DRUG STUDY SHEET
Name of Student: Silvestre B. Sanchez Level/ Group No.: BSN 2 Sem: 2ND Semester SY: 2020-2021
Patient’s Initial (1):_______________DBS____________________ Age/Sex: ____18/M__________ Ward No./Bed No: ________________ Diagnosis: __________________________________________
DRUG (2) REASON(8) ASSESSMENT(7) HEALTH EDUCATION (9) EVALUATION/ DOCUMENTATION(12)
RESPONSE(11)
Generic Name: Drug Classification: Allergies: Side Effects: Nursing Implications/ Patient Response to _______________________
Paracetamol Antipyretic “Wala po akong Allergic reaction: rush, Consideration: Medication: The patient received the
allergies” as verbalize swelling Use liquid form for children After the 8 hours of nursing medication on time
Brand Name: Mechanism of Action: by the patient. Thrombocytopenia and patients who have intervention, the temperature _______________________
Biogesic Has a central analgesic Liver and kidney damage difficulty swallowing. has decreased _______________________
effect that is mediated Drug to Drug (overdose) _________________________ _______________________
Dosage(3): through activation of Interaction: In children, don’t exceed five _________________________ _______________________
500mg descending serotonergic Decreased absorption Adverse Effects: doses in 24 hours. _________________________ _______________________
pathways. Debate exists with colestyramine. Hematologic: hemolytic _________________________ _______________________
Route(4): about its primary site of Decreased serum anemia, neutropenia, Advise patient that drug is _________________________ _______________________
Oral action, which may be concentrations with leucopenia, pancytopenia. only for short term use and to _________________________ _______________________
inhibition of rifampicin and some • Hepatic: Jaundice consult the physician if _________________________ _______________________
Time(5): prostaglandin (PG) anticonvulsants. • Metabolic: giving to children for longer _________________________ _______________________
Every 4-6 hours synthesis or through an Increased Hypoglycemia than 5 days or adults for _________________________ _______________________
active metabolite • Skin: rash, urticaria. longer than 10 days. _________________________ _______________________
absorption with
Expiration Date (6): influencing cannabinoid _________________________ _______________________
07/2022 receptors. metoclopramide Advise patient or caregiver _________________________ _______________________
and domperidone. that many over the counter _____________ _______________________
Indications: Increased serum products contain _______________________
Symptomatic relief of acetaminophen; be aware of
concentration with
pain and fever. this when calculating total
probenecid. May daily dose.
Contraindications: increase serum • Warn patient that high
Contraindicated in concentration of doses or unsupervised long
patients hypersensitive to term use can cause liver
chloramphenicol.
drug. Use cautiously in damage.
patients with long
Drug to Food
term alcohol use because
Interaction:
MGGMORADA-CU/OCT2019
therapeutic Increased risk of
doses cause hepatotoxicity with
hepatotoxicity in these alcohol. Decreased
patients. serum concentration
___________________
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Refusal to Medication Administration (10): (State the Reason for Refusal):___________________________________________________________________________________________________________
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Printed Name & Signature of Patient/ Guardian (please indicate relationship to patient)
MGGMORADA-CU/OCT2019