DRUG NAME ketorolac

DOSAGE 30mg, IV q8 hours, 3 times a day

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ACTION May inhibit prostaglandin synthesis Relieve pain and inflammation

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INDICATION Short term management of pain Postoperative inflammation pain

CONTRA INDICATIONS
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Adverse Effect
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NURSING CONSIDERATION Assessment Monitor the following: 1. assess patient pain before and after drug therapy 2. be alert for adverse effect and drug interaction 3. explain that drug is intended only for short term

contraindicated with hypersensitivity to the drugs contra indicated to patient who is high risk for bleeding, and in those who suspected or confirmed cerebrovascular beeding

Hypertension Sweating palpitation

DRUG NAME ampicillin

DOSAGE 750mg,IVq 8 hours

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ACTION inhibit cell wall synthesis during microorganism multiplication kills susceptible bacteria, including non
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INDICATION respiratory tract or skin and skin infection GI infection, UTI

CONTRAINDICATIONS
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Adverse Effect
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NURSING CONSIDERATION
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Use cautiously in patient with drug allergies, especially to cephalosporin ( possible cross sensitivity)

Vein irritation, thrombophlebitis nausea, vomiting,

Monitor patient hydration status if adverse GI reaction occurs Be alert for adverse

penicillinaseproducing gram positive bacteria and many negative organism

reaction and drug interaction Obtain history of the patient infection before therapy and observe throughout therapy to assess improvement

DRUG NAME metronidazole

DOSAGE 500mg, IV, q8 hour

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ACTION Bactericidal, or amebicidal action

INDICATION
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CONTRA INDICATIONS Hyper sensitivity

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Adverse Effect Headache dry mouth

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NURSING CONSIDERATION
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Amebicide in the managemen t of amebic dysentery

Administer with food or milk to minimize GI irritation. Tablets may be crushed for patients with difficulty swallowing Instruct patient to take medication exactly as directed evenly spaced times between dose, even if feeling better. Do not skip doses or double up on missed doses. If a dose is missed, take as soon as

remembered if not almost time for next dose. May cause dizziness or light-headedness. Caution patient or other activities requiring alertness until response to medication is known. Inform patient that medication may cause an unpleasant metallic taste. Inform patient that medication may cause urine to turn dark. Advise patient to consult health care professional if no improvement in a few days or if signs and symptoms of superinfection (black furry overgrowth on tongue; loose or foul-smelling stools develop).

NURSING CARE PLAN

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assessment diagnosis gusto ko nang Anxiety related to pain maoperahanpara secondary to scheduled matanggal ang for surgical procedure sakit, nahihirapan na akong gumalaw at hindi ako makahiga ng maayos as verbalized by the patient

planning Within the series of nursing intervention, the patient will appear relaxed and report anxiety is reduced to a manageable level

intervention Monitor vital signs Encouraged client to acknowledge and express feelings Established therapeutic relationship Acknowledged anxiety and fear Encourage the patient to do divertional activity to reduced anxiety

evaluation Within the series of nursing intervention, the patient appeared relaxed and report anxiety is reduced to a manageable level

assessment nahihirapan akong gumalaw as verbalized by the patient Data:

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diagnosis Impaired physical mobility related to pain manifested by limited range of motuon

Difficulty to move side to

planning After a series of nursing intervention the patient will demonstrate understanding to intervention

intervention Instructed patient to use side rails for reposition to prevent fall - Assessed degree of pain, listening
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evaluation After a series of nursing intervention the patient demonstrated understanding to intervention

side Slow movement Febrile: 38.8 Bp: 150/90 Irritable due to pain- pain scale 4

teaching and verbalized understanding to situation.

to clients description Assisted client to reposition to prevent further complication Encouraged patient to position herself in comfortable position- to decrease pain Administer analgesic as prescribed.

teaching and verbalized understanding to situation.

DISCHARGE PLANNING M -instructed patient to take her medications at the right time E -Advised patient to do exercise or light activities T -encourage patient to have her check up for further examination H -Instructed client about the proper cleaning of her incision site -Instructed client about proper hygiene -Instructed patient to have a proper hand washing O -Instructed client to have her go back to hospital for check up D -Instructed client to eat nutritious foods, vitamins and minerals -Instructed client to eat foods rich in protein and fiber