Drug Study

Drug Name
Generic name:
Brand name:
Classification:
Dosage And Frequency:

Route:

Mechanism of Action

Indication

Contraindication

Side Effect

Nursing Consideration

Nursing Care Plan

Cues
Subjective:
Konting lakad lang ng anak ko
pagod na sya, stated by the
mother.

Objective:
BP: 120/80 mmHg
RR: 40 cpm
Hemoglobin:

93 gm/l

Hematocrit:

0.28/l

Flat affect

Problem / Nursing Diagnosis

Scientific Reason

Activity intolerance related to

The kidneys contribute to the blood
fatigue, pallor and retention of waste pressure regulation by controlling
products
sodium excretion and extracellular
fluid volume. The increase in
extracellular fluid volume can
increase venous return to the heart,
increase stroke volume which
elevates the blood pressure through
increase in cardiac output. This
increase in cardiac output can
cause weakness and fatigue.
Reference: Medical surgical nursing
by Lewis, Dirksen, Heitkemper,
Bucher, Camera

Nursing Intervention Rationale

Independent:
1. Assess factors contributing to activity intolerance:
a. Fatigue
b. Anemia
c. Fluid and electrolyte imbalances.
d. Retention of waste products.
e. Depression
Rationale- Indicates factors contributing to severity of fatigue to note for the cause of the problem.
2. Promote independence in self-care activities as tolerated. Assist patient and supervise.
Promote returning of strength and improve self-esteem.

Rationale-

3. Encourage alternating rest and activity. Rationale- Promotes activity and exercise within limits and adequate
rest.

Evaluation
Standard
The patient will perform activities of daily
living such as eating, dressing and
brushing teeth with supervision and
minimal assistance.

Criteria
The patient needed assistance in eating
and performing hygiene and grooming.
She preferred to stay in bed and sleep
most of the shift

Cues
Subjective:
Hindi naman sakitin ang anak ko
e, nilalagnat sya kaso hindi ko
alam kung ano temperature.
Stated by the mother.

Problem / Nursing Diagnosis

Parents deficient knowledge
regarding condition and treatment.

Scientific Reason
When family member becomes ill
all of the family members are
affected especially the primary care
giver. Cognitive abilities, emotional
strengths, relationship capabilities,
willingness to use community
resources and individual strengths
and talents were also associated
with coping. As nurses work with
families they must not
underestimate the impact of their
therapeutic interactions, educational
information, positive role modeling,
provision of care and teaching
health promotion.
Reference: Medical surgical nursing
by Lewis, Dirksen, Heitkemper,
Bucher, Camera

Nursing Intervention Rationale

Independent:
1. Assess the level of education and the mode of communication of both parents.
Rationale-For proper dissemination of the information.
2. Assess the understanding the cause of acute glomerulonephritis, consequences and treatment:
a. cause of acute glomerulonephritis
b. meaning of acute glomerulonephritis
c. Understanding of acute glomerulonephritis.
d. Relationship of fluid and dietary restrictions e. Rationale for treatment
Rationale- provides baseline for further explanation and treatment.
3. Provide explanation of renal function and consequences of the disease at patients level of understanding
and guided by the patient readiness to learn. Rationale- The parents can learn about the disease and
treatment.
4. Assist parents to identify ways to incorporate changes to the patients related to illness and its treatment
into the familys lifestyle.
Rationale- The parents can see that the patients and familys life does not have to revolve around the
disease.
5. Provide oral and written information as appropriate about:
e. Renal function and failure
f. Fluid and dietary restrictions
g. Medications
h. signs and symptoms
i. Follow-up schedule
j. Community resources
k. treatment options

Evaluation
Standard
Parents state in own words the meaning,
causes and prevention of acute
glomerulonephritis.

Criteria
Maga daw ang kidney nya Stated by the
other.