UNIVERSITY OF CEBU – BANILAD

COLLEGE OF NURSING

DRUG STUDY

Patient: F.R.N. Age: 63 YO Hospital No. 36238 Room No. ICU-2

Impression/Diagnosis: Acute Kidney Injury Attending Physician(s): Dr. Mathieu Kendrick C. Tiu
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / (Nursing Process Approach)
Drug Patient Teaching (20%)
Classification (5%) (5%) Contraindication (10%) (40%)
(20%)

Side Effects: Verify the correct medica- Instruct patients to take

Generic Name: Drug form & Dosage Indications: tion, form, and dosage. tramadol as prescribed
Ordered: Used to treat moderate to severe Common Side Effects: Nausea, dizziness,
TRAMADOL
and not to exceed the
pain. constipation, and headache. Administer the medication recommended dosage.
50MG IVTT
as prescribed, with atten-
The extended-release form may Less Common Side Effects: Sedation, dry tion to proper dosing inter- Advise patients about
Timing: be used for around-the-clock mouth, and sweating. vals. common side effects,
Brand Name: pain management. including the potential
Q8H Adverse Reactions:
Monitor for signs of opi- for dizziness and
ULTRAM Risk of opioid-related side effects, includ- oid-related side effects, in- drowsiness.
Duration: Pharmacodynamics: ing respiratory depression, constipation, cluding respiratory depres-
Tramadol works as an opioid and potential for dependence. sion. Educate patients about
receptor agonist and also the risk of dependence
inhibits the reuptake of Contraindications: Assess for potential drug and the importance of
Classification Name: Other drugs forms: serotonin and norepinephrine, interactions and provide following the pre-
Known hypersensitivity to tramadol or appropriate patient care.
providing both opioid and non- scribed treatment plan.
opioids.
Oral solutions opioid analgesic effects.
OPIOID ANALGESIC injectable forms
Contraindicated in patients with a history
of seizures, as tramadol may lower the
seizure threshold.

MS. GEMA ARNIBAL, RN SANDRA C. LAPUERTA – BSN 4E

Printed Name and Signature Printed Name and Signature
Clinical Instructor Student
 UNIVERSITY OF CEBU – BANILAD
COLLEGE OF NURSING

DRUG STUDY

Patient: F.RN. Age: 63 YO Hospital No. 36238 Room No. ICU-2

Impression/Diagnosis: Acute Kidney Injury Attending Physician(s): Dr. Mathieu Kendrick Kyle C. Tiu
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / (Nursing Process Approach)
Drug Patient Teaching (20%)
Classification (5%) (5%) Contraindications (10%) (40%)
(20%)

Side Effects: Verify the correct medication, Instruct patients to

Generic Name: Drug form & Dosage Indications: form, and dosage. take pantoprazole as
Ordered: Used to treat conditions Common Side Effects: Headache, diar- prescribed and not
PANTOPRAZOLE associated with excess stomach rhea, abdominal pain, and nausea. Administer the medication as
4MG IVTT to crush or chew the
acid production, including prescribed, ensuring that IV
tablets.
gastroesophageal reflux disease Less Common Side Effects: Hypomag- administration is done prop-
Timing: (GERD), peptic ulcers, and nesemia, osteoporosis-related fractures, erly.
Zollinger-Ellison syndrome. and vitamin B12 deficiency.
Brand Name: Advise patients to
OD Monitor for potential adverse
Adverse Reactions: effects and provide appropri- report any unusual
Can also be used to prevent symptoms,
PROTONIX ate interventions.
stress ulcers in critically ill especially signs of
Duration: Clostridium difficile-associated diarrhea
patients. (CDAD), allergic reactions, and acute in- Assess for interactions with allergic reactions.
terstitial nephritis (rare). other medications that may
Pharmacodynamics:
require dose adjustment.
Inhibits the proton pump
Contraindications:
Classification Name: Other drugs forms: (H+/K+ ATPase) in the gastric
parietal cells, reducing the Known hypersensitivity to pantoprazole
also available in delayed- secretion of gastric acid.
PROTON PUMP INHIBITOR release tablets, or other PPIs.
extended-release granules
and IV injection Use with caution in patients with severe
liver disease or a history of CDAD.

MS. GEMA ARNIBAL, RN SANDRA C. LAPUERTA – BSN 4E

Printed Name and Signature Printed Name and Signature
Clinical Instructor Student
 UNIVERSITY OF CEBU – BANILAD
COLLEGE OF NURSING

DRUG STUDY

Patient: F.R.N. Age: 63 YO Hospital No. 36238 Room No. ICU-2

Impression/Diagnosis: Acute Kidney Injury Attending Physician(s): Dr. Mathieu Kendrick Kyle C. Tiu
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / (Nursing Process Approach)
Drug Patient Teaching (20%)
Classification (5%) (5%) Contraindication (10%) (40%)
(20%)

Side Effects: Verify the correct medi- Instruct patients to take

Generic Name: Drug form & Dosage Indications: cation, form, and dosage. metronidazole as pre-
Ordered: Used to treat various bacterial Common Side Effects: Nausea, metallic
METRONIDAZOLE
scribed, with or without
and parasitic infections, includ- taste, and dry mouth.
500MG IV Administer the medica- food, and to complete
ing certain anaerobic bacterial
Less Common Side Effects: Headache, tion as prescribed, with the full course.
infections, trichomoniasis, and
dizziness, and gastrointestinal upset. attention to the specific
Timing: amebiasis.
Brand Name:
form (oral, topical, IV). Advise patients about
Q8H Adverse Reactions: common side effects, in-
Topical formulations may treat
Monitor for potential side cluding the metallic
skin and vaginal infections. Rarely, severe allergic reactions, neuropa-
MetroGel effects and allergic reac- taste, and that these ef-
Duration: thy, and secondary fungal or bacterial in- tions. fects are usually tempo-
fections. rary.
Pharmacodynamics: Assess for interactions
Metronidazole disrupts the DNA Contraindications:
with other medications, Emphasize the impor-
Classification Name: Other drugs forms: of susceptible microorganisms, especially alcohol. tance of avoiding alcohol
Known hypersensitivity to tramadol or
leading to cell death. It has during treatment and for
oral tablets, opioids.
antimicrobial properties against several days after.
ANTIBIOTIC capsules, anaerobic bacteria and protozoa. Contraindicated in patients with a history
topical gel/cream,
of seizures, as tramadol may lower the
and IV injection
seizure threshold.

MS. GEMA ARNIBAL, RN SANDRA C. LAPUERTA – BSN 4E

Printed Name and Signature Printed Name and Signature
Clinical Instructor Student
 UNIVERSITY OF CEBU – BANILAD
COLLEGE OF NURSING

DRUG STUDY

Patient: F.R.N. Age: 63 YO Hospital No. 36238 Room No. ICU-2

Impression/Diagnosis: Acute Kidney Injury Attending Physician(s): Dr. Mathieu Kendrick Kyle C. Tiu
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / (Nursing Process Approach)
Drug Patient Teaching (20%)
Classification (5%) (5%) Contraindication (10%) (40%)
(20%)

Side Effects: Verify the correct medi- Instruct patients to take

Generic Name: Drug form & Dosage Indications: cation, form, and dosage. paracetamol as pre-
Ordered: Used to relieve pain and reduce Common Side Effects: Rare when taken
PARACETAMOL
scribed and to follow the
fever. as directed, but potential side effects in- Administer the medica- recommended dose
5OOMG/ TAB
clude nausea, vomiting, and liver damage
tion as prescribed, with guidelines.
Often used for headaches, mus- if taken in excessive doses. attention to the recom-
Timing: cle aches, back pain, minor pain mended dose. Emphasize the impor-
Brand Name: from arthritis, and as a fever re- Adverse Reactions:
tance of not exceeding
Q4H ducer for various conditions.
Severe liver damage can occur with Monitor for potential side the recommended dose
TYLENOL high doses or in cases of overdose. effects and provide ap- to prevent liver damage.
Duration: propriate interventions,
Pharmacodynamics: Contraindications: especially in cases of Educate patients about
The exact mechanism of action overdose. the potential presence of
is not fully understood. It is Known hypersensitivity to paraceta- paracetamol in various
Classification Name: Other drugs forms: believed to work by reducing mol. over-the-counter medica-
capsules, the production of prostaglandins tions and the need to be
liquid suspension, in the brain that cause pain and Avoid excessive or prolonged use, es- aware of total paraceta-
ANTIPYRETIC and suppositories pecially in individuals with liver dis- mol intake.
fever.
ease or a history of alcoholism.

MS. GEMA ARNIBAL, RN SANDRA C. LAPUERTA – BSN 4E

Printed Name and Signature Printed Name and Signature
Clinical Instructor Student
 UNIVERSITY OF CEBU – BANILAD
COLLEGE OF NURSING

DRUG STUDY

Patient: F.R.N. Age: 63 YO Hospital No. 36238 Room No. ICU-2

Impression/Diagnosis: Acute Kidney Injury Attending Physician(s): Dr. Mathieu Kendrick Kyle C. Tiu
Allergy to:

Indication / Pharmacodynamics of Nursing Responsibilities

Generic / Brand Name & Dosage, Timing & Duration Side Effects / Adverse Reaction / (Nursing Process Approach)
Drug Patient Teaching (20%)
Classification (5%) (5%) Contraindication (10%) (40%)
(20%)

Side Effects: Verify the correct medi- Patients do not adminis-

Generic Name: Drug form & Dosage Indications: cation, form, and dosage. ter ceftriaxone them-
Ordered: Used to treat a wide range of Common Side Effects: Nausea, diarrhea,
CEFTRIAXONE
selves, but they should
bacterial infections, including and injection site pain. Administer the medica- be informed about the
2 GRAMS IV INFUSION
respiratory tract infections, skin tion as prescribed, ensur- medication, its purpose,
and soft tissue infections, Less Common Side Effects: Allergic re-
actions, abdominal pain, and headache.
ing proper reconstitution and potential side ef-
Timing: urinary tract infections, and if required. fects.
Brand Name: serious systemic infections.
Q24H Adverse Reactions:
ROCEPHIN Monitor for potential side Advise patients to report
Effective against both gram- effects and provide ap- any unusual symptoms,
Risk of serious allergic reactions,
Duration: positive and gram-negative propriate interventions. especially signs of an al-
Clostridium difficile-associated diar-
bacteria. lergic reaction, such as
rhea (CDAD), and changes in blood
Pharmacodynamics: cell counts. Assess for signs of an al- hives, difficulty breath-
Ceftriaxone interferes with lergic reaction or severe ing, or swelling.
Classification Name: Other drugs forms: bacterial cell wall synthesis by Contraindications: diarrhea.
binding to penicillin-binding Emphasize the impor-
THIRD- GENERATION Intramuscular (IM) tance of completing the
CEPHALOSPORIN proteins, leading to cell lysis Known hypersensitivity to ceftriaxone
injection and death. or other cephalosporin antibiotics. full course of treatment
ANTIBIOTIC
as prescribed.
Use with caution in patients with a
history of penicillin allergy.

MS. GEMA ARNIBAL, RN SANDRA C. LAPUERTA – BSN 4E

Printed Name and Signature Printed Name and Signature
Clinical Instructor Student