West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City DRUG STUDY Name of Patient: ______________________________ Age:

________ Name of Drug Generic: Atorvastatin calcium Brand: Dosage, Route, Frequency, Timing Dosage: 80mg/tab, 1 tab Mechanism of Action Inhibits HMG-CoA reductase, the enzyme that catalyzes the first step in the cholesterol synthesis pathway, resulting in a decrease in serum cholesterol, serum LDLs (associated with increased risk of CAD) and increase serum HDLs (associated with CAD); increases hepatic LDL recapture sites, enhances reuptake and catabolism of LDL; lowers triglyceride levels. Ward / Bed Number: ____________ Indication Reduction of risk of MI, fatal and nonfatal stroke and heart failure in patients with clinically evident CAD Adverse Reactions Asthenia, liver failure, sinusitis, pharyngitis, rhabdomyolysis with acute renal failure, arthralgia, myalgia, infections Attending Physician: ________________________ Impression/Diagnosis: _______________________ Special Precautions Use catiously in patients with impaired endocrine function, history of liver disease and alcoholism. Nursing Responsibilities 1. Assess patients history and patients. 2. Obtain liver function test and periodically during therapy. 3. Ensure that the patient is in low cholesterol diet before beginning the drug therapy. 4. Inform patient that the drug could be taken without regard to food. 5. Arrange patient to have periodic blood test. 6. Educate client about side effects of medications and inform to notify prescriber if sx occur .

Route: PO

Classification Functional: Antihyper lipidemic

Frequency: OD

Contraindications Hypersensitivity to the drug Patients with active hepatic disease Pregnancy and lactation

Side Effects Headache, flatulence, abdominal pain, cramps, constipation, nausea, dyspepsia, heartburn

Chemical: HMG-CoA reductase inhibitor

Timing: 8pm

Students Name:_______________________________ Clinical Instructor: __________________________

West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City DRUG STUDY Name of Patient: ______________________________ Age: ________ Name of Drug Generic: lactulose Dosage, Route, Frequency, Timing Dosage: 30cc Mechanism of Action Ward / Bed Number: ____________ Indication Adverse Reactions Acid-base imbalance Electrolyte imbalance Attending Physician: ________________________ Impression/Diagnosis: _______________________ Special Precautions Use cautiously in patients with diabetes, pregnancy and lactation Nursing Responsibilities 1. Assess patients history and allergy. 2. Monitor serum ammonia and glucose levels. 3. Monitor for fluid and electrolyte, and acidbase balance. 4. Monitor urine output and assess mental condition. 5. Educate client about side effects of medications and inform to notify prescriber if sx occur

Brand: Lilac

Route: PO

Classification Functional: laxatives

Frequency: OD

Chemical: Ammonia reduction drug

The drug passes Adjunct therapy to unchanged into the prevent straining. colon where the bacteria break it down to organic acids that increase the osmotic pressure in the colon and slightly acidify the colonic contents, resulting in an increase in stool water content, stool softening, laxative Contraindications action. This also results Hypersensitivity to in migration of blood the drug ammonia into the colon contents with subsequent trapping and expulsion in the feces.

Side Effects Transient flatulence, distention, intestinal cramps, belching, diarrhea, nausea

Timing: 8pm

Students Name: ____________________________ Clinical Instructor: __________________________