COLLEGE OF NURSING

Visca, Baybay City, Leyte, PHILIPPINES

Tel. no.: (053) 563-7226
Email address: [email protected]
Website: www.vsu.edu.ph

DRUG THERAPEUTIC RECORD

Name: Reason for Admission:
Age/Sex: Medical Impression:
MECHANISM OF SIDE/ADVERSE NURSING RESPONSIBILITIES
DRUG NAME DRUG CLASS INDICATIONS CONTRAINDICATIONS
ACTION EFFECTS
Generic Therapeutic: Inhibits COX-1 and General: Hypersensitivity to SIDE EFFECTS: BASELINE ASSESSMENT:
Name: COX-2 enzymes, Pain ketorolac, aspirin, or Frequent (17%- Assess onset, type, location,
Ketorolac NSAID resulting in management, other NSAIDs. 12%): Headache, duration of pain. Obtain baseline
decreased Allergic Intracranial bleeding, nausea, renal/hepatic function tests.
prostaglandin Conjunctivitis, hemorrhagic diathesis, abdominal
Brand Name: synthesis, reduces Cataract incomplete cramps/pain, INTERVENTION/EVALUATION
Acular, Acular prostaglandin Extraction, hemostasis, high risk dyspepsia. Monitor renal function, LFT,
LS, Acuvail Pharmacologic levels in aqueous Corneal of bleeding; Occasional (9%- urinary output. Monitor daily
: humor. Refractive concomitant use of 3%): Diarrhea. pattern of bowel activity, stool
Analgesic, Therapeutic Surgery aspirin, NSAIDs, Nasal: Nasal consistency. Observe for occult
intraocular Effect: Produces probenecid, or discomfort, blood loss. Assess for therapeutic
anti- analgesic, pentoxifylline; labor rhinalgia, response: relief of pain, stiffness,
Complete Rx: inflammatory antipyretic, anti- and delivery, increased swell- ing, increased joint mobility,
inflammatory advanced renal lacrimation, throat reduced joint tenderness;
effect; reduces impairment or risk of irritation, rhinitis. improved grip strength. Monitor
intraocular renal failure, active or Ophthalmic: for bleeding (may also occur with
inflammation. history of peptic ulcer Transient ophthalmic route due to systemic
disease, chronic stinging, burning. absorption).
inflammation of GI Rare (3%-1%):
tract, recent or history Constipation, PATIENT/FAMILY TEACHING
Date of Rx: of GI bleeding/ vomiting, Avoid aspirin, alcohol. Report
ulceration. flatulence, abdominal pain, bloody stools, or
Perioperative pain in stomatitis. vomiting blood. If GI upset occurs,
setting of CABG Ophthalmic: take with food, milk.. Ophthalmic:
surgery. Prophylaxis Ocular irritation, Transient stinging, burning may
before major surgery. allergic reactions occur upon instillation. Do not
Cautions: Hepatic (manifested by administer while wearing soft
impairment, history of pruritus, stinging), contact lenses.
GI tract disease, superficial ocular

Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.
 COLLEGE OF NURSING
Visca, Baybay City, Leyte, PHILIPPINES
Tel. no.: (053) 563-7226
Email address: [email protected]
Website: www.vsu.edu.ph

asthma, coagulation infection, keratitis.

disorders, receiving
anticoagulants, fluid ADVERSE
retention, HF, renal EFFECTS:
impairment, Peptic ulcer, GI
inflammatory bowel bleeding,
disease, smoking, use gastritis, severe
of alcohol, elderly, hepatic reaction
debilitated. (cholestasis,
jaundice) occur
rarely
Pregnancy Category: Nephrotoxicity
Unknown if distributed (glomerular
in breast milk. Avoid nephritis,
use during third interstitial
trimester (may nephritis,
adversely affect fetal nephrotic
cardiovascular system: syndrome) may
premature closure of occur in pts with
ductus arteriosus). preexisting renal
impairment.
Acute
hypersensitivity
reaction (fever,
chills, joint pain)
occurs rarely

References (APA format):

Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.