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    Medical Surgical Midterm Examination

    Uploaded by

    Shella Mae Line
    1. Diphenhydramine is an antihistamine used to treat allergy symptoms caused by histamine release. It works by interfering with histamine effects at histamine-1 receptor sites. 2. Common side effects include drowsiness, dizziness, blurred vision, dry mouth, constipation, difficulty urinating, and fast heartbeat. Nursing considerations include monitoring for side effects and allergy reactions. 3. The patient should be instructed that the drug may cause drowsiness and dizziness, and to avoid activities like driving until effects are known. They should also avoid alcohol and other depressants while taking diphenhydramine.

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    Medical Surgical Midterm Examination

    Uploaded by

    Shella Mae Line
    23 views3 pages
    1. Diphenhydramine is an antihistamine used to treat allergy symptoms caused by histamine release. It works by interfering with histamine effects at histamine-1 receptor sites. 2. Common side effects include drowsiness, dizziness, blurred vision, dry mouth, constipation, difficulty urinating, and fast heartbeat. Nursing considerations include monitoring for side effects and allergy reactions. 3. The patient should be instructed that the drug may cause drowsiness and dizziness, and to avoid activities like driving until effects are known. They should also avoid alcohol and other depressants while taking diphenhydramine.

    Original Title

    DRUG-STUDY

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    1. Diphenhydramine is an antihistamine used to treat allergy symptoms caused by histamine release. It works by interfering with histamine effects at histamine-1 receptor sites. 2. Common side effects include drowsiness, dizziness, blurred vision, dry mouth, constipation, difficulty urinating, and fast heartbeat. Nursing considerations include monitoring for side effects and allergy reactions. 3. The patient should be instructed that the drug may cause drowsiness and dizziness, and to avoid activities like driving until effects are known. They should also avoid alcohol and other depressants while taking diphenhydramine.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views3 pages

    Medical Surgical Midterm Examination

    Uploaded by

    Shella Mae Line
    1. Diphenhydramine is an antihistamine used to treat allergy symptoms caused by histamine release. It works by interfering with histamine effects at histamine-1 receptor sites. 2. Common side effects include drowsiness, dizziness, blurred vision, dry mouth, constipation, difficulty urinating, and fast heartbeat. Nursing considerations include monitoring for side effects and allergy reactions. 3. The patient should be instructed that the drug may cause drowsiness and dizziness, and to avoid activities like driving until effects are known. They should also avoid alcohol and other depressants while taking diphenhydramine.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines

    NORTHERN NEGROS STATE COLLEGE OF SCIENCE AND TECHNOLOGY

    Barangay Old Sagay, Sagay City, Negros Occidental

    College of Nursing and Allied Health Sciences

    MEDICAL SURGICAL
    MIDTERM EXAMINATION

    Submitted by:
    LINE, SHELLA MAE S. BSNIII- LEVINE

    Situation: A 25 years old male was brought in the clinic by his mother with a cc of rash, redness and pruritus. Upon history taking, the patient
    was known to be allergic in seafood and thar he acquired the allergy at present an hour after he ingested a shrimp. Vital signs are BP:
    120/80mmHg, PR: 98bpm, RR: 24cpm, Temp: 37.4 degree centigrade. Wheezing is noted upon auscultation. Antihistamine is given
    intramuscularly. Oxygen is given at 2 to 4 LPM via nasal cannula. Patient is conscious and oriented can converse well. Patient claimed "I feel
    sleepy, I wanna sleep"

    Base on the situation, select 3 nursing problems and formulate a nurses notes using the FDAR format. Make a drug study about
    diphenhydramine

    DRUG STUDY

    Patient Name: Juan Delacruz Chief Complaint: Rash, redness and pruritus
    Age: 25 years old Admitting Diagnosis: Allergy
    Room ward: RM 4 Attending physician: Dr. Boo
    DRUG NAME: CLASSIFICATIO INDICATION MECHANISM OF ADVERSE ACTION NURSING CONSIDERATION PATIENT TEACHING
    N ACTION
    GENERIC: Antihistamine, -Allergy Interferes with CNS: drowsiness, -Monitor vital signs. -Instruct the patient the
    Diphenhydramin Anticholinergic. symptoms histamine effects dizziness, -Monitor cardiovascular drug may make dizzy or
    e Hydrochloride antiemetic caused by at histamine1- headache, status, especially in patients drowsy or blur
    histamine receptor sites; paradoxical with cardiovascular disease. your vision
    BRAND NAME: release prevents but stimulation -Before -Tells the patient that to
    Benadryl (including doesn’t reverse (especially in giving diphenhydramine, ask minimize dizziness and li
    anaphylaxis, histamine- children) the patient if they are allergic ght-headedness, get up
    Dosage: 50mg seasonal and mediated CV: hypotension, to it; or to dimenhydrinate; or slowly when rising from a
    perennial response. Also palpitations, if they have any seated or lying position.
    Route: IM allergic possesses CNS tachycardia EENT: other allergies.
    rhinitis, and depressant and blurred vision, - Assess the patient for any -Tell the patient the
    Frequency: q6 allergic anticholinergic tinnitus allergy reaction of Diphenhydramine
    dermatoses); properties. GI: diarrhea, antihistamines injection may cause side
    Timing: 6-12-6-12 nausea; vertigo constipation, dry -Assess the skin color, effects. Tell physician if
    mouth texture, orientation and any of symptoms are
    GU: dysuria, reflexes severe or do not go away
    urinary frequency -Observe for vision changes - - Advise the patient to
    or retention Skin: -Supervise patient during report difficulty of
    photosensitivity ambulation. Use side rails as breathing, hallucination,
    Other: decreased necessary. tremors and irregular
    appetite, pain at - Supervise patient during breathing
    I.M. injection site ambulation. Use side rails as
    necessary.
    -For I.V. use, check -Advise patient to avoid
    compatibility before mixing alcohol and other
    with other drugs. depressants such as
    References: 2010 Nursing Spectrum Drug Handbook by Patricia Dwyer Schull sedatives while taking
    - Inject I.M. dose deep into
    drug.
    large muscle mass; rotate
    sites.
    -Caution patient to avoid
    driving and other
    hazardous activities until
    he knows how drug affects
    concentration and
    alertness.

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