VII.

Drug Study

Name of Patient: AJC Date: August 25, 2009

Diagnosis: PCAP B, Bronchial asthma
Mechanis
Dosag Contraindicatio Side Nursing
Drug m of Indication
e n Effects considerations
Action
Salbutamol 1 Activation Used to treat Hypersensitivity fast or Assess for
+ nebule of beta 2 severe to soy lecithin or irregular soybean and
Ipratropium q 1 hr -adrenergic breathing related food heartbeat peanut allergy
(Combivent receptors trouble products stomach
) on airway (bronchospas upset, dry Assess breath
smooth m) in mouth, sounds
muscle patients with flushing,
leads to lung disease dizziness, Monitor for the
relaxation cough, characteristics/
of nasal frequency of
bronchioles stuffiness, symptoms/sputu
and sleep m production
bronchodila disturbance
tion. s
Name of Patient: AJC Date: August 25, 2009
Diagnosis: PCAP B, Bronchial asthma

Mechanis
Dosag Side Nursing
Drug m of Indication Contraindication
e Effects considerations
Action
Cefuroxime 190mg Inhibits Treatment of Hypersensitivity to Diarrhea, Assess for
IV bacterial susceptible cefuroxime, any nausea/vo allergy to any
cell wall infections of component of the miting, cephalosporins,
synthesis the upper formulation, or abdominal penicillin drug
by binding and lower other pain,
to 1 or respiratory cephalosporins pseudome Inspect IM and IV
more of the tract, mbranous injection sites
penicillin- colitis, rash, frequently for
binding thrombocyt signs of
proteins openia, phlebitis.
(PBPs) w/c dizziness,
in turn pain at Report onset of
inhibit the injection loose stools or
final site diarrhea.
transpeptid
ation step Monitor I&O.
of
peptidoglyc Report any
an significant
synthesis in changes.
bacterial
cell walls,
thus inhibit
 cell wall
biosynthesi
s.

Name of Patient: AJC Date: August 25, 2009

Diagnosis: PCAP B, Bronchial asthma

Nursing
Dosag Mechanism of Contraindicati Side
Drug Indication consideration
e Action on Effects
s
Hydrocortis 24mg Glucocorticoid Treatment Hypersensitivity Flushing, Monitor for
one IV TID with anti for to cefuroxime, sweating, hypersensitivity
inflammatory respiratory any component circulatory
effect because disease. of the collapse, Monitor input
of its ability to formulation, or tachycardia and output
inhibit other , diarrhea, ratio, urine
prostaglandin cephalosporins nausea, output, RR, and
synthesis, abdominal HR.
inhibit distention
migration of Assess for signs
macrophages, of fluid
leucocytes and retention
fibroblasts at
sites of Assess carefully
inflammation, signs of
phagocytosis infection
and lysosomal especially fever
enzyme and WBC count
release. It can because the
 also cause the drug masks
reversal of infection
increased symptoms.
capillary
permeability.

Name of Patient: AJC Date: August 25, 2009

Diagnosis: PCAP B, Bronchial asthma

Nursing
Mechanism Indicatio Contraindicatio
Drug Dosage Side Effects considerati
of Action n n
ons
Furosemide 3mg IV q Inhibits Used to Hypersensitivity rash, pruritus, Monitor
12hr sodium and treats fluid to sulfonylureas; purpura, weight,
chloride retention anuria sweating, peripheral
reabsorption (edema) photosensitivit edema,
at the y, urticaria, breath
proximal polyuria, renal sounds, BP
tubules, distal failure,
tubules and glycosuria, Observe for
ascending circulatory signs and
loop of collapse, symptoms of
Henley weakness, hypokalemia
leading to dizziness, and for
excretion of fever, nausea edema.
water and vomiting,
together with diarrhea, Monitor for
sodium, constipation, dehydration,
chloride and cramping, fluid intake
potassium. hypokalemia and output
 Diuretic ratio

Name of Patient: AJC Date: August 25, 2009

Diagnosis: PCAP B, Bronchial asthma

Dosag Mechanism of Side Nursing

Drug Indication Contraindication
e Action Effects onsiderations
Paracetamo 90mg Decreases Pyrexia of Hypersensitivity to Nausea, Monitor V/S
l slow IV fever by unknown sulfonylurea; vomiting especially
q 4 RTC inhibiting the origin and anuria , temperature
effects of for abdomin and BP.
pyrogens on symptomat al pain,
the ic relief of rash, Perform TSB
hypothalamic fever. For urticaria, when necessary
heat regulating prevention hyperse to aid in further
centers and by of febrile nsitivity reducing fever.
a hypothalamic convulsion.
action leading Check for
to sweating and adverse
vasodilation. reactions to the
Relieves pain medication
by inhibiting especially after
prostaglandin administering
synthesis at the it. Report any
CNS but does abnormal
 not have anti- reactions to the
inflammatory drug promptly.
action because
of its minimal
effect on
peripheral
prostaglandin
synthesis.

Name of Patient: AJC Date: August 27, 2009

Diagnosis: PCAP B, Bronchial asthma

Contra Nursing
Dosag Indicatio Side
Drug Mechanism of Action indication consideration
e n Effects
s s
Salmet 2 puffs Fluticasone: Used to Hypersensit bronchospa Assess breath
erol BID prevent ivity to sm sounds
+ The mechanism of action wheezing, fluticasone, (wheezing,
Fluticas for all topical shortness salmeterol, chest Monitor vital
one corticosteroids is believed of breath, or any tightness, signs regularly.
(Seretid to be a combination of and component trouble
e) three important breathing of the breathing); Advise the
properties: Anti- difficulties formulation fast or mother to rinse
inflammatory activity, caused by ; status uneven the mouth of
immunosuppressive asthma. asthmaticu heart beats the patient with
properties, and s; acute fever, chills, water after
antiproliferative actions. episodes of dizziness, giving the
Fluticasone has asthma nausea, medication.
extremely potent vomiting,
vasoconstrictive and anti- diarrhea;
 dry mouth,
inflammatory activity. nose, or
throat,
Salmeterol: stuffy nose,
sinus pain,
Relaxes bronchial smooth cough, sore
muscle by selective throat
action on beta2-receptors
with little effect on heart
rate