DRUG STUDY

Student Name:
Rotation: Area:
Athena P. Soon OB - HR

Year level: Date: Clinical intructor:

BSN-II October 17,2024 Gary A. Lauron, RN

Drug name Classification: Mechanism Indication Contraindication Side effects Nursing Responsibilities
of action

Generic name: Drug class: Vitamin K is a treatment of Phytonadione is Decreased appetite. Assessment: Conduct a comprehensive
cofactor of gamma- coagulation contraindicated in assessment to identify potential risk factors
Phylloquinone fat-soluble carboxylase. disorders due to phytonadione decreased movement or for Vitamin K deficiency, including dietary
vitamin. activity. history, medication history, and medical
Brand name: Gamma carboxylase faulty formation of hypersensitivity,
conditions.
attaches carboxylic coagulation factors hereditary difficulty in breathing.
Aquamephyton, acid functional II, VII, IX, and X hypoprothrombinemia Coagulation Monitoring: Monitor the
Infuvite, Infuvite groups to caused by , heparin over- enlarged liver. patient's coagulation profile, including
Pediatric, glutamate, allowing deficiency or anticoagulation. prothrombin time (PT), international
Mephyton, Mvi general body swelling. normalized ratio (INR), and activated partial
precursors of factors interference in the
Pediatric, thromboplastin time (aPTT) .
Phytonadione II, VII, IX, and X to activity of vitamin muscle stiffness.
bind calcium ions. K. Vitamin K Supplementation:
Dosage Binding of calcium paleness.
ions converts these Administer prescribed Vitamin K
100mcg yellow eyes or skin. supplements, either orally or parenterally, to
clotting factors to
their active form, correct the deficiency and improve blood
5mg clotting .
which are then
Route: secreted from Dietary Education:Educate the patient about
hepatocytes into the foods rich in Vitamin K, such as leafy green
Po vegetables, broccoli, and Brussels sprouts,
blood, restoring
normal clotting and encourage dietary modifications to
Frequency:
function. increase intake.

Bleeding Monitoring: Continuously assess

the patient for any signs of bleeding,
including easy bruising, nosebleeds, gum
bleeding, or gastrointestinal bleeding.

Safety Measures: Implement fall preventio

strategies to reduce the risk of injury due to
falls, especially in patients with weakened
bones or a history of fractures .

Patient Education: Educate the patient on

recognizing and managing bleeding episodes,
including applying pressure to minor wounds
and when to seek immediate medical
attention.

Medication Management: Collaborate with

the healthcare team to adjust medication
dosages, particularly anticoagulants like
warfarin, based on Vitamin K levels to
maintain a therapeutic balance .

Bone Health Assessment: Evaluate the

patient's bone density and assess the risk of
osteoporosis. Collaborate with the healthcare
team to implement preventive measures and
referrals for bone health management.
Generic name: Drug class: ENGERIX®-B induces Persons at risk for The main More common Informed Consent:Before administering the
specific humoral sexually contraindication for vaccine, nurses must obtain informed
Hepa B vaccine Hepadnaviridae antibodies against transmitted hepatitis B vaccine is Fever of 37.7 degrees C consent from the patient or their legal
family disease. (100 degrees F) or higher guardian. This involves explaining the
Brand name: HBsAg (anti-HBs
A severe allergic benefits, risks, and potential side effects of
antibodies). It is Incarcerated Rare: the vaccine, ensuring the patient fully
Engerix-B, generally accepted persons. reaction (eg,
understands the procedure.
Heplisav-B, and that an anti-HBs anaphylaxis) after Aches or pain in the
Recombivax HB titre greater than 10 Persons whose sex previous dose or to joints, fever, or skin rash Dosage and Schedule: The Hepatitis B vaccine
partner is hepatitis baker's yeast or any or welts (may occur days is typically administered in a series of three
IU/L correlates with
Dosage : B surface antigen or weeks after receiving doses. The first dose is recommended within
protection against vaccine component
(HBsAg) positive. the vaccine) the first 12 hours of life for newborns.
10mcg/mL hepatitis B virus
The main precaution Subsequent doses are given at 1-2 months
infection. More than HBsAg positive blurred vision or other and 6-18 months of age.
Route: with HepB vaccine is vision changes
90% of healthy household
adults, children and contacts. Route of Administration: The Hepatitis B
IM Moderate or severe confusion
neonates developed vaccine is administered intramuscularly (IM)
Men who have sex illness with or without injection.
Frequency: protective anti-HBs with men. difficulty with breathing
a fever (vaccination is
titres one month or swallowing Injection Site:The preferred injection site for
postponed until the
after completing a Intravenous drug infants is the lateral side of the middle third
illness resolves) dizziness, faintness, or
primary vaccination users. of the vastus lateralis muscle.
lightheadedness when
schedule of
Healthcare getting up suddenly from Hepatitis B Immune Globulin (HBIG): If the
ENGERIX®-B a lying or sitting position
workers, dialysis mother has Hepatitis B, the infant also needs
(hepatitis B vaccine patients. to receive HBIG within 12 hours of birth. This
(recombinant)). hives provides passive immunity to the virus while
the vaccine provides active immunity.
itching, especially of the
feet or hands Documentation: Nurses must accurately
document the vaccine administration,
muscle weakness
including the date, site, and any immediate
reactions. They should also provide a record
numbness or tingling of
card to the parents for their reference.
the arms and legs
Additional:
reddening of the skin,
especially around the
Assessment: Nurses should assess patients
ears
for signs and symptoms of Hepatitis B
infection, including jaundice, fatigue,
sweating
abdominal pain, and dark urine.
swelling of the eyes,
Infection Control: Nurses must implement
 face, or inside of the strict infection control measures to prevent
nose the spread of Hepatitis B, including proper
hand hygiene, wearing gloves when handling
unusual tiredness or bodily fluids, and using disposable needles.
weakness (sudden and
severe) Patient Education:Nurses should educate
patients about the transmission of Hepatitis B
Some side effects may and how to prevent its spread. This includes
occur that usually do not information about safe sex practices, avoiding
need medical attention. sharing needles, and getting vaccinated.
These side effects may
go away during Support and Counseling: Nurses should
treatment as your body provide emotional support and counseling to
adjusts to the medicine. patients with Hepatitis B, addressing their
Also, your health care concerns and anxieties.
professional may be able
to tell you about ways to Collaboration:Nurses should collaborate with
prevent or reduce some other healthcare professionals, such as
of these side effects. physicians and pharmacists, to ensure
comprehensive care for patients with
Hepatitis B.

Generic name: Drug class: Erythromycin Erythromycin, a 1952- Hypersensitivity. History Feeling sick (nausea) Assessment: The Foundation of Safe Care Before
administering erythromycin, nurses must conduct a
antibiotic. is a discovered macrolide of QT prolongation thorough assessment to identify potential risks and
Erethromycin macrolide antibiotics macrolide It is antibiotic, is used for (congenital or Being sick (vomiting) tailor care accordingly. This includes:
treating respiratory
bacteriostatic against documented acquired QT Medical History: Elicit information about any
Brand name: infections, neonatal Diarrhoea
most gram-positive prolongation) or allergies, particularly to erythromycin or other
conjunctivitis, and macrolide antibiotics. Inquire about existing liver
Aktipak, Apo- and gram-negative chlamydia. It is FDA- ventricular cardiac Stomach cramps impairment, as erythromycin can exacerbate
Erythro-S, organisms and used in approved for skin arrhythmia, including hepatic issues. Determine if the patient is lactating,
as erythromycin can be excreted in breast milk. For
Benzamycin, the treatment of infections, intestinal torsades de pointes; Loss of appetite ophthalmic use, inquire about viral, fungal, or
E.E.S., Ery, Ery-tab, infections caused by amebiasis, rheumatic electrolyte disturbances mycobacterial eye infection. Finally, assess
Erygel, Eryped, fever, syphilis, and Bloating and indigestion pregnancy status, as erythromycin is categorized as
chlamydia, (e.g. hypokalaemia, pregnancy category B, indicating potential risks to
Erythro, pelvic inflammatory the fetus.
mycoplasma, urea hypomagnesaemia).
Erythrocin, disease. When mixed
plasma, spirochetes with tretinoin cream Concomitant use with
Erythrocin Physical Assessment: Assess the site of infection,
Stearate and rickettsia.it is used or benzoyl peroxide, it amisulpride, astemizole, noting any skin color changes, lesions, or signs of
as a prophylactic agent treats acne. Pregnant simvastatin, lovastatin, inflammation. Evaluate the patient's orientation,
affect, and hearing, as erythromycin can cause
Dosage : against ophthalmia women can use it to tolterodine, mizolastine, ototoxicity. Auscultate respiratory sounds for any
neonatorum and prevent Group B terfenadine, adventitious noises. Assess gastrointestinal output,
streptococcal bowel sounds, and liver function through
400 mg or 800 mg pertussis. domperidone, pimozide, laboratory tests. Obtain culture and sensitivity tests
infection. Off-label, it of the infection, as well as urinalysis and liver
cisapride, ergotamine, function tests (LFTs) to monitor for potential
Route: is used for
PO gastroparesis, a non- dihydroergotamine, class complications.
FDA-approved IA (e.g. quinidine,
Interventions: Ensuring Safe and Effective
Frequency: indication. procainamide) and class Administration Nurses play a crucial role in
administering erythromycin safely and effectively.
III (e.g. dofetilide,
Every 6 hours or
amiodarone, sotalol) Systemic Administration: Culture the site of
evey 12 hours
antiarrhythmic agents. infection before initiating therapy to guide
appropriate antibiotic selection. Administer oral
erythromycin base or stearate on an empty
stomach, one hour before or two to three hours
after meals, with a full glass of water. Erythromycin
estolate, ethylsuccinate, and certain enteric-coated
tablets may be given without regard to meals, but
always refer to the manufacturer's instructions.
Administer erythromycin around the clock to
maximize its effect and adjust the schedule to
minimize sleep disruption. Monitor liver function
closely in patients on prolonged therapy. If
gastrointestinal upset occurs with oral therapy,
consider administering some preparations with
meals or substituting an alternative formulation.

Topical Dermatologic Solution for Acne:Wash the

affected area, rinse thoroughly, and dry before
applying the solution . Ophthalmic and Topical
Dermatologic Preparations: Use topical products
only when necessary, as sensitization from topical
use can preclude later systemic use for serious
infections. Culture the site before initiating
therapy. For topical applications, cover the affected
area with a sterile bandage if needed.

Patient Education: Empowering Informed

Decisions Nurses play a vital role in educating
patients about erythromycin, promoting adherence
to medication regimens and minimizing potential
risks.