Drug

Classificati on Iron preparatio n

Therapeutic Effect Elevates the serum concentration, and is then converted to Hgb or trapped in the reticuloendot helial cells for storage and eventual conversion to a usable form of iron Required for nucleoprotein synthesis and maintenance fo normal erythropoiesis

Indication/Contraind ication - Prevention and treatment of iron deficiency anemias -Dietary supplement for iron - Contraindicated with allergy to any ingredient; sulphate allergy; hemochromatosis, hemosiderosis , haemolytic anemias

Adverse Effect

Ferrous Sulfate

CNS toxicity, coma and death with overdose

Folic acid

Folic acid Vitamin suplement

-Treatment of megaloblastic anemias due to sprue, nutritional deficiency, pregananc, infancy and childhood -Contraindicated with allergy to folic acid preparations, pernicious aplastic, normocytic anemias

Allergic reactions

Nursing Considerati on -Allergy to any infredient, sulphite -skin lesions, color; gums teeth (color); bowel sounds; CBC, HGB, Hct, serum ferritin and iron levels -Allergy to folic acid -skin lesions, color, R, adventitious sounds; CBC, Hgb, Hct, serum folate levels, serum vitamin B12 levels, Schilling test -Monitor patient for hypersensiti vity, reations, especially if drug previously taken. Keep suppoertive equipment nd emergency drugs readily available in case of serious

Calcium Carbonate

Antacid Electrolyte

Meroprene m

antibiotic

Essential element of the body; helps maintain the functional integrity of the nervous and muscular systems: helps maintain cardiac function, blood coagulation; neutralizes or reduces gastric acidity Bactericidal

Propylaxis of Gi Bleeding, stress ulcers and aspiration pneumonia Contraindicated with allergy to calcium, reanl calculi, hypercalcemia, ventricular fibrillation during cardiac resuscitation and patients with the risk of existing digitalis toxicity.

Hypercalcemia,(an orexia nausea, vomiting, constipation, abdominal pain, thirst, dry mouth, polyuria, rebound hyperacidity and milk alkali syndrome

allergic reaction Allergy Give drug 13 hr aftermeal and at bedtime -do not administer 1-2 hrs of antacid administrati on

Treatment of complicated skin and skin structure infections Contraindicated with allergy to cephalosphorins,peni cillins, beta-laactams

Headaches, dizziness lethargy seizures, insomnia, nausea, vomiting, diarrhea, anorexia, abdominal pain, flatulence

Culture area and sensitivity test before therapy Monitor for superinfecti onsa and arrange treatment as appropriate Hypersensiti vity, skin lesions, turgor Administer without regards to meal Allergy to amlodipine Monitor BP and cardiac rythms Administer

Telmisartan

Antihyper tensive

Amlodipine

Antihyper tensive

Blocks angiotensin II to specific tisiu receptors as well as the release of aldosterone leading to decrease BP Decreased cardiac work

Treatment of hypertension alone or in combination with other hypertensives Contraindicated with hypersentivity to telmisartan Essential hypertension alone or with other antihepertensives Contraindicated with

Headache dizziness, hypotension, palpitaitonsd, constipation rashes, dry mouth, dental pain

Dizziness =, fatigue pheriperal edema rash nausea,abdominal discomfort

allergy toamlodipine, impaired hepatic or renal function Furosemide Diuretics Inhibits reabsorbtion of sodium and chloride Edema due to cardiac, hepatic & renal disease, burns; mild to moderate HTN, hypertensive crisis, acute heart failure, reduced urinary output due to gestoses, chronic renal failure, nephrotic syndrome. contrainidication Anuria; hepatic coma & precoma; severe hypokalemia &/or hyponatremia; hypovolemia w/ or w/o hypotension. Hypersensitivity to sulfonamides. Symptomatic hypotension, dehydration, hemoconcentratio n; hypokalemia, hyponatremia, metabolic acidosis; increase of blood lipid levels, urea, uric acid; reduced glucose tolerance; hearing disorders, tinnitus; pancreatitis, GI symptoms; anaphylactic & anaphylactoid reactions; cutaneous reactions (eg itching, urticaria, bullous eruptions, erythema multiforme, exfoliative dermatitis)

drug without regards to meals Monitor serum elctrolytes, hydration, liver and reanal function