NAME OF PATIENT: R. T. N ST.

ANTHONY’S COLLEGE
AGE/SEX: 75 yrs. old NURSING DEPARTMENT
PHYSICIAN: Dr. E. San Jose, Antique
DIAGNOSIS: Thyromegaly with multiple nodules; Dyslipidemia

DRUG STUDY

Name of Drug
Classification and Indication and Side Effects or
(Dosage, Route, Nursing Responsibilities
Mechanism of Action Contraindication Adverse Reactions
Frequency, Timing)
Generic Name: Classification: Indication:  Check the physicians order

 Nausea  Follow the 14 rights of medications

Orphenadrine Citrate Muscle Relaxants/ Relief of painful
Paracetamol Antihistamine skeletal muscle spasm  Provide additional measures to relieve discomfort –
 Dry mouth
associated with heat, rest for the muscle, and positioning.
50 mg/tab chronic low backpain,  Blurred vision  Monitor respiratory status.
sprains and strains,
muscle injury, acute  Dizziness  Monitor for adverse effects.
Brand Name: Mechanism of Action: torticollis, tension  Monitor the effectiveness of comfort measures and
headache,  Restlessness
compliance with the regimen.
Norgesic Forte Norgesic Forte Tablet works dysmenorrhea and
by suppressing the  Ensure that sustained-release form is not chewed or
other acute or chronic
Dosage: production of painful muscular crushed. It must be swallowed whole.
1 tab prostaglandins; antagonizing conditions.  Relieve mouth dryness by frequent rinsing with clear
the adenosine receptors and
Route: blocking cholinergic tepid water, increasing noncaloric fluid intake,
Contraindication:
PO receptors. sugarless gum, or lemon drops. If these measures fail, a
Glaucoma, myasthenia saliva substitute may help.
Frequency: gravis; bladder
BID  Monitor elimination patterns. Older adults are
obstruction
particularly sensitive to anticholinergic effects (urinary
Timing: hesitancy, constipation); closely observe.
( 7 – 7)

Student’s Name: ANGIE G. MANDEOYA BSN – 4 Clinical Instructor: LOUWELYN DIASNES, RN. MAN.
NAME OF PATIENT: R. T. N ST. ANTHONY’S COLLEGE
AGE/SEX: 75 yrs. old NURSING DEPARTMENT
PHYSICIAN: Dr. E. San Jose, Antique
DIAGNOSIS: Thyromegaly with multiple nodules; Dyslipidemia
DRUG STUDY

Name of Drug
Classification and Mechanism of Indication and Side Effects or Adverse
(Dosage, Route, Nursing Responsibilities
Action Contraindication Reactions
Frequency, Timing)
Generic Name: Classification: Indication:  Check the physicians order

 Headache  Follow the 14 rights of medications

Omeprazole Proton Pump Inhibitor Pathological
hypersectory conditions  Assess GI system: bowel sounds 8 hourly,
 Hypersensitivity
40mg/10ml/vial and Zollinger-Ellison abdomen for pain and swelling, and appetite
syndrome; short term reactions loss.
Mechanism of Action:
treatment of active
Brand Name:  Warmth  Advise patient to notify doctor immediately
duodenal ulcer,
Omeprazole reduces gastric acid
gastroesophageal reflux if they have abdominal pain or diarrhea.
Omepron secretion through a highly targeted disease (GERD),  Sensation of
 Because drug can interfere with absorption
mechanism of action. It is a specific including erosive
Dosage: whirling and loss of of vitamin B12, monitor for anemia.
inhibitor of the acid pump in the esophagitis and
40mg  Report any changes in urinary elimination
symptomatic GERD. balance
parietal cell. It is rapidly acting and
such as pain or discomfort associated with
Route: provides control through reversible  Deficiency of
Contraindication:
IV urination, or blood in urine.
inhibition of gastric acid secretion
Hypersensitivity to vitamin b12
Frequency: with once-daily dosing.
omeprazole, other
OD  Nausea
proton pump inhibitors
or any components of
Timing:
the product.
( 6 am)

Student’s Name: ANGIE G. MANDEOYA BSN – 4 Clinical Instructor: LOUWELYN DIASNES, RN. MAN.
NAME OF PATIENT: R. T. N ST. ANTHONY’S COLLEGE
AGE/SEX: 75 yrs. old NURSING DEPARTMENT
PHYSICIAN: Dr. E. San Jose, Antique
DIAGNOSIS: Thyromegaly with multiple nodules; Dyslipidemia

DRUG STUDY

Name of Drug
Classification and
(Dosage, Route,
Mechanism of Action
Frequency, Timing)
Generic Name: Classification:
Paracetamol Analgesics (Opioid)
Tramadol HCl
325 mg/tab
Mechanism of Action:
Brand Name: The combination of
Tramadol HCl and
Nutram
Paracetamol provides double
analgesic benefits for
Dosage: moderate to severe pain. It
1 tab works by increasing the pain
threshold and increases the
Route: blood flow across the skin,
PO heat loss and sweating;
works in the brain to change
Frequency:
how the body feels and
BID responds to pain
Indication and Side Effects or
Nursing Responsibilities
Contraindication Adverse Reactions
Indication:  Check the physicians order
 Dizziness  Follow the 14 rights of medications
Management of
 Headache  Assess type, location, and intensity of pain before and
moderate to severe
pain.  Sweating 2-3 hr (peak) after administration.
 Nausea  Assess BP & RR before and periodically during
 Rashes administration. Respiratory depression has not
Contraindication:
 Dry mouth occurred with recommended doses.
Hypersensitivity  Vomiting
 Assess bowel function routinely. Prevention of
reactions to tramadol,
paracetamol and any constipation should be instituted with increased intake
other components of of fluids and bulk and with laxatives to minimize
the drug. constipating effects.
 Assess previous analgesic history. Tramadol is not
recommended for patients dependent on opioids or
who have previously received opioids for more than
1wk; may cause opioid withdrawal symptoms.

Timing:
( 10 – 10)

Student’s Name: ANGIE G. MANDEOYA BSN – 4 Clinical Instructor: LOUWELYN DIASNES, RN. MAN.