St.

Anthony’s College
Nursing Department

DRUG STUDY

Name of Patient: D.C.O. Attending Physician: Dr.B

Age: 87 yrs.old Ward/Bed Number: Medical Ward 3007-2 Impression/ Diagnosis: CAP, COPD
Hypertension Urgency, HCVD

Name of Drug Dosage, Mech. of Action Indication Adverse Special Nursing

Route, Reactions Precautions Responsibilities
Freq.,
Timing
Generic: Dosage: Ipratropium Management of Paresthesia, Patients should
Duavent 1 nebule bromide is a bronchospasm Bronchitis, avoid spraying >Check physician’s
Brand: quaternary associated with pneumonia, the aerosol into order
Ipratropium ammonium obstructive bronchospasm the eyes since Observe 14 rights
this may result in of medication
Salbutamol Route: compound with anti airway diseases. , sinusitis
precipitation or
IV cholinergic >Assess patient for
worsening of
(parasymphatolytic) hypersensitivity to
narrow-angle
properties. Similar glaucoma, eye soya lecithin or
to atropine. It is pain or related food
nonselective discomfort, products eg.
Classification: Frequency: competitive Contraindications Side Effects: temporary Soybeans or
Q8H antagonist of : blurring of vision, peanuts; and to any
Functional: muscarinic Hypersensitivity ● CNS: visual halos or component of
Timing: receptors present to soya lecithin or Dizziness, colored images in Duavent or to
10am, 6pm, in airway and related food nervousness, association of red atropine and its
Pharmacological products eg. nausea, eyes from derivatives.
2am bronchioles by
: Soybeans or vomiting, conjunctival and
blocking >position patient on
corneal
acetylcholine- peanuts; and to Headache high back rest
congestion.
bronchodilat induced stimulation any component ● CV: Consult a position
or of guanyl cyclase, of Duavent or to Palpitation, physician if any >do back tapping
thus reducing atropine and its hypertension, combination of after you nebulizer
formation of cyclic derivatives. arrhythmia, these symptoms the patient
guanosine Hypertrophic tachycardia, develops. Use >do not give a food
monophosphate obstructive angina with caution in immediately, it can
(cGMP), a mediator cardiomyopathy patients with the cause vomiting
of or following >Teach patient to
 bronchoconstriction tachyarrhythmia. conditions: report for any
. Ipratropium Prostatic untoward effect.
generally exhibits hypertrophy or
greater bladder-neck
obstruction;
antimuscarinic
convulsive
activity of bronchial disorders,
smooth muscle hyperthyroidism
than on secretory or diabetes
glands. mellitus and in
patients who are
unusually
responsive to
sympathomimetic
amines (β-
adrenergic agents
may also produce
significant
hypokalemia in
some patients,
possibly through
intracellular
shunting, which
has the potential
to produce
adverse
cardiovascular
effects. The
decrease in
serum potassium
is usually
transient, not
requiring
supplementation.)
; hepatic or renal
disease, since
use of Duavent in
these patients
has not been
studied.
Student’s Name:Cen Janber A. Cabrillos
Clinical Instructor: Jerry V. Able, RN, MAN