Drug Study
Name of
Drug
Generic
Name:
Mefenamic
Acid
Brand Name:
Ponstan
Classification
: Antiinflammatory
Analgesic
Therapeutic
Action
Aspirin like
drug that
has
analgesic
Antipyretic
and antiinflammato
ry
activities
Indication
Moderate to
moderately
severe pain.
Relief of pain
including
traumatic,
dental, postoperative and
postpartum
pain,
headache,
migraine,
fever and
dysmenorrhea,
pain from
rheumatoid
arthritis
including Stills
disease, soft
tissue injuries.
Therapy
should not
exceed 7 days.
Contraindication
Pregnancy
and
Lactation.
Hypersensiti
vity with
drugs, acute
intoxication
with alcohol,
physical
opioid
dependence
Kidney or
liver
impairment.
Adverse
Effects
CNS:
Dizziness
CV:
Vasodilation
EENT: Visual
disturbances
GI: Nausea
and Vomiting
GU: Urinary
retention
SKIN:
Pruritus
Nursing
Consideration
Tell patient that
drug works best
when taken
before pain
becomes severe
Recommend
abstinence from
alcohol when
taking
medication
Caution patient
that drug can
cause
dependence
Tell patient to
report
occurrence of
drug induced
adverse
reactions
Advise patient
to immediately
report
persistence or
failure to relieve
pain.
Name of
Drug
Generic
name:
Amoxicillin
trihydrate
Brand
name:
amoxil
Classificatio
n:
antibiotic
(penicillinampicillin
type)
Therapeutic
Action
Bacteriacidal:
inhibits
synthesis of
cell wall of
sensitive
organisms,
causing cell
death.
Indication
Mild to
moderate
infections of
skin and skin
structure or
genitourinary
tract
Contraindication
Adverse
Effects
CNS:
Contraindicate lethargy,
hallucinatio
d with
ns,
allergies to
seizures
penicilllins,
cephalosporins GI: glositis,
stomatitis,
, or other
gastritis,
allergens.
sore
Use
cautiously with mouth,
nausea and
renal
vomiting,
disorders,
diarrhea,
lactation.
abdominal
pain,
bloody
diarrhea,.
Nursing
Considerations
Give in oral
preparations
only;
amoxicillin is
not affected by
food
Continue
therapy for at
least 2 days
after signs of
infection have
disappeared;
continuation for
10 full days is
recommended.
Use
corticosteroids
or
antihistamines
for skin
reaction.
Report any
side effects
If GI upset
occurs, take
with meals.
Nursing Care Plan
ASSESSMENT
Subjective
data:
masakit ang
pwerta ko pati
ang puson ko,
as verbalized
by the patient.
Objective data:
(+)
guarding
behaviou
r
Facial
grimace
Pain
scale of
6 out of
10
NURSING
DIAGNOSI
S
Acute
pain
related to
post
normal
spontaneo
us delivery.
PLANNING
INTERVENTION
After 30
minutes of
nursing
intervention
patients
level of pain
will be
lowered
from a scale
of 6 to a
scale of 3.
Independent:
Monitor vital
signs.
Perform or
instruct
comfort
measures to
promote
relaxation,
such as
repositioning
and proper
ventilation.
Encourage to
identify and
verbalize
factors that
precipitate
pain by
providing or
suggesting
possible
factors such as
during
movement,
when eating,
when laughing
or coughing,
etc.
Dependent:
Administer
pain
medication
(Mefenamic
acid
5OOmg/tab)
as ordered
RATIONALE
To have
baseline data
for pain
assessment
These
measures
reduce muscle
tension or
spasm,
redistributed
pressure on the
body parts and
help the patient
to focus on nonpain-related
subjects
If the patient is
able to identify
and verbalize
factors that
intensifies pain,
it will be easy
for the nurse to
find measures to
alleviate or
eliminate these
factors.
Dependent:
To
relieve/minimi
ze pain.
EVALUATION
After 30 minutes of
nursing intervention,
patients level of pain
was lowered from a
pain scale of 6 to a
pain scale of 3.
