Generic name/Brand name
Classification
Dose/ route Frequency
Mechanism of Action
Specific indication
Contra-indication
Adverse reaction
Nursing Precaution
Ambrolex
antibiotic
OD 75 mg PO
Concentration of antibiotics when given concomitantly.
Acute and chronic disorder of the respiratory tract associated
with pathologically thickened mucus and impaired mucus
transport.
There are no absolute contraindications but in patients with
gastric ulceration relative caution should be observed.
Occasional gastrointestinal side effects may occur but these are
normally mild.
Observe respiratory rate and obtain baseline data. Check drug
interactions if taking other medications.
It is advisable to avoid use during the first trimester of
pregnancy.
Generic /brand name
Classification
Dose/ route Frequency
Mechanism of Action
Specific indication
Contra-indication
Adverse reaction
Nursing Precaution
Salbuterol
bronchodilator
1 neb
Stimulates Beta 2 receptors of bronchioles by increasing levels
which relaxes smooth muscles to produce bronchodilation. Also cause
CNS stimulation, cardiac stimulation, increase in diuresis,
skeletal muscle tremors and increase gastric acid secretions.
Relief of bronchospasm in bronchial asthma, chronic bronchitis,
emphysema and other reversible obstructive pulmonary disease
Hypersensitivity to salbutamol, also to atropine and its
derivatives. Threatened abortion during first or second
trimester.
Fine skeletal muscle tremors, leg cramps, palpitations,
tachycardia, hypertension, headache, nausea, vomiting, dizziness,
hyperactivity, insomnia, hypotension, heartburn, epistaxis,
cough
-Assess cardio- respiratory function, BP, heart rate and rhythm,
and breathe sounds.
-Determine history of previous meds and ability to
self-medicate.
-Monitor for evidence of allergic action and paradoxical
bronchospasm
Generic /brand name
Classification
Dose/ route Frequency
Mechanism of Action
Specific indication
Contra-indication
Adverse reaction
Nursing Precaution
Omeprazole
Antisecretory
Proton pump inhibitor
40mg IVTT OD
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.
Reduction of risk of upper GI bleeding
Contraindicated with hypersensitivity to Omeprazole or its
components.
Headache, dizziness, asthenia, vertigo, insomnia, apathy,
anxiety, paresthesias,
dream abnormalities, rash, inflammation, urticaria, pruritus,
alopecia, dry skin, diarrhea, abdominal pain, nausea, vomiting,
constipation, dry mouth
-Arrange regular medical check-ups.
-Advise pt to report immediately for side effects.
Generic /brand name
Classification
Dose/ route Frequency
Mechanism of Action
Specific indication
Contra-indication
Adverse reaction
Nursing Precaution
Paracetamol
Antipyretic
PRN for fever q 4 hrs
Inhibits the synthesis of prostaglandins that may serve as
mediators of pain and fever, primarily in the CNS
>Mild pain
>Fever
Hypersensitivity to acetaminophen or phenacetin; use with
alcohol.
Hema: hemolytic anemia, neutropenia, leukopenia,
pancytopenia.
Hepa: jaundice
Metabolic: hypoG
GI: HEPATIC FAILURE, HEPATOTOXICITY (overdose)GU: renal failure
(high doses/chronic use). Derm: rash, urticaria.
~ Advise parents or caregivers to check concentrations of liquid
preparations. Errors have resulted in serious liver damage.
~ Assess fever; note presence of associated signs (diaphoresis,
tachycardia, and malaise).
~ Adults should not take acetaminophen longer than 10 days and
children not longer than 5 days unless directed by health care
professional.
~ Advise mother or caregiver to take medication exactly as
directed and not to take more than the recommended amount.
BRAND NAME
GENERIC NAME
MECHANISM OF ACTION
ADVERSE REACTION
SIDE EFFECTS
DOSAGE
NURSING RESPONSIBILITIES
Acetylcysteine
Reference :Daviss drug guide for nurses 11th edition
Exflem
Mucolytic
Acetylcysteine exerts its mucolytic action through its free
sulfhydryl group, which opens the disulfide bonds and lowers mucus
viscosity. This action increases with increasing pH and is most
significant at pH 7 to 9. The mucolytic action of acetylcysteine is
not affected by the presence of DNA.
> fever
> drowsiness
> tachycardia
> dyspnea
> rash
> chills
stomatitis,nausea,vomiting,
fever, rhinorrhea,
drowsiness, clamminess, chest tightness, and broncho
constriction
Usual:60 mg 1 tab in
glass of
water
Actual:
600 1 tab+ glass of H2O OD @hs
>Assess type, frequency, and characteristics of
patients cough
.
>Monitor patient fortachycardia
>Monitor for S&S of aspiration of excess secretions, and
for
Bronchospasm (unpredictable); withhold drug and notify physician
immediately if either occurs.
>Instruct patient to notify prescribe immediately about
nausea, rash or vomiting
NURSING CARE PLAN
Assessment
Diagnosis
Planning
Interventions
Rationale
Evaluation
Subjective:
gahi kayo akong ubo as verbalized.
Objective:
Conscious/coherent
Productive cough (yellow to green sputum
Restlessness noted
Discomfort noted
Facial Grimace noted
Ineffective airway clearance r/t increased production of
bronchial secretions as manifested by
Body malaise
Wheezes upon auscultation
Productive cough (yellow to green sputum
Restlessness
Chest pain
Discomfort
Facial Grimace
After 8 hours of continues nsg. Interventions the pt. will be
able to maintain airway patency
Expectorate secretions
Learn and perform breathing and coughing exercise.
Verbalized relief form dyspnea.
Monitor Vital signs
Place the pt. in fowlers or semi-fowlers position
Teach the pt. how to do proper deep breathing and coughing
exercise
Avoid exposure to irritants such as cigarette smoke, aerosol and
fumes
Auscultate breath sounds
Increase fluid intake
Suction as ordered
Provide oxygen inhalation as ordered
Administer medication as ordered
Serves as baseline data
To facilitate maximum lung expansion
Improves ventilation and helps in mobilizing secretions w/o
causing fatigue
To avoid allergic reaction
To ascertain status and note progress
Helps liquefy secretions
To clear airway
Provide adequate amount of oxygen
Will help loosen secretions for easy expulsion.
Patient was able to expectorate secretions, goal met.
Assessment
Diagnosis
Planning
Interventions
Rationale
Evaluation
Subjective:
Gitugnaw ko as verbalized
Objective:
Conscious/coherent
Warm to touch noted
Flushed face noted
Febrile with a temperature of 37.9C
Ineffective thermoregulation r/t increased body temperature as
manifested by
Warm to touch
Flushed face
Febrile with a temperature of 38.2C
After 8 hours of continuous TSB, the pt.s temperature will
decrease from 37.9 to 37C
Monitor VS
Increase fluid intake
Maintain bed rest
Provide sufficient clothing
Perform TSB
Administer antipyretics as ordered
Serves as baseline data
To help cool down core temperature
To decrease metabolism that produce heat
Facilitate comfort
Facilitate heat loss by means of evaporation
Helps lower temperature within normal range
The patient temperature is fluctuating, goal partially met.
Assessment
Diagnosis
Planning
Interventions
Rationale
Evaluation
Subjective:
dili ko ganahan mo kaon
Objective:
Refusal to eat
Poor muscle tonicity
Body weakness noted
Restlessness
Altered nutrition less than body requirements R/T loss of
appetite as evidenced by dysfunctional eating pattern.
After 4 hours of nursing interventions, patients appetite will
be improved: from 2 tablespoons to at least 5 tablespoons per
meal.
Monitor vital signs
Weight on regular basis
Discuss eating habits including food preferences.
Serve favourite foods that are not contraindicated.
Serves foods that are palatable and attractive.
Prevent and minimize unpleasant odours.
Emphasize the importance of well-balanced nutrition diet
For baseline data
Monitor nutritional state and effectiveness of interventions
To appeal to client likes and dislikes
To stimulate the appetite
To stimulate the appetite
May have negative effect on appetite/eating
Promote wellness
Goal was met because the patient was able to understand the
importance of nutritious food intake and was able to eat with fair
appetite.
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