DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS

ADVERSE REACTION CONSIDERATION

Date Ordered: Adjuct to diet in the Inhibits HMG-CoA SE: Nausea, Physical: Orientation,  Eat frequent
07/17/10 treatment of elevated reductase, the headache, muscle affect; liver small meals.
total cholesterol & enzyme that catalyzes and joint aches/pains, evaluation; lipid
Generic Name: LDL cholesterol with the first step in the sensitivity to light studies  Use sunscreen
Simvastatin primary cholesterol synthesis and wear
hypercholesterolemia pathway, resulting in AE: Severe GI upset,  Consider reducing protective
Brand Name: a decrease in serum changes in vision, the dose if clothing.
cholesterol, serum unusual cholesterol falls
Classification: LDLs, and either an bleeding/bruising, below target.  Take drug in
Anti-hyperlipidemic increase or no change dark urine, light evening.
in serum HDLs. colored stools, fever,
Dosage: muscle pain,  Don’t drink
40 mg 1 tab OD-HS soreness. grapefruit juice.

DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS

ADVERSE REACTION CONSIDERATION
Date Ordered: Hypertension, used Stimulates CNS SE: drowsiness, History:  Avoid alert
07/17/10 alone/part of alpha2 – adrenergic dizziness, hypersensitivity to activities such as
combination receptors, inhibits lightheadedness, clonidine, severe driving.
Generic Name: sympathetic headache, weakness, coronary
Clonidine cardioaccelerator and dry mouth, GI upset, insufficiency, recent  Eat frequent
hydrochloride vaso constrictor dreams, nightmares, MI, cerebrovascular small meals.
centers and decrease impotence disease
Brand Name: sympathetic out flow  Suck sugarless
Catapres from CNS. AE: urinary retention, lozenges or ice
changes in vision, chips.
Classification: blanching of fingers,
Anti-hypertensive rash  Get up slowly.

Dosage:
75 mcg ½ tab
if MAP > 120
 DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS
ADVERSE REACTION CONSIDERATION
Date Ordered:  Treatment of Inhibits platelet SE: dizziness,History: allergy to  Lie down in a cool
07/17/10 patient at risk for aggregation by lightheadedness, clopidogel, recent environment and
ischemia events blocking ADP headache, nausea, surgery, hepatic rest.
Generic Name: such as recent receptors on gastric distress,impairment
Clopidogrel MI, recent platelets, preventing prolong bleeding  Eat frequent
ischemia CVA. clumping of platelets. Physical: skin color, small meals.
Brand Name: AE: skin rash, chest temperature, lesions;
Plavix  Treatment of pain, fainting, severe orientation; BP,
patient with headache, abnormal baseline ECG;  Alert dentist and
Classification: acute coronary bleeding. adventitious sounds health care
Anti-platelet syndrome. providers.

Dosage:
75 mg 1 tab OD

DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS

ADVERSE REACTION CONSIDERATION
Date Ordered: A supplement used to  For post Cardio SE: Low blood History: 
07/17/10 improve thinking, Vascular Accident pressure ( faintness, hypersensitivity to
learning, and memory / Stroke. dizziness ), Slow or citicholine,
Generic Name: in elderly people. fast heart beat,
Citicholine  Treatment on Headache, Nausea
elderly, for faster and Vomiting or
Brand Name: improvement on diarrhea
Somazine thinking ability
AE: Itching or hives,
Classification: swelling in your face
Neurotonics or hands, swelling or
tingling in your
Dosage: mouth or throat,
500 mg 1 cap bid chest tightness,
trouble breathing, or
rash.
 DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS
ADVERSE REACTION CONSIDERATION
Date Ordered: Prevention and Principal intracellular SE: Nausea, vomiting, History: Acute  Take drug after
07/17/10 correction of cation of most body diarrhea, abdominal dehydration, heat meals with food
tissues, participates discomfort cramps, cardiac and a full glass of
potassium deficiency.
Generic Name: in a number of disorders water to decrease
Potassium Chloride physiologic processes AE: tingling GI upset.
– maintaining hands/feet, unusual Physical: Skin color,
Brand Name: intrecellular tonicity, weakness, feeling of lesions; baseline ECG;  Swallow tablets
Kalium Durule transmission of nerve heaviness in the legs, bowel sounds, whole. Do not
impulses, contraction severe nausea, abdominal exam; chew or crush.
Classification: of cardiac, skeletal, vomiting, abdominal urinary output; serum
Electrolytes and smooth muscle, pain, black/tarry electrolytes  Do not use salt
maintaining renal stools. substitute.
Dosage: function; also plays a
1 durule bid x 2 days role in carbohydrate  Have periodic
metabolism and blood tests and
various enzymatic medical
reactions. evaluation.

DRUGS INDICATION ACTION SIDE EFFECT/ NURSING PATIENT TEACHINGS

ADVERSE REACTION CONSIDERATION
Date Ordered: Treatment of Treatment in wet SE: none History: Allergy, 
07/17/10 acute bronchitis, cough. hepatic cirrhosis,
chronic bronchitis AE: Sweating, vertigo, cystathionine
Generic Name: flushing -synthetase enzyme
and its exacerbations.
Erdosteine deficiency
Respiratory disorders
Brand Name: Ectrin characterized by
abnormal bronchial
Classification: secretions and
Mucolytics impaired mucus
transport.
Dosage:
300 mg 1 tab bid
 DRUGS INDICATION ACTION SIDE EFFECT/ ADVERSE NURSING CONSIDERATION PATIENT TEACHINGS
REACTION
Date Ordered: Treatment and Low molecular weight SE: chills, fever, asthma, History: Recent surgery,  Have periodic blood tests to
07/17/10 prevention for deep heparin that inhibits hyperkalemia, pain, local sensitivity to heparin, pork monitor response to this drug.
thrombus and clot formation irritation products
vein thrombosis,
Generic Name: by blocking factor Xa, factor  You and a significant other may
pulmonary embolism,
Enoxoparin IIa, preventing the formation AE: Nose bleed, bleeding of Physical: PTT or other test of need to learn to give drug by
myocardial infarction, of clots. the gums, unusual bruising, blood coagulation, platelet subcutaneous injection and how
Brand Name: and thrombo-embolic black or tarry stools, cloudy count, renal function tests to properly dispose needles and
Clexane disorders. or dark urine, abdominal or syringes.
lower back pain, severe
Classification: headache.  Use electronic razor to avoid
Anti-thrombotic injury while taking this drug.

Dosage:
0.4cc SC Q12
if systolic < 140

DRUGS INDICATION ACTION SIDE EFFECT/ ADVERSE NURSING CONSIDERATION PATIENT TEACHINGS
REACTION
Date Ordered: Essential Inhibits the movement of SE: Nausea, vomiting, History: Allergy to  Take meals if upset stomach
07/17/10 hypertension, alone calcium ions across the headache amlopidine, heart block, occurs.
membranes of cardiac and hepatic/renal failure
or in combinations
Generic Name: arterial muscle cells; inhibits AE: Irregular heartbeats,  Eat frequent small meals.
with hypertensive
Amlopidine transmembrane calcium shortness of breathing, Physical: Skin lesions, color,
flow, which results in the swelling of hands/feet, edema; BP, baseline ECG,  Adjust lightning, noise, and
Brand Name: depression of impulse dizziness, constipation auscultation; adventitious temperature.
Norvasc formation in specialized souns, liver evaluation,
cardiac pacemaker cells, urinalysis, renal function
Classification: slowing the velocity of tests.
Anti-hypertensive conduction of cardiac
Calcium channel impulse, depression of
blocker myocardial contractility, and
dilation of coronary arteries
Dosage: which leads to decreased
5 mg 1 tab OD cardiac work and cardiac
If systolic < 130 oxygen consumption.