Name, route, frequency, dosage Buscupan Adults 0.4-0.8mg P.

O daily or 10-20mg

Action of the drug

Adverse effect

Physical assessment

Health teaching

How will you know if the drug is effective Patients dizziness is more manageable

Inhibits muscarinic actions of the acetylcholine in the autonomic NS.

Relieves spasticity, nausea and vomiting, reduces secretions and blocks cardiac reflexes

Disorientation, Dizziness restlessness, irritability, dizziness headache, confusion, hallucinations, delirium, fever, palpitations, tachycardia, flushing, blurred vision, photophobia, difficulty in breathing

Raise side rails of bed as precaution because some patients become temporarily excited of disoriented

Recommend use of sugarless gum or hard candy to help minimize dry mouth

Name, route, frequency, dosage Bee tabs

Action of the drug

Adverse effect

Physical assessment

Patient teaching/ Nursing responsibilities

How will you know if the drug is effective Increase of vitamin B

1-3 tabs/day.

Prevention & treatment of vitamin B complex & E deficiencies

Large doses of vitamin E may cause diarrhea, abdominal pain, fatigue & weakness

Assess patients BP Remind the patient before therapy and to take her reassess regularly medicine on time.

The patient has no food and drug allergies

Do not stop taking the drug without consulting you health care provider

Name, route, frequency, dosage

Action of the drug

Adverse effect

Physical assessment

Health teaching

How will you know if the drug is effective

PO 50 mg/tab Q12 Diazepam Diazepam Intensol

Exact mechanism of action not understood; acts mainly at the limbic system and recticular formation; may act in spinalcord and at supraspinal sites to produce skeletal muscle relaxation.

CNS: -Dizziness, drowsiness, lethargy, depression, headache CV: - Bradycardia, Tachycardia, Hypertension, hypotension, palpitations, Cardiovascular Collapse. GI: -nausea, vomiting, diarrhea, constipation GU: -Urinary retention or incontinence, menstrual irregularities.

Objective: The patient experiencing anxiety.

If the anxiety of the patient is already relieved.

Teach the patient to take the medicine exactly and on time as prescribed. Remind the patient to avoid driving or other hazardous activities until she know how drug affects concentratio n and alertness for the safety of the patient.

Name, route, frequency, dosage

Action of the drug

Adverse effect

Physical assessment

Health teaching

How will you know if the drug is effective

Anti angina GENERIC NAME: Trizezidine Nausea and vomiting Objective: The patient is experiencing pain The pain felt by the patient will slightly decrease Advice patient to report any abnormalities felt to the nurse or doctor.

BRAND NAME: vastarel Instruct the patient to take drug exactly as prescribed

DOSE: 35mg 1 tab

FREQUENCY: morning and evening

Emphasize to the client the importance of regular checkups Encourage the patient to increase fluid intake

ROUTE: oral

Name of Drugs

Date Ordered/ Date Performed/ Date Given Jan. 27-31, 09

Dosage, Route, Frequency of Administration 25mg SL TID

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Captopril

Captopril lower blood pressure by inhibiting the formation of angiotensin II, thus relaxing the arteries. Relaxing the arteries not only lowers blood pressure, but also improves the pumping efficiency of a failing heart and improves cardiac output in patients with heart failure.

Indicated for the patient since the drug is said to treat hypertension.

Patient did not improve condition since she still had elevated blood pressure of 180/100

Prior to: Wash hands thoroughly. Ask the patients name Always observe aseptic technique During: Explain the procedure to the patient/SO. Instruct the patient to put the medicine under her tongue or sublingually. After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction.

Name of Drugs

Date Ordered/ Date Perform ed/ Date Given 01-27-09

Dosage, Route, Frequenc y of Administr ation 50mg IV q8 then d/c on Jan. 30,09

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Ranitidine

It is a competitive, reversible inhibitor of the action of histamine at the histamine H2 receptors, including receptors on the gastric cells

This is indicated for the patient as she manifested abdominal pain

The patient improved condition as she did not manifest abdominal pain.

Prior to: Wash hands thoroughly. Ask the patients name. Recheck the order of the doctor Always observe aseptic technique Check the patency of the IV site During: Explain the procedure to the patient/SO. Observe patient closely for at least 30 minutes following administration.

After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction.

Name of Drugs

Date Ordered/ Date Perform ed/ Date Given 01-28-09

Dosage, Route, Frequenc y of Administr ation 40mg 1tab OD

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Simvastatin

Simvastatin is a hypolipidemic drug belonging to the class of pharmaceuticals called "statins". It is used to control hypercholesterol emia (elevated cholesterol levels) and to prevent cardiovascular disease.

Since the patient had high levels of cholesterol with 351 mg/dl, she was given this drug.

Patient did not improve condition since she still has elevated cholesterol..

Prior to: Wash hands thoroughly. Ask the patients name Always observe aseptic technique During: Explain the procedure to the patient/SO. After: Record the drug after its administration (charting).

Observe the patients for possible untoward reaction. Instruct to take the medication exactly as directed.

Name of Drugs

Date Ordered/ Date Perform ed/ Date Given 01-28-09

Dosage, Route, Frequenc y of Administr ation 50mg 1tab BID then increased frequency of 100mg on Jan. 30,09

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Metoprolol

Metoprolol reduces heart rate and cardiac output at rest and upon exercise, reduces systolic blood pressure upon exercise, inhibits isoproterenolinduced tachycardia, and reduces reflex orthostatic tachycardia.

It is also indicated for the patient because the patient has elevated blood pressure.

The client did not improve condition since she still had elevated blood pressure

Prior to: Wash hands thoroughly. Ask the patients name Always observe aseptic technique During: Explain the procedure to the patient/SO. After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction. Instruct to take the medication exactly as directed. Monitor BP

Name of Drugs

Date Ordered/ Date Perform ed/ Date Given 01-30-09

Dosage, Route, Frequenc y of Administr ation 2 tabs TID

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Ketosteril

Ketosteril normalizes metabolic processes, Improves nitrogen exchange, reduce ion concentrations of potassium, magnesium and phosphate.

Protein-energy malnutrition, prevention and treatment of conditions caused by modified or insufficient protein metabolism.

Patient improved condition as she did not manifest body weakness because of the energy supplemented.

Prior to: Wash hands thoroughly. Ask the patients name Always observe aseptic technique During: Explain the procedure to the patient/SO. After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction. Instruct to take the medication exactly as directed.

Name of Drugs

Date Ordered/ Date Perform ed/ Date Given 01-30-09

Dosage, Route, Frequenc y of Administr ation 1 cap OD

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Ferrous Sulfate

Ferrous Sulfate is an essential body mineral. Ferrous sulfate is used to treat iron deficiency anemia

Indicated for the patient as a supplement for iron

Patient did not improve condition as she still has low hemoglobin count.

Prior to: Wash hands thoroughly. Ask the patients name Always observe aseptic technique During: Explain the procedure to the patient/SO. After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction. Instruct to take the medication exactly as directed.

Name of Drugs

Date Ordered/ Date Performed/ Date Given 01-29-09

Dosage, Route, Frequenc y of Administr ation 5mg IV q6hrs PRN for BP 130/90

General Action

Indication or Purpose

Clients Response

Nursing Responsibilities

Hydralazine

Hydralazine is a direct-acting smooth muscle relaxant used to treat hypertension by acting as a vasodilator primarily in arteries and arterioles. By relaxing vascular smooth muscle, vasodilators act to decrease peripheral resistance, thereby lowering blood pressure.

Indicated for the patient as she has elevated blood pressure

The patient did not improve her condition as she still had elevated blood pressure of 180/100

Prior to: Wash hands thoroughly. Ask the patients name. Recheck the order of the doctor Always observe aseptic technique Check the patency of the IV site During: Explain the procedure to the patient/SO. Observe patient closely for at least 30 minutes following administration. After: Record the drug after its administration (charting). Observe the patients for possible untoward reaction. Monitor BP