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PATIENT-CENTERED DRUG STUDY/ ANALYSIS
STUDENTS INFORMATION
Name: DOMINO, NIKKI Y. Year and Section: 4ACN
Group: 1 (B) Agency/ Area: 5B WARD Shift: 7AM-3PM
Inclusive Dates of Rotation: MARCH 3-5, 2014 Clinical
Instructor: PROFESSOR CAYETANO
PATIENTS INFORMATION
Name of Patient: PATIENT E5
Age: Sex: M
Chief Complaint:
Diagnosis:
DRUG INFORMATION
Drug Classification: Anti-inflammatory drug, NSAIDS
Dosage: 200 mg 1 tab BID
Route of Administration: PO
Generic Name: Celecoxib______________________
Brand Name: Celebrex
MODE/ MECHANISM OF ACTION
Exhibits anti-inflammatory, analgesic, and antipyretic action
due to inhibition of the enzyme COX-2.
INDICATION CONTRAINDICATION
Adjunctive treatment to decrease the number ofadenomatous
colorectal polyps infamilial adenomatous
polyposis.
Hypersensitivity to drug, sulfonamides, or other NSAIDs.Severe
hepatic impairment
History of asthma or urticaria
Advanced renal disease
SIDE EFFECT AND ADVERSE REACTIONCNS:dizziness, drowsiness,
headache, insomnia, fatigue
CV:peripheral edema
EENT:ophthalmic effects, tinnitus, pharyngitis, rhinitis,
sinusitis
GI:nausea, diarrhea, constipation, abdominal pain, dyspepsia,
flatulence, dry mouth, GI bleeding
GU:menorrhagia
Hematologic:decreased hemoglobin or hematocrit, eosinophil
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DRUG INTERACTIONS (Drug-Drug, Drug-Food, Drug-Laboratories)
Drug-Drug:
Antidepressant such as citalopram (Celexa), escitalopram
(Lexapro), fluoxetine (Prozac, Sarafem, Symbyax),
fluvoxamine (Luvox), paroxetine (Paxil), or sertraline (Zoloft)
- may cause you to bruise or bleed easily.
a blood thinner such as warfarin (Coumadin, Jantoven); a
diuretic (water pill) such as furosemide (Lasix);
fluconazole (Diflucan); lithium (Eskalith, Lithobid);
a heart or blood pressure medication such as candesartan
(Atacand), eprosartan (Teveten), irbesartan (Avapro,
Avalide), losartan (Cozaar, Hyzaar), valsartan (Diovan),
telmisartan (Micardis), or olmesartan (Benicar); oran ACE
inhibitor such as benazepril (Lotensin), enalapril (Vasotec),
lisinopril (Prinivil, Zestril), quinapril (Accupril),
ramipril (Altace), and others.
NURSING CONSIDERATIONS/ HEALTH TEACHINGS
Before:
- Assess patients history of allergic reaction to the drug.
- Monitor complete blood count, electrolyte levels, creatinine
clearance, and occult fecal blood test and liver
function test results every 6 to 12months
During:
- Instruct patient to take drug with food or milk.- Teach
patient to avoid aspirin and other NSAIDs (such as
ibuprofen and naproxen)during therapy.
After:
-Advise patient to immediately report bloody stools, blood in
vomit, or signs or symptoms of liver damage
(nausea, fatigue, lethargy, pruritus, yellowing of eyes or skin,
tenderness on upper right side of abdomen, or flu
like symptoms).
Prepared by: Evaluated by:
Student Nurses Signature over Printed NameDATE:
Clinical Instructors Signature over Printed NameDATE:
Rating: POINTS SCORE
Mode/ Mechanism of Action 15Indication and Contraindication
15
Side Effect and Adverse Reaction 15
Drug Interactions 15
Nursing Considerations/ Health Teachings 40
TOTAL:
TRANSMUTED GRADE (60% Passing Score):
