Beruflich Dokumente
Kultur Dokumente
BSN-III
DE GUIA, JAMESON
DIMAIN, MITZI
DUMANGAS, AIZLE MAY
ECLARINAL, LYKA MAE
EMPENO, MANUEL
MARGATE, CHRISTINA
REYES, MARY ANN
TABILE, JOHAN ROSS
TORREGOZA, EDUARD JOHN
VELASCO, BRYAN LENNARD
VILLANUEVA, RHODORA
YAP, ESLYM
1
A Case Analysis on
Radius and Femur
Fracture
2
Aizle May Dumangas
Student Nurse
3
General Objectives:
The student nurse will able to
gain adequate knowledge,
attitude and skills in caring
for a patient who has
fracture towards optimum
level of functioning.
4
d u c tio n
I ntro
Johan Ross Tabile
Student Nurse
5
6
7
Anatomy and Physiology
8
Anatomy and Physiology
9
Cortical Bone
10
Cancellous Bone
11
Bone marrow
12
Yellow bone marrow Red bone marrow
13
Cells and Remodelling
14
Extracellular
15
Types
16
Development
17
Intra membranous ossification
18
Endochondral ossification
19
Femur
- The femur,
femurs, or femora
or thighbone is
the only bone in
the thigh.
20
Upper extremity
21
body of the femur (or shaft)
22
Lower extremity of femur
23
Radius (bone)
The radius or radial
bone is one of the
two large bones of
the forearm, the
other being the ulna.
24
Body of the radius
25
Joint surfaces
The carpal articular surface The articular surface
26
Bone healing
27
Biographical Data
Manuel Empeno
Student Nurse
28
29
30
Nursing History
Jameson De Guia
Student Nurse
31
32
33
Cousin Brother Patient X
34
35
Patterns of Functioning
Mitzi Dimain
Student Nurse
36
Health Perception/ Health Management Pattern
Angkalusugan ay
importante at
mahalagasabuhay as
verbalized by the
client. He scaled his
health as 8/10.
37
Nutritional-Metabolic Pattern
3 meals a day.
Vegetable
38
Food Allergy
39
Elimination Pattern
Upon admission
41
During admission
42
Sexuality-Reproductive Pattern
44
Role-Relationship Pattern
.Napakaimportante ng pamilya
45
Self-Perception/ Self-Concept Pattern
Industrious Supportive
46
Coping-Stress Pattern
47
Values-Belief Pattern
Naniniwala ako
kay God kasi bigla
akong nabuhay
nung nadisgrasya
ako.Binigyan pa
Niya ako ng
pagkakataon.
48
Sleep-Rest Pattern
Upon Admission
During Admission
49
Eslym Yap
Student Nurse
50
Head
51
Hair
52
Face
53
Eye
54
Ear
55
Nose
56
Mouth
Lips
Tongue
Teeth
57
UPPER EXTREMETIES:
Arms
hands
fingernails
58
CHEST APPEARANCE
Breast Appearance
Heart
59
ABDOMEN
60
Elimination
Intake
Output
61
BACK AREA
62
LOWER EXTREMITIES
Legs
knees
feets
63
GENERAL APPEARANCE
Skin
Gait
Personal Hygiene
Pain Scale
Neuro-
Logy system
64
Laboratory Procedures
65
66
67
Bryan Lennard Velsco
Student Nurse
68
Drugs Study
Eduard John Torregoza
Student Nurse
69
Generic
name
Omeprazole
Brand
name
Prilosec, Omesec,
Zegerid
70
dose
40 mg IV OD
Classificatio
n
Proton pump
inhibitors (PPI)
71
Indication
Mechanism
of action
Headache
Nausea
Vomiting
Diarrhea
stomach pain
Constipation
Fever
or cold symptoms such as stuffy
nose
Sneezing
sore throat.
74
Generic
name
Ceftriaxone
Brand
name
Rocephin
75
dose
Classificatio
n
ANTIBIOTIC
(Third Generation /
Cephalosporin) Broad
Bacteriocidal
76
Indication
Susceptible bacterial septicemia, acute
bacterial otitis media, lower respiratory tract,
UTIs, skin and skin structure, bone and joint,
pelvic inflammatory disease (PID), intra
abdominal infections, meningitis,
uncomplicated gonorrhea
Mechanism of
action
Agent that acts by inhibition of
bacterial cell wall synthesis
77
contraindicatio
n
Contraindicated in patients
hypersensitive to drug or other
cephalosporin.
Nursing
Responsibilit
y
Before giving drug ask the patient if
he or she allergic to cephalosporin.
Obtain specimen for culture and
sensitivity test before giving first dose.
78
SIDE
EFFECTS
Rash
Diarrhea
Nausea
Vomiting
upset stomach
blood clots
dizziness
Headache
pain or swelling in your tongue
alump where the medicine was
injected
sweating
79
Generic
name
Ketorolac
Brand
name
Toradol
Acular and
Sprix
80
dose
30mg IV q 6 hrs
Classificatio
n
Nonsteroidal
anti-inflammatory
drug (NSAID)
81
Indication
Mechanism
of action
Inhibits prostaglandin
synthesis
82
contraindicatio
n
Hypersensitivity
Asthma (why)
GI upset
Nursing
Responsibilit
y
Dont forget to assess first the patient before
administering this drug: know the history
Administer with food to minimize GI
adverse reaction
Report any signs of itching, swelling in the
ankles, sore throat, easy bruising
83
SIDE
EFFECTS
upset stomach
mild nausea or
vomiting
diarrhea constipation
mild heartburn
stomach pain
dizziness headache
drowsiness
sweating
84
Generic
name
Cefuroxime
Brand
name
Ceftin, Zinacef
85
dose
Classificatio
n
ANTIBIOTIC
(Second Generation / Cephalosporin)
Broad
Bacteriocidal
86
Indication
Mechanism of
action
Cephalosporin stop or slow the growth of
bacterial cells by preventing bacteria from
forming the cell wall that surrounds each
cell. The cell wall protects bacteria from
the external environment and keeps the
contents of the cell together. Without a
cell wall, bacteria are not able to survive.
87
contraindicatio
n
Contraindicated in patients hypersensitive to
drug or other cephalosporin.
Nursing
Responsibility
Before giving drug ask the
patient if he or she allergic to
cephalosporin.
Obtain specimen for culture
and sensitivity test before
giving first dose.
88
SIDE
EFFECTS
Dizziness
Headache
Drowsiness
itching/swelling,
Rash
Nausea
Vomiting
abdominal pain
stomach upset
gas,
headache,
itching or rash 89
Generic
name
Mefenamic Acid
Brand
name
Ponstel
90
dose
Non-steroidal anti-
inflammatory
drug (NSAID) with anti-
inflammatory, antipyretic
and analgesic activities.
91
Indication
Mechanism
of action
Inhibits prostaglandin
synthesis
92
contraindicati
on
Hypersensitivity
Peptic Ulcers
Kidney Disease (why
Nursing
Responsibilit
y
Assess the patient Before
administering drug
Administer with food to minimize
GI adverse reaction
Discontinue drug promptly if
diarrhea, dark stools, hematemesis,
or rash occur and do not use it again.
93
SIDE
EFFECTS
stomach pain
nausea
vomiting
heartburn
constipation,
diarrhea,
rash,
dizziness 94
Generic
name
Ibuprofen
Brand
name
Advil Motrin
Nurofen
95
dose
200mg q 8 hrs
Classificatio
n
Nonsteroidal anti-
inflammatory drug
(NSAID)
96
Indication
Used in the management of mild to
moderate pain, inflammation and
fever. These symptoms arise when
the body releases chemicals called
prostaglandins.
Mechanism
of action
Inhibits prostaglandin
synthesis
97
contraindicatio
n
Hypersensitivity to this drug
GI upset
Asthma
Nursing
Responsibilit
y
Assess the patient first before
administering drug.
Tell patient to take with meals
or milk to reduce adverse GI
reactions
Monitor for some side effects.
98
SIDE
EFFECTS
Metoclopramide
Brand
name
Reglan
100
dose
10mg IV at 8am
Classificatio
n
ANTI EMETICS /
DOPAMINETIC BLOCKER
101
Indication
Mechanism
of action
diarrhea,
dizziness,
drowsiness
headache
nausea,
vomiting,
restlessness,
malaise,
trouble sleeping
(insomnia) 104
Generic
name
TRAMADOL
Brand
name
Ultram
105
dose
Classificatio
n
NARCOTIC ANALGESIC
106
Indication
Moderate to severe
pain
Mechanism
of action
Inhibits reuptake of
serotonin and
norepinephrine in CNS.
107
contraindicatio
n
Patients hypersensitive to this drug and other
opoid. Those with acute intoxication with
alcohol.
Nursing
Responsibilit
y
Assess type, location, and intensity of
pain before and 2-3 hr (peak)
after administration.
Assess BP & RR before andperiodically
duringadministration.
Respiratorydepression has not
occurredwith recommended doses.
Assess previous analgesic. 108
SIDE
EFFECTS
Nausea,
constipation,
Dizziness
headache
drowsiness
vomiting
109
Generic
name
Dextromethorphan
Brand
name
Robitussin DM
110
dose
Classificatio
n
NON NARCOTIC
ANTITUSIVE
111
Indication
Indicated for the temporary
symptomatic relief of nonproductive
cough due to minor throat and
bronchial irritation occurring with
colds or inhaled irritants.
Mechanism
of action
Suppresses the cough reflex
by a direct action on the
cough center in the medulla
of the brain. 112
contraindicatio
n
Asthma
Mucus or phlegm with cough
Nursing
Responsibilit
y
Monitor for dizziness and
drowsiness, especially when
concurrent therapy with
CNS depressant is used.
113
SIDE
EFFECTS
Vomiting.
Drowsiness.
Nausea.
Dizziness.
Diarrhea.
Constipation.
Nervousness.
Restlessness
114
Generic
name
Diphenhydramine
Brand
name
Benadryl
115
dose
50mg IV now
Classificatio
n
ANTIHISTAMINE
116
Indication
Temporarily relieves these symptoms due to
hay fever or other upper respiratory
allergies: runny nose. sneezing. itchy, watery
eyes
Mechanism
of action
Sedation
Tiredness
Sleepiness
Dizziness
disturbed coordination
constipation
dry mouth/nose/throat,
difficulty urinating
upset stomach
119
Generic
name
Paracetamol
Brand
name
Tylenol
Calpol
Panadol
120
dose
300 mg IV every 4
hours PRN
Classificatio
n
ANALGESIC /
ANTIPYRETIC
121
Indication
Mechanism
of action
Through the produce of analgesia by
blocking pain impulse by inhibiting
synthesis of prostaglandin in CNS
that synthesized pain receptor to
stimulation 122
contraindicatio
n
Patients hypersensitive to this drug.
Patients with long term alcohol use
because it cause hepatotoxicity in these
patients.
Nursing
Responsibilit
y
Assess the patient pain and
temperature before the therapy.
It can be taken on an empty
stomach. Before or after meals.
123
SIDE
EFFECTS
Rash
Ulticaria
124
Nursing Care
Plan
Rhodora Villanueva
Student Nurse
125
126
127
Christina Margate
Student Nurse
128
129
130
Mary Ann Reyes
Student Nurse
131
Medicines
132
Wound Care
133
Self-care
134
Physical therapy
135
Foods
136
137