Drug Classification Action Contraindication Nursing Responsibility

 Ceftriaxone  Third-  Semisynthetic third  Hypersensitivity to  This medication is given by injection into a

generation generation cephalosporins and muscle or vein as directed by your doctor,
cephalosporin cephalosporin related antibiotics; usually once or twice daily. The dosage is based
antibiotics antibiotic. pregnancy (category B). on your medical condition and response to
Preferentially binds treatment. Drink plenty of fluids while using this
to one or more of the medication unless your doctor directs you
penicillin-binding otherwise.
proteins (PBP)
located on cell walls
of susceptible
organisms. This
inhibits third and
final stage of
bacterial cell wall  You should take ferrous sulfate on an empty
synthesis, thus killing stomach with water or another type of liquid
the bacterium. about one hour prior to or two hours after a meal.
You can take the medicine with food or
 Provides iron, an  Haemochromatosis, immediately after meals if you want to reduce
essential component haemosiderosis and the risk of having an upset stomach. Angina
in hemoglobin, other Fe overload attacks may occur 30 min. after administration
 Ferrous   Iron myoglobin, and syndromes, haemolytic due reflex tachycardia.
sulphate supplement various enzymes. anemia, active peptic
Iron combines with ulcer, regional enteritis
porphyrin and globin and ulcerative colitis.
chains to form Patients receiving
hemoglobin, which is repeated blood  Take tramadol exactly as prescribed. Follow all
critical for oxygen transfusions or directions on your prescription label. Tramadol
delivery from the concomitant parenteral can slow or stop your breathing, especially when
lungs to other tissues. Fe therapy. you start using this medicine or whenever your
 dose is changed. Never take this medicine in
larger amounts, or for longer than prescribed.
Tell your doctor if the medicine seems to stop
 Tramadol may working as well in relieving your pain.
increasecentral nervous
systemand  Take this medication 
respiratorydepression by mouth as directed by your doctor, usually
whencombined with once daily with or without food. The dosage is
alcohol,anesthetics, based on your medical condition and response to
narcotics,tranquilizers or treatment. If you are using the liquid form of this
 Like morphine, sedativehypnotics. medication, shake the bottle well before each
tramadol binds to dose. Carefully measure the dose using a special
receptors in the brain measuring device/spoon. Do not use a household
(narcotic or opioid spoon because you may not get the correct dose.
receptors) that are
important for
transmitting the
 TDL  Opiate sensation  In patients who are  Take folic acid exactly as prescribed by your
(Tramadol) (narcotic) of pain from hypersensitive to any doctor. Do not take it in larger amounts or for
analgesics throughout the body component of this longer than recommended. Take folic acid with a
to the brain. product. For full glass of water.
coadministration with
aliskiren in patients with
diabetes.

 Folic acidalone for

 Losartan is a pernicious anemia or
nonpeptide other vitamin B12
angiotensin II deficiency states;
receptor antagonist normocytic, refractory,
 with high affinity and aplastic, or undiagnosed
selectivity for the anemia.
AT 1 receptor. Losart
an blocks the
vasoconstrictor and
aldosterone-secreting
 Losartan  Angiotensin II effects of angiotensin
receptor II by inhibiting the
antagonists binding of
angiotensin II to the
AT 1 receptor.
AT 1 receptor
blockade results in an
increase in plasma
renin activity (PRA)
followed by increases
in plasma angiotensin
II concentration.

 Vitamin B complex
essential for
nucleiprotein
synthesis and
maintenance of
normal
erythropoiesis. Acts
against folic acid
deficiencythat
impairs thymidylate
synthesis and results
in production of
defective DNA that
leads to megaloblast
 formation and arrest
of bone marrow
maturation.

 Folic Acid  Vitamin B9

 Paracetamol  Analgesic  Paracetamol may  Hypersensitivity to  Asses to patient’s fever or pain: type of pain,
(Non-opioid) , cause analgesia by acetaminophen or location, intensity, duration, temperature, and
Antipyretic inhibiting CNS phenacetin; use with diaphoresis.
prostaglandin alcohol.
synthesis. The
mehcanisim of
morphine is believed
to involve decreased
permeanility of the
cell membrane to
sodium, which results
in diminished
transmission of pain
impulses therefore
analgesia.
 Nursing Care Plan

Age: 77 Years Old

Address: Marinduque, Brgy Sta.Cruz

Assessment Diagnosis Planning Intervention Rationale Evaluation

Urinary  At the end of  Review medical  High urethral  After 8 hours

detention 8hours of history for pressure inhibits of nursing
related to fear nursing care, diagnoses bladder intervention
the patient will emptying or can the patient
of pain. be able to:  Ask client about inhibit voiding was able to:
 Void stress until abdominal  Void in
insufficient incontinence pressure sufficient
amounts with when moving, increases enough amounts 
no palpable sneezing, for urine to be  Voiding
bladder coughing, involuntarily lost pattern
distention. laughing, or normalized
 Voiding pattern lifting objects.
normalized
 Monitor Vital
signs.