DRUG STUDY

DRUG NAME MECHANISM OF SIDE EFFECTS CONTRAINDICATION NURSING

ACTION RESPONSIBILITIES
Generic Name: Mechanism may be due Muscle rigidity, Use with caution in  When restarting
Risperidone to a combination of insomnia, anxiety clients with known CV clients who have
Brand Name: antagonism of disease cardiovascular an interval of
Risperdal dopamine and serotonin disease and conditions risperidone
Classification: receptors. Also has high that predispose the follow the initial
Antipsychotic drug affinity for the alpha-1, client to hypotension 3 day dose
Indication: alpha2 and histamine-1 filtration
Schizophrenia receptors schedule.
 If switching from
other anti
psychotic drugs
to risperidone
immediate
discontinuation
of the previous
antipsychotic
drug is
recommended
therapy. When
switching from a
recommended
anti psychotic
injection, initiate
risperidone in
place of the next
scheduled shot.
DRUG NAME MECHANISM OF SIDE EFFECTS CONTRAINDICATION NURSING
ACTION RESPONSIBILITIES
Generic Name: Synthetic anticholinergic Use with caution in  May be given
Biperiden Hydrochloride tremor may increase as older children undiluted by
Brand Name: spasticity is relieved. directly at a rate
Akineton Slightly respiratory and not exceeding 2
Classification: CV effects. mg over least 1
Cholinergic blocking min.
drug, antiparkinsonism  Place client in
Indication: recumbent
Drug induced position during
extrapyramidal IV
manifestation administration,
may experience
euphoria,
postural
hypotension or
loss of
coordination.
 Store in tightly
closed, light
resistant
container at 15-
30 C
DRUG NAME MECHANISM OF SIDE EFFECTS CONTRAINDICATION NURSING
ACTION RESPONSIBILITIES
Generic Name: Histamine H1 Receptor drowsiness, Diphenhydramine  Give full
Diphenhydramine Antagonist. dry mouth should not be used in prophylactic
Hydrochoride Diphenhydramine is a neonates and dose 30min.
Brand Name: first generation premature infants prior to travel if
Benadryl antihistamine and used as a
Classification: ethanolamine with
prophylaxis for
Antihistamine sedative and anti-
Indication: allergic properties. motion
Used in insomnia sickness
 Take similar
doses with
meals and at
bedtime
 Do not use
more than 2
weeks to treat
insomnia
 For IV, may
give undiluted
 Do not exceed
IV rate of
25mg/minute
 Drug causes
drowsiness.
Avoid activities
requiring
mental
alertness
 Use sun
protection as it
may cause
photosensitivity
 Use sugarless
candy/gum to
diminish dry
mouth effects
 Avoid alcohol
and other CNS
depressants
 Stop therapy
72-96 hr. prior
to skin testing.
Report adverse
effect and lack
of response

NURSE
N: Hellow! Magandang hapon
po, ako po c Regin G.
Pontalba from Isabela State
University. Ako po ang
magiging student nurse mo
ngayong hapon sa oras na
alas dos hanggang alas
singko at bukas mula alas
syete ng umaga hanggang
alas singko ng hapon
N: Ano po ang pangalan mo?
N: Ilang taon ka na, John?
N: Kelan ka ipinanganak?
N: San ka nakatira?
N: Sino ang nagdala sa iyo
dito?
N: Ano ang dahilan?
N: Nagtratrabaho ka noon sa
Pampanga at bumibili ka sa
tindahan tapos sinuntok mo
yung tanod at dinala po kayo
ng tanod dito
N: Anung gusto mong pag
usapan, John?
N: Kumusta ang tulog mo
kagabi?
NURSE PATIENT INTERACTION
THERAPEUTIC PATIENT ANALYSIS
COMMUNICATION
Giving Information P: Nodding
Patient maintain eye contact
P: John Dagpin
P: 21
P: February 18, 1997
P: Zamboanga
Open ended question P: Yung tanod
Consensual validation P: Nagtratrabaho ako nun sa Patient start to scratch his
Pampanga bumibili ako nun rashes in legs
sinuntok ko yung tanod tapos
dinala niya ako ditto sa mental.
Restating
P: Oo
Broad opening He became quiet and merely
P: ………………. stared blankly
Qualitative question Looked upset and almost cried
P: Hindi nga ako makatulog
masyado kagabi hanggang
alas dose iniisip ko ang
pamilya ko sa Zamboanga.
Gusto ko nang umuwi miss ko
N: Sige, ang ituloy mo lang na nga ang pamilya ko. Lagi
John magkwento ka lang. ko silang naiisip.
He crosses his legs and
General leads P: Di naman ako makauwi scratching of his rashes in legs
dahil andito ako tatanda na ata
ako dito sa mental. Kawawa
naman yung mga kapatid ko.
N: Anong trabaho mo sa Nung nagtratrabaho ako sa
Pampanga? Pampanga pinapadalhan ko
pamilya ko pera galing sa Maintain his eye contact
sahod ko.
P: Nag aalaga ng baboy
10,200 ang sahod ko yung
10,000 pinapadala ko yung
200 naiiwan sakin pambili ng
sabon.
Meron akong dalawang
motor,kalabaw at kambing sa
Zamboanga noon di ko nga
alam kung sino na tumitingin
dun. Nagtatanim din kami ng
pakwan, mais at talong sa
hacienda.
NURSING CARE PLAN