Methyldopa

250 mg/tab q6

Classification Action Indication Contraindication Side Effects Nursing

Responsibilities

Antihypertensive The active Treatment of Active liver Dizziness Check BP and

metabolite, alpha- sustained moderate disease Dry mouth pulse at least
methyl- to severe Sensitivity to Headache q30min until
norepinephrine, hypertension, drug stabilized
Be aware that
lowers BP by particularly in
transient
stimulating central patients with kidney sedation,
inhibitory alpha- dysfunction. drowsiness,
adrenergic Parenteral form has mental
receptors, false been used for depression,
neurotransmission, treatment of weakness, and
and/or reduction of hypertensive crises headache
commonly occur
plasma rennin. but is not preferred
during first 2472
because of its slow h of therapy or
onset of action whenever dosage
is increased.
Symptoms tend to
disappear with
continuation of
therapy or dosage
reduction.
Monitor fluid and
electrolyte
balance and I&O.
Report oliguria
and changes in
I&O ratio. Weigh
patient daily, and
check for edema
 because
methyldopa
favors sodium
and water
retention.
Be alert to and
report symptoms
of mental
depression (e.g.,
anorexia,
insomnia,
inattention to
personal hygiene,
withdrawal).
Drug-induced
Report any S&S
of infection such
as fever, or sore
throat.
 Ferrous Fumarate
500 mg 1tab OD

Classification Action Indication Contraindication Side Effects Nursing

Responsibilities

Antianemic Iron is absorbed Used for Hemosideros Constipation Give drug with
Iron from the Supplementing iron in is Nausea meals, if GI
duodenum and the diet and preventing Peptic ulcer Dark colored discomfort is
upper jejunum by or treating low levels of Ulcerative stools severe; slowly
colitis increase to build
an active iron in the blood. It also
up tolerance
mechanism may be used for other Administer liquid
through the conditions as preparations in
mucosal cells determined by your water or juice to
where it combines doctor. mask the taste
with the protein and prevent
transferrin. Iron is staining of the
teeth; have the
stored in the body
patient drink the
as hemosiderin or solution with
aggregated ferritin straw
which is found in Warn patient that
reticuloendothelial stool may be
cells of the liver, dark or green
spleen and bone Do not crush or
chew sustained
marrow.
release products
 Multivitamins+amino acid 1cap TID

Classification Action Indication Contraindication Side Effects Nursing Responsibilities

Vitamins these vitamins This medication Hypersensitivity to Constipatio Assess patient for
are a diverse group is a multivitamin preservatives, n signs of nutritional
of compounds product used to colorants, or diarrhea deciency before
necessary for treat or prevent additives, including upset and throughout
stomach therapy.
normal growth and vitamin tartrazine,
If overdose occurs,
development. deficiency due saccharin, and treatment includes
Many act as to poor diet, aspartame induction of emesis
coenzymes or certain or gastric lavage,
catalysts in illnesses, or calcium gluconate
numerous during IV if hypocalcemic,
metabolic pregnancy. and maintenance of
high urine output
processes Vitamins are
Encourage patient
important to comply with
building blocks recommendations
of the body and of health care
help keep you professional.
in good health. Explain that the
best source of
vitamins is a well-
balanced diet with
foods from the4
basic food groups.
 Nifedipine 30mg cap q8

Classification Action Indication Contraindication Side Effects Nursing

Responsibilities

Calcium channel Inhibit the influx It works by

blocker of calcium relaxing the Hypersensivi Flushing Monitor blood
through the cell muscles of ty Headache pressure
membrane, your heart Lactation Dizziness During titration
and blood period, note any
resulting in a
vessels hypotensive
depression of Nifedipine is response,
automaticity and used to treat increased HR that
conduction hypertension result from
velocity leading to (high blood peripheral
a depression of pressure) vasodilation; may
contraction. Also and angina precipitate angina
(chest pain). Monitor for
dilates coronary
gingival
vessels in both
hyperplasia and
normal and report promptly.
ischemic tissues This is a rare but
and inhibits serious adverse
spasms of effect (similar to
coronary arteries. phenytoin-
induced
hyperplasia).

Inspect gums
visually every
day. Changes in
gingivae may be
gradual, and
bleeding may be
exhibited only
with probing.
 Dexamethasone

6mg IM q12

Classification Action Indication Contraindication Side Effects Nursing

Responsibilities
Glucocorticoid Long acting. Low Dexamethasone Hypersensitivit Dizziness Monitor intake
degree of sodium is a corticosteroid y Nausea and output of
and water that prevents the Active Indigestion patient.
retention. release of untreated Observe the
infection patient for
Dieresis may substances in the
Systemic peripheral
ensue when body that cause fungal edema, steady
transferred from inflammation. infection weight gain,
other . rales or
corticosteroid to crackles or
dexamethasone. dyspnea. Notify
the physician
immediately if
these clinical
manifestations
are noted.
For patients
with cerebral
edema, assess
then for level of
consciousness
changes and
headache
during the
therapy.
Administer with
meals to
minimize GI
irritation.
For patients
with difficulty
swallowing,
tablets can be
crushed and
administered
with fluids or
 food. However,
capsules should
be swallowed
whole.
Educate the
patient to take
missed doses
as soon as
remembered,
unless almost
time for the next
dose skip the
missed dose
and continue
your regular
dosing
schedule. Do
not take a
double dose to
make up for a
missed one.

Hydralazine 5mg IV

Classification Action Indication Contraindication Side Effects Nursing Responsibilities

Vasodilator Acts directly on Treating severe Hypersensitivity nausea Check blood

vascular smooth high blood Heart failure shortness pressure
muscle to cause pressure in of breath Use parenteral
vasodilation, patients who sweating drug immediately
primarily cannot take after opening
arteriolar, hydralazine by Instruct to take
drug exactly as
decreasing mouth or when
prescribed.
peripheral the need to Discontinue if
resistance; lower blood blood dyscrasias
maintains pressure is occur
or increases urgent. Monitor for
renal and orthostatic
cerebral flow. hypotension
Report persistent
or severe
constipation,
unexplained fever
or malaise, muscle
or joint
aching,chest pain,
rash,
numbness,tingling.