MEDICATION ROUTE, DOSAGE MECHANISM INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING

& FREQUENCY RESPONSIBILITY

Generic name:  50mg IVTT x 3  Competetively  Used in the  Contraindicated in CNS: vertigo,  Don’t use
ranitidine doses, Q8h inhibits action of treatment of patients malaise aluminum-based
hydrochloride H2 at receptor peptic ulcer hypersensitive to needles or
sites of parietal disease (PUD), drug or any of its EENT: blurred vision equipment when
Classsification: cells, decreasing dyspepsia, stress components. mixing or giving
 antiulcerative gastric acid ulcer prophylaxis, Hematologic: drug parenterally
secretion.  Use cautiously in reversible because drug is
and
patients with leukopenia, incompatible with
gastroesophageal
hepatic thrombocytopenia, aluminum.
reflux disease
dysfunction. pancytopenia  Remind patient
(GERD).
Adjust dosage in taking once daily
patients with Hepatic: jaundice to take it h.s.
impaired kidney  Instruct patient to
function. Other: burning and take drug with or
itching at injection without food.
site, anaphylaxis  Urge patient not
and angioedema to smoke
cigarettes;
smoking may
increase gastric
acid secretion
and worsen
disease.
 MEDICATION ROUTE, MECHANISM INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
DOSAGE & RESPONSIBILITY
FREQUENCY
Generic name:  500mg, AVTT  able to  Septicemia and  Contraindicated in  Cardiovascular;Thrombophlebitis  Tell patient to
Ampicillin ANST, Q8h penetrate Gram- Endocarditis patients at injection site;Dizziness; increase fluid
Classsification: positive and caused by hypersensitive to fatigue; insomnia; reversible intake to 2,000 to
 Antiboitic some Gram- susceptible drug or any of its hyperactivity; neurotoxicity ;Pain 3,000 mL/day,
negative Gram-positive components. at injection site unless
bacteria; acts as organisms contraindicated.
a competitive including  Use cautiously in  Warn diabetic
inhibitor of the Streptococcus patients with patient that
enzyme sp., penicillin G- hepatic product may cause
transpep-tidase; susceptible false-positive
dysfunction.
staphylococci, glucose urine test
Adjust dosage in
and enterococci. results, and identify
patients with
Gram-negative alternative tests.
impaired kidney
sepsis caused by
function.  Inform patient to
E. coli, Proteus notify health care
mirabilis and provider
Salmonella sp. immediately if rash
respond to develops or if
Ampicillin. having difficulty
Endocarditis due breathing.
to enterococcal  If therapy is
strains usually changed because of
respond to allergic reaction,
intravenous explain the
therapy. The significance of
addition of an penicillin allergy
aminoglycoside and inform of
may enhance potential sensitivity
the to cephalosporins.
effectiveness of
Ampicillin when
treating
streptoccoccal
endocarditis.
 ASSESSMENT NURSING RATIONALE DESIRED NURSING JUSTIFICATION EVALUATION
DIAGNOSIS OUTCOME INTERVENTION
Break in the After 4 days of Independent:
Abnormal Cues: Risk for infection integument nursing  Assess for signs -to prevent and
Patient verbalizes, related to ↓ interventions, the of infection provide immediate
“kakatol kung inadequate primary Mucous client will be able  Monitor vital care for infection
malaktawan sa defenses as membranes allow to: signs -to be used as basis
dressing.” evidenced by post- invasion of  Teach asepsis because it is usually
surgical incision pathogens  Comprehend for dressing altered if infection
↓ about infection changes and has already
wound changes occurred
Definition: Inadequate body’s  Enumerate the  Encourage
Risk factors: At increased risks natural defense risk factors for intake of -to avoid infection
 Environment for being invaded mechanism infection protein and and even sepsis
al factor by pathologic ↓ calorie-rich
 Decreased organism Risk for infection Participate in foods
tissue treatment regimen  Encourage fluid -these nutrients are
perfusion intake essential for wound
Decreased Source: healing
wound healing Doenges, M. et.sl. Collaborative:
time (2001) Nurses Administer
Pocket Guide. 10th antimicrobial drugs
ed., Diagnosis, as ordered
Interventions and -to avoid urinary
Rationales. F.A. retention, and
Davis Co., preventing further
Philadelphia complication