Cues Assessment Scientific Planning Intervention Rationale

Explanation

Subjective Acute pain r/t Right Arm STG Independent:

cues: insect bite in -V/s where -alterations from
right arm After 30mins of monitored q4 hrs normal may be
“Masakit Tissue nursing until stable & sign of infection.
yung kagat damage intervention the dressing was Moistened
ng lamok sa client will be checked. dressings are
kamay ko” as able to: favorable site for
verbalized by Sends signal Microorganism to
the client to the - -adjust culture.
hypothalamus minimize constricting
-Pain scale: s feeling bandage & advise -this is to prevent
P: when he of pain to elevate the diminished
was standing High right arm circulatory &
& if he tried prostaglandin nerves function &
to straight his secretion - control swelling of
hand Verbalize - Provide the site.
Q: aching s emotional support - to decrease
R: from pain methods to client; explain anxiety and to
elbow to the that all procedures obtain
radial provide cooperation
S: 5 out of10 relief -enough rest &
T: at night sleep was also - This is to
advised promote healing
Pain scale:5- by reducing basal
10 metabolic rate
- Allow patient to allowing oxygen
perform tasks at & nutrients to be
Objective his or her own utilized for tissue
cues: rate. growth, healing &
regeneration.
-Irritable
-(+) left - -Do not rush - Hospital workers
forearm demonstr patient. and family
fracture ate use Encourage caregivers are
of independent often in a hurry
relaxation activity as able and do more for
skills & and safe patients than
diversion needed, thereby
al slowing the
activities patient’s recovery
and reducing his
or her self-
LTG esteem.
After 8 hrs of
nursing -decrease lung
 intervention the -instruct patient to capacity,
client will be do activities such decrease cough
able to: as Deep efficiency are
- The client breathing predisposing
pain will exercise & factors to
be free coughing respiratory
from pain exercise. infection
- diverts the
attention from
-encourage pain
deviational
activities -to decrease pain.

Dependent:
Administer as
ordered.

Drug Study

Drug Classification/ Dose/route/ Mechanism of Contr

Indication frequency action
Generic Name: Classification: Dose; 40 mg It kills bacteria by ciproflo
ciprofloxacin interfering with the also no
chemotherapeutic Route: IV enzymes that cause consid
antibiotic DNA to rewind after contra
Frequency: q 12, being copied, which for the
(-anst) stops DNA and of cert
Brand Name: protein synthesis. sexual
Cipro Indication: transm
used to treat bacterial diseas
infections. some
due to
resista

Side E
-periph
neurop
-tendo
-photo

Drug Study

Drug Classification/ Dose/route/ Mechanism of Contr

Indication frequency action
Generic Name: Classification: Dose; 500 mg it works by stopping - contr
Azithromycin the growth of in patie
antibiotics Route: oral bacteria. Antibiotics known
will not work for hypers
Frequency: OD for colds, flu, or other to azith
3days viral infections. erythro
Brand Name Indication: any m
Zithromax is used to treat certain ketolid
infections caused by antibio
bacteria, such as
bronchitis; pneumonia;
sexually transmitted
diseases (STD); and Side E
infections of the ears, -upset
lungs, skin, and throa •
•
•

Drug Study

Drug Classification/ Dose/route/ Mechanism of Contr

Indication frequency action
Generic Name: Classification: Dose; 500 mg . interferes with the - Hype
cloxacillin last stage of bacterial to pen
Penicillins Route: oral cell wall synthesis by
binding to penicillin-
Frequency: Q.I.D binding proteins, thus
inhibiting the cross- Side E
Brand Name Indication: linking needed to -Neutr
cloxapen used to treat a wide from a stable agranu
variety of infections, bacterial cell wall. GI ups
including sinusitis, strep This leads to Sore m
throat, pneumonia, autolysis of the tongue
respiratory tract, ear bacteria by hairy t
infections, dental autolysins.
abscesses, skin
infections, and STDs
like gonorrhea and
syphilis, infections of the
genital and urinary tract.