DRUG STUDY

Generic / Dosage / Classification Mechanism of Indication and Side Nursing

Brand Name Frequency Action Contraindication Effects’Adverse Responsibilities
Effects

Ventolin 1.25 mg/3 Beta-Adrenergic  s a beta2- Indication  Cough 1. Instruct the

Nebulizer ml Bronchodilators adrenergic Treatment/  Headache patient on the
(Salbutamol) Every 6 agent which prevention of  Nervousness how to use
hours acts on airway bronchospasm  Sinus the nebulizer.
smooth muscle inflammation 2. Instruct the
resulting in Contraindication patient on the
 Sore or dry
relaxation. Hypersensitive frequency of
throat
Salbutamol reaction. nebulization.
 Tremor
relaxes all Urticania. 3. Instruct the
 Trouble
smooth muscle Anginoedema. patient what
sleeping
from the Rashes . to do during
 Unusual taste
trachea to the Anaphylaxis. the asthma
in mouth
terminal Oropharyngeal attack.
edema.  Vomiting
bronchioles 4. Advice the
and protects  Paradoxical
client when
against all bronchospasm
to attend for
bronchoconstri  Hypokalemia
follow-up
ctor challenges.  Immediate
visits.
hypersensitivti
ty reaction

Adverse
tachycardia,
dizziness,
palpitations or
headache,
especially in
hypersensitive
patients
•

Indication
Ambroxol 30 mg TID Mucolytic is a metabolite of Adjuvant therapy in Occasional •Monitor for S&S
bromhexine and is gastrointestin of aspiration of
patients with
al side effects excess secretions,
used similarly as a abnormal, viscid, or may occur but
mucolytic inspissated mucous and for
these are
secretions in acute almost bronchospasm
and chronic invariably (unpredictable);
bronchopulmonary mild. withhold drug
diseases, and in and notify
pulmonary physician
complications of immediately if
cystic fibrosis and either occur.
surgery,
•Lab tests:
tracheostomy, and
 atelectasis. Also Monitor ABGs,
used in diagnostic pulmonary
bronchial studies functions and
and as an antidote pulse oximetry as
for acute indicated.
acetaminophen
poisoning. •Have suction
apparatus
Contraindication immediately
available.
There are no Increased volume
absolute of respiratory
contraindication but tract fluid may be
in patients with liberated; suction
gastric ulceration or endotracheal
relative caution aspiration may be
should be observed. necessary to
establish and
maintain an open
airway.

Patient &
Family
Education

Report difficulty
with clearing the
airway or any
other respiratory
distress

ISONIAZID 300 mg Anti-TB drugs Inhibits RNA Indication Various skin Assess lab exams
OD synthesis, eruptions, before treatment
Pulmonary and
decreases tubercle fever, to detect
extrapulmonary lymphadenop
bacilli replication resistance.
tuberculosis (TB). athy and
Lupus vulgaris. vasculitis, GI
Assess CNS
disturbances,
liver often, hepatic
Contraindication
dysfunctions, status and visual
peripheral disturbances.
Should not be given neuropathy
to patients with drug and anemia. PO route: give
induced liver with meals to
diseases. decrease GI
symptoms,
absorption is
better when taken
on empty
stomach, 1 hour
before or after
meals.

Instruct patient
that compliance
 with dosage
schedules for
duration is
necessary to gain
benefits.

Caution patient in
alcohol while in
therapy may
increase risk of
liver damage.

Tell patient to
report peripheral
neuritis.

Self-Concept Pattern

According to the relative, the client is a happy person. She added that the client is contented
with his life and for what he has.”Masayahin talaga si tatay, lagi nga yan tumatawa pagnagjojoke
ako. Kuntento na naman sya sa buhay na meron sya ngayon”as verbalized by the relative. And
before hospitalization, the relative said that the client feels worried about his health condition and
about the expenses especially when it regards to his medications. However, the relative stated that
the client’s family was there to support and provide his needs.

Interpretation:

The client is a jolly person and he is happy with himself. He is worried about his health and
their expenses yet he is secured through his families moral support.

Analysis:

A person’s self concept results from a variety of past experiences, interpersonal interactions,
physical and cultural influences, and education. It includes a person’s perceptions of his/ her own
strengths and weaknesses. Illness can alter a person’s self- concept as it affects roles,
independence, and relationship with important other. (Fundamentals of Nursing by Taylor, 5th
edition, page 67)

1. Significant Relationship Pattern

The client has a harmonious relationship with his family. The daughter verbalized that “Maayos ang samahan sa
aming pamilya,mahal na mahal ni tatay ang nanay kahit na wala na, kmi at ang mga apo nya”. The daughter stated that they
love and respect each other. They also support each other especially in times of sickness like with the clients’ present
condition, the family are there to support him. They encounter some misunderstandings but resolve it easily like with the
client’s family and relatives. The daughter verbalized that “Hindi naman maiiwasan ang konting tampuhan at problema sa
isang pamilya pero naaayos naman kaagad”. In addition, the daughter also said that they have an open communication and
good interaction with each other .

Interpretation:
 The client’s relationship with his family is healthy because they have no conflicts. If they have problems, it is
immediately resolved.

Analysis:

When a person gets older, he or she becomes more mature and gives more importance to a long-lasting and
satisfying relationship to be able to love and be loved. He or she focuses more on the things that will make him or her happy
and forget all the other things that seem to be unimportant for the older adults, valuing people plays an important role because
there are times that they feel being ignored whenever they have children or not. (Fundamentals of Nursing by Taylor, 5th
Ed., page 992)

Sexuality Pattern

According to the daughter, the client has no problem with his sexuality. She added that the client is happy and
contented for what he is. He expresses his sexuality by wearing clothes that are appropriate for him gender such as wearing
polo and pants.

Interpretation:

The client has no problem when it comes to his sexuality. He expresses herself by being a man through wearing
clothes that is suitable for himself.

Analysis:

As time passes, gradual internal and external physiologic changes occur. These are not pathologic changes but there
are also normal changes as a person gets older.

Women and men have the capacity for sexual desire and sexual activity throughout their lives—there is no reason
why one cannot express one’s sexuality well beyond the “reproductive years” (the ages during which men and women are
fertile). In fact, women and men who have been sexually active throughout their adult lives seem to be more sexually
responsive in old age than those who have not. (Fundamentals of Nursing by Taylor, 5th Ed. pg.420,724)

1. Coping Pattern

Prior to hospitalization, the daughter of the patient verbalized that whenever the patient has problem he faces and
finds way to solve it. The daughetr added that sometimes the patient spend time alone to give himself a time to think and to
relax. He also prays to God so that he will be able to think clearly on how to solve problems that comes his way. Regarding
with the client usual problem, the daughter said that the patient common problem is about financial yet it was resolved
through the help of the client’s family.

Interpretation:

The client copes with his problem by courageously facing it. His usual problem is resolved through his family
presence.

Analysis:

In psychosocial theory, older adults usually withdraw from usual roles and they become more introspective and
self-focus as compared to young adult and middle age adult. Withdrawal was theorized as intrinsic and inevitable which is
necessary for successful aging. (Fundamentals of Nursing by Taylor, pg.416).

Spiritual Health

1. Religious Beliefs and Practices Pattern

 According to the daughter, the client has a great faith in their religion. He abides with the practices, beliefs
and values of their religion. Such as, proper attire and attending worship during Sunday. The daughter added that the client
strongly believes in God wherein the client always prays only not for himself but also most for his family.

Interpretation:

The client strongly abides by his religion’s practices. He does pray for himself and most for his family.

Analysis:

Religions directly influence the patient’s response to illness and suffering, self care practices such as diet and
hygiene, birth and death ritual, gender role, spiritual practices, and moral code. (Fundamentals of Nursing by Taylor, 5th Ed,
page 976)

Many elders take their faith and religious practice seriously and display a high level of spirituality. They have
strong religious convictions and continue to attend religious meeting or services. (Fundamentals of Nursing by Taylor, 5th
Ed, page 419)

2. Values Pattern

According to daughter, the client is living with them. He values her husband, and children so much as he considered
them as the most significant people in his life. “Mapagmahal at maalalahanin si lola lagi nya inaala ang kapakanan ng bawat
isa”, as the relative verbalized. The client is very wisely when it comes in spending money for she thinks that her children are
working hard to support and provide their needs.”Matipid si lola lalo na sa paggastos dahil umaasa na lang sila sa suporta ng
kanyang mga anak, as relative verbalized. As stated by the relative, there are times that she does not want to go for check up
when she’s not feeling well for she doesn’t want to spend much money for her. Nevertheless, her children does not allow it
and they insisted their mother to consult a doctor whenever she is not in good condition.

Interpretation:

The client is thrifty when it comes to spending money as she thinks about her children hardship just to help them for
their needs. She values her family very much as she considered them as the most important people in her life.

Analysis:

A person values influence believes about human needs, health, and illness: the practice of health behavior and
human responses to illness. (Fundamentals of Nursing by Taylor 5th Edition Page 91).