POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC.

MacArthur Highway, Brgy. Kiagot, Digos City, Davao del Sur, Philippines 8002

DRUG STUDY

Name of Patient:
Attending Physician:
Age: Sex: Civil Status: Diagnosis:___________________
Occupation: Religion:
Chief Complaint:
Address:
DATE/ ROUTE/ PRECAUTION
TIME BRAND NAME ACTION INDICATION DOSAGE/TIME DRUG ADVERSE CONTRAINDICA- NURSING
INTERVAL EFFECT TIONS RESPONSIBILITIES
ORDERED INTERACTION
Provide Primary I.M 0.5 ml If passive Local It is a contraindication to Monitor VS.
protection immunization to immunization for reaction( pain, use this or any other related
Allow patient to lie down to
(immunity) prevent tetanus tetanus is needed, redness, swelling) vaccine after a serious
prevent vomiting.
against tetanus Adults and TIG (Human) is the tachycardia, adverse reaction temporally
(lockjaw) in children age 7 product of choice. It hypotension, associated with a previous Encouraged pt to increase fluid
adults and and older: 0.5 mL provides longer muscle pain, dose, including an intae.
GENERIC children 7 years HALF-LIFE protection than thrombocytopenia anaphylactic reaction.
I.M. 4 to 8 weeks Educate pt that pain and
or older. antitoxin of animal
apart for two tenderness in the injection site
NAME Vaccination is origin and causes few
doses; then give may occur.
the best way to adverse reactions. A history of systemic
Tetanus Toxoid third dose 6 to 12
protect against The currently allergic or neurologic
this life- months after recommended reactions following a
threatening second. prophylactic dose of
 disease. TIG (Human) for previous dose of Tetanus
Vaccines work wounds of average Toxoid Adsorbed vaccine is
by causing the > Booster dose to severity is 250 units an absolute contraindication
body to produce prevent tetanus intramuscularly. for further use.
its own When Tetanus
protection Toxoid Adsorbed
(antibodies). Adults and vaccine and TIG
children age 7 (Human) are given
and older: 0.5 mL concurrently, separate
I.M. at syringes and separate
sites should be used.
The ACIP
recommends the use
10-year intervals.
of only adsorbed
toxoid in this
situation.
> Postexposure
CLASSIFI- prevention of ABSORPTION EXCRETION
CATION tetanus
Pharmacologic:
Rapid Urine
Vaccines
Adults and
children age 7
and older: For a
clean, minor
wound, give
emergency
booster dose if
more than 10
years have
elapsed since last
dose. For all
other wounds,
give booster dose
if more than 5
years have
elapsed since last
 dose.

Ward: MEDICAL Room No: Bed No: Date of Admission: _____________________________________