Quezon Institute Case Study Ii

X. DRUG STUDY CLASSIFICATION NAME: Sinecod

Anti- cough

INDICATION

ACTION

Acute cough of any etiology. Pre& post-op cough sedation for surgical procedures & bronchoscopy.

Exerts expectorant, moderate bronchodilati ng and antiinflammatory action.

CONTRAINDICATION - hypersensi tivity - Allergy to bultamirate citrate.

ADVERSE REACTION . Rarely, skin rash, nausea, diarrhea or dizziness

NURSING CONSIDERATION - tell patient not to used this drug for other health conditions .

CLASSIFICATION NAME: Strepto mycin sulfate

Antiagent

INDICATION

tuberculosis Combination with other tubercular drugs in treatment of all forms of active tuberculosis caused by susceptible organism.

ACTION Inhibits protein synthesis by binding directly to the ribosomal sub-unit; bactericidal.

CONTRAINDICATION - hypersensi tivity - allergy to aminoglycoside

ADVERSE REACTION . paresenthiasis, stomatitis, hepatotoxicity, blood dyscariasis, Nephrotoxicity, enceplalopathy, skin rashes, pruritus

NURSING CONSIDERATION . – Check for early damage of vestibular portion of eight cranial nerve. - Monitor intake and output.

CLASSIFICATION NAME: paraceta mol

INDICATION

Central nevous Patients system agent; non- fever.. narcotic analgesic, antipyretic

ACTION

with Reduces fever by direct action . to hypothalamu s heat regulating center with consequent peripheral vasodilation, sweating and dissipation of heat.

CONTRAINDICATION - hypersensi tivity

ADVERSE REACTION . it provides temporary analgesia for mild to moderate pain.

NURSING CONSIDERATION - Monitor signs and symptoms of hepatotoxicity. - Advice the patient or the relative not to take other medications containing acetaminophen without medical advice. - Tell them also not to have a self medication.

XI. NURSING CARE PLAN ASSESSMENT Subjective: “nahihirapan akong huminga” as verbalized by the patient. Objective: - thick viscous secreation - productive cough - dyspnea - difficulty vocalizing - abnormal respiratory rate anf cardiac rate: PR: 130 bpm RR: 34 cpm

NSG DIAGNOSIS ineffective airway clearance related to sputum production as evidence by poor coughs effort of the patient.

PLANNING After 30 minutes of nursing intervention, patient will expectorate secretion without assistance.

INTERVENTION > assess respiratory function

RATIONALE > diminish breath sounds may reflect atelectasis

>position the patient into semi- fowlers position

>maximizes the lung expansion

>instruct the client to do the coughing and breathing exercise

>for easier expectoration of phlegm

>encourage fluid intake

>to loosen and moisten the secretion

>administer oxygen 2lpm via nasal canula >administer medication as indicated

>prevent on drying mucus membrane >reduces the thickness and stickiness of secretion

EVALUATION After 30 minutes of nursing intervention, patient can expectorate secretion without assistance

ASSESSMENT Subjective: “wala akong ganang kumain” as verbalized by the patient. Objective: >loose of weight 60kg from 65kg >muscle weakness

NSG DIAGNOSIS Imbalance nutrition: less than body requirements related to inability to ingest adequate nutrients as manifested by reported lack of interest of food.

PLANNING After 6days of nursing intervention, patient will demonstrate of weight gain.

INTERVENTION > discuss eating habits include food preference

RATIONALE > to appeal to clients likes and desires

>assess if there is drug interaction

>to know if this is one factor that maybe affecting appetite, food intake or the absorption.

>note total daily intake

>to reveal changes that should be made in clients dietary intake

>encourage the patient to choose foods that are appealing

>to stimulate the appetite

>promote pleasant, relaxing environment

>to enhance intake of food

>prevent or minimize unpleasant odors or sights

>this may have negative effect on appetite or on eating

EVALUATION After 6days of nursing intervention, patient had demonstrate of weight gain