Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: MV + FeSo4

Syrup
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
General An essential CNS: seizures, Before:
5 ml OD indications: mineral found dizziness, Monitor blood
P.O Prevention in headaches, syncope studies of patient
and haemoglobin, > observe proper
treatment myoglobin, and CV: hypotension, dosage of
of iron- many hypertension, medication
vitamin and enzymes. tachycardia > note other drugs
dietary Enters the patient is taking to
deficiency bloodstream GI: nausea, avoid possible
anemias; and is constipation, dark interactions
used in transported to stools, diarrhea, > verify the
anemia the organs of vomiting patient’s identity
due to the
blood loss reticuloendothe Dermatologic: During:
during lial system flushing, urticaria > most effectively
menstruati (liver, spleen, absorbed if
on, bone marrow), Respiratory: cough, administered 1 or
infections, where it is dyspnea 2 hrs before meal
surgery, separated out > take with a full
delivery, and becomes MS: arthralgia, glass of
intoxication part of iron myalgia water/juice
s, stores. > do not
parasitosis, Local: pain at IM site crush/chew
or other enteric-coated
causes & Others: tablets and do not
anemias staining of open capsules
during teeth, > encourage
pregnancy anaphylaxis, patient to avoid
sweating using antacids,
coffee, tea, dairy
products within 1
hour after
> inform patient
about dark, green
Patient’s or black stools to
actual avoid panic
indication:
MV + After:
FeSO4 is > monitor pt’s
prescribed blood studies
for > inform patient
postpartum about what
patients to possible adverse
prevent the
 occurrence effects that may
of occur
pregnancy- > assess bowel
induced function for
anemia constipation/diarrh
and keep ea
her > document and
nutritionally record
balanced

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Ranitidine
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Short-term instruct the patient
15 mg treatment Competitively headache
to rest and
IV Q8 of active inhibits the
hours duodenal action of provide
ulcer histamine at the
therapeutic
- h2 receptors of
maintenan the parietal ells environment
ce therapy of the stomach,
-place place cold
for inhibiting basal
duodenal gastric acid cloth on the
uler at secretion and -dizziness
forehead to help
reduced gastric acid
dosage secreation that relieve the ache.
-short term is stimulated by
Instruct to move
treatment food, insulin,
-constipation
of active, histamine, slowly and to have
benign cholinergic
assistance in
gastric agonists,
ulcer gastrin, and rendering activities
-short-term pentagastrin
-instruct family
treatment
-diarrhea
of GERD member to assist
-pathologic
giving fiber once
hypersecre
-vomiting
tory allowed to eat by
conditions
the physician.
-treatment
of erosive -increase fluid
esophagitis Abdominal pain
intake once
-treatment
of allowed by the
heartburn,
physician.
acid
indigestion,
 sour -Provide ice chips
stomach
-place basin
beside the bedside
Provide diversion
activities

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Ascorbic
Acid
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
5ml OD Increases GI:  Secure doctor’s
P.O  Dietary protection Nausea, vomiting, order
supplem mechanism of heartburn, diarrhea  Do hand
ent; the immune washing
 Frank system, thus Hematologic:  Assess patient’s
and supporting Acute hemolytic condition
subclinic wound healing. anemia  Give medication
al on right timing
scurvy; CNS:  Inform patient
 Extensiv Head ache (high about the
e burns, doses) possible side
delayed effects of the
fracture Urogenital: drugs
or wound Urethritis, dysuria,  Instruct patient to
healing, crystalluria be cautious of
sever the
febrile or Others: contraindications
chronic Mild sireness, of the drugs
disease dizziness,  Return the
states; faintness with medication ticket
 To rapid IV on the right box
prevent administration for the next
vitamin C timing
in Do the charting or
patients the documentation
with poor
nutritiona
l habits;
 To
acidify
urine
Macular
degenerati
on
Name of Patient: JY Tan Age: 4 years old Sex: Female
Generic Name:
Metronidazole

Date ordered: October 1, 2018

Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
A direct-acting Fever, flushing, -monitor liver
12 Bacterial trichomonacide abdominal cramping function test
mg/5ml infections and amebicide or pain, nausea and results carefully in
BID P.O caused by that works at vomiting,
elderly patients
both intestinal constipation, dry
anaerobis
and mouth, metallic taste, -give oral form with
microorgan extraintestinal darkened urine,
isms meals
sites. Its
thought to -observe patient
enter the cells
for edema
of
microorganism especially if
s that contain receiving
nitroreductase. corticosteroids;
Unstable Flagyl IV RTU may
compounds are cause sodium
then formed retention
that bind to
DNA and -record number
inhibit and character of
synthesis stools when drug
causing cell is used to treat
death amebiasis.
Name of Patient: JY Tan Age: 4 years old Sex: Female
Generic Name: Furosemide

Date ordered: October 1, 2018

Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
20 mg Inhibit  low blood
½ tab INDICATIO reabsorption of pressure,  Assess patient’s
OD NS: sodium and  dehydration and nderlying
Edema due water in the electrolyte condition before
to cardiac, ascending limb depletion (for starting
hepatic & of the loop of example, sodium, theraphy.
renal Henle by potassium).  Monitor for renal
disease, interfering with  jaundice, cardiac,neurolog
burns; mild the chloride ic, GI
to binding site of  ringing in the ears manifestations
moderate the 1Na+, 1K+, (tinnitus), of hypokalemia.
HTN, 2Cl-  sensitivity to light  Monitor for
hypertensiv cotransport (photophobia), CNS, GI,
e crisis,
system. Loop  rash, cardiovascular,
acute heart diuretics  pancreatitis, integumentarym
failure, increase the  nausea, neurologic
reduced rate of delivery  diarrhea, manifestations
urinary of tubular fluid abdominal of jypocalcemia,
output due and pain, and  Monitor for
to electrolytes to dizziness. CNS,
gestoses, the distal sites Increased hyperactive
chronic of hydrogen blood sugar reflexes,
renal and potassium and uric acid depressed
failure, ion secretion, levels cardiac
nephrotic while plasma output,nausea,
syndrome. volume vomiting,
contraction tachycardia
CONTRAD increases  Assess fluid
ICTIONS: aldosterone volume
Anuria; production. status(urine,colo
hepatic The increased r, quality and
coma & delivery and specific gravity)
precoma; high Assess patient
severe aldosterone tinnitus, or pain
hypokalemi levels promote
a &/or sodium
hyponatre reabsorption at
mia; the distal
hypovolemi tubules, thus
a w/ or w/o increasing the
hypotensio loss of
n. potassium and
Hypersensi hydrogen ions
tivity to
sulfonamid
es.
Name of Patient: JY Tan Age: 4 years old Sex: Female
Generic Name: Cefepime
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Fourth Fever,headach -Ask patient if he is
600 mg Moderate generation e, hasallergies to
IV Q8 to severe cephalosporin phlebitis,nause penicillinand
hours that inhibits a cephalospirin-
pneumonia
ANST(-) bacterial cell andvomitingra Monitor patient for
caused by wall synthesis, sh superinfection-
Streptococ promotes Warn patient
cus osmotic receivingdrug IM
pneumonia instability, and that pain mayoccur
e destroys at injection site
bacteria

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Meropenem
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
600 mg >Bactericidal: >CNS:
IVTT prescribed Inhibits Headache, >Culture infected
Q8 for synthesis of dizziness, area and
hours bacterial bacterial cell lethargy, arrange for
ANST(-) infections wall and paresthesias, sensitivity tests
like skin causes cell insomnia before beginning
and skin death in >GI: Nausea, therapy.
structure susceptible vomiting, >Monitor for
infections, cells. diarrhea, superinfections
bacterial anorexia, and arrange
meningitis, abdominal treatment
serious pain, appropriately.
nosocomial flatulence, >This drug can
infections pseudomembr only be given
like septic anous IV.
aemia, colitis, liver >Discontinue drug
febrile toxicity at any
neutropeni >Other: sign of colitis and
a, intra Superinfection arrange for
abdominal s, appropriate
and pelvic abscess, supportive
infections. inflammation at treatment.
The injection site,
medication phlebitis, rash,
inhibits cell uticaria, pruritu
 wall
synthesis
in bacteria,
and
thereby
leading to
cell death

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name:
Paracetamol
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Symptomat Contraindicate Use liquid form for
250/5 ic relief of Paracetamol d in patients children and
5ml Q 4 pain and may cause hypersensitive patients who have
hours fever analgesia by to drug. difficulty
PRN inhibiting CNS • swallowing.
prostaglandin Use cautiously •
synthesis. The in patients with In children, don’t
mechanism of long term exceed five doses
morphine is alcohol use in 24 hours.
believed to because •
involve therapeutic Advise patient that
decreased doses cause drug is only for
permeability of hepatotoxicity short term use and
the cell in these to consult the
membrane to patients. physician if giving
sodium, which • to children for
results in Hematologic: longer than 5 days
diminished hemolytic or adults for longer
transmission of anemia, than 10 days.
pain impulses neutropenia, •
therefore leucopenia, Advise patient or
analgesia pancytopenia. caregiver that
• many over the
Hepatic: counter products
Jaundice contain
• acetaminophen; be
Metabolic: aware of this when
Hypoglycemia calculating total
• daily dose.
Skin: rash, •
urticaria Warn patient that
high doses or un
supervised long
term use can
 cause liver
damage

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name:
Clindamycin
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
75 infections CNS: assess patients
g/5ml caused by inhibits headache infection before
sensitive bacterial CV:Thrombop and regularly
staphyloco protein hlebitis EENT: throughout
cci, synthesis by pharyngitis GI: therapy-before
streptococc binding to abdominal giving first dose,
i, 50Ssubunit of pain, Anorexia, obtain specimen
pneumoco ribosome.- bloody or tarry for culture and
cci, hinders or kills stools, sensitivity test,
bacteroide susceptible constipation, begin therapy
s, fusi bacteria diarrhea, pending results.-
bacterium, dysphagia, monitor renal,
clostridium esophagitis, hepatic, and
perfringens flatulence, hematopoetic
, and other nausea, functions during
sensitive pseudo prolonged
aerobic membranuscol therapy.-be alert
and an itis, for adverse
aerobic unpleasantor reactions and drug
organisms. bitter taste, interactions-if
- vomiting.GU: adverse GI
endocarditi UTIHEMATOL reactions occurs,
s OGIC:Eosinop monitor patients
prophylaxis hilia,thrombocy hydration.-teach
for dental topenia,transie patient how to
procedures ntleukopeniaS store oral solution.-
in patients KIN:maculopa tell patient to take
allergic to pular rash, entire amount
penicillin- urticariaOTHE prescribed even
acne R:anaphylaxis, after he feels
vulgaris- erythema, better.-warn
bacterial pain(I.V. patient that I.M
vaginosis- use),induration .injection may be
pneumocys , pain;sterile painful-instruct
tis jiroveci abcess patient to report
(carinii) (I.M.use) diarrhea and to
pneumonia avoid self-
- threatening
toxoplasmo psudomembranus
sis(cerebra colitis-tell patient
 l or receiving drug I.V.
ocular)imm to report discomfort
unocompro at infusionsite
mised
patients

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Salbutamol
+ Ipratropium
Date ordered: October 1, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
It relieves , >Instruct client to
1 To control nasal 1.Nervousness Discontinue the
nebule and congestion and 2.Restlessness use of Duavent and
Q 6 prevent reversible 3. Tremor institute
hours reversible bronchospasm 4. Headache appropriate
airway by relaxing the 5. Insomnia symptomatic
obstruction smooth 6. Chest pain therapy in cases of
caused by muscles of the 7. Palpitations over dosage.>
asthma or bronchioles. 8. Angina Ipratropium
chronic The relief from 9. Arrhythmias bromide-
obstructive nasal 10. Hypertension salbutamol
pulmonary congestion and 11. Nausea and combination can
disorder bronchospasm vomiting produce
(COPD is made 12. Hyperglycemia paradoxical
possible by the bronchospasm that
following can be life-
mechanism threatening. If it
that takes occurs, discontinue
place when the preparation
Salbutamol is immediately and
administered. institute alternative
therapy

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Piperacillin
+ tazobactam
Date ordered: September 21, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Treatment It is similar to  Obtain history
1.5 6ms of that of other CNS: headache, of
IV drip moderate penicillins. insomnia, fever hypersensitivity
Q8 to severe Interfere with to penicillins,
hours appendiciti bacterial cell cephalosphorin
ANST s, wall synthesis GI: diarrhea, nausea, s, or other
uncomplica promotes loss constipation, drugs prior to
ted and of membrane vomiting, administration,
complicate integrity and pseudomembranous  Obtain
d skin and leads to death colitis specimen for
skin of the organism culture and
structure sensitivity prior
infections, SKIN: hypersensitivity to first dose of
nosocomial reactions ,rash, the drug; start
or pruritus drug pending
community results.
-acquired Periodic CBC
pneumonia with differential,
caused platelet count,
piperacillin- Hgb & Hgt, and
resistant, serum
piperacillin/ electrolytes.
tazobacta  Monitor for
m hypersensitivity
susceptible response;
, beta- discontinue
lactamase- drug and notify
producing physician if
bacteria. allergic
response
noted.
 Monitor for
hemorrhagic
manifestations
because high
dose may
induce
coagulation
abnormalities.
 Instruct
family/significa
nt others to
report
significant,
unexplained
diarrhea.
 Monitor vital
signs because
 of cardiac
arrhythmias,
hypertension
and fever as
adverse
reactions.
 Instruct the
mother not to
breast feed the
baby while
taking the drug
without
consulting
physician.

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Tranexamic
Acid
Date ordered: September 21, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
250 mg General: Tranexamic CNS: Dizziness Before:
IVTT > treatment acid > check the
Q8 of competitively EENT: Visual doctor’s order
hours x excessive inhibits abnormalities > Observe the 15
3 doses bleeding activation of rights of drug
resulting plasminogen CV: Hypotension, administration
from (via binding to thromboembolism, > Do skin testing
systemic or the kringle thrombosis > Tell patient to
local domain), inform the
hyperfibrin thereby GI: Diarrhea, nausea, healthcare
olysis reducing vomiting provider if color
> conversion of blind, have a
prophylaxis plasminogen to history of stroke,
in patients plasmin and blood clot, or
with (fibrinolysin), bleeding in your
coagulopat an enzyme that brain.
hy degrades fibrin > Caution patient
undergoing clots, to avoid products
surgical fibrinogen, and containing aspirin
procedures other plasma or NSAIDs
proteins, > For women who
including the are taking to
procoagulant control heavy
 factors V and bleeding, the
VIII medication should
only be taken
Patient’s during the
actual menstrual period
indication:
Treatment During:
of > administer the
excessive drug at the right
bleeding dosage and route
resulting in the right time
from > check the
systemic or patency of the IV
local site and IV line
hyperfibrin > Do not use this
olysis medication without
telling your doctor
if you are
breastfeeding a
baby

After:
> Advise patient to
take medication
exactly as directed
> Unusual change
in bleeding pattern
should be reported
to the physician
> Report severe
allergic reactions
such as rash,
hives, itching,
dyspnea, tightness
in the chest,
swelling of the
mouth, face, lips or
tongue
> If the patient
missed a dose, let
patient take when
remembered, then
take next dose at
least 6 hours later.
> Store this
medication at
room temperature
away from
moisture and heat
Name of Patient: JY Tan Age: 4 years old Sex: Female
Generic Name: Furosemide

Date ordered: September 21, 2018

Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
20 mg Inhibit  low blood
½ tab INDICATIO reabsorption of pressure,  Assess patient’s
OD NS: sodium and  dehydration and nderlying
Edema due water in the electrolyte condition before
to cardiac, ascending limb depletion (for starting
hepatic & of the loop of example, sodium, theraphy.
renal Henle by potassium).  Monitor for renal
disease, interfering with  jaundice, cardiac,neurolog
burns; mild the chloride  ringing in the ears ic, GI
to binding site of (tinnitus), manifestations
moderate the 1Na+, 1K+,  sensitivity to light of hypokalemia.
HTN, 2Cl- (photophobia),  Monitor for
hypertensiv cotransport  rash, CNS, GI,
e crisis, system. Loop  pancreatitis, cardiovascular,
acute heart diuretics integumentarym
 nausea,
failure, increase the neurologic
 diarrhea,
reduced rate of delivery manifestations
abdominal
urinary of tubular fluid of jypocalcemia,
pain, and
output due and
dizziness.  Monitor for
to electrolytes to CNS,
Increased
gestoses, the distal sites hyperactive
blood sugar
chronic of hydrogen reflexes,
and uric acid
renal and potassium depressed
levels
failure, ion secretion, cardiac
nephrotic while plasma output,nausea,
syndrome. volume vomiting,
contraction tachycardia
CONTRAD increases  Assess fluid
ICTIONS: aldosterone volume
Anuria; production. status(urine,colo
hepatic The increased r, quality and
coma & delivery and specific gravity)
precoma; high Assess patient
severe aldosterone tinnitus, or pain
hypokalemi levels promote
a &/or sodium
hyponatre reabsorption at
mia; the distal
hypovolemi tubules, thus
a w/ or w/o increasing the
hypotensio loss of
n.
 Hypersensi potassium and
tivity to hydrogen ions
sulfonamid
es.

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name:
Phytonadione

Date ordered: September 21, 2018

Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
3 mg Promotes Newborns (esp.
slow Prevention, hepatic premature infants)  Monitor PT,
IVTT treatment formation of may develop international
now of coagulation hyperbilirubinemia. normalized
hemorrhagi factors II, VII, Severe reaction ratio (INR)
c IX, X. Essential (cramp-like pain, routinely in
states in for normal chest pain, dyspnea, those taking
neonates. clotting of facial flushing, anticoagulants.
Antidote for blood. Readily dizziness, rapid/weak  Assess skin
hemorrhag absorbed from pulse, rash, for
e GI tract diaphoresis, ecchymoses,
induced by (duodenum) hypotension petechiae.
oral after IM, progressing  Assess
anticoagula subcutaneous to shock, cardiac gums for
nts, administration. arrest) occurs rarely, gingival
hypoprothr Metabolized in immediately after IV bleeding,
ombinemic liver. Excreted administration. Erythema.
states due in  Assess urine
to vitamin urine; for hematuria.
K eliminated by  Assess Hct,
deficiency. biliary system. platelet count,
Hypoprothr Onset urine/stool
ombinemia of action culture
caused by (increased for occult blood.
malabsorpt coagulation  Assess for
ion or factors decrease
inability to
 synthesize in B/P, increase in
vitamin K. pulse rate,
complaint of
abdominal/back
pain, severe
headache (may be
evidence of
hemorrhage).
 Assess for
increase in
amount of
discharge
during menses.

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Cefepime
Date ordered: September 21, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Fourthgenerati Fever,headach -Ask patient if he is
600 mg Moderate oncephalos e, hasallergies to
IV Q8 to severe porin phlebitis,nause penicillinand
hours thatinhibits a cephalospirin-
pneumonia
ANST(-) bacterialcell andvomitingra Monitor patient for
caused wallsynthesis, sh superinfection-
byStreptoc promotesosmot Warn patient
occus icinstability, receivingdrug IM
pneumonia anddestroys that pain mayoccur
bacteria at injection site

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name:
Paracetamol
Date ordered: September 21, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Symptomat Contraindicate Use liquid form for
250/5 ic relief of Paracetamol d in patients children and
5ml Q 4 pain and may cause hypersensitive patients who have
hours fever analgesia by to drug. difficulty
PRN inhibiting CNS • swallowing.
prostaglandin Use cautiously •
synthesis. The in patients with
mechanism of long term
 morphine is alcohol use In children, don’t
believed to because exceed five doses
involve therapeutic in 24 hours.
decreased doses cause •
permeability of hepatotoxicity Advise patient that
the cell in these drug is only for
membrane to patients. short term use and
sodium, which • to consult the
results in Hematologic: physician if giving
diminished hemolytic to children for
transmission of anemia, longer than 5 days
pain impulses neutropenia, or adults for longer
therefore leucopenia, than 10 days.
analgesia pancytopenia. •
• Advise patient or
Hepatic: caregiver that
Jaundice many over the
• counter products
Metabolic: contain
Hypoglycemia acetaminophen; be
• aware of this when
Skin: rash, calculating total
urticaria daily dose.
•
Warn patient that
high doses or un
supervised long
term use can
cause liver
damage

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Salbutamol
+ Ipratropium
Date ordered: September 21, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
It relieves , >Instruct client to
1 To control nasal 1.Nervousness Discontinue the
nebule and congestion and 2.Restlessness use of Duavent and
Q 6 prevent reversible 3. Tremor institute
hours reversible bronchospasm 4. Headache appropriate
airway by relaxing the 5. Insomnia symptomatic
obstruction smooth 6. Chest pain therapy in cases of
caused by muscles of the 7. Palpitations over dosage.>
asthma or bronchioles. 8. Angina Ipratropium
chronic The relief from 9. Arrhythmias bromide-
obstructive nasal 10. Hypertension salbutamol
pulmonary congestion and combination can
 disorder bronchospasm 11. Nausea and produce
(COPD is made vomiting paradoxical
possible by the 12. Hyperglycemia bronchospasm that
following can be life-
mechanism threatening. If it
that takes occurs, discontinue
place when the preparation
Salbutamol is immediately and
administered. institute alternative
therapy

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Ranitidine
Date ordered: September 26, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Short-term instruct the patient
15 mg treatment Competitively headache
to rest and
IV Q8 of active inhibits the
hours duodenal action of provide
ulcer histamine at the
therapeutic
- h2 receptors of
maintenan the parietal ells environment
ce therapy of the stomach,
-place place cold
for inhibiting basal
duodenal gastric acid cloth on the
uler at secretion and -dizziness
forehead to help
reduced gastric acid
dosage secreation that relieve the ache.
-short term is stimulated by
Instruct to move
treatment food, insulin,
-constipation
of active, histamine, slowly and to have
benign cholinergic
assistance in
gastric agonists,
ulcer gastrin, and rendering activities
-short-term pentagastrin
-instruct family
treatment
-diarrhea
of GERD member to assist
-pathologic
giving fiber once
hypersecre
-vomiting
tory allowed to eat by
conditions
the physician.
-treatment
of erosive -increase fluid
esophagitis Abdominal pain
intake once
-treatment
of allowed by the
heartburn,
physician.
acid
 indigestion, -Provide ice chips
sour
-place basin
stomach
beside the bedside
Provide diversion
activities

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Furosemide

Date ordered: September 26, 2018

Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
20 mg Inhibit  low blood
½ tab INDICATIO reabsorption of pressure,  Assess patient’s
OD NS: sodium and  dehydration and nderlying
Edema due water in the electrolyte condition before
to cardiac, ascending limb depletion (for starting
hepatic & of the loop of example, sodium, theraphy.
renal Henle by potassium).  Monitor for renal
disease, interfering with  jaundice, cardiac,neurolog
burns; mild the chloride  ringing in the ears ic, GI
to binding site of (tinnitus), manifestations
moderate the 1Na+, 1K+,  sensitivity to light of hypokalemia.
HTN, 2Cl- (photophobia),  Monitor for
hypertensiv cotransport  rash, CNS, GI,
e crisis, system. Loop  pancreatitis, cardiovascular,
acute heart diuretics integumentarym
 nausea,
failure, increase the neurologic
 diarrhea,
reduced rate of delivery manifestations
abdominal
urinary of tubular fluid of jypocalcemia,
pain, and
output due and
dizziness.  Monitor for
to electrolytes to CNS,
Increased
gestoses, the distal sites hyperactive
blood sugar
chronic of hydrogen reflexes,
and uric acid
renal and potassium depressed
levels
failure, ion secretion, cardiac
nephrotic while plasma output,nausea,
syndrome. volume vomiting,
contraction tachycardia
CONTRAD increases  Assess fluid
ICTIONS: aldosterone volume
Anuria; production. status(urine,colo
hepatic The increased r, quality and
coma & delivery and specific gravity)
precoma; high Assess patient
severe aldosterone tinnitus, or pain
hypokalemi levels promote
 a &/or sodium
hyponatre reabsorption at
mia; the distal
hypovolemi tubules, thus
a w/ or w/o increasing the
hypotensio loss of
n. potassium and
Hypersensi hydrogen ions
tivity to
sulfonamid
es.

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name:
Paracetamol
Date ordered: September 26, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
Symptomat Contraindicate Use liquid form for
250/5 ic relief of Paracetamol d in patients children and
5ml Q 4 pain and may cause hypersensitive patients who have
hours fever analgesia by to drug. difficulty
PRN inhibiting CNS • swallowing.
prostaglandin Use cautiously •
synthesis. The in patients with In children, don’t
mechanism of long term exceed five doses
morphine is alcohol use in 24 hours.
believed to because •
involve therapeutic Advise patient that
decreased doses cause drug is only for
permeability of hepatotoxicity short term use and
the cell in these to consult the
membrane to patients. physician if giving
sodium, which • to children for
results in Hematologic: longer than 5 days
diminished hemolytic or adults for longer
transmission of anemia, than 10 days.
pain impulses neutropenia, •
therefore leucopenia, Advise patient or
analgesia pancytopenia. caregiver that
• many over the
 Hepatic: counter products
Jaundice contain
• acetaminophen; be
Metabolic: aware of this when
Hypoglycemia calculating total
• daily dose.
Skin: rash, •
urticaria Warn patient that
high doses or un
supervised long
term use can
cause liver
damage

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: MV + FeSo4
Syrup
Date ordered: September 26, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
General An essential CNS: seizures, Before:
5 ml OD indications: mineral found dizziness, Monitor blood
P.O Prevention in headaches, syncope studies of patient
and haemoglobin, > observe proper
treatment myoglobin, and CV: hypotension, dosage of
of iron- many hypertension, medication
vitamin and enzymes. tachycardia > note other drugs
dietary Enters the patient is taking to
deficiency bloodstream GI: nausea, avoid possible
anemias; and is constipation, dark interactions
used in transported to stools, diarrhea, > verify the
anemia the organs of vomiting patient’s identity
due to the
blood loss reticuloendothe Dermatologic: During:
during lial system flushing, urticaria > most effectively
menstruati (liver, spleen, absorbed if
on, bone marrow), Respiratory: cough, administered 1 or
infections, where it is dyspnea 2 hrs before meal
surgery, separated out > take with a full
delivery, and becomes MS: arthralgia, glass of
intoxication part of iron myalgia water/juice
s, stores. > do not
parasitosis, Local: pain at IM site crush/chew
or other enteric-coated
causes & Others: tablets and do not
anemias staining of open capsules
during teeth, > encourage
pregnancy anaphylaxis, patient to avoid
sweating using antacids,
 coffee, tea, dairy
products within 1
hour after
> inform patient
about dark, green
Patient’s or black stools to
actual avoid panic
indication:
MV + After:
FeSO4 is > monitor pt’s
prescribed blood studies
for > inform patient
postpartum about what
patients to possible adverse
prevent the effects that may
occurrence occur
of > assess bowel
pregnancy- function for
induced constipation/diarrh
anemia ea
and keep > document and
her record
nutritionally
balanced

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Ascorbic
Acid
Date ordered: September 26, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
5ml OD Increases GI:  Secure doctor’s
P.O  Dietary protection Nausea, vomiting, order
supplem mechanism of heartburn, diarrhea  Do hand
ent; the immune washing
 Frank system, thus Hematologic:  Assess patient’s
and supporting Acute hemolytic condition
subclinic wound healing. anemia  Give medication
al on right timing
scurvy; CNS:  Inform patient
 Extensiv Head ache (high about the
e burns, doses) possible side
delayed effects of the
fracture Urogenital: drugs
or wound Urethritis, dysuria,  Instruct patient to
healing, crystalluria be cautious of
sever the
febrile or Others: contraindications
chronic of the drugs
 disease Mild sireness,  Return the
states; dizziness, medication ticket
 To faintness with on the right box
prevent rapid IV for the next
vitamin C administration timing
in Do the charting or
patients the documentation
with poor
nutritiona
l habits;
 To
acidify
urine
Macular
degenerati
on

Name of Patient: JY Tan Age: 4 years old Sex: Female

Generic Name: Salbutamol
+ Ipratropium
Date ordered: September 26, 2018
Dosage Indication Mechanism of Side effects/ Nursing
Action adverse reactions Considerations
It relieves , >Instruct client to
1 To control nasal 1.Nervousness Discontinue the
nebule and congestion and 2.Restlessness use of Duavent and
Q 6 prevent reversible 3. Tremor institute
hours reversible bronchospasm 4. Headache appropriate
airway by relaxing the 5. Insomnia symptomatic
obstruction smooth 6. Chest pain therapy in cases of
caused by muscles of the 7. Palpitations over dosage.>
asthma or bronchioles. 8. Angina Ipratropium
chronic The relief from 9. Arrhythmias bromide-
obstructive nasal 10. Hypertension salbutamol
pulmonary congestion and 11. Nausea and combination can
disorder bronchospasm vomiting produce
(COPD is made 12. Hyperglycemia paradoxical
possible by the bronchospasm that
following can be life-
mechanism threatening. If it
that takes occurs, discontinue
place when the preparation
Salbutamol is immediately and
administered. institute alternative
therapy