JMJ Marist Brothers

Notre Dame of Marbel University

College of Arts and Sciences
Nursing Department
DRUG STUDY
Name: Juan Dela Cruz Attending Physician: Dr. Santos
Age:                      75yo                            Ward/Bed Number:  101 Impression/Diagnosis: ARF Type II secondary to aspiration pneumonia
Dosage, Route Mechanism of Nursing
Name of Drug Indication Adverse Reactions Special Precautions
Freq., Timing Action Responsibilities
Generic: Locally, it Indicated to Mr.  Drowsiness Blood pressure and  Monitor vital signs
Lidocaine Dosage: 10cc produces local dela Cruz since he is  Dizziness respiratory status and notify the physician of
Hydrochloride anesthesia effect by scheduled for a  Nervousness should be monitored abnormalities.
inhibiting the tracheostomy  decreased or absent frequently during the  Assess patient’s
Brand: transport of ions procedure. gag reflex drug administration. condition before therapy
Xylocaine Route: SubQ across the neural  Bradycardia and reassess regularly
membranes. Thus, When administered as thereafter to monitor
 Hypotension
initiation and   an anesthetic, the drug’s effectiveness.
 Burning sensation
Frequency: Once conduction of numbness of the  Monitor for
Classification before normal nerve Contraindications Side Effects affected part should be possible adverse drug
Functional:   intubation impulses is Contraindicated if  Muscle twitching assessed. reactions.
prevented. Blocks hypovolemia and  Assess for renal
Anesthetic  Restlessness
the generation and hypersensitivity to and urinary status.
Agents  Nervousness
action potentials in local anesthetics  Monitor CNS
Timing: STAT  Dizziness
sensory nerves by esp. lidocaine. function.
reducing sodium Infection or  Blurred vision
Chemical:  Lightheadedness  Stay with the
permeability, rate inflammation in the patient at all times
Local Anesthetics of rise of the action area of injection.  Drowsiness
 Administer slowly
potential.
as this may impose life-
threatening adverse
reactions
Student’s Name: Joevence Carl G. Cuaresma References: 2009 Lippincott’s Nursing Drug Guide
Clinical Instructor: Ms. Hebah Gapas