DRUG STUDY

Name of patient: Mrs. M. S .

Age: 48 yrs. old Sex:Female
Diagnosis: Uterine prolapse
Attending Physician: Dr. Kaguyatan
Date Ordered: February 19, 2010

Dose,
Side Effects &
Name of Classificati frequen Mechanism
Indication Contraindication Adverse Nursing Consideration
Drug on cy & of Action
Reaction
route

Generic Nonsteroid 30 mg q Unknown. It is indicated • Contraindicated in CNS: dizziness, • Correct hypovolemia

Name: al anti- 6 hours, produces anti- for short- patient drowsiness, before giving ketorolac.
Ketorolac inflammat IV inflammatory, term hypersensitive to sedation, • Don’t give drug
ory drug analgesic, and treatment of drug and in those epidurally or
headache
antipyretic moderately with active peptic intrathecally because of
Brand effects, severe, acute ulcer disease, GI: nausea, alcohol content.
Name: possibly by pain for recent GI bleeding • Carefully observe
vomiting,
Toradol inhibiting single- dose on p[perforation, patients with
prostaglandin and multiple- advanced renal diarrhea, coagulopathies and
synthesis dose impairment, dyspepsia, GI those taking
treatment cerebrovascular pain, peptic anticoagulants. Drug
bleeding, ulceration, inhibits platelet
hemorrhagic constipation, aggregation and can
diathesis, or flatulence, prolong bleeding time.
incomplete this effect disappears
stomatitis
hemostasis, and within 48 hours of
those at risk for stopping drug and
Hematologic:
renal impairment doesn’t alter platelet
decreased
from volume count, INR, PTT, or PT
platelet,adhesion,
depletion or at risk • NSAIDS may mask
purpura,
of bleeding. signs and symptoms of
prolonged
• Contraindicated as infection because of
bleeding time
 Dose,
Side Effects &
Name of Classificati frequen Mechanism
Indication Contraindication Adverse Nursing Consideration
Drug on cy & of Action
Reaction
route
prophylactic their antipyretic and
analgesic before CV: edema, HPN, anti-inflammatory
major surgery or palpitations, actions.
intraopreatively arrhythmias • Serious GI toxicity,
when hemostasis is including peptic ulcers
critical; and in and bleeding, can occur
patients currently in p;atiet taking
receiving aspirin, NSAIDs, despite lack of
an NSAID, or symptoms
probenecid .

DRUG STUDY

Name of patient: Mrs. M. S.

Age: 48 yrs. Old Sex:Female
Diagnosis: Uterine prolapse
Attending Physician: Dr. Kaguyatan
Ordered: February 19, 2010
Dose,
Name of Classifica Mechanism of Contraindicati Side Effects &
frequency Indication Nursing Consideration
Drug tion Action on Adverse Reaction
& route
Generic
Name: Opioid 10mg, IV Unknown. binds Indicated for Contraindicate CNS: headache, • Drugs acts as an
Nalbuphine anlgesic with opiate patient with d in patient sedation, dizziness, opiod antagonist:
receptors in the moderate to hypersensitive vertigo, may cause
CNS, altering severe pain, to this drug. nervousness, withdrawal
Brand
Name: depression,
both perception adjunct to syndrome. For
Nubain restlessness, crying,
of and emotional balance patients who have
confusions,
response to pain anesthesia. hallucinations, received opiates
speech disorders. long term, give 25%
of the usual dose
CV: HPN, initially. Watch for
hypotension, signs of withdrawal.
tachycardia,
• ALERT: drug causes
bradycardia
respiratory
EENT: blurred vision, depression, which at
dry mouth 10 mg is equal to
respiratory
GI: cramps,
depression produced
dyspepsia, bitter
taste, nausea, by 10 mg of
vomiting, morphine.
constipation • PATIENT TEACHING
-Caution ambulatory
GU: urinary urgency patient about getting
Respiratory: out of bed or
respiratory walking.
depression. dyspnea, -Teach patient how
asthma, pulmonary to manage
edema troublesome adverse
 Skin: pruritus, effects such as
burning, urticaria, constipation.
diaphoresis .

LABORATORY EXAMINATION
Name of Patient: Mrs. M.S.
Attending Physician: Dr. Kaguyatan

Age: 48y/o

DATE LABORATORY RESULT NORMAL IINTERPRETATIO SIGNIFICANCE

EXAMINATION VALUES N
February 12, CBC
2010

Hemoglobin 113g/ L 135-180g/l Normal To determine the

amount of blood-
carrying oxygen to
tissues and find out
presence of
hemorrhage, in any
form.

Hematocrit 0.36g/l 0.37-0.47g/l Normal

To determine the
presence of
erythrocytosis of any
cause, and in
dehydration or
hemoconcentration
associated with shock.

RBC 4.74X 10g/l 4.0-5.5x10g/l Normal

 WBC 9.0x109/L 5.0-10.0x109/L . To determine the
presence of infection or
Normal
inflammation.

Neutrophils 61.1% 50-70% Normal

To determine variation
in the WBC’s
differential count that
may signifies infection
or suppress immune
response.

Lymphocytes 24% 25-40% 25-40%

To determine the
body’s immunologic
response.

Blood type A No normal values ---------------------- For possible transfusion