West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

DRUG STUDY
Name of Patient: Attending Physician:
Age: Ward/Bed Number: Impression/Diagnosis:
Dosage, Route,
Name of Drug Frequency and Mechanisms of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage:  Monitor PT, international
phytonadione 0.5 ml Promotes hepatic Prevention, Newborns (esp. normalized ratio (INR) routinely in
formation of treatment of premature infants) those taking anticoagulants.
coagulation hemorrhagic may develop  Assess skin for ecchymoses,
Route: factors II, VII, IX, X. states in neonates. hyperbilirubinemia. petechiae.
Brand: IM Essential for normal Antidote for Severe reaction  Assess gums for gingival
Vit. K clotting of hemorrhage (cramp-like pain, bleeding,
blood. Readily induced by oral chest pain, dyspnea, Erythema.
absorbed from GI anticoagulants, facial flushing,  Assess urine for hematuria.
tract (duodenum) hypoprothrombine dizziness, rapid/weak  Assess Hct, platelet count,
Frequency: after IM, mic states due to pulse, rash, urine/stool culture
subcutaneous vitamin K deficiency. diaphoresis, for occult blood.
administration. Hypoprothrombine hypotension  Assess for decrease
Metabolized in liver. mia caused by progressing in B/P, increase in pulse rate,
Excreted in malabsorption or to shock, cardiac complaint of abdominal/back pain,
Timing: urine; eliminated by inability to arrest) occurs rarely, severe headache (may be evidence of
biliary system. Onset synthesize vitamin K. immediately after IV hemorrhage).
of action (increased administration.  Assess for increase in amount of
Classification coagulation factors Contraindications Side Effects discharge
 None known. during menses.
Functional: Cautions: Pain, soreness,  Assess peripheral pulses.
antihemorrhagic Renal impairment, swelling at IM  Check for excessive bleeding
newborns (esp. injection site, pruritic from minor cuts, scratches
premature): erythema (with
Risk of hemolysis, repeated injections),
Chemical: jaundice, facial flushing,
Fat-soluble hyperbilirubinemia. altered taste.
vitamin.

Student’s Name:
Clinical Instructor: