CRITERIA:

DAVAO DOCTORA COLLEGE Content and organization 40%

General Malvar St., Davao City Analysis 40%

Nursing Program Neatness and promptness 10%

Reference 10%
DRUG STUDY TOTAL 100%

Name of Patient: Date of Admission: SEPT. 19, 2022

Room: Age 57 – year old
 DRUG NAME CLASSIFICATION / MECHANISM OF ACTION INDICATION CONTRAINDICATIONS SIDE/ADVERSE NURSING
EFFECTS RESPONSIBILITY
• Untreated Common side effects of Assess for
Methylprednisolone injection is in a class of medications called serious infections methylprednisolone include: potassium
Suppression of
corticosteroids. It works to treat people with low levels of • Documente • Acne depletion
BRAND NAME: corticosteroids by replacing steroids that are normally produced inflammatory d hypersensitivity • Adrenal (fatigue,
GENERIC: naturally by the body . disorders,
• Intrathecal suppression
Methylprednisolon including nausea,
administration • Anal itching vomiting,
e The short term effects of corticosteroids are decreased rheumatoid
• Systemic • Delayed
vasodilation and permeability of capillaries, as well as decreased arthritis, depression,
systemic lupus fungal infection wound healing
polyuria,
DOSAGE: 40 mg. leukocyte migration to sites of inflammation.5 Corticosteroids (except intra-articular • Delirium
binding to the glucocorticoid receptor mediates changes in gene erythematosus dysrhythmia
injection in localized • Diabetes
expression that lead to multiple downstream effects over hours to, ulcerative and
colitis and joint conditions) mellitus
days weakness).
ROUTE: IV. • The • Emotional
Crohn’s
disease. Intramuscular (IM) instability
route is • Enlarged liver - Assess for
contraindicated in • Fast heart rate hypertension
- Severe
idiopathic • Fluid , oedema and
FREQUENCY: q.d. allergic
thrombocytopenic retention cardiac
conditions:
purpura • GI perforation symptoms.
bronchial
• Premature • Glucose
asthma;
allergic rhinitis; infants (formulations intolerance - Assess for
REFERENCES: containing benzyl • Growth mental
and contact
https://go.drugbank.com/drugs/DB00959 and atopic alcohol only) suppression (children) status.
• Traumatic • Hallucination
https://www.rxlist.com/consumer_methylprednisolone_medrol/drugs dermatitis.
brain injury (high s - Rotate sites
-condition.htm
doses) • Headache
https://www.nursingtimes.net/clinical-archive/medicine- - Chronic skin in IM
• Administration • Hepatitis
management/methylprednisolone-24-06-2004 conditions injection.
of live or live, • Hives
including
attenuated vaccines is • Hypokalemic
dermatitis PATIENT
herpetiformis, contraindicated in alkalosis
patients receiving • Increased TEACHING
severe - Increase
psoriasis and immunosuppressive transaminases
doses of • Increased potassium, calcium
severe
corticosteroid white blood cell count and protein intake.
seborrhoeic
• Insomnia
dermatitis.
• Menstrual - Do not
- Cerebral irregularity or missed discontinue
oedema linked menstrual periods suddenly (can
• Muscle tissue precipitate adrenal
to malignancy
disease crisis).
• Nerve pain
 • Osteoporosis - Avoid OTC
• Peptic ulcer products unless
• Pituitary cleared with
adrenal axis prescriber.
suppression
• Protein
- Educate on
catabolism symptoms of
• Pseudotumor adrenal
cerebri (on insufficiency
withdrawal) (anorexia,
• Psychosis dizziness, dyspnea,
• Sodium and fatigue, joint pain,
water retention nausea and
• Seizure weakness).
• Skin redness
• Spininng
sensation (vertigo)
• Swelling
(edema)
• Ulcerative
esophagitis
• Vasculitis
• Weight gain
•
LAURENTE, PAOLO CHEL E. Name of Student