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DRUG NAME

Nicardipine BRAND NAME Cardipine

DOSAGE & ROUTE Initially 20 mg P.O Tid hypertension 20 to 40 mg P.O t.i.d increase dosage depends on the patients response

MECHANISM OF ACTION

INDICATION

CONTRAINDICATION

Inhibits calcium ion Chronic stable influx across cardiac and angina smooth muscle cells, thus decreasing myocardial contractility and oxygen demand and coronary arteries and arterioles.

Patient who are hypersensitive to nicardipine

SIDE EFFECTS/ ADVERSE REACTIONS Dizziness Headache Paresthesis Drowsiness Peripheral edema Palpitations Tachycardia Nausea Dry mouth Abdominal discomfort Rash Flushing

NURSING RESPONSIBILITY Assess patient for abdominal pain. Note presence of blood in emesis, stool, or gastric aspirate Ranitidine may be added to total parenteral nutrition solution Instruct patient on proper use of OTC preparation as indicated. Remind patient to take once daily prescription drug at bedtime for best results Instruct patient to take without regard to meals because absorption isn t affected by food. Use cautiously in patients with sarcoidosis and renal or cardiac disease and in digitalized patients. monitor blood calcium level frequently.

Calcium gluconate BRAND NAME Kalcinate

Tablets 500 mg, 650 mg, 975 mg, 1 g (contains 90 mg elemental calcium/g)

Replacesandmaintains calcium

Hypocalcemia, hypocalcemic tetany,magnesium toxicity, hypoparathyroidism

Hypercalcemia, ventricular fibrillation, renal canaliculi

GI irritation hemorrhage constipation vomiting thirst renal canaliculi hypercalcemia polyuria

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