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Drug Study

J.A. is an elderly male patient diagnosed with COPD stage IV, pulmonary tuberculosis, and malnutrition who is being treated by Dr. Andres Gumban. He is prescribed Metronidazole 20g BID for anaerobic infections and Paracetamol 500mg Q4H PRN for bacterial infections with pain and fever. Metronidazole works by disrupting DNA/protein synthesis in susceptible organisms while Paracetamol reduces fever by acting on the hypothalamic heat regulating center. The nurse should monitor for adverse effects, instruct on proper administration, and report any signs of reaction.

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Maui Lopez
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242 views

Drug Study

J.A. is an elderly male patient diagnosed with COPD stage IV, pulmonary tuberculosis, and malnutrition who is being treated by Dr. Andres Gumban. He is prescribed Metronidazole 20g BID for anaerobic infections and Paracetamol 500mg Q4H PRN for bacterial infections with pain and fever. Metronidazole works by disrupting DNA/protein synthesis in susceptible organisms while Paracetamol reduces fever by acting on the hypothalamic heat regulating center. The nurse should monitor for adverse effects, instruct on proper administration, and report any signs of reaction.

Uploaded by

Maui Lopez
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Mario Lopez BN4M

Baseline Data:
Name of Patient: J. A. Age: years old Sex: Male
CC: Dyspnea Medical Diagnosis: COPD with PTB Stage IV with Malnutrition Attending Physician: Dr. Andres Gumban
DRUG STUDY
NAME OF DRUG DOSAGE/ INDICATION MECHANISM OF CONTRAINDICATIONS ADVERSE REACTION NURSING
ROUTE/ ACTION RESPONSIBLITIES
FREQUENCY
Metronidazole CNS:
 20g 1tab Anaerobic Infections Disrupts DNA and Contraindicated in: SEIZURES, dizziness,  Instruct patient to
GENERIC NAME: BID protein synthesis in headache, take drug with or
Hypersensitivity,
Metronidazole susceptible organism. EENT: tearing (topical only) without food.
Therapeutic effects: hypersensitivity to parabens GI: abdominal pain, anorexia,
BRAND NAME: Bactericidal, (topical only). nausea, diarrhea, dry mouth,  Tell patient to take
Flagyl tricomonacidal, or furry tongue, glossitis, entire quantity of
amebicidal action. unpleasant taste, vomiting. drug exactly as
CLASSIFICATION: prescribed.
Anti-infectives,
antiprotozoals, antiulcer  Monitor V/S before
agents administering the
drug.

Paracetamol Headache, Rash, Fever.


 Contraindicated with
 500mg/tab Bacterial infections Reduces fever by  Do not exceed the
GENERIC NAME: 1 tab q4h acting directly on the allergy to recommended
with pain and fever.
Paracetamol prn hypothalamic heat- acetaminophen. dosage.
regulating center to  Use cautiously with  Give drug with food
BRAND NAME: cause vasodilation if GI upset occurs.
Tempra impaired hepatic  Report rash, unusual
and sweating, which
helps dissipate heat. function, chronic bleeding or bruising,
CLASSIFICATION: alcoholism, and yellowing of skin or
Antipyretic, Analgesic eyes, changes in
pregnancy, lactation.
voiding patterns.

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