MARIANO MARCOS STATE UNIVERSITY

College of Health Sciences

Name of Patient: Inaligo, Nemecio Diagnosis: Occult G.I. Bleeding Date Ordered: ____________
DRUG STUDY
Drug Name Mechanism of Action Desired Effects Nursing Responsibilities Rationale
Generic Name: - Acts as an inverse - Treat and prevent - Assess blood pressure periodically - Monitoring so, would help
Diphenhydramine SIVP agonist at the H1 dystonias, insomnia, and compare to normal value. document benefits of this drug
receptor, thereby vertigo, and motion Report a sustained or symptomatic in treating these disorders, and
Brand Name: reversing the effects of sickness. It also decrease in blood pressure to the overall health of the
Benaxil, Medryl, histamine on possesses local (hypotension) or other cardiac patient.
Soniphen, Bexil capillaries, reducing anesthetic properties symptoms (palpitations). - Medical negligence of
allergic reaction for patients with - Monitor respiratory function at rest incorporating diphenhydramine
Classification: symptoms. The H1 allergies to other, and during exercise. Notify could result to CNS
Antihistamine; first- receptor is similar to more commonly physician if patient experiences depression, dizziness,
generation histamine H1 muscarinic receptors. used local any troublesome wheezing, headache, sedation;
receptor antagonist anesthetics. tightness in the throat or chest, or paradoxical stimulation in
Dosage: abnormal bronchial secretions. children; dryness of mouth,
50 mg SIVP - Monitor symptoms of seasonal thickened respiratory secretion,
allergies blurring of vision, urinary
Frequency: - Assess dizziness and drowsiness retention; GI disturbances;
10-50 mg up to 100 mg that might affect gait, balance, and blood dyscrasias.
if needed via IV inj at a other functional activities
rate of 25 mg/min. q. 4- - Administer with food if GI upset
6hrs. prn. Max: 400 mg occurs.
daily. - Monitor patient response, and
arrange for adjustment of dosage
Route: to lowest possible effective dose.
SIVP – Slow Intravenous
Push
I.V.

Prepared:
_______________________________
Student Nurse

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences

Name of Patient: Inaligo, Nemecio Diagnosis: Occult G.I. Bleeding Date Ordered: ____________
DRUG STUDY
Drug Name Mechanism of Action Desired Effects Nursing Responsibilities Rationale
Generic Name: - Ranitidine - Inhibits the action of - Assess heart rate, ECG, and heart - Reporting balance problems
Ranitidine competitively and histamine at the H2 sounds, especially during exercise. and functional limitations to the
reversibly inhibits receptor site located Report any rhythm disturbances or physician, and caution the
Brand Name: histamine at H2- primarily in gastric symptoms of increased patient and family/caregivers
Entac Ampoule, Raxide receptors of the gastric parietal cells, arrhythmias, including palpitations, guards the patient against falls
parietal cells thereby resulting in inhibition chest discomfort, shortness of and trauma.
Classification: inhibiting gastric acid of gastric acid breath, fainting, and - Monitoring so, would help
Histamine2 (H2) secretion, gastric secretion. fatigue/weakness. document benefits of this drug
antagonist volume and reducing Therapeutic Effects: - Report signs of agranulocytosis in treating these disorders, and
hydrogen ion Healing and and neutropenia (fever, sore to the overall health of the
Dosage: concentration. prevention of ulcers. throat, mucosal lesions, signs of patient.
50mg SIVP Decreased infection, bruising), aplastic anemia - Monitoring other CNS
symptoms of (unusual fatigue, weakness), or symptoms such as confusion,
Frequency: gastroesophageal thrombocytopenia (bruising, hallucinations, headache, or
50 mg via slow IV inj as reflux. Decreased bleeding gums, nose bleeds). any excessive or prolonged
priming dose, followed secretion of gastric - Monitor signs of hypersensitivity CNS symptoms may require a
by 0.125-0.25 mg/kg/hr acid. reactions, including pulmonary reduction in dose.
via continuous infusion. symptoms (tightness in the throat
Substitute oral therapy or chest, wheezing, cough,
as soon as possible. dyspnea) or skin reactions (rash,
pruritus, urticaria).
Route: - Assess dizziness and drowsiness
SIVP – Slow that might affect gait, balance, and
Intravenous Push other functional activities Provide
concurrent antacid therapy to
relieve pain.
- Arrange for regular follow-up,
including blood tests, to evaluate

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences
effects.
- Daily monitoring of liver function
tests (aspartate aminotransferase
and alanine aminotransferase)
may be warranted. For acutely ill
patients, serum creatinine may
also be measured to provide
information for renal dose
adjustments as well as to monitor
for potential nephrotoxicity. When
there is a concern of GI bleeding,
further monitoring may include
occult blood tests, hemoglobin,
and hematocrit.

Prepared:
_______________________________
Student Nurse

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences

Name of Patient: Inaligo, Nemecio Diagnosis: Occult G.I. Bleeding Date Ordered: ____________
DRUG STUDY
Drug Name Mechanism of Action Desired Effects Nursing Responsibilities Rationale
Generic Name: - Binds to the - Reduces - Monitor signs of thrombophlebitis - Notifying physicians of
Hydrocortisone glucocorticoid receptor inflammation by (lower extremity swelling, warmth, suspected thrombosis, may
leading to downstream suppressing the erythema, tenderness) and require immediate objective
Brand Name: effects such as migration of thromboembolism (shortness of tests (Doppler ultrasound, lung
Solu-Cortef, Cortizan, inhibition of polymorphonuclear breath, chest pain, cough, bloody scan, others)
Hydrovex, Pharmacort phospholipase A2, NF- leukocytes and sputum). - Reporting persistent or
etc. kappa B, other reversing the - Monitor and report signs of peptic increased musculoskeletal pain
inflammatory increased capillary ulcer, including heartburn, nausea, helps to determine presence of
Classification: transcription factors, permeability. vomiting blood, tarry stools, and bone or joint pathology (aseptic
Anti-Inflammatory and the promotion of Topically, it has anti- loss of appetite. necrosis, fracture).
Glucocorticoids / anti-inflammatory inflammatory, anti- - Monitor signs of hypersensitivity
Corticosteroids genes. pruritic, and reactions or anaphylaxis, including
Dosage: vasoconstrictive pulmonary symptoms (tightness in
50mg SIVP effects. the throat and chest, wheezing,
cough, dyspnea) or skin reactions
Frequency: (rash, pruritus, urticaria)
100mg IV bolus given - Assess any muscle or joint pain.
immediately, followed by - Measure blood pressure
25-75mg IV q. 6hrs or periodically and compare to normal
200mg/24 hours as a values
continuous IV infusion - Monitor personality changes,
for the first 24 hours. including depression, euphoria,
restlessness, hallucinations,
Route:
SIVP – Slow
Intravenous Push
Prepared:
_______________________________

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences
Student Nurse

Name of Patient: Inaligo, Nemecio Diagnosis: Occult G.I. Bleeding Date Ordered: ____________
DRUG STUDY
Drug Name Mechanism of Action Desired Effects Nursing Responsibilities Rationale
Generic Name: - Following intravenous - Treat iron deficiency - Monitor hypersensitivity reactions, - Lab monitoring of the following
Iron Sucrose administration, iron anemia (not enough including anaphylactic shock, loss parameters: transferrin
sucrose is dissociated iron in the blood) in of consciousness, collapse, saturation, serum ferritin
Brand Name: into iron and sucrose patients. Due to less hypotension, dyspnea, and concentrations, hemoglobin,
Biorose, Encifer, FeMax, and the iron is side effects than iron seizure. and hematocrit could be helpful
Feron, Sucrofer transported as a dextran, iron sucrose - Check the presence of allergic to avoid iron overload.
complex with is more preferred in symptoms including: rash; hives; - Continuous monitoring allow
Classification: transferrin to target chronic kidney itching; difficulty breathing; health teams to track key
Vitamins & Minerals / cells including disease patients. tightness in the chest; swelling of patient vitals including heart
Anti-anemic erythroid precursor the mouth, face, lips, or tongue; rate, respiratory rate, and
cells. The iron is then unusual hoarseness); burning or movement in real time,
Dosage: incorporated into pain at the injection site providing a complete picture of
200mg q. 4hrs hemoglobin as the patient health.
cells mature into red
blood cells.
Frequency:
PNSS 200cc 200mg q.
4hrs

Route:
IVP

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph
 MARIANO MARCOS STATE UNIVERSITY
College of Health Sciences
Prepared:
_______________________________
Student Nurse

#16S Quiling Sur, City of Batac, Ilocos Norte

chs@mmsu.edu.ph077 600 20-56www.mmsu.edu.ph