Generic Brand Adverse Nursing

Classification Indication Action Contraindication

Name Name Reaction Consideration

Penicillin G sodium Crystapen Penicillins Moderate to Inhibits cell-wall CNS: seizures, *Contraindicated in *Before giving
severe systemic synthesis during anxiety, confusion, patient drug, ask patient
infection bacterial depression, hypersensitive to about allergic
multiplication dizzeness,fatigue. drug or other reactions to
CV: heart failure penicillins and in penicillins.
HEMATOLOGIC: those on sodium *Obtain specimen
leukopenia, restricted diets. for culture and
thrombocytopenia, sensitivity test
agranulocytosis. *Use cautiously in before giving first
OTHER: anphylaxis, patients with other dose.
hypersensitivity drug allergies, *Don't confuse
reaction. especially to drug with
cephalosporins, polycillin,
because of possible penicillamine, or
cross-sensitivity. the various type of
penicillin.
 Generic Brand Adverse Nursing
Classification Indication Action Contraindication
Name Name Reaction Consideration

Gentamicin sulfate Garamycin Aminoglycosides To prevent Inhibits protein CNS: fever, *Contraindicated *Obtain specimen
endocarditis synthesis by binding headache, lethergy, on patient for culture and
before GI or GU directly to the 30S confussion, hypersensitive to sensitivity tests
procedure or ribosomal subunit; dizzeness, seizures drug or other before giving first
surgery bactericidal CV: hypotension aminoglycosides dose.
EENT: blured *Evaluate patient
vision, tinnitus hearing before and
HEMATOLOGIC: during therapy.
leukopenia, *use preservative-
thrombocytopenia,ag free formulations of
ranulocytosis gentamicin when
SKIN: rash, intrathecal route is
urticaria, pruritus, ordered.
injection site pain.
 Generic Brand Adverse Nursing
Classification Indication Action Contraindication
Name Name Reaction Consideration

Insulin Humulin R Antidiabetics *Moderate to Increases glucose METABOLIC: *contraindicated in *To mix insulin
(regular) and severe diabetic or transport across hypoglycemia, patient with history suspension, swirl
glucagon hyperosmolar muscle and fat cell hyperglycemia, of systemic allergic vial gently or rotate
hyperglycemia membrane to hypomagnesemia,h reation to pork between the palms
regular insulin reduce glucose ypokalemia when porcine- or between palm
*Mild diabetic level. Helps convert SKIN: rash, derived products and thigh. Don't
ketoacidosis regular glucose to urticaria,pruritus, are used or shake vigorously.
insulin glycogen; triggers sweeling, redness, hypersensitivity to This causes
*hyperkalemia amino acid uptake stinging, warmth at any component of bubbling and air in
and conversion to injection site. preparation. syringe.
protein in muscle OTHER: *contraindicated *Don't use insulin
cells.; stimulates lipoatrophy, during epesodes of that are changes in
triglycerides lipohypertrophy, hypoglycemia color or becomes
formation and hypersensitivity clumped or granular
inhibits release of reactions, in appearance.
free fatty acids anaphylaxis *Store insulin in
from adipoose cool area.
tissue; and Refrigeration is
stimulates desirable but not
lipoprotein lipase essentia,except with
activity, which humulin R
converts circulating (concentrated)
lipoproteins to fatty U-500.
acids
 Generic Brand Adverse Nursing
Classification Indication Action Contraindication
Name Name Reaction Concideration

Glyburide Glucovance Anti-diabetics Secondb line therapy Unknwon. CNS: headached, *Contraindicated in * In elderely patients,
and and in patients with type Glyburide may dizzeness patient monitor renal function
metformin glucagon 2 diabetes when diet, lower glucose GI: diarrhea, hypersensitive to regularly.
hydrochloride exercise, and first- level by nausea, vomiting, glyburide or *For patients requiring
line treatment with a stimulating the abdominal pain metformin and in additional glycemic
sulfonylurea or release of insulin METABOLIC: those with renal control, a
metformin don't from the hypoglycemia, disease, renal thiazolidinedione may
adequately control pancreas. lactic acidosis dysfunction, or be added to
glucose level. Metformin RESPIRATORY: metabolic acidosis glucovance therapy.
decreases hepatic upper respiratory (including diabetic *Monitor patients
glucose tract infection. ketoacidosis) closely during times
production and of increased stress,
intestinal such as infection,
absorption of fever, surgery or
glucose and trauma; insulin
improves insulin therapy may be
sensitivity. needed. Temporarily
suspend drug for any
surgical procedure that
requires restricted
intake of food and
fluids and don't restart
until patients oral
intake has resumed.
 Generic Brand Classification Indication Action Adverse Reaction Contraindication Nursing
Name Name Consideration

Clindamycin Cleocin Antibiotic Serious infection Semi synthetic CV: Hypotension, History of Monitor Bp and
Phosphate Phophate when less toxic derivative of Cardiac arrest Hypersensitivity to pulse in pts
alternatives are lincomycin with GI: Diarrhea, clindamycin: receiving drug
inappropriate. which it shares Abdominal pain, History of general parentally.
neuromuscular flatulence, bloating, enteritis, ulcerative Hypertension has
blocking properties N/V, esophageal colitis, or antibiotic occured following
and other actions. irritation, lost of associated colitis. IM injection.
taste, medicinal Advise pt to remain
taste, jaundice, recumbent
abnormal liver following drug
function test. administration until
Bp has stabilized.
 NURSING SCIENTIFIC NURSING
CUES PLANNING RATIONALE EVALUATION
DIAGNOSIS RATIONALE INTERVENTION

S: “Masakit pa din Moderate pain r/t Injury After 2 to 3 days of Independent: >Baseline data After 2-3 days of
ang paa ko” as tissue and nerve nursing intervertion, >Monitored v/s >To rule out nursing intervention
verbalized by the trauma Secondary to (Transduction) the pateint's scale of >performed pain worsening of the patient was
patient post surgical operation By which noxious 6\10 will be reduced to assessment each time underlying condition relieved from pain
(Metarsal amputation) stimuli tend to 1\10, as evidenced by: pain occurs >To provide non (Pain scale was
O: electrical activity (-)facial grimace pharmacological pain decreased from 6 to 0-
>(+)facial grimace (-) Guarding behavior >Provided comfort management 1)
>Guarding behavior (Transmission) measures such as >To prevent fatique As evidenced by:
>Pain located on his Transmitting pain proper positioning. (-)facial grimace
right foot Pain impulses from >Encouraged adequate (-)Guarding behavior
>Amputated lower site of transduction rest period. >To reduced concern
foot over peripheral >Diverted activities on pain
>Slow mobilization sensory nerves such as listening to the
>(+)Blood on the radio, etc. >To provide non
dressing Terminals in the spinal >Provided quiet pharmacological pain
>(+) Swelling on the cord & the network environment management
right foot >To medicate
Neurons relay to the >Noted when pain prophylactically as
brain occurs appropriate

(Modulation) Dependent: >To maintain

enhances activity in >Administered acceptable level of
the primary affarent medicines as ordered pain
pain receptors

Pain perceive
 NURSING SCIENTIFIC NURSING
CUES PLANNING RATIONALE EVALUATION
DIAGNOSIS RATIONALE INTERVENTIO
Independent:
S: Risk for infection Insulin deficiency After 2-3 days of >assessed surgical operation >Serves as comparative After 2days of
r/t surgical nursing baseline data nursing intervention
operation Hyperglycemia intervention the >Promoted hand washing >To know the the patient was able
secondary to DM. patient will be importance of hand to understood the
Excessive loss of fluids able to discussed washing risk for infection r/t
and electrolytes due to as evidenced by: >Demonstrated correct >Reduce risk of cross to his disease
osmotic diuresis > Able to know proper hand washing contamination >The patient was
O: foot care. >Observed for sign of >To prevent as soon as able to enumerate
>Metatarsal polyuria infection or onflammation posible interventions
amputation >Maintained aseptic >To avoid cross necessary for
>traumatized ECF/ICF Dehydration technique when chaging contamination avoiding infections
tissue dressing >The patient also
> Broken skin Blood viscosity or >Encouraged adequate diet & >To prevent further inderstood the
>increased concentration fluid intake increased of glucose importance of foot
environmental level care and skin care
exposure Sluggish circulation >Discussed foot care >To maintain
cleanliness
Polyferation of >Encourage to clean wound >Early treatment may
microorganism everyday help to prevent sepsis

Dependent: >To inhibitmicrobial

Infection >Administered antibiotics as growth
ordered
 NURSING SCIENTIFIC NURSING
CUES PLANNING RATIONALE EVALUATION
DIAGNOSIS RATIONALE INTERVENTION

S: “hindi na ako Fatique related to Insulin deficiency After 1-2 weeks of >Monitored PR, RR > Indicates After 1 week of
gaano makapagtrabaho decreased metabolic nursing intervention, and BP before and physioological levels nursing intervention,
kasi madali akong energy production Glucose cannot move the patient will display after activity of tolerance the patient was able to
mapagod at manghina” secondary to DM into cells improved ability to display improved
as verbilized by the participate in desired > Discussed with > Education may ability to participate in
patient. Sugar builds up in the activities such as patient the need for provide motivation to desired activities such
blood stream ADL's as evidenced activity increase activity level as ADL's as evidenced
O: by: > Prevent excessive by:
> weak in appearance Blood glucose level > Alternated periods of fatique (-) weakness
> irritable rises (hyperglycemia) (-) weakness activity with rest, (-) irritable
> inability to maintain (-) irritable interrupted sleep > To maximize > inability to maintain
usual routines Cells are deprive of > Ability to maintain > Plan care to allow participation usual routines
> decreased glucose usual routines individually adequate > increased
performance > increased rest periods performance.
Muscle and organ performance > Discussed ways if > Patient will be able
becomes depleted of conserving energy to accomplish more
energy while bathing etc, with a decreased
expenditure of energy
Fatique > Increased confidence
level/self-esteem and
> Increase patient tolerance level
participation in ADL's > Tolerance
as tolerated meaningful
information
> Interviewed care
provider regarding
specific changes
observed
 Generic Brand Adverse Nursing
Classification Indication Action Contraindication
Name Name Reaction Consideration

Oflaxacin Floxin Anti-infective: > Chlamydia A fivoroquinolonee CNS: Headache, Hypersensitivity to Withhold ofloxacin
Quinolone trachomitis antibiotic with a dizzeness, insomia, ofloxacin or other and notify
Antibiotic infection, broad spectrum of hallucinations. quinolone physician at first
uncomplicated activity against GI: N/V, diarrhea, antibacterial agents sign of a skin rash
gonorrhea, gram positive GI discomfort. pregnancy: or other allergic
prostatitis, aerobic and lactation. reaction.
resp.tract anaerobic bacteria.
infections: skin to
skin structure
infections, urinary
tract infection, due
to susceptable
bacteria, superficial
occular infections,
pelvic
inflammatory
disease.
 Generic Brand Adverse Nursing
Classification Indication Action Contraindication
Name Name Reaction Consideration

Tramadol Ultram, Zydol Opiate agonist Management of Centrally acting >Sweating, > Hypersensitivity to >Monitor V/S &
moderately severe opiate receptor anaphylactic tramadol or other assess for
pain agonist that inhibits reaction (even with opioid analgesic: pts. orthostatic
the uptake of first dose) accutely intoxicated hypotension or
morepine phrine > Visual with alcohol, signs of CNS
and serotonin, disturbance hyprotics, opioids, or depresion.
suggesting both > Urinary retention/ psychotropic drugs: > Assess bowel &
opioid like effects, frequency, pts. on obstetric pre bladder function:
but causes less menopausal operative medication, report urinary
respiratory symptoms. lactation. frequency or
depresion than retention.
morphine.
 NURSING SCIENTIFIC NURSING
CUES PLANNING RATIONALE EVALUATION
DIAGNOSIS RATIONALE INTERVENTION

S: Ineffective health Neuro After 3 hours of > Developed plan with > Allows for After 3 hours of
“Hindi ko na naituloy maintenance r/t lack of Cardiovascular nursing intervention, patient for self care incorporating existing nursing intervention,
ang gamot na nareseta materials resources Asthenia the patient will be able disabilities, adopting the patient have
sa akin” as verbalized to identify necessary and organizing care as identified necessary
by the patient. health maintainance necessary health maintenance
Cardiac cachexia activities as evidenced activities.
by: > Provided time to > To build therapeutic
O: > Demonstrated listen concerns of communication
> Demonstrated lack Malnutrition & tissue knowledge regarding patient
of knowledge wasting basic health practices > To maintain and
regarding basic health > Weakness > Provided manage effective
practices > Fatique anticipatory guidance health practices during
> weak periods of wellness
> fatique and identify ways
client can adopt when
progressive illness/
long term health
problems occurs

> To prevent
> Encouraged regression
socialization and
personal involvement

> Helped patient > For further

develop health care reference/ revision as
goals appropriate
 NURSING SCIENTIFIC NURSING
CUES PLANNING RATIONALE EVALUATION
DIAGNOSIS RATIONALE INTERVENTION

S: “hindi ko alam yung Knowledge deficit r/t Lack of specific After 1 to 2 hours of > Deal with the clients > Prevent anxiety After 1 to 2 hours of
mga kumplikasyon misinterpretation of information necessary nursing intervention anxiety when it is interfering nursing intervention
basta ang alam ko disease process and for patient and family the patient will with the clients the patient verbalized
diabetic ako” as familiarity regarding to make inform verbalized learning process. understanding of
verbalized by the the treatment of the choices regarding of understanding of > To facilitate learnung conditionand disease
patient diseases condition of treament condition and disease > Provided an process and treatment
necessary to maintain process and treatment environment that is
O: health conductive to learning > Provide knowledge
> (+)anxious > Review disease base from which can
> (+)often asking prosses of prognosis make informed choices
question and future expectations > Help pt. to learn the
proper way of care and
>Providing time treatment
learning session > To assess the pt
awareness abt. His
> Asked the patient condition
about His present
condition > For learning of the
patient
> Reviewed dse.
Process,trearment and
predisposing factor of
the dse. For easier standing of
the patient.
> Stated objective
clearly in layman's
term.