UNIVERSITY OF CEBU BANILAD COLLEGE OF NURSING DRUG STUDY
Patient: N.V.A. Impression/Diagnosis: acute gastroenteritis Allergy to: none Age: 9 months Hospital No. 420863 Room No. ward 7 bed 48 Attending Physician(s): dr. motoya
Generic/Brand Name & Classification (10%) Generic: Zinc sulfate
Dose, Strength & Formulation (10%) Ordered: Zinc sulfate 20ml, 5ml, 5ml OD x 14 days Timing: Once a day
Indication/Mechanisms of Drug Action (15%) Indications:
Zinc is used for treatment and prevention of zinc deficiency and its consequences, including stunted growth and acute diarrhea in children, and slow wound healing. It is also used for boosting the immune system, treating the common cold and recurrent ear infections, and preventing lower respiratory infections. It is also used for malaria and other diseases caused by parasites. Some people use zinc for an eye disease called macular degeneration, for night blindness, and for cataracts.
Adverse/Side Effects Drug Interaction (15%)
Zinc is LIKELY SAFE for most adults when applied to the skin, or when taken by mouth in amounts not larger than 40 mg per day. Routine zinc supplementation is not recommended without the advice of a healthcare professional. In some people, zinc might cause nausea, vomiting, diarrhea, metallic taste, kidney and stomach damage, and other side effects. Taking high amounts of zinc is LIKELY UNSAFE. High doses above the recommended amounts might cause fever, coughing, stomach pain, fatigue, and many other problems. Taking more than 100 mg of supplemental zinc daily or taking supplemental zinc for 10 or more years doubles the risk of developing prostate cancer.
Nursing Responsibilities (20%)
Rationale (10%)
Client Teaching (20%)
Do not exceed the recommended dosage. Avoid using multiple preparations containing acetaminophen. Carefully check all OTC products. Give drug with food if GI upset occurs. Discontinue drug if hypersensitivity reactions occur. Use liquid form for children and patients who have difficulty in swallowing - for easy administration of drug.
-can cause drug over dose.
Brand: Orazinc
Classification: Essential Trace Element
Duration: 14 days
Mechanism of Action: Other forms: Injection, capsule, tablets
Zinc plays a key role in maintaining vision, and it is present in high concentrations in the eye. Zinc deficiency can alter vision, and severe deficiency can cause changes in the retina (the back of the eye where an image is focused). Zinc might also have effects against viruses. It appears to lessen symptoms of the rhinovirus (common cold), but researchers cant yet explain exactly how this works. In addition, there is some evidence that zinc has some antiviral activity against the herpes virus. Low zinc levels can be associated with male infertility, sickle cell disease, HIV, major depression, and type 2 diabetes, and can be fought by taking a zinc supplement
Tell patient to contact health care provider if nausea, severe vomiting, dehydration, or restlessness occurs. Identify food sources of zinc (eg, seafood, organ meats, wheat germ). Inform patient that sense of taste and smell, skin hydration, and wound healing should improve. Instruct patient to follow RDA guidelines and limitations in terms of vitamin and mineral supplementation. Tell patient to take with food if GI upset occurs, but to avoid foods high in calcium, phosphorus, and phytate. Inform patient that bran, caffeine, and dairy products may decrease absorption. Tell patient to notify health care provider if change in vision occurs or if eye irritation or pain persists or increases while using ophthalmic solution. Advise patient that parenteral medication will be prepared and administered by a health care provider in a hospital setting. Teach patient proper administration technique for eye drops.
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