Vous êtes sur la page 1sur 3

DRUG NAME

CLASSIFICATION

Therapeutic class

Action

Adverse effects

Nursing responsibility

Clopidogrel

Adenosine diphosphate
(ADP) Receptor
Antagonist

Platelet Aggregation
Inhibitor

Inhibits platelet
aggregation by
blocking ADP
receptors on platelets,
preventing clumping of
platelets

CNS: Headache, dizziness,


weakness, syncope,
flushing

1. Take history of the


patient: allergy to
clopidogrel, bleeding
disorders, recent
surgery, hepatic
impairment, peptic ulcer

75 mg/tab

CV: Hypertension, Edema


Dermatologic: Rash,
Pruritus
GI: Nausea, GI distress,
Constipation, Diarrhea, GI
Bleed
Other: Increased bleeding
risk

2. Take note patients


skin color, temperature,
lesions, orientation,
reflexes, BP, Orthostatic
BP, Baseline ECG,
Peripheral Perfusion,
Adventitious Sounds
3. Provide small,
frequent meals if GI
upset occurs
4. Provide comfort
measures and arrange
for analgesics if
headache occurs
5. Teach patient and/or
patients relative to
follow medication
regimen

DRUG NAME

CLASSIFICATION

Therapeutic class

Action

Atorvastatin

HMG-COA Reductase
Inhibitor

Antihyperlipidemic

Inhibits HMG-CoA
reductase, the enzyme
that catalyzes the first
step in the cholesterol
synthesis pathway,
resulting in a decrease
serum cholesterol,
serum LDLs
(associated with
increased risk of CAD),
and increases serum
HDLs (associated with
decreased risk of
CAD); increases
hepatic LDL recapture
sites, enhances
reuptake and
catabolism of LDL;
lowers triglyceride
levels

40 mg/tab

Adverse effects
CNS: Headache, Asthenia
GI: Flatulence, Abdominal
pain, Cramps, Constipation,
Nausea, Dyspepsia,
Heartburn, Liver failure

Nursing responsibility
1. Take history of the
patient: allergy to
atorvastatin, hepatic
disease, acute serious
illness

2. Take physical status


of patient: orientation,
affect, muscle strength,
liver evaluation,
Other: Rhabdomyolysis with abdominal examination,
acute renal failure,
lipid studies, LFTs,
arthralgia, myalgia
Renal Function Tests
Respiratory: Sinusitis,
Pharyngitis

3. Educate patient
and/or patients relative
to administer drug
without regard to food,
but same time each day
4. Advise patient and/or
patients relative to
report muscle pain,
weakness, tenderness,
malaise, fever, changes

in color of urine or stool,


swelling

DRUG NAME
Fluimucil
250 mg/ sachet

CLASSIFICATION

Therapeutic class

Action

Adverse effects

Nursing responsibility
1