Vous êtes sur la page 1sur 11

Dosage, Route,

Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Inhibits sympathetic Mild to moderate CNS: Fatigue, insomnia, Use cautiously with Independent:
clonidine 75mcg/tab, 1 tab vasomotor center in CNS, hypertension hallucinations, delirium, severe coronary Advise patient that compliance is
which reduces impulses in nervousness, insufficiency, recent MI, necessary; not to skip or stop
Route: sympathetic nervous restlessness, anxiety, cerebrovascular product unless directed by
Brand: SL system; B/P, pulse rate, depression, retinal disease and chronic prescriber.
Catapres cardiac output decreased; degeneration renal failure.
Frequency: prevents pain signal CV: Heart failure, Avoid sudden Administer drug with or without
Q4H PRN if BP transmission in CNS by a- orthostatic hypotension, discontinuance. food.
>160/90 adrenergic receptor ECG abnormalities
ENDO: Hyperglycemia
stimulation of the spinal Teach patient to comply with
GU: Impotence, dysuria,
Timing: cord. nocturia, gynecomastia dosage schedule even if feeling
MISC: Withdrawal better.
symptoms
Classification Contraindications Side Effects Instruct patient to notify physician
Functional: Hypersensitivity to any Drowsiness of mouth sores, sore throat, fever,
adhesive layer Dizziness swelling of hands or feet, irregular
Chemical: components of Light- headedness heartbeat, chest pain and signs of
transdermal system; Headache angioedema.
Weakness
Dry mouth Teach patient that product may
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: MS: Muscle and joint cause skin rash or impaired
pain, leg cramps perspiration.
Route:
Brand: Teach patient to avoid hazardous
Frequency: activities, since product may cause
drowsiness and dizziness.
Timing:
Teach patient to administer 1 hr
before meals.

Monitor vital signs.

Classification Contraindications Side Effects Check for edema in feet, legs


Functional: (epidural) bleeding Nightmares daily; monitor I&O; check for
disorders, Decreased libido decreasing output.
Chemical: anticoagulants Breast enlargement
Sore breast Instruct patient not to discontinue
Palpitations drug abruptly, or withdrawal
symptoms may occur: anxiety,
increased B/P,
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: headache, insomnia, increased
pulse, tremors, nausea,
Route: sweating.
Brand:
Frequency: Caution patient to change position
slowly,
Timing: to rise slowly to sitting or standing
position to
minimize orthostatic hypotension,
especially
geriatric

Classification Contraindications Side Effects Dependent:


Functional: Administer medication as
prescribed by physician.
Chemical:
Follow up the health program
given by the physician.
Collaborative:
Cardiac Rehabilitation
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Fourth-generation Moderate to severe CV: Phlebitis History of Independent:
Cefepime HCL 1gm cephalosporin that inhibits pneumonia caused by GI: Colitis, diarrhea, hypersensitivity. Before giving medication, ask
Route: bacterial cell-wall Streptococcus vomiting, oral candidiasis Suspected clostridium patient if he is allergic to penicillin
Brand: GI: vaginitis difficile-associated or cephalosporin.
IVTT synthesis, promotes pneumonia,
Axera Skin: rash, pruritus, diarrhea. History of Advise patient that compliance is
Frequency: osmotic instability, and Pseudomonas urticaria colitis. Renal or hepatic necessary; not to skip or stop
OD destroys bacteria aeruginosa, K. Other: anaphylaxis, pain, impairment. Poor product unless directed by
Timing: Pneumoniae or inflammation, nutritional state; prescriber.
receiving protracted
12 enterobacter species hypersensitivity reactions Monitor patient for superinfection.
course of antimicrobial
Drug may cause overgrowth of
therapy or previously
stabilized on nonsusceptible bacteria or fungi.
anticoagulant therapy. Advise patient to notify prescriber
Cefepime can increase if rash develops or if sign and
ALT and AST levels. It symptoms if superinfection appear
can alter PT and PTT. such as recurring fever, chills and
Classification Contraindications Side Effects May cause false-positive malaise
Functional: hypersensitivity to Fever, headache, nausea results of coombs test and Dependent:
Anti-infectives, cephalosphorins, urine glucose tests that Obtain culture and sensitivity tests
Chemical: penicillin pr other B- are cupric sulphate. before giving. Therapy may begin
lactam antibiotics pending results
cephalosporin
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Inhibits the movement of Treatment of CV:Palpitations, flushing Patients with Independent:
Amlodipine 10 mg/tab calcium ions across the Hypertension and tachycardia, peripheral or hypotension, poor Monitor patient carefully. Some
Route: PO membranes of cardiac and prophylaxis of angina
facial edema, bradycardia, cardiac reserve, heart patients, especially those with
Besylate arterial muscle cells; chest pain, syncope, failure; severe aortic severe obstructive coronary
inhibits transmembrane calcium postural hypotension. stenosis. Should not artery disease, have developed
Frequency: OD flow, which results in the CNS:Light-headedness, be used to treat increased frequency, duration or
Brand: fatigue.
depression of impulse angina attack in severity of angina or acute MI
Amlodine GI:Abdominal pain,
Timing: 8 formation in specialized cardiac chronic stable angina. after initiation of calcium channel
anorexia, constipation,
pacemaker cells, slowing of the Sudden withdrawal blocker therapy or at time
dyspepsia, dysphagia,
velocity of conduction of the may exacerbate dosage increase
diarrhea, flatulence,
cardiac impulse, depression of vomiting. angina. Hepatic Monitor blood pressure
myocardial contractility, and impairment. frequently during initiation of
dilation of coronary arteries Discontinue if patient therapy. Because drug induced
and arterioles and peripheral experienced ischemic vasodilation has a gradual onset,
arterioles; these effects lead to pain acute hypotension is rare.
Classification decreased cardiac work, Contraindications Side Effects Advise patient to notify physician
Functional: decreased cardiac oxygen Patients with Dizziness, headache, if signs of heart failure occur,
Antianginal drug consumption, and in patients cardiogenic shock, Nausea such as swelling of hands, and
Antihypertensive with vasospastic (Prinzmetals) feet or shortness of breath.
recent MI, acute
Chemical: angina, increased delivery of Tell patient to continue taking
oxygen to cardiac cells. unstable angina attack drug even when feeling better
Calcium channel-
blocker Monitor intake andoutput ratios and

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Urogenital:Sexual dailyweight. Assess forsigns of CHF
dysfunction, frequency, (peripheraledema,
nocturia. rales/crackles,dyspnea, weight
Route: Respiratory:Dyspnea. gainand jugular venousdistention
Brand: Skin:Flushing, rash. Advise patient to take missed
Frequency:
other:Arthralgia, cramps, doses as soon as possible unless
myalgia almost time for next dose. Do not
double doses.
Timing: Caution patient to change position
slowly to minimize orthostatic
hypotension.
Caution patient to wear protective
clothing and use sunscreen to
prevent photosensitivity reaction.
Classification Contraindications Side Effects
Functional:

Chemical:
Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Prevention of Instruct patient to swallow whole.
Calcium 225 mg/ tab Osteoporosis and They should not crush.
carbonate Route: calcium insufficiency
PO during pre and post
menopause
Brand:
Frequency:
Calvit
OD

Timing:
8

Classification Contraindications Side Effects


Functional: Not recommended
Anti anemics during pregnancy and
lactation
Chemical:
Vitamins with
minerals

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Blocks vasoconstricting Treatment of essential CNS: Pain, headache Renovascular Independent:
Telmisartan 50mg/tab and aldosterone secreting hypertension CV: chest pain, hypertension, renal and Drug isnt removed by
Route: effects of angiotensin II hypertension, peripheral hepatic impairment and hemodialysis. Patients undergoing
edema kidney transplant, dialysis may develop orthosatic
Brand: PO by selectively blocking the
EENT: pharyngitis, intravascular volume hypotension. Closely monitor blood
Micardis Frequency: binding of angiotensin II sinusitis depletion, other pressure
OD to the angiotensin I or GI: abdominal pain, conditions with Instruct patient that if he feels
Timing: AT1, receptor in many diarrhe, dyspepsia stimulation of the dizzy or has low blood pressure on
8 tissues such as vascular GU: UTI rennin-angiotensin- standing, he should lie down, rise
smooth muscle and the Musculoskeletal: back aldosterone system,a slowly from a lying to standing
adrenal gland pain , myalgia primary aldosteronism, position.
Respiratory: cough, URTI aortic and mitral Instruct patient that drug may be
Other: flulike symptoms stenosis, obstructive taken with or without meals
hypertrophic Instruct patient not to remove
Classification Contraindications Side Effects cardiomyopathy, drug from blister-sealed packer
Functional: Pregnancy and Dizziness, fatigue, hyperkalemia, until immediately before use.
Antihypertensive Lactation, biliary nausea hereditary fructose Dependent:
Chemical: obstructive disorders, intolerance Monitor patient for hypotension
after starting drug. Place patient
Angiotensin II severe hepatic
supine if hypotension occurs and
receptor impairment give I.V. normal saline if needed.

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Most of the antihypertensive effect
occurs within 2 weeks. Maximal
Route: blood pressure reduction is usually
reached after 4 weeks. Diuretic
Brand: may be added if blood pressure
Frequency: isnt controlled by drug alone.

Timing:
Classification Contraindications Side Effects
Functional:

Chemical:
Antagonist

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Isosorbide mononitrate is Prophylactic treatment CNS: weakness May impair the ability Independent:
Isosorbide 60mg/tab a long-acting metabolite of angina pectoris CV: Orthostatic to drive or operate Monitor blood pressure and
mononitrate Route: of the coronary hypotension, tachycardia, machinery intensity and duration of response
PO vasodilator palpitations, ankle Drug should not be to drug
Brand: Frequency: isosorbidedinitrate. It edema, fainting discontinued abruptly. Instruct patient to take medication
Imdur OD decreases preload as GI: vomiting Coronary spasm may regularly, even long term if
Timing: measured by pulmonary Local: sublingual burning occur ordered and to keep it easily
8 capillary wedge Skin: cutaneous accessible at all times.
pressure(PCWP), and left vasodilation, flushing Advise patient to avoid alcoholic
ventricular end volume Other: hypersensitivity beverages; they may produced
and diastolic pressure reactions increased hypotension
(LVEDV), with Instruct patient to change position
Classification aconsequent reduction in Contraindications Side Effects slowly to prevent orthostatic
Functional: myocardial oxygen Shock, constrictive Headache, Dizziness, hypotension
cardiovascular consumptio cardiomyopathy, nausea Instruct patient to store drug in
agent pericarditis cool place, tightly closed container,
Chemical: away from light.
nitrate vasodilator Dependent:
It may cause headaches, especially
at first. Treat it with aspirin

Dosage, Route,
Name of Drug Frequency and Mechanism of Action Indication Adverse Reactions Special Precautions Nursing Responsibilities
Timing
Generic: Dosage: Iberet-Folic 500 is a Treatment and Allergic reactions, GI Pernicious anemia.
Iberet-folic- 500 hematinic containing iron prevention of iron effects, Patients with chronic
Route: in a sustained-release deficiency and hyperbilirubinemia, renal failure and
system, vitamin C for acneform receiving acetylsalicylic
Brand: PO concomitant folic acid
enhancement of iron vulgarisdeterioration or acid. Hemotologic
Frequency: absorption, and the deficiency with acneform exanthema remission may occur
OD vitamin B complex associated deficient eruption, bright yellow while neurological
Timing: including folic acid. intake or increased urinediscoloration, manifestations remain
8 Iron: Iron is required for need for vitamin B flushing, , peripheral progressive.
hemoglobin (Hb) complex in non- sensoryneuropathies, Serum B12 levels
production so that iron pregnant adults stone formation, should be regularly
deficiency will cause crystalluria & oxalosis, assessed in elderly and
production of smaller red black discoloration patients with condition
Classification cells, which contain lower Contrainditions Side Effects leading to vitamin b12
Functional: level of Hb and can cause Thalasemia, dizziness or faintness depletion
Antienemics microcytic hypochromic sideroblastic anemia,
anemia.
Chemical: hemochromatosis and
Vitamin C: Vitamin C
Vitamin and supports the body's hemosiderosis
Mineral metabolism and helps
absorption of iron from
the duodenal level. Folic
Acid: Folic acid is
influencing hematopoietic
system like vitamin
B12 deficiency does.