NURSING PROCESS APPLIED TO DRUG THERAPY

Brand Name: Biogesic

Generic Name: Paracetamol
Drug Class/Classification: Pain, Simple analgesic
Mechanism of Action: Analgesic: Metoclopramide, Domperidone, Colestyramine, Oral Anticoagulants, Busulfan, And Hepatotoxic Drugs, Zidovudine.
Uses/indications: Mild to Moderate Pain, Pyrexia.
Contraindications: Renal or Hepatic impairment. Alcoholism, Chronic Malnutrition, Dehydration.
Adverse Effects: GI: Nausea & vomiting, diarrhea, anorexia, abdominal pain, flatulence. GU: Nephrotoxicity. Hematologic: Bone marrow depression (↓
WBC, ↓ platelets, ↓ Hct).
Drug-Drug Interactions: ↑ nephrotoxicity with aminoglycosides, ↑ bleeding effects with oral anticoagulation.
Medication Card: Red
ASSESSMENT NURSING DIAGNOSES PLANNING IMPLEMENTATION EVALUATION
Subjective: Hyperthermia related After nursing  Touch the skin of the patient to know if warm. After nursing
“I Feel Hot” as to Dehydration as intervention the  Check the expiration date of the drugs before giving to the intervention the
Verbalized by the evidenced by Flushed patient will patient. patient was able
Patient. Skin, Warm to Touch. maintain core 12 Rights to maintain core
Objective: temperature Right Patient temperature
˗Flushed Skin, within normal The nurse should identify the identity of the client before within normal
Warm to Touch. range. administering the drug by asking the name. range.
˗Restlessness.
Right Drug
˗V/S taken as
follows: The nurse should administer the prescribed drug ordered, the drug
ordered is Paracetamol.
T: 38.1 °C Right Dose
P: 70 bpm The nurse should administer the correct dose within the
R: 19 cpm recommended therapeutic range, Drug dose is 500 mg.
BP: 110/90 mmHg
Right Time
The nurse should administer the prescribed dose at the proper
time, give medication every q4 PRN.

Right Route

The nurse should administer the specified form of the drug at

appropriate sites is thru Oral.
Right Drug Preparation
Check Three Times for Safe Medication Administration.
Right Assessment
The nurse should collect appropriate data before drug
administration.
Right Education
The nurse should thoroughly inform the client about the medication.
Right Motivation/Approach
Use the therapeutic communication according the patient’s
chronological age and growth and development.
Right to Refuse
The nurse should respect the client’s reasonable refusal to the
medication.
Right Documentation
After administration, the nurse should immediately record the drug
name, the drug dosage, the route of administration, the time and
date administered and most importantly, the nurse’s initials or
signature.

Right Evaluation
The nurse should establish the effectiveness of the medication by
determining the client’s response to the drug.
Brand Name:
Generic Name: Omeprazole
Drug Class/Classification: Antisecretory drug, Proton pump inhibitor.
Mechanism of Action: Gastric acid-pump inhibitor: Suppresses gastric acid secretion by specific inhibition of the hydrogen-potassium ATPase
enzyme system at the secretory surface of the gastric parietal cells, blocks the final step of acid production.
Uses/indications: First line therapy in treatment of heartburn or symptoms of GERD.
Contraindications: Hypersensitivity to omeprazole or its components, Use cautiously with pregnancy and lactation.
Adverse Effects: CNS: Headache. Dermatologic: Rash, dry skin. GI: Diarrhea, nausea and vomiting. Respiratory: Cough and epistaxis.
Drug-Drug Interactions: ↑ serum level and potential ↑ in toxicity of benzodiazepines, warfarin.
Medication Card: Orange
ASSESSMENT NURSING
PLANNING IMPLEMENTATION EVALUATION
DIAGNOSES
Subjective: Risk for dysfunctional After nursing  Administer before meal After nursing intervention
“Nangangasim ang gastrointestinal intervention the  Patient may experience these side effects: the patient will be able to
sikmura ko” as motility related to patient will be Dizziness, headache, nausea and vomiting, free from
diarrhoea.
verbalized by the Gastroesophageal able to free from Gastroesophageal reflux
 Report severe headache, worsening of symptoms,
patient. reflux disease as Gastroesophageal fever and chills. disease within 3 days.
evidenced by gastric reflux disease 12 Rights
irritation. within 3 days. Right Patient
The nurse should identify the identity of the client before
administering the drug by asking the name.

Right Drug
The nurse should administer the prescribed drug ordered,
the drug ordered is Omeprazole.
Right Dose
The nurse should administer the correct dose within the
recommended therapeutic range, Drug dose is 15 mg.

Right Time
The nurse should administer the prescribed dose at the
proper time, give medication every TIV OD.

Right Route

The nurse should administer the specified form of the drug

at appropriate sites is thru Oral.
Right Drug Preparation
Check Three Times for Safe Medication Administration.
Right Assessment
The nurse should collect appropriate data before drug
administration.
Right Education
The nurse should thoroughly inform the client about the
medication.
Right Motivation/Approach
Use the therapeutic communication according the patient’s
chronological age and growth and development.
Right to Refuse
The nurse should respect the client’s reasonable refusal to
the medication.
Right Documentation
After administration, the nurse should immediately record
the drug name, the drug dosage, the route of
administration, the time and date administered and most
importantly, the nurse’s initials or signature.

Right Evaluation
The nurse should establish the effectiveness of the
medication by determining the client’s response to the
drug.
Brand Name: Lasix
Generic Name: Furosemide
Drug Class/Classification: Diuresis, Loop diuretics.
Mechanism of Action: NSAIDs, k+ ˗sparing diuretics.
Indication: Oedema.
Contraindications: Comatose or precomatose states associated with liver cirrhosis or encephalopathy, anuria, hypovolemia, dehydration, renal failure
caused by nephrotoxic or hepatotoxic agents, severe hypokalemia or hyponatremia. Addison’s disease. Lactation.
Adverse Effects: CNS: Sedation, dizziness or vertigo, headache, confusion, dreaming, sweating, anxiety and seizures. CV: Hypotension, tachycardia,
bradycardia, Hyperglycemia. Dermatologic: Sweating, rash. GI: Nausea and vomiting.
Drug-Drug Interactions: ↓effectiveness with carbamazepine, ↑ risk of phenytoin toxicity with MAOIs.
Medication Card: Orange
ASSESSMENT NURSING
PLANNING IMPLEMENTATION EVALUATION
DIAGNOSES
Subjective: Fluid volume After nursing Independent: After nursing
“Nakakaramdam excess related to intervention the  Record accurate intake and output (I&O). intervention the
ako ng manas at compromised patient will display  Weigh daily at same time of day, on the same scale, with patient has displayed
panghihina” as regulatory appropriate urinary same equipment and clothing. appropriate urinary
verbalized by the mechanism as output with specific  Assess skin, face, and dependent areas for edema. output with specific
 Plan oral fluid replacement with patient, within multiple
patient. evidenced by gravity/laboratory restrictions.
gravity/laboratory
Generalized studies near normal; Collaborative: studies near normal;
Objective: edema. stable weight, vital  Administer/restrict fluids as indicated. stable weight, vital
˗Venous signs within  Administer medication as indicated Diuretics,e.g., signs within patient’s
distention. patient’s normal furosemide (Lasix), mannitol (Osmitrol). normal range; and
˗Generalized range; and absence  Antihypertensive, e.g., clonidine (Catapres) absence of edema
edema. of edema. within hospital days.
˗Patient reports of 12 Rights
fatigue, weakness, Right Patient
and body malaise. The nurse should identify the identity of the client before
˗V/S taken as administering the drug by asking the name.
follows:
Right Drug
T: 35.4 °C The nurse should administer the prescribed drug ordered,
P: 50 bpm the drug ordered is Furosemide.
R: 13 cpm Right Dose
BP: 120/90 mmHg The nurse should administer the correct dose within the
recommended therapeutic range, Drug dose is 7.5 mg.

Right Time
The nurse should administer the prescribed dose at the
proper time, give medication every 8 hours.

Right Route

The nurse should administer the specified form of the drug

at appropriate sites is thru TIV.

Right Drug Preparation

Check Three Times for Safe Medication Administration.
Right Assessment
The nurse should collect appropriate data before drug
administration.
Right Education
The nurse should thoroughly inform the client about the
medication.
Right Motivation/Approach
Use the therapeutic communication according the patient’s
chronological age and growth and development.
Right to Refuse
The nurse should respect the client’s reasonable refusal to
the medication.
Right Documentation
After administration, the nurse should immediately record
the drug name, the drug dosage, the route of administration,
the time and date administered and most importantly, the
nurse’s initials or signature.

Right Evaluation
The nurse should establish the effectiveness of the
medication by determining the client’s response to the drug.