PATIENT-CENTERED MEDICATION STUDY
STUDENT’S INFORMATION
Name: ESPIRITU, Maria Casandra Year and Section: 2ACN
Group: 1A Agency/Area: OMMC Pediatrics Ward
Inclusive Dates of Rotation: 05/20-22/24 Clinical Instructor:
PATIENT’S INFORMATION
Name of Patient: A.R.V.C. Age: 16 Sex: M
Chief Complaint: Bilateral Leg Weakness
Diagnosis: Tuberculosis Meningitis Stage II (TB Meningitis St. II)
DRUG INFORMATION
Drug Classification: Psychostimulants / Nootropic Generic Name: Citicoline
Dosage: Brand Name: Calyxin
Route of Administration: Oral
MODE/ MECHANISM OF ACTION
Citicoline consumption promotes brain metabolism by restoring phospholipid content in the brain and
regulation of neuronal membrane excitability. It also influences the mitochondria or energy factories of the
brain cells and is found to improve memory function. After several clinical trials, Citicoline has been shown to
raise the amount of acetylcholine in the brain.
INDICATION CONTRAINDICATION
- Acute & recovery phase of cerebral infarction - Hypersensitivity
- Cognitive dysfunction due to degenerative & - Patients w/ hypertonia of the parasympathetic
cerebrovascular disease. nervous system.
- Cerebral insufficiency
- Patients w/ disturbances of consciousness
resulting from a head injury, brain operation & in
the acute stage of cerebral infarction.
SIDE EFFECT AND ADVERSE REACTION
[Link].2017.12.1 Page 1 of 2
SIDE EFFECTS ADVERSE EFFECTS
- Fatigue - Bradycardia/tachycardia
- Dizziness - Hypotension
- Headache - Intensification of numbness of paralyzed
extremities
- Rashes
- Stomach ache
- Low or high blood pressure
- Chest pains
DRUG INTERACTIONS (Drug-Drug, Drug-Food, Drug-Laboratories)
Drug-Drug: Citicoline must not be administered with any drugs containing meclofenoxate. It must not also
be administered with centrophenoxine-containing medications.
Drug-Food: Citicoline may be taken with or without food.
Drug-Laboratories: No drug-laboratory interactions were recorded.
NURSING CONSIDERATIONS/ HEALTH TEACHINGS
Nursing Considerations:
- Note any allergic reactions caused by citicoline (e.g. hives, rashes, swelling, etc.)
- Administering citicoline in the afternoon could cause the patient difficulty in sleeping
- Closely monitor patient’s vital signs
Health Teaching:
- Report to physician immediately for any occurring abnormalities and side and/or adverse effects in
order to seek medical attention to further identify whether the patient shall continue to medication.
Prepared by: Evaluated by:
__________________________________________ __________________________________________
Student Nurse’s Signature over Printed Name Clinical Instructor’s Signature over Printed Name
DATE: ______________ DATE: ______________
[Link].2017.12.1 Page 2 of 2
