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INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)


Generic Trade Classification Dose Route Time/Frequency
Name Name
amlodipine Norvasc antihypertensive 5mg PO qday

Peak Onset Duration Normal Dosage Range


5-10mg qday
6-9hr unknown 24 hr
Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions
Hypertension

Mechanism of action and indications Nursing Implications (what to focus on)


Alone or with other agents in the management of Contraindications/warnings/interactions hypersensitivity, BP <90 mmHg;
hypertension, angina pectoris, and vasospastic Use cautiously in: severe hepatic impairment (dosage reduction); geriatric
(Prinzmetal's) angina patients (dosage reduction); aortic stenosis; history of CHF; pregnancy,
lactation, or children
Systemic vasodilation resulting in decreased BP
Coronary vasodilation resulting indecreased frequency and Common side effects headache, dizziness, fatigue, peripheral edema,
severity of attack of angina angina, bradycardia, hypotension, palpitations, gingival hyperplasia,
nausea, flushing

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Total serum calcium concentrations are not affected by calcium channel blockers.
fentanyl, antihypertensives, nitrates, alcohol, quinidine,
nonsteroidal anti-inflammatory agents, lithium
Be sure to teach the patient the following about this medication
Monitor pulse, HR (call doctor if <50bpm); change position slowly (hypotension);
may cause drowsiness or dizziness; good dental hygiene; avoid alcohol; OTC
meds; irregular heart beats; dyspnea; swelling of hands and feet; nausea;
constipation; headache; chest pain; shortness of breath; exercise restrictions;
weight reduction; low-sodium diet; smoking cessation; stress management.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
Monitor BP and pulse, ECG for prolonged this med? Decrease in BP
therapy; Daily weight; intake/output; signs signs of CHF: peripheral edema, rales/ Decrease in frequency and severity of anginal
of CHF; for angina assess location, duration, crackles, dyspnea, weight gain, jugular attacks.
intensity, and precipitating factors of patient's venous distention. Decrease in need for nitrate therapy
anginal pain Increase in activity tolerance and sense of
well-being