NAME OF THE PATIENT: MRS. A.H.

Cc: LABOR PAINS

AGE: 30 YEARS OLD

DRUG DOSAGE/ MECHANISM OF INDICATION CONTRAINDICATION ADVERS REACTION NURSING

FREQUENCY/ROUTE ACTION RESPONSIBILITIES
ORAL Bactericidal: Inhibits . Acute infection with . Contraindicated with . CNS: Headache, WARNING: Avoid use
› Amebiasis: 750 mg/tid DNA synthesis in susceptible anaerobic hypersensitivity to dizziness, ataxia, vertigo, unless needed Metronidazole
GENERIC NAME: PO for 5-10 days. (In specific (obligate) bacteria metronidazole; pregnancy incoordination, insomnia, is carcinogenic in some
rodents.
amebic dysentery, combine anaerobes, causing cell . Acute intestinal (do not use for seizures, peripheral
. Administer oral doses with
METRONIDAZOLE with iodoquinol 650 mg death; antiprotozoal – amebiasis trichomoniasis in first neuropathy, fatigue food.
PO tid for 20 days.) trichomonacidal, . Amebic liver abscess trimester). . GI: Unpleasant metallic . Apply topically (Metrogel)
› Antibiotic- associated amebicidal; Biochemical . Trichomoniasis (acute . Use cautiously with CNS taste, anorexia, nausea, after cleansing the area,
psuedomembranous mechanism of action is and partners of patient disease, hepatic disease, vomiting, diarrhea, GI Advice patient that cosmetic
BRAND NAME: colitis: 1-2 g/day PO for 7- not known. with acute infection) candidiasis (moniliasis), upset, cramps may be use over the area after
10 days. . Preoperative, blood dyscrasias, . GU: Dysuria, application.
Apo- › Gardnerella vaginalis: intraoperative, lactation. incontinence, darkening . Reduce dosage in hepatic
disease.
metronidazole(CAN), 500 mg bid PO for 7 days. postoperative, of the urine
Flagyl, Flagyl 375/, ›Giardiasis: 250 mg tid PO prophylaxis, for patient . LOCAL:
Flagyl ER, Flagyl IV, for 7 days. undergoing colorectal Thrombophlebitis(IV);
Flagyl IV RTU, ›trichomoniasis: 2g PO in surgery redness, burning, dryness,
metrogel, Metrogel- 1 day ( 1-day treatment) or . Topical application: and skin irritation
vaginal, 250 mg tid PO for 7 days. Treatment of (topical)
Nidagel(CAN), inflammatory papules, . OTHER: Severe,
Noretate, protostat IV pustules, and erythema of disulfiram-like interaction
›Anaerobic Bacteria rosacea with alcohol, candidisis
CLASSIFICATION infection: 15 mg/ kg IV . Unlabeled uses: (superinfection)
: infuses over 1 hr, then 7.5 prophylaxis for patient
mg/kg infuse over 1 hr q 6 undergoing gynecologic,
Antibiotic hr for 7-10 days, not to abdominal surgery;
Antibacterial exceed 4g/day. hepatic encephalophaty;
Amebicide ›Prophylaxis: 15 mg/kg Crohn’s disease;
Antiprotozoal infuse IV over 30-60 min antibiotic-associated
and completed about 1 hr pseudomembranous
before surgery. Then 7.5 colitis; treatment of
mg/kg infuse over 30-60 GARDNERELLA
min at 6 to 12 hr intervals VAGINALIS,
after initial dose during the GIARDIASIS,(use
day of surgery only. recommended by the
CDC)
NAME OF THE PATIENT: MRS. A.H. Cc: LABOR PAINS

AGE: 30 YEARS OLD

DRUG DOSAGE/ MECHANISM OF INDICATION CONTRAINDICATION ADVERS REACTION NURSING

FREQUENCY/ROUTE ACTION RESPONSIBILITIES
Maximum recommended Bacterial action against . Treatment of infection . Contraindication with . CNS: Lethargy, . Culture infection area
dosage, 8-14 g/day (14g sensitive organism; inhibits caused by susceptible strains allergies to penicillin’s, hallucination, seizures treatment; reculture area if
should be reserved for synthesis of bacterial cell of shigella, salmonella, E. cephalosporins, or other . CV: CHF response is not as expected.
GENERIC NAME: serious infections, such as wall, causing cell death. coli, H. influenza, P. allergens. . GI: Glossitis, stomatitis, . Check IV site carefully for
meningitis, septicemia); may mirabilis, N. gonorrhoeae, . Use Cautiously with renal gastritis, sore mouth, furry sign of thrombosis or drug
AMPICILLIN be given IV, IM or PO. Use enterococci, gram-positive disorders. tongue, black hairy tongue, reaction.
parenteral routs for severe organisms (penicillin G- nausea, vomiting, diarrhea, .Do not gives IM injection in
infection, and switch to oral sesitive staphylococci, abdominal pain, bloody the same site; atrophy can
routs as soon as possible. streptococci, pneumococci) diarrhea, enterocolitis, occur. Monitor injection
. Meningitis caused by pseudomembranous colitis, sites.
BRAND NAME: Neisseria meningitides. non-specific hepatitis. . Administer oral drug on an
. Unlabeled use: Prophylaxis .GU: nephritis empty stomach, one hour
Oral: Ampicin (CAN), Apo- in cesarean section in certain .HEMATOLOGIC: anemia, before or two hour after
ampi(CAN), Novo- high-risk patient. thrombocytopenia, meals with a fall glass of
Ampicillin (CAN), Nu- leucopenia, neutropenia, water; do not give with fruit
Ampi(CAN), Penbritin prolonged bleeding time juice or soft drinks.
(CAN), Principen .HYPERENSITIVITY: rash,
fever, wheezing, anaphylaxis
.LOCAL: pain, phlebitis,
thrombosis at injection site
(parenteral)
. OTHER: super infection-
CLASSIFICATION:
oral and rectal moniliasis
vaginalis.
Antibiotic
Penicillin

NAME OF THE PATIENT: MRS. A.H. Cc: LABOR PAINS

AGE: 30 YEARS OLD

CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS

SUBJECTIVE: Risk for ineffective tissue . Post partum hemorrhage is . After 8 hours of nursing INDEPENDENT: . After 8 hours of nursing
perfusion related to post defined as the loss of blood intervention, the patient will intervention the patient will
partum hemorrhage in post partum period in demonstrate adequate . Monitor amount of . To measure amount of be able to demonstrate
“gasigi pa gid ko
more than 500 ML. The perfusion and stable vital bleeding by weighing all blood loss. adequate perfusion and
pandurugo pila na kaadlaw
average spontaneous vaginal signs. pads. stable vital signs.
halin sang pag bata ko”
birth will typically have a
As verbalize by the client.
500 ml blood loss. In . Early recognition of
caesarean birth the average . Frequently monitor vital possible adverse effects
blood loss rises to 800-1000 signs. allows for prompt
ml. intervention.

. To help expel clots of

. Massage the uterus. blood

. Place the mother in the . Encourage venous return to

Trendelenberg position. facilitate circulation, and
prevent further bleeding.

. Provide comfort measure . Promotes relaxation and

OBJECTIVE:
like back rubs, deep may enhance patient coping
breathing. Instruct in mechanism.
. Restlessness
relaxation or visualization
. confusion
exercises’. Provide
. irritability
diversional activities.
. V/S taken as follows:

BP: 110/80
RR: 21
PR: 105 COLLABORATIVE;
TEMP: 36.8
. To promotes contraction
. Administer medication as
and prevents further
indicated ( e.g. Pitocin and
bleeding.
Methergin)