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DOCTORS ORDER

DRUG CLASSIFICATION

INDICATION

CONTRAINDICATIONS

SIDE EFFECTS
CNS: Euphoria, headache, insomnia, nervousness, psychosis, restlessness, seizures, vertigo CV: Edema, heart failure, hypertension EENT: Cataracts, exophthalmos, glaucoma, increased ocular pressure ENDO: Adrenal insufficiency, Cushings syndrome, growth suppression in children, hyperglycemia GI: Anorexia, GI bleeding and ulceration, increased appetite, indigestion, intestinal perforation, nausea, pancreatitis, vomiting GU: Menstrual irregularities MS: Avascular necrosis of joints, bone fractures, muscle atrophy or weakness, myalgia, osteoporosis SKIN: Acne; diaphoresis; ecchymosis; flushing; petechiae; striae; thin, fragile skin Other: Delayed wound healing, hypernatremia, hypokalemia, negative nitrogen balance

NURSING CONSIDERATION
Administer once-daily doses of prednisone in the morning to match bodys normal cortisol secretion schedule. Because prednisone can produce many adverse reactions, assess regularly for signs and symptoms of such reactions as heart failure and hypertension. Also monitor fluid intake and output and daily weight. Monitor growth pattern in children. Prednisone may retard bone growth. Be aware that prolonged use of prednisone may cause hypothalamicpituitary-adrenal suppression..

PREDNISONE 5mg Chemical class: 7.5 ml (2 Glucocorticoid TABLESPOON) Therapeutic class: Antiinflammatory, immunosuppressant

insufficiency and acute and chronic inflammatory and immunosuppressive disorders

Hypersensitivity to prednisone or its components, systemic fungal infection

DOCTORS ORDER
PARACETAMOL 250 MG Q4 PRN FOR FEVER OR PAIN

DRUG CLASSIFICATION
Chemical class: Nonsalicylate, paraaminophenol derivative Therapeutic class: Antipyretic, nonopioid analgesic

INDICATION

CONTRAINDICATIONS

SIDE EFFECTS

NURSING CONSIDERATION
Before and during long-term therapy, monitor liver function test results, including AST, ALT, bilirubin, and creatinine levels, as ordered. Monitor renal function in patient on longterm therapy. Keep in mind that blood or albumin in urine may indicate nephritis; decreased urine output may indicate renal 24 acetaminophen failure; and dark brown urine may indicate presence of the metabolite phenacetin. Expect to reduce dosage for patients with renal dysfunction.

To relieve mild to moderate pain from headache, muscle ache, backache, minor arthritis, common cold, toothache, or menstrual cramps; to reduce fever

GI: Abdominal pain, hepatotoxicity, nausea, vomiting HEME: Hemolytic anemia (with long-term DRUGS use), leukopenia, neutropenia, anticholinergics: Decreased onset of pancytopenia, acetaminophen thrombocytopenia action SKIN: Jaundice, rash, barbiturates, carbamazepine, urticaria hydantoins, isoniazid, Other: Angioedema, rifampin, sulfinpyrazone: Decreased hypoglycemic coma therapeutic effects and increased hepatotoxic effects of acetaminophen lamotrigine, loop diuretics: Possibly decreased therapeutic effects of these drugs oral contraceptives: Decreased effectiveness of acetaminophen probenecid: Possibly increased therapeutic effects of acetaminophen propranolol: Possibly increased action of acetaminophen zidovudine: Possibly decreased zidovudine effects

Contraindications Hypersensitivity to acetaminophen or its components Interactions

ACTIVITIES

alcohol use: hepatotoxicity

Increased

risk

of

NURSING CARE PLAN ASSESSMENT


S- SUMASAKIT PO PUSOD KO S- FACES PAIN SCALE OF 5 *PATIENT DO NOT KNOW THE CONCEPT OF NUMBERS YET POINTS AT HER PERIUMBILICAL AREA AS SITE OF PAIN HYPOACTIVE BOWEL SOUND NOTED UPON AUSCULTATION FORMED STOOL NOTED ON BOWEL MOVEMENTS

NURSING DIAGNOSIS
MODERATE ABDOMINAL PAIN

PLANNING

INTERVENTION

RATIONALE
APPROCHING MOTHER FIRST HELP THE CLIENT PERCIEVE THAT THE NURSE WONT HURT THEM, THEREFORE BUILDING THERAPEUTIC RELATIONSHIP. TO COMFIRM IF THE ABDOMINAL PAIN IS CAUSED BY DIGESTIVE FUNCTIONS

EVALUATION
GOAL MET. PATIENT DOES NOT COMPLAIN ANY EPISODES OF PAIN AFTER 7 HOURS OF NURSING INTERVENTION

AFTER 5-8 HOURS ESTABLISH RAPPORT BY OF NURSING APPROACHING HER MOTHER FIRST INTERVENTION THE CLIENTS ABDOMINAL PAIN WILL BE CONTROLLED AOR MANAGED AUSCULTED BOWEL SOUNDS

INSTRUCTED MOTHER NOT TO SERVING THESE FOODS SERVE COLD ,SPICY, AND ACIDIC MIGHT UPSET THE GI FOODS SYSTEM OF THE PATIENT WHICH MAY INDUCE MORE ABDOMINAL PAIN OFFERED ORS AS TOLERATED ORS MAY HELP IN THE PASSAGE OF STOOL BY HELPING IN ABSORPTION AND MAINTAIN NORMAL AERISTALTIC ACTIVITY

*DIAGNOSED WITH HENOCH SCHONLEIN PURPURRA AN AUTOIMMUNE DISORDER CAUSING SYMPTOMS SUCH AS ABDOMINAL PAIN BECAUSE THE BODY,S IMMUNE SYSTEM FIGHTS WITHIN ITSELF FOR UNKNOWN CAUSE

ENCOURAGED FEELINGS

TO

VERBALIZE ANY SUBJECTIVE DATA MAY HELP IN THE ASSESSMENT OF THE STATE OF HER CONDITION

PARACETAMOL 250mg 1 TAB GIVEN PHARMACOLOGIC FOR PAIN APPROACH TO HELP CONTROL THE PAIN OF THE CLIENT

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