Drug Study

Name of Patient: Patient KNE

Generic Brand Date Classification Dose/ Mechanism Specific Contrain- Side Effects/ Nursing
Name Name Ordered Frequency of Action Indication dication Toxic Effects Precaution
/ Route
Methisop Immunos August Antiviral 3.5 ml Inosiplex is Shortens Contraindica Rise in Should be
rinol in 23, PO every a potent the course ted to serum and taken with
2010 6 hours and some of illness patients with urine uric food
immunosti and hypersensiti acid levels
mulant; it reduces the vity to drug
enhances severity of
and symptoms
stimulates of
certain respiratory
cellular infections,
aspects of measles,
the and other
immune viral
response infections
 Drug Study

Generic Brand Date Classification Dose/ Mechanism Specific Contrain- Side Nursing
Name Name Ordered Frequenc of Action Indication dication Effects/ Precaution
y/ Route Toxic
Effects
Hydroxyzi Iterax August Antihistamin 3.5 ml An H1 Symptomat Hypersensiti Dizziness, Used with
nc 23, e BID PO antihistami ic vity to dry mouth, precaution
2010 ne which treatment cetirizine possible in patient
crosses of anxiety; and other urinary presenting
the blood- treatment piperazine retention treatment
barrier and of pruritus derivatives of IMAOs
exerts of allergic
Lactation
important origin
and
central
pregnancy
sedative
effects.

Name of Patient: Patient KNE

 Drug Study

Generic Brand Date Classification Dose/ Mechanism Specific Contrain- Side Effects/ Nursing
Name Name Ordered Frequency of Action Indication dication Toxic Effects Precaution
/ Route
Erdostein Zertin August Cough and 3.5 ml Acts as a Treatment Hepatic Gastric May be
e 23, colds BID PO prodrug of acute disorders burning, taken with
2010 preparation and its and chronic and nausea or without
metabolite bronchopul abnormalitie food
s are monary s, renal
mainly disease insufficiency,
responsibl phenylketon
e for uria
mucolytic
activity

Name of Patient: Patient KNE

Generic Brand Date Classification Dose/ Mechanism Specific Contrain- Side Effects/ Nursing
Name Name Ordered Frequency of Action Indication dication Toxic Effects Precaution
/ Route
Paraceta Biogesic August Antipyretic 5ml Block the Relief of Contraindica Alleviate Do not
mol 23, every 4 function of fever ted to skin exceed
2010 hours for prostaglan patient with reactions recommend
fever dins and anemia, and GI ed drug
greater thus lower cardiac and disturbanc
°
than 38 the pulmonary es
C temperatu disease and
re to patients
with
hypersensiti
vity to
Paracetamol

Drug Study

Name of Patient: Patient KNE

 Ideal Nursing Management

Name Of Patient: Patient KNE

Cues Nursing Diagnosis Objectives Interventions Rationale Evaluation

Subjective: Hyperthermia At the end of 8 1. Render tepid sponge 1. To decrease After 8 hours of
related to increased hours nursing bath temperature by means of nursing
“ Init lang gihapon evaporation and
metabolic rate intervention, the intervention, the
siya” as verbalized conduction
secondary to patient will be patient was able
by the patients
infection able maintain a 2. To monitor fluid and to maintain a
mother 2. Record all sources of
temperature of electrolyte loses temperature
fluid loss
Objective: within the normal within normal
3. Increase oral fluid 3. To prevent dehydration
range range as
• Flushed skin intake as tolerated
evidenced by
warm to touch 37.4 °C
4. Monitor vital signs 4. To have a baseline data

• Restlessness 5. Maintain/provide 5. To reduce metabolic

adequate rest demands of oxygen
• Vital signs as
follows
 T: 39.5°C Collaborative:

R: 48 cpm 1. Administer Paracetamol 1. It is a antipyretic, it

5ml every 4 hours for helps in reducing fever
P: 149 bpm °
fever greater than 38 C as
prescribed

Ideal Nursing Management

Name Of Patient: Patient KNE

Cues Nursing Diagnosis Objectives Interventions Rationale Evaluation

Subjective: Ineffective airway At the end of 8 hours 1. Monitor vital signs 1. Baseline for After 8 hours of
clearance related to nursing intervention, comparison nursing
“Naa siya’y ubo 2. Encourage deep 2. To promote proper
retained mucous the patient will be intervention, the
nga patukar-tukar” breathing exercise lung expansion
secretion able to show signs of patient was able
as verbalized by
improve ventilation 3. Encourage to 3. To liquefy secretion to show signs of
the patients mother
increase oral fluid improve
intake as tolerated ventilation as

4. To decrease body’s
evidenced by
Objective: 4. Promote adequate
demand of oxygen respiratory rate of
rest
29 cpm, pulse rate
• Non-productive
of 125 bpm
cough 5. Encourage on high 5. To promote
back rest, turn from patient’s comfort
• Dyspnea
 side to side and keep
• Vital signs as back dry
follows
Collaborative:
R: 48 cpm 1. Administer Zertin 1. It liquefies secretion

3.5 ml BID PO as
P: 149 bpm
prescribed
Ideal Nursing Management

Name Of Patient: Patient KNE

Cues Nursing Diagnosis Objectives Interventions Rationale Evaluation

Subjective: Activity intolerance At the end of 8 hours 1. Establish rapport 1. To minimize After 8 hours of
related to weakness nursing intervention, towards the patient anxiety and to nursing
“Dili lagi siya the patient will be and significant others develop trust and intervention, the
galihok-lihok” as cooperation
able to demonstrate patient was able
verbalized by the improvement of to tolerate
2. Emphasize 2. To promote and
patients mother tolerance in activity minimal activity
importance of conserve patient’s
adequate rest energy as evidenced by
active interaction
3. Plan care with rest 3. To prevent and participation
Objective:
periods exhaustion and to of care
promote balance
• Uncomfortable between activity and
rest
• Restlessness
4. Plan for maximal 4. To improve
• Weak in
activity within the circulation and rest
appearance
patient’s ability or must be tolerance to
tolerance prevent introducing
 stress

5. Increase exercise 5. To provide time

or activity gradually for the body to
adjust and to
increase blood
circulation
 Actual Nursing Management

S “Init lang gihapon siya”

• Flushed skin warm to touch
O
• Restlessness
• Vital signs as follows
T: 39.5°
R: 48 cpm
P: 149 bpm
Hyperthermia related to increased metabolic rate secondary to infection
A
At the end of 8 hours nursing intervention, the patient will be able
P
maintain a temperature of within the normal range
I
1. Rendered tepid sponge bath

- To decrease temperature by means of evaporation and conduction

2. Recorded all sources of fluid loss

- To monitor fluid and electrolyte loses

3. Increased oral fluid intake as tolerated

- To prevent dehydration

4. Monitored vital signs

- To have a baseline data

5. Maintained/provided adequate rest
- To reduce metabolic demands of oxygen
°
6. Administered Paracetamol 5ml every 4 hours for fever greater than 38
C as prescribed
- It is a antipyretic, it helps in reducing fever

E
After 8 hours of nursing intervention, the patient was able to maintain a
temperature within normal range as evidenced by 37.4 °C

Actual Nursing Management

S “Naa siya’y ubo nga patukar-tukar”
• Non-productive cough
O
• Dyspnea
• Vital signs as follows
R: 48 cpm
P: 149 bpm

A Ineffective airway clearance related to retained mucous secretion

P At the end of 8 hours nursing intervention, the patient will be able to show
signs of improve ventilation
I 1. Monitored vital signs
- Baseline for comparison
2. Encouraged deep breathing exercise
- To promote proper lung expansion
3. Encouraged to increase oral fluid intake as tolerated
-To liquefy secretion
4. Promoted adequate rest
-To decrease body’s demand of oxygen
5. Encouraged on high back rest, turn from side to side and keep back dry
- To promote patient’s comfort
6. Administered Zertin 3.5 ml BID PO as prescribed
- It liquefies secretion

E
After 8 hours of nursing intervention, the patient was able to show signs of
improve ventilation as evidenced by respiratory rate of 29 cpm, pulse rate
of 125 bpm

Actual Nursing Management

 S “Dili lagi siya galihok-lihok”

O • Uncomfortable

• Restlessness

• Weak in appearance

A Activity intolerance related to weakness

P At the end of 8 hours nursing intervention, the patient will be able to

demonstrate improvement of tolerance in activity
I
1. Establish rapport towards the patient and significant others

- To minimize anxiety and to develop trust and cooperation

2. Emphasize importance of adequate rest

- To promote and conserve patient’s energy

3. Plan care with rest periods

- To prevent exhaustion and to promote balance between activity and rest

4. Plan for maximal activity within the patient’s ability or tolerance

- To improve circulation and rest must be tolerance to prevent introducing

stress

5. Increase exercise or activity gradually

- To provide time for the body to adjust and to increase blood circulation

E
After 8 hours of nursing intervention, the patient was able to show signs of
improve ventilation as evidenced by respiratory rate of 29 cpm, pulse rate
of 125 bpm

VIII. REFERRALS AND FOLLOW-UP

 To guarantee and to accomplish a optimistic outcome and to improve patient’s
condition, I encouraged patient’s significant others to consult the nearest clinic or
hospital if any untoward feedback occurs. Compliance with the follow-up check as
scheduled by the physician is important. This is to continue the course of therapy and
for the monitoring of the patient’s situation. Patient’s condition should not be taken for
granted because of it not properly monitored, she may experience the said condition
again or her condition may exacerbate. Any abnormalities reported by the patient or
noticed by the significant others should be accurately addressed or reported to the
patient’s physician. A child’s immune system is not yet fully developed therefore it is
still prone for any infection or disease therefore proper care should be rendered by the
patient’s significant other.

The patient and significant others was also advised to follow the health teachings
which were imparted to them during the hospital exposures, in relation with his diet,
exercise, rest and medication.

IX. EVALUATION

This care study helped the researcher to understand more about the disease condition
of Patient KNE, 4 years old, who was admitted in the premises of Polymedic General
Hospital last August 22, 2010, in due to fever and rashes. It is important to give proper
care, support and management to the said patient since she is still 4 years old.

From the time span of this care study, the researcher had the chance to see the
manifestations of the disease by the patient and had rendered appropriate nursing
intervention to Patient KNE. The researcher had observed development in patient’s
health condition which is an affirmative sign. Hopefully in the following days the patient
will improve more. Giving appropriate intervention and management in relation to
patient’s disease condition may help in the improvement and continuity of care of the
patient.