Patient Profile

Name: Hernandez Desiree Aglubat Civil Status: M Sex: Female Address: 17 lucena st. Pael state Cuhat Quezon City Age: 37 Birth Place: Quezon City Birth date: 02-21-74 Nationality: Fil Occupation: N/A Religion: Roman Catholic Admission Diagnosis: Grand multiply pregnancy uterine 37 AOG, cephalic. Principal Diagnosis: Grand multiply pregnancy uterine delivered spontaneously Obstetrical History: Gravity: 8 Parity: 7 M: 13 I: R D: 4 A: 3 Full tem: 7 Pre term: 0 Abortion: 0 Living: 7 Number Year Gestational Types of Place of Weeks delivery confinement G1 1997 FT NSD Lying in G2 1998 FT NSD Lying in G3 2001 FT NSD House G4 2002 FT NSD East ave Mc G5 2005 FT NSD Lying in G6 2008 FT NSD QCGH G7 2009 FT NSD HOUSE

Introduction UTI (Urinary tract Infection)

A urinary tract infection (UTI) is a bacterial infection that affects any part of the urinary tract. Symptoms include frequent feeling and/or need to urinate, pain during urination, and cloudy urine. The most common type of UTI is acute cystitis often referred to as a bladder infection. An infection of the upper urinary tract or kidney is known as pyelonephritis, and is potentially more serious. Although they cause discomfort, urinary tract infections can usually be easily treated with a short course of antibiotics with no significant difference between the classes of antibiotics commonly used. UTIs are generally caused by bacteria from your skin, vagina, or rectum that enter your urethra and travel upstream. Often, the bacteria stop in your bladder and multiply there, causing inflammation and triggering those familiar symptoms. During pregnancy, however, asymptomatic bacteriuria that's left untreated significantly increases your risk of getting a kidney infection and is associated with preterm labor and low birth weight. This is one reason your urine is routinely tested during pregnancy.

DRUG STUDY
Name of Drug
Generic name: Ascorbic acid

Route, Dose, Frequency

Classification

Adverse effect
GI: Nausea, Vomiting, Heartburn, Diarrhea Hematologic: Acute hemolytic anemia (patients with deficiency at G&PD); sickle cell crisis CNS: Headache (high doses) Other: Mild soreness at injection site; Dizziness and temporary faintness with rapid IV administration.

Indication Contraindication

Nursing considerati on
Assessment & Drug Effects -Lab tests: Periodic Hct & Hgb, serum electrolytes. -Monitor for S&S or acute hemolytic anemia, sickle cell crisis. Patients & Family Education Take large doses of vitamin C in divided amounts because body uses only what is needed at a particular time and excretes the rest in urine. -Mega doses can interfere with absorption of vitamin B12

Vitamins

Prophylaxis and treatment of scurvy and as a dietary supplement Increases protection mechanism of the immune system, thus supporting wound healing, Necessary for wound healing and resistance to infection.

Use of sodium ascorbate in patients on sodium restriction; use of calcium ascorbate in patients receiving digitalis, safety during pregnancy (category C) or lactation is not established.

DRUG STUDY
Name of Drug
Generic Name: Ferrous Sulfate

Route, Dose, Frequency

Deficiency PO: ADULTS, ELDERLY: 2-3 mg/kg/day or 50100mg elemental iron 2 time/day up to 100mg 4 time/day. CHILDREN: 3 mg/kg/day elemental iron in 13 divided doses. Prophylaxis PO: ADULTS, ELDERLY: 60-100 mg elemental iron/day. CHILDREN: 1-2 mg/kg/day elemental iron. Maximum: 15 mg elemental iron/day.

Classification

Adverse effect
Dizziness, Nausea and vomiting, Nasal Congestion, Dyspnea, Hypotension, Muscle cramps, Flushing

Indication Contraindication

Nursing consideration
-Advice patient to take medicine as prescribed -Caution patient to make position changes slowly to minimize orthostatic hypotension. -Advice patient to consult physician if irregular heartbeat, dyspnea, swelling of hands and feet and hypotension occurs.

Iron Preparation

The prevention or treatment of iron deficiency anemia due to inadequate diet, malabsorption pregnancy, and blood loss.

Hypersensitivity Severe Hypotension

DRUG STUDY
Name of Drug Route, Dose, Frequency Classification Adverse effect Indication Contraindication Nursing consideration

Generic Name: Cefuroxime

IV 50mg q6

Anti infective; Antibiotic second generation Cephalosporin

Body as a Whole: Thrombophl ebitis (IVsite); pain, burning, cellulitis (IMsite); superinfecti ons, positive Coombs' test. GI:Diarrhea ,nausea, antibioticassociated colitis. Skin:Rash, pruritus, urticaria. Urogenital: Increased serum creatinine and BUN, decreased creatinine clearance

It is effective for the treatment of penicillin aseproducing Neisseriagon orrhoea (PPNG). Effectively treats bone and joint infections, bronchitis, meningitis, gonorrhea, otitismedia, pharyngitis/ tonsillitis, sinusitis, lower respiratory tract infections, skin and soft tissue infections, urinary tract infections, and is used for surgical prophylaxis , reducing or eliminating infection

Hypersensitivity to cephalosporins and related antibiotics; pregnancy (category B), lactation.

-Determine history of hypersensitivity reaction to cephalosporins, penicillins and history of allergies, particularly to drugs, before therapy is initiated -Inspect IM and IV injection site frequently for sign of phlebitis. -report onset of loose stools or diarrhea. Although pseudomembran ous colitis.

Name of Drug

Route, Dose, Frequency

Classification

Adverse effect

Indication

Contraindication

Nursing consideration

Generic Name:

COURSE IN THE WARD

NURSING CARE PLAN

ASSESMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective:
masaakit ang pagihi ko as verbalized by the patient. Objective:

After 7 days of nursing intervention s, the patient pain will be relieved or Controlled.