting HMG-CoA in high-risk patient and photosensitivity, therapy; history of blood atorvastatin levels/ serum
Brand: reductase and cholesterol adjunct to diet therapy myalgia, hepatic disease concentrations.
Avastin Route: synthesis in the liver and by in management of rhabdomyolysis.
PO increasing the number of hyperlipidemias Monitor cholesterol, triglyceride
LDL receptors on liver cells lab values for therapeutic response.
to enhance LDL uptake and
breakdown. Instruct patient not to break, crush,
Frequency: dissolve, or divide film-coated
tablets
OD at HS
Classification Contraindications Side Effects Drink before going to bed
because the cholesterol-making
Active hepatic disease, Myalgia, headache,
Timing: enzyme is more active at night
Functional: hypersensitivity to chest pain,
Antihyperlipidemic atorvastatin or its peripheral edema,
8PM
components, dizziness, rash,
Chemical: unexplained persistent abdominal pain,
Hydroxymethylglut rise in serum constipation,
aryl CoA (HMG- transaminase level diarrhea, dyspepsia,
CoA) inhibitor nausea, flatulence,
*Saunder’s Nursing Grug increased hepatic
Handbook, 2016 and Jones function tests, back
and Bartlett Learning pain, sinusitis
Nurse’s Drug Handbook,
2011
 West Visayas State University
COLLEGE OF NURSING
La Paz, Iloilo City
DRUG STUDY
Name of Patient: M.V.A Attending Physician: Dr. J and Dr. C
Age: 58 Ward/Bed Number: OSW, Bed 9 Impression/Diagnosis:Fracture: close, complete, displaced
transcervical area left femoral neck s/t motor vehicle accident
Dosage, Route,
Name of Drug Frequency and Mechanisms of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: May increase the lipolysis of To treat Deep vein Patient currently in Monitor patient closely for acute
fenofibrate triglyceriderich lipoproteins hypertriglyceridemia thrombosis, anticoagulant hypersensitivity reactions,
160mg/tab, 1 tab and decrease the synthesis of thrombocytopenia, therapy; history of including severe rash, and notify
Brand: fatty acids and triglycerides toxic epidermal hepatic disease prescriber if they occur. Patient
Route: by enhancing the activation necrolysis, muscle may need inpatient corticosteroids.
of lipoprotein lipase and spasms, myopathy.
PO acyl-coenzyme. myositis, Give capsule form with a full glass
rhabdomyolysis, of water with meals
elevated liver
Frequency: function test results, Monitor results of liver and renal
hepatitis function tests, triglyceride and
OD cholesterol levels at 4- to 8-week
Classification Contraindications Side Effects intervals to determine drug’s
effectiveness.
hypersensitivity to Abdominal and back
Timing:
Functional: fenofibrate, fenofibric pain, constipation,
Tell patient to seek emergency
Aryloxisobutyric acid, choline diarrhea, headache,
8AM treatment if he develops pain,
acid derivative fenofibrate, or their fever, flu-like
swelling, and redness in his limb
components syndrome, asthenia
or sudden shortness of breath,
Chemical:
anxiety, and restlessness.
Antihyperlipidem
ic
*Saunder’s Nursing Grug
Handbook, 2016 and Jones
and Bartlett Learning
Nurse’s Drug Handbook,
2011