UNIVERSITY OF CEBU – BANILAD
COLLEGE OF NURSING
DRUG STUDY
Patient: Age: Hospital No. Room No.
Impression/Diagnosis: Attending Physician(s):
Allergy to:
Generic / Brand Name & Indication / Pharmacodynamics of Side Effects / Adverse Nursing Responsibilities
Classification (5%) Dosage, Timing & (Nursing Process Approach)
Drug Reaction / Contraindication Patient Teaching (20%)
Duration (5%) (40%)
(20%) (10%)
Side Effects Before • Explain that the drug
Generic Name: Drug form & Dosage Indications: helps raise BP to maintain
Norepinephrine Ordered: • Headache 1. Assess baseline BP, HR,
- Acute hypotension organ perfusion.
IV infusion 0.05–1 • Anxiety perfusion, and mental status.
- Septic shock 2. Ensure IV access is central
mcg/kg • Bradycardia or reflex
- Cardiogenic shock tachycardia
line preferred (avoid
peripheral due to risk of
• Inform that close
- Situations requiring vasoconstriction to restore • Hypertension necrosis). monitoring and frequent BP
perfusion 3. Prepare infusion pump and checks are required.
Adverse Reactions verify correct
concentration/order.
• Report chest pain,
Timing: • Tissue necrosis if
Brand Name: 1 – 2 Minutes extravasated During headache, or new numbness
• Arrhythmias immediately.
Levophed • Severe hypertension 1. Monitor BP every 2–5
• Organ ischemia (kidneys, minutes during titration.
• Reassure that infusion is
gut) 2. Observe IV site for
infiltration/extravasation temporary and used only in
continuously. critical situations.
Duration: Pharmacodynamics: Contraindications 3. Titrate dose as ordered to
1 – 2 Minutes maintain target MAP
• Hypovolemia without (commonly ≥65 mmHg).
correction
Stimulates α1 receptors → vasoconstriction → ↑ blood pressure.
• Mesenteric or peripheral After
Mild β1 activity → ↑ contractility.
Classification Name: Other drugs forms: vascular thrombosis
• Hypersensitivity 1. Reassess organ perfusion
Vasopressor, • Use caution in patients (urine output, skin color,
Sympathomimetic with CAD or arrhythmias mentation).
agent 2. Monitor for arrhythmias or
hypertension.
3. Document BP trends, dose
changes, site condition, and
patient response.
Printed Name and Signature Printed Name and Signature
Clinical Instructor Student
Note: Please provide additional sheet/s if necessary