fdar

Name of patient: Villareal, Juanita

F > Hyperthermia

D > Received patient sitting on bed with bottle # 1D5NSS 1 liter @ 30gtts/min. at the level of 350cc, hooked at the right basalic vein, infusing well. warm to touch flushed skin diaphoresis on forehead T- 38.5°C; PR- 110bpm; RR- 38cpm; BP- 160/60mmHg

A > Bedside care done. Vital signs taken and recorded. IVF checked and maintained on prescribed rate. TSB done. Instructed significant other to continue tepid sponge bath. Temperature rechecked – 37.6°C. Instructed patient to increase fluid intake. Instructed significant other not to leave patient alone. Kept back dry.

6:00pm > Ambroxol 30mg 1 tab given p.o Demonstrated how to perform deep breathing exercises. Comfort measures performed such as back rubbing. Encouraged to assume different positions on bed. Encouraged to loosen clothing and straighten linens for comfort. Instructed to increase calorie intake.

9:15pm > Above IVF consumed and followed-up with bottle #2 D5NSS 1 liter regulated at 30gtts/min.

9:30pm > Cefuroxime 750mg given IVTT.10:00pm > Vital signs rechecked and recorded.

R > Patient was able to maintain temperature within normal range, T- 36.9 °C. with the same IVF at the level of 930cc. Endorsed to staff asleep, with the latest V/S of:T- 36.9 °C; PR- 100bpm; RR- 38cpm; BP- 170/70mmHg

Name of patient: Garcia, Ferdinand

F > Ineffective airway clearance

D > Received patient sitting on a chair with bottle # 3 PNSS 1 liter regulated at 30gtts/min. at the level of 90cc, hooked at the left metacarpal vein, infusing well. with O2 inhalation via nasal cannula regulated at 1L/min. RR—28cpm diaphoresis on forehead pale looking sweating

A > Bedside care done. Vital signs taken and recorded. IVF checked and maintained on prescribed rate. Instructed significant other to keep patient’s back dry. Demonstrated how to perform deep breathing exercises and pursed lip breathing.

6:00pm > Nebulization with Salbutamol 1 nebule done.6:15pm > Above IVF consumed and followed – up with bottle #4 D50.3NaCl 1 liter at KVO

rate. Encouraged to be in complete bed rest with bedside commode. Instructed significant other not to leave patient alone. Advised t keep patient well ventilated to facilitate breathing. Positioned comfortably in bed.

9:30pm > Cefuroxime 750mg given IVTT. Instructed patient and significant other to prepare soft diet eg. Lugao.

10:00pm > Vital signs rechecked and recorded.

R > Patient was able to maintain effective airway clearance and had no complaints of difficulty of breathing.

with the same IVF at the level of 920cc. Endorsed to staff asleep, with the latest V/S of:T- 36.7 °C; PR- 87bpm; RR- 25cpm; BP- 120/80mmHg

Name of patient: Ipanag, Carmencita

F > Sleep disturbance

D > Received patient sitting on bed awake, with bottle # 2 PNSS 1 liter regulated at 10gtts/min. at the level of 350cc, hooked at the left metacarpal vein, infusing well. weak restless irritable T- 37.1°C; PR- 86bpm; RR- 24cpm; BP- 130/90mmHg

A > Bedside care done.5:00pm > Vital signs taken and recorded.

IVF checked and maintained on prescribed rate. Determined presence of physical and environmental stressors affecting sleep. Encouraged to have adequate rest periods. Advised to increase fluid intake. Advised to regularly change clothing when wet.

6:00pm > Distinguished beneficial bedtime habit such and drinking milk rather than drinking late evening coffee.

Encouraged to restrict caffeine and avoid eating large evening meals. Instructed to perform adequate physical exercise during the day. Suggested to abstain frequent daytime naps. Instructed to keep back dry. Advised to do relaxation technique such as deep breathing exercise.

8:00pm > Kept comfortable. Reminded on S/E.


R > After 4hrs. of nursing interventions the patient was able to sleep comfortably in bed.

with the same IVF at the level of 190cc. Endorsed to staff asleep, with the latest V/S of:T- 36.6 °C; PR- 85bpm; RR- 23cpm; BP- 110/80mmHg

Name of patient: Galope, Alejandro

F > Body malaise

D > Received patient lying on bed awake, with PNSS 1 liter regulated at 15gtts/min. at the level of 220cc, hooked at the right cephalic vein, infusing well. weak as seen restless at times irritable slowed movement needs assistance in doing ADL’s T- 36.2°C; PR- 90bpm; RR- 30cpm; BP- 160/80mmHg

A > Bedside care done such as fixing linens and pillows.5:00pm > Vital signs taken and recorded.

IVF checked and maintained on prescribed rate.6:00pm > Isosorbide mononitrate 30mg given p.o

Encouraged to have adequate bedrest. Advised to regularly change clothing when wet. Emphasized the importance of maintaining proper hygiene. Encouraged significant other to assist patient in performing ADL’s. Instructed to keep back dry.

7:20pm > Repeat hemoglobin result attached to chart. Advised to do relaxation technique such as deep breathing exercise. Instructed to move slowly and steadily. Encouraged to perform active range of motion. Provided divertional activities by encouraging conversation to significant others. Instructed on complete bed rest. Keptcomfortable. Instructed on diabetic diet.


R > After 4hrs. of nursing interventions the patient was able to demonstrate ways to conserve energy.

with the same IVF at the level of 130cc. Endorsed to staff awake, with the latest V/S of:T- 36.4°C; PR- 88bpm; RR- 28cpm; BP- 150/70mmHg

Name of patient: Nonan, Marilou

F > Ineffective airway clearance

D > Received patient sitting on bed awake, with PNSS 1 liter regulated at KVO rate at the level of 900cc, hooked at the right metacarpal vein, infusing well. with O2 inhalation regulated at 1L/min. at the level of 500psi pale looking restless with non-productive cough T- 36.2°C; PR- 112bpm; RR-20cpm; BP- 120/80mmHg

A > Bedside care done. Vital signs taken and recorded. IVF checked and maintained on prescribed rate. Auscultated lung fields for alteration in breath sounds.

5:30m > Referred to Dr. Talan with order carried out. Demonstrated to perform effective coughing.

6:00pm > Salbutamol 2ml given thru nebulization. Cefuroxime 750mg given IVTT. Medication started: glimeperide 2mg and Multivitamins with Fe 1cap given p.o Humulin N 10units administered subcutaneously at deltoid area. Encouraged to do deep breathing exercises. Encouraged position of comfort. Advised to have adequate bed rest. Instructed to keep back dry as always. Instructed to increase fluid intake at least 8-10 glasses of water a day.

8:30pm > O2 off temporarily. Encouraged to eat nutritious food to maximize energy production; reminded on soft diet. Instructed patient and significant other to secure materials for OR use. Monitored for signs of respiratory distress.


R > After 4hrs. of nursing interventions the patient was able to maintain effective airway clearance and had no complaints of respiratory distress.


Name of patient: Enot, Manuel

F > Dizziness

D > Received patient lying on bed asleep, with PNSS 1 liter regulated at 15gtts/min at the level of 930cc, hooked at the left metacarpal vein, infusing well. “Sige rako malipong.” weak pale looking needs assistance in getting out of bed T- 36.7°C; PR- 67bpm; RR-20cpm; BP- 170/100mmHg

A > Bedside care done. Vital signs taken and recorded. IVF checked and maintained on prescribed rate. BP monitored every hour.

8:30pm > Referred to Dr. Talan for IV to follow with order carried out.6:00pm > Cefuroxime 750mg given IVTT.

Encouraged to have adequate rest periods to prevent fatigue. Advised significant other to keep patient’s back dry. Encouraged to eat nutritious foods to maximize energy production; with low salt,

low fat diet. Encouraged position of comfort. Advised to wear loose and thin clothing. BP rechecked – 180/110mmHg.

8:00pm > Clonidine 150mg 1tab given sublingual. Instructed to secure Lozartan + HCTZ 50mg HPN med maintenance. Encouraged significant other to assist patient in doing ADL’s. Advised significant other not to leave patient alone.


R > After 4hrs. of nursing interventions the patient was able to comfortably position self on bed with less complaint of dizziness.


Name of patient: Sulayao, Marivic

F > Noncompliance to therapeutic regimen

D > Received patient sitting on bed awake and responsive upon interaction, without IVF. unable to secure medication refuse for IVF insertion T- 37.2°C; PR- 82bpm; RR-21cpm; BP- 130/90mmHg

A > Bedside care done. Vital signs taken and recorded. IVF checked and maintained on prescribed rate.

6:00pm > U/A result referred to Dr. Barrosa with order carried out.6:15pm > Referred to Dr. Kho – not around.

Allopurinol 100mg 1tab given p.o. Determined who manages the medication regimen and ascertained whether

they know the indication of the medication. Ascertained how client remembers to take medication and how many doses hve

been missed and the possible effects if not taken regularly. Identified factors that interfere with taking medication or lead to lack of

compliance to treatment eg. financial constraints. Noted length of illness. Encouraged client to maintain self-care activities and providing for assistance when necessary. Provided health teaching:

- Instructed to keep back dry always.- Advised to change to clean clothing.- Instructed to wear loose clothing.- Reminded to increase fluid intake.

Advised to secure medication. Reminded patient and significant other on soft diet.


R > She was able to verbalize the importance of securing medications. Endorsed to staff awake, with the latest V/S of:T- 37.4°C; PR- 80bpm; RR- 20cpm; BP- 100/80mmHg

Name of patient: Migduyan, Myrna

F > DizzinessD > Received patient sitting on bed, coherent, responsive, oriented to time, place, and date, with IVF of bottle #2 D5LR 1liter at the level of 700cc, hooked at the right metacarpal vein regulated at 30gtts/min., infusing well. pale looking with limited range of motion Can’t tolerate to move out of bed without assistance Needs assistance in doing ADL’s T- 35.2°C; PR- 76bpm; RR-20cpm; BP- 100/70mmHg

A > Vital signs taken and recorded. Bedside care done. IVF checked and maintained on prescribed rate.

6:00pm > Omeprazole 20mg 1tab given p.o.. Assumed position of comfort for patient. Encouraged to have adequate rest periods. Instructed to move out of bed slowly and steadily. Advised to eat nutritious foods which are high in iron such as kalamunggay and

meat. Instructed significant other to assist patient in doing ADL’s eg. eating and urinating. Advised to drink adequate fluid intake. Safety measures rendered such as putting linens on sides. Advised to secure medication.

10:00pm > Vital signs rechecked and recorded. Reminded on U/A and S/E.

R > After 4hrs. of nursing interventions the patient she was able to demonstrate ways to conserve energy.

with the same IVF at the level of 90cc Endorsed to staff awake, with the latest V/S of:T- 36.8°C; PR- 80bpm; RR- 20cpm; BP- 100/80mmHg

Generic name : Isosorbide mononitrate

Dosage and route: 30mg, p.o

Classification : anti-anginals

Indication : acute angina attack (sublingual and chewable tablets of Isosorbide dinitrate only); for prevention in situations likely to cause angina attack

Action : not completely known; thought to reduce cardiac oxygen demand by decreasing preload and afterload; drug also may increase blood flow through the collateral coronary vessels.

Contraindications: Contraindicated with hypersensitivity or idiosyncrasy to nitrates and in those

with severe hypotension. Use cautiously in patients with blood volume depletion (such as diuretic

therapy) or mild hypotension.

Nursing Considerations: Monitor blood pressure and intensity of drug response. Caution pt. to take drug regularly as prescribed and to keep it accessible at

all times. Tell pt. to take tablets sublingually. Caution pt. to avoid alcohol because it may worsen low blood pressure

effects. Instruct pt. to store drug in a cool place, in a tightly closed container and

away from the light.

Generic name : Omeprazole

Brand name : Flazomel

Dosage and route: 20mg, 1tab BID, p.o

Classification : anti-ulcer

Action : suppresses gastric acid secretion by inhibiting the parietal cells; blocks the final step of acid production

Adverse effects : Headache, dizziness, vertigo, insomnia Rash, urticaria, dry skin

Nursing Considerations: Take as directed (before meal) Do not crush or chew capsules One may experience anorexia; small frequent meals may help to maintain

adequate nutrition. Report changes in urination or pain on urination.

Generic name : Allopurinol

Brand name : Zyloprim

Dosage and route: 100mg, 1tab, p.o

Classification : anti-gout agent

Indication : prevention of attacks of gouty arthritis and nephropathy

Action : inhibits xanthine oxidase, the enzyme responsible for the conversion of hypoxanthine to xanthine to uric acid. Allopurinol is metabolized to oxypurinol whch is also an inhibitor of xanthine oxidase, acts on purine catabolism, reducing the production of uric acid without disrupting the biosynthesis of vital purines.

Adverse effects : Headache, dizziness, nausea, vomiting, and abdominal pain

Nursing Considerations: Take as directed (preferably before meal) Maintain hydration, at least 2liters of water a day. Avoid alcohol, OTC medication and additional Vitamin C without

consulting prescriber. Report any unusualties such as rash, painful urination, blood in urine or

stool, and muscle weakness.

Generic name : Cefuroxime

Brand name : Betcef

Dosage and route: 750mg, q8h, IVTT

Classification : anti-bacterial

Indication :

Action : inhibits third and final stage of bacterial cell wall synthesis, thus killing the bacteria

Contraindication : - hypersensitivity to cephalosporins and related antibiotic

Adverse effects : Pruritus, chills Abdominal discomfort

Nursing Considerations: Determine history of hypersensitivity. Report onset of loose stools. Monitor manifestations of hypersensitivity. Inspect IV injection site for phlebitis. Do skin testing prior to administration.

Generic name : Salmeterol xinafoate

Brand name : Salbutamol

Dosage and route: 2ml, q6h, thru nebulization

Classification : bronchodilator

Indication : to prevent bronchospasm in pt. with nocturnal asthma or reversible obstructive airway disease who had regular short-acting beta-agonist.

Action :

Contraindication : - patient with known hypersensitivity to drug and its components

Adverse effects : headache palpitation nasopharyngitis

Nursing Considerations: Assess patient’s respiratory condition before starting the therapy. Be alert for adverse reaction and drug interaction. Don’t give drug for acute bronchospasm. If headache occurs, give mild analgesic as ordered. Alert pt. to prevent exercise induced bronchospasm.

Generic name : Ephedrine sulfate

Brand name : Ambroxol

Dosage and route: 30mg, 1tab TID, p.o


Indication :

Action : stimulates alpha and beta receptors; direct and indirect acting sympathometic

Contraindication : - patient with known hypersensitivity to drug and its components

Adverse effects : Insomnia Palpitation Dryness of nose and throat Nausea and vomiting

Nursing Considerations: Obtain history of pt’s underlying condition before starting therapy, and

reassess regularly. Be alert for adverse reactions and drug interactions. Warn pt. not to take OTC drugs. Instruct pt. to notify prescriber if adverse reaction occurs. Caution pt. not to perform hazardous activities if adverse CNS reactions

occur.

Generic name : Insulin, Isophane (NPH)

Brand name : Humulin N

Dosage and route: 10units, BID, s.c

Classification : antidiabetic agent; hormone substitute

Indication : control of hyperglycemia in patient with Type 1 and 2 DM

Action : increases glucose transport across muscle and fat cell membrane to reduce glucose level

Contraindication : - in patients with history of systemic allergic reaction to pork when porcine-derived products are used or hypersensitivity to any component of preparation

- During episodes of hypoglycemia

Adverse effects : Blurred vision Dry mouth Rash, urticaria, pruritus, swelling

Drug interactions: drug-drug; ACE inhibitors, Clonidine

Nursing Considerations: Advise pt. not to change orders in which insulins are mixed or brand of

insulin, syringe or needle. Advise pt. not to smoke within 30mins. After insulin injection because

smoking decreases amount of insulin absorbed subcutaneously. Advise pt. to avoid vigorous exercise immediately after insulin injection,

especially in the area where injection was given because it decreases absorption and risk of high glucose episodes.

Make sure that pt. knows that drug relieves symptoms but doesn’t cure the disease.

Generic name : Glimepiride

Brand name : Amaryl

Dosage and route: 2mg, OD, p.o

Classification : antidiabetic agent

Indication : to lower glucose level in patients with Type 2 DM whose hyperglycemia can’t be managed by diet and exercise alone

Action : lowers glucose level, possibly by stimulating the release of insulin from functioning pancreatic beta cells and may lead to increase sensitivity of peripheral tissues to insulin

Contraindication : - in patients hypersensitive to drug and in those with diabetic ketoacidosis, which should be trated with insulin

Adverse effects : Dizziness, asthenia, headache

Drug interactions: drug-drug; beta-blockers, may mask symptoms of hypoglycemia

Nursing Considerations: Tell pt. to take drug with first meal of the day. Teach pt. to carry candy or other simple sugars to treat mild episodes of

low glucose level. Advise pt. to avoid alcohol which lowers glucose level. Advise pt. to consult prescriber before taking any OTC products. Make sure that pt. knows that drug relieves symptoms but doesn’t cure

the disease.

Generic name : Clonidine

Brand name : Catapres

Dosage and route: 150mg, 1tab, SL

Classification : anti-hypertensive

Indication : hypertension, used alone or as part of combination therapy

Action : stimulates alpha-2 receptors and inhibit the central vasomotor centers, decreasing sympathetic outflow to the heart, kidneys, and peripheral vasculature and lowering peripheral vascular resistance, blood pressure and heart rate.

Contraindication : - hypersensitivity to Clonidine or any adhesive layer components of the transdermal system

Adverse effects : Drowsiness, sedation, dizziness Headache, fatigue agitation, depression

Nursing Considerations: Instruct pt. to take drug as ordered. Advise pt. that stopping drug abruptly may cause severe rebound high

blood pressure. Tell pt. to take the last dose immediately before bedtime. Inform pt. that dizziness upon standing can be minimize by rising slowly

from a sitting or lying position and avoiding sudden position changes.

Generic name : Salbutamol sulfate

Brand name : Acro--vent

Dosage and route: 1neb 2.5ml, thru nebulization


Indication : to prevent and relieve bronchospasm

Action : relaxes smooth muscle by stimulating beta2-receptor, thereby causing bronchodilation and vasodilation

Contraindication : - hypersensitivity to drug

Adverse effects : Dizziness, insomnia, hypertension, chest pain, dry and irritated throat Nausea and vomiting, anorexia, dry mouth, heart burn, tooth

discoloration

Interactions : drug-drug - beta adrenergic blockers Drug-food – caffeine containing food and beverage

Nursing Considerations: Instruct pt. in proper way of using the nebulizer. Advise pt. to clean the mouthpiece in a warm soapy water every week. Advise pt. to limit intake of caffeine containing foods and beverages and

to avoid herbs unless prescriber approves. Caution pt. to avoid driving and other hazardous activities until he knows

how drug affects concentration and alertness.

Generic name : Cefuroxime

Brand name : Harox

Dosage and route: 750mg, IVTT

Classification : anti-infectives

Indication : lower respiratory tract infection

Action : second generation cepholosporins that inhibit cell wall synthesis, promoting osmotic instability, usually bactericidal

Contraindication : - hypersensitivity to penicillin

Adverse effects : Headache, dizziness, lethargy, paresthesias

Nursing Considerations: Assess pt.’s infection before therapy and regularly thereafter Ask pt. about previous reaction to cephalosporin or penicillin Do not double dose the drug if there are lapses in taking the medication. Tell pt. to take full course of therapy. Advise pt. to take drug with food.

Cues: O > RR of 30cpm > weak > adventitious sound heard upon auscultation; crackles > with dry cough

Nursing diagnosis: Ineffective airway clearance related to retained secretions in the bronchi

Scientific basis : A part of the respiratory function is the exchange of gases, where the bronchi is the gateway of passage for gas travelling to the alveoli where gas exchange happens.

As the passage way for proper respiration is obstructed by retained secretions, the travelling of gas in the tract is impaired.

Planning: Within 8hrs. of rendering nursing interventions, the patient will be able to identify ways to soothe dry cough by expectorating secretions.

Nursing Interventions:

Independent Rationale1. Assess respiratory rate. - provides basis confirming the presence of

shortness of breath 2. Recheck breath sounds and presence of secretions.

- identifies consolidation that causes the obstruction and shortness of breath

3. Position pt. in high/semi-fowlers position. - take advantage of gravity decreasing pressure on diaphragm and enhancing drainage of secretions on different lung segments

4. Provide back tapping. - can promote expectoration of secretions5. Encourage for slow deep respirations. - assist pt. in relaxing respiratory muscles6. Encourage to perform deep breathing and pursed lip breathing exercises.

- expels enough carbon dioxide in the lungs and inhale sufficient oxygen, promoting good ventilation

7. Demonstrate technique of effective coughing.

- aids in proper expectoration of secretions

8. Encourage to provide warm liquids than cold ones.

- warm liquids can aid in mucus liquefaction more than cold ones.

9. Encourage pt. and significant other to allow pt. minimal but increase fluid intake.

- increase intake of fluid can help liquefy the mucus secretion

10. Encourage adequate sleep periods. - limits fatigue and improves condition11. Provide good ventilation of environment, limiting allergens.

- so as not to aggravate the pt.’s condition

Dependent 1. Administer Salbutamol sulfate (Acro-vent) 1neb 2.5ml, thru nebulization.

- relaxes smooth muscle by stimulating beta2-receptor, thereby causing bronchodilation and vasodilation

Evaluation: After 8hrs. of rendering nsg. Interventions the patient was able to identify ways to soothe dry cough like deep breathing exercises and increasing fluid intake.

Cues: S > “Sakit pa gihapon ilihok akong lawas.” Painscale of 6/10O > grimace > pallor > guarding behavior on abdomen > diaphoresis > restless

Nursing diagnosis: Acute abdominal pain related to increase peristaltic movement due to bacterial invation

Scientific basis : Pain usually is viewed in the context of tissue integrity. In the presence of invading pathogens, the GIT compensates by increasing peristaltic movement in an attempt to get rid of the invaders. Noceciptive stimulation that activates with fibers can cause a response known as neurogenic inflammation that produces vasodilation and an increase release of chemical mediator to which the receptors respond

Planning: Within 8hrs. of rendering nursing interventions, the patient will be able to verbalize pain is reduced from 6/10 to 2/10.


Independent Rationale1. Monitor/ document characteristics of pain, noting verbal reports, non-verbal cues, and hemodynamic response.

- variation of appearance and behavior of pt. present a challenge in assessment

2. Encourage pt. to report type and intensity of pain using pain scale.

- pain is perceived and tolerated individually; it is also a subjective experience; provides baseline for comparison to aid in determining effectiveness of care

3. Observe for crying, irritability, restlessness,sleep disturbance

- non-verbal cues may indicate indicate pain exerienced

4. Provide comfort measures, eg. back rubbing, assist self- care activities

- promotes relaxation and redirect attention

5. Encourage to perform deep breathing exercises and splinting

- promotes relaxation

6. Instruct to put ice pack on the area. - provides non-pharmacological relief of pain; 7. Instruct to report increasing pain immediately.

- prompt assessment and intervention may be given

8. Encourage to have divertional activities eg. frequent communication to SO.

- redirects feeling of pain

9. Provide a quiet, calm,restful environment - external stimuli may aggravate pain and anxiety

10. Encourage adequate rest. - provision of comfortDependent

1. Administer analgesic as ordered. - prevents the synthesis of prostaglandin from smooth muscles, inhibiting the stimulation of receptor to synthesize pain

Cues: S > “Magsige paman ko og ubo.”O > crackles upon auscultation > RR- 38cpm > restless > difficulty of vocalizing > grimace

Nursing diagnosis: Ineffective airway clearance related to productive cough

Scientific basis : Presence of retained secretions in respiratory tract impedes airflow. And inability to clear secretions results to ineffectivity of airway clearance.

Planning: Within 8hrs. of rendering nursing interventions, the patient will be able to identify ways to expectorate secretions.


Independent Rationale1. Assess respiratory rate. - provides basis confirming the presence of

shortness of breath 2. Recheck breath sounds and presence of secretions.

- identifies consolidation that causes the obstruction and shortness of breath

3. Position pt. in high/semi-fowlers position. - take advantage of gravity decreasing pressure on diaphragm and enhancing drainage of secretions on different lung segments

4. Provide back tapping. - can promote expectoration of secretions5. Encourage for slow deep respirations. - assist pt. in relaxing respiratory muscles6. Encourage to perform deep breathing and pursed lip breathing exercises.

- expels enough carbon dioxide in the lungs and inhale sufficient oxygen, promoting good ventilation

7. Demonstrate technique of effective coughing.

- aids in proper expectoration of secretions

8. Encourage to provide warm liquids than cold ones.

- warm liquids can aid in mucus liquefaction more than cold ones.

9. Encourage pt. and significant other to allow pt. minimal but increase fluid intake.

- increase intake of fluid can help liquefy the mucus secretion

10. Encourage adequate sleep periods. - limits fatigue and improves condition11. Provide good ventilation of environment, limiting allergens.

- so as not to aggravate the pt.’s condition

Dependent 1. Administer Ambroxol 30mg 1tab, TID p.o - inhibits phosphodiesterase, the enzyme that

degrades cAMP, thereby relaxing smooth muscle of bronchial airway and pulmonary blood vessels

fdar

Documents

Transcript of fdar