S.
NO MEDICATION DOSeA FRE ROUT ACTION SIDE EFFECTS NURSING RESPONSIBILITY
NAME GE QU E
ENC
Y
1. INJ. Amoxicillin 2mg/kg BD IV -Inhibits bacteria cell wall -GI disturbance nausea, -determine if the patient has a
synthesis, while cluvulanal vomiting mild diarrhea, history of allergies
inhibits bacterial beta generalized rash. -Monitor the patient for signs and
lactamase. symptoms of super infection,
including fever, sorathroat.
2 INJ. Deriphylline 4mg/Kg -Before and regularly checking
BD IV -That acts as bronchodilator -Altered smell. therapy, monitor the patient for
by directly relaxing smooth -Rest lessness, hear burn, anxiety.
muscle of the bronchial nausea, vomiting, -Monitor the patients ABG levels
airway and pulmonary blood hardtack, insomnia. -Monitor the pulse rate and quality
vessels. as well as respiratory rythum.
-Assess the duration, location onset
and type of inflammation or pain.
-An NSAID that inhibits -Headache, abdominal -Monitor the patient for dyspepsia
3 INJ. Diclofenac 3mg/ prostaglanclin synthesis, cramps, constipation, and headache
sodium Kg/dl OD IM reducing the intensity of pain. diarrhoea, nausea, burning, -Assess the Pattern of daily bowel
ocular discomfort, activity and stool consistency
epigastric pain, dizziness,
ocular itching.
Medication chart
Nursing Assessment Nursing Objective Intervention Implementation Evaluation
theory diagnosis s
Orem’s self- Subjective data: Ineffective To relive -Assess respiratory -Monitor vital signs Patient feel
care deficit The mother breathing the patient rate, breath sound, T -98.6F comfortable
theory. The complaint that pattern related from and work of P-28beats/min without
client is in my daughter is to inflammation breathing breathing. R -86 beats/ min breathing
wholly, having breathing or infectious difficulty -Provide comfortable -Provide semi fowler difficulty as
compensatory difficulty. process as position to the child. position and back evidences by
supportive and Objective data: evidenced by -Avoid tight clothing. supported with extra tachypnea.
educative on observation tachypnea -Maintain proper pillow.
system. the child is increased work ventilation. -Provide loose dress.
Mother needs having breathing of breathing -Provide medication -Open the door and
explanation difficulty as nasal flaring. as per doctor order. windows
and education manifested by -Nebulization was
To reduce infection. given.
breathing -Oxygen therapy was
difficulty. given.
-Inj. Deriphyllin was
given
Nursing Assessment Nursing Objective Intervention Implementation Evaluation
theory diagnosis s
Orem’s self- Subjective data: Alteration To reduce -Assess the condition -Assessment help to -Patient get
care deficit child stated that incomfort pain pain of the patient plan the proper care. relief from
theory the she is having related to pain as
client is in pain in the whole disease -Provide comfortable -Semi fowler position evidences by
wholly body condition as position. was given. pain score
compensatory Objective data: manifested by 2/10.
supportive and on observation pain score of -Provide diverional -It help to divert the
education client is looking 4/10. therapy. patient mind.
system mother restless and
needs irritated. -Provide IV fluids. -IV fluids –RL( 500ml)
explanation were given
about pain
relief.
NURSING CARE PLAN
Nursing Assessment Nursing Objectives Intervention Implementation Evaluation
theory diagnosis
Orem’s self Subjective data – To reduce -Assess the Vitals were checked Patient
care deficit Patient relative fatigue condition of the T = 98.6*f weakness was
theory the complaints that patient. P = 28 beats/min reduced
client is in child feel R = 86beats/min
wholly weakness -Provide proper rest
compenstation Objective data – and sleep. Proper rest and sleep
and educative On observation I was provided.
system mother found that -Encourage the
needs patient patient to take food. It helps to reduce the
explanation expression is dull weakness.
about disease and weak. -Provide IV fluids- RL
condition. (500ml) IV fluid was given
IV- RL
Dose -500ml
