QUIZON, Ellaine Joy L.

III-F group 4

DRUG ANALYSIS

DRUG NAME INDICATION CONTRAINDICATION ADVERSE/SIDE EFFECTS NURSING CONSIDERATIONS

1. Cloxacillin • Skin structure • Hypersensitivity to • CNS: anxiety, • Assess for signs and symptoms of
500 mg/tab infections penicillins, neonates, depression, coma, seizures infection
• Respiratory tract severe renal, hepatic • GI: nausea, vomiting, • Obtain C&S before beginning
disease diarrhea, increase AST, drug therapy
ALT, abdominal pain • Identify urine output
• GU: oliguria, • Assess bowel pattern daily
proteinuria, hematuria,
glomerulonephritis

2. Clobetasol • Psoriasis • Hypersensiti • INTEG: acne, • Temp: if fever develops,

Dermovate vity, viral, infections, atrophy, epidermal thinning, drug should be discontinued
fungal infections purpura • Assess for systemic
absorption, increase temperature,
inflammation, irritation

3. Mupirocin • Skin • Hypersensiti • INTEG: rash, • Assess for allergic

Bactroban infections, primary vity, large areas, burns, urticuria, scaling, redness reaction, burning, stinging, swelling,
pyodermas ulcerations redness
• Assess for signs of
nephrotoxocity or ototoxicity
QUIZON, Ellaine Joy L.
ASSESSMENT NURSING
DIAGNOSIS
Subjective: Impaired skin integrity
related to lesions and
• Pt. verbalized inflammatory response
“ ang kati ng secondary to psoriasis
katawan ko at
mahapdi”
Inference:
Objective: Epidermal cells are
produced at a faster rate
• Disruption of than normal. The cells in
skin surface the basal layer of the skin
• Red lesions divide too quickly and
all over the body newly formed cells move
so rapidly to the skin
• Scaly patches
surface that they become
evident as profuse scales
or plaques of epidermal
tissue. This leads to
lesions and therefore
resulted to impaired skin
integrity.
III-F group 4
NURSING CARE PLAN
PLAN OF CARE NURSING RATIONALE EVALUATION
INTERVENTION
Short term goal: • Inspect skin on a daily • This determines Short term goal:
basis, describing lesions and the effectiveness and
After 2 hours of nursing changes observed. need for therapy. After 2 hours of
intervention, the client nursing intervention,
will be able to manage • Keep area clean and dry, • To assist body’s the shot term goal has
situation as manifested prevent infection and natural process of been fully met as
by: stimulate circulation to repair. manifested by:
• Verbalize surrounding areas. • Pt. verbalized
minimal pain and “hindi na siya
itchiness • Removed wet, wrinkled • Moisture lagi sumasakit”
linens promptly. potentiates skin
breakdown. Long term goal:
Long term goal: • Expose lesions to air and
light as indicated. • It promotes faster After 1 week of
After 1 week of nursing healing. nursing intervention,
intervention, the client • Avoid too frequent the long term goal has
will be able to improve washing of affected areas. • This produces been fully met as
skin condition as more soreness and manifested by:
manifested by: • Shows healing
• Apply ointment and or scaling.
• Timely healing of of skin lesions.
cream as indicated.
skin lesions • This promotes
healing.
QUIZON, Ellaine Joy L. III-F group 4

NURSING CARE PLAN

ASSESSMENT NURSING PLAN OF CARE NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION

Subjective: Risk for infection Short term goal: • Provide health teaching • Enough Short term goal:
related to broken about risk factors of knowledge can
• Pt. skin secondary to After 1 hour of nursing infection. help prevent After 1 hour of nursing
verbalized “ skin lesions due to intervention, the client will be infection. intervention, the shot term
pumuputok psoriasis able to identify risk factors and • Note signs and goal has been fully met as
yung sugat ko prevent acquiring infection as symptoms of sepsis. • Early diagnosis manifested by:
kapag manifested by: will prevent • Pt. verbalized “alam
natutuyo” Inference: • Verbalize complication. ko na ngayon kung
understanding of the risk • Stress proper hand ano pwedeng sanhi ng
Skin is a primary factors. washing techniques by all • This universal impeksyon”
Objective: defense of our body • Demonstrate caregivers between precaution • Seen performing
from interventions that prevents therapies/clients. prevents cross proper hand washing.
• Red skin microorganisms. to be at risk for infection contamination.
lesions all over When or first line • Maintain clean Long term goal:
the body defense is broken, environment. • To avoid source
• Scaly there is a high risk Long term goal: of microorganisms. After 1 week of nursing
patches for being invaded • Administer and intervention, the long term
by pathogenic After 1 week of nursing monitor medication • This determines goal has been partially met
microorganisms intervention, the client will be regimen as order. the effectiveness of as manifested by:
and acquiring able to be free from risk of therapy and • Shows healing but
infection. infection as manifested by: promotes healing. not as expected.
• Achieve timely wound • Discuss the importance • No purulent
healing of compliance in treatment. • To aid discharge.
• Free of purulent discipline and for
discharge faster healing.