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 antianginals 50mg PO Once/daily - antianginal
antihypertensives 25-50mg PO once/daily - antihypertensive
atenolol Tenormin 50mg PO given 10 min after last IV dose, then 50mg 12 hr later,
then 100/mg/day as a single dose - MI
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
2-4 hr 1 hr 24 hr
Why is your patient taking this medication?

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

Management of hypertension; management of angina
pectoris; prevention of MI.
Decreased BP and HR.
Decreased frequency of attacks of angina pectoris.
Prevention of MI
Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
General anesthesia; IV phenytoin; verapamil; digoxin;
antihypertensives; alcohol; nitrates; amphetamine; cocaine;
ephedrine; epinephrine; norepinephrine; phenylephrine;
pseudoephedrine; thyroid; insulins; oral hypoglycemic
agents; theophylline; dopamine; dobutamine;
MAO inhibitor.
Nursing Process - Assessment
(Pre-administration assessment
Vital Signs
Monitor intake and output ratios and daily
weights. Assess routinely for CHF. Assess for
frequency of angina.
Contraindications/warnings/interactions Uncompensated CHF; pulmonary
edema; cardiogenic shock; bradycardia or heart block. Use cautiously in:
Renal impairment; geriatric patients; pulmonary disease; diabetes mellitus;
thyrotoxicosis; severe allergic reactions; pregnancy; lactation; children
Common side effects fatigue; weakness; anxiety; depression; dizziness;
brady cardia; CHF; pulmonary edema; hypotension; peripheral vasoconstriction;
constipation; diarrhea; nausea; vomiting; impotence; urinary frequency; rash;
hyperglycemia; hypoglycemia; arthralgia; back pain; joint pain; blurred vision;
nervousness; bronchospasm; wheezing.
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Take at same time each day; check pulse and BP; change position slowly;
may increase sensitivity to cold; consult doctor before taking OTC meds;
diabetic patients should montior blood glucose levels; notifiy doctor of slow
pulse, dizziness, light-headedness, unusual bleeding, bruising; additional
therapy of weight loss; Na+ restriction; stress reduction; exercise, no smoking or alcohol
Assessment Evaluation
Why would you hold or not give Check after giving
this med? Decrease in BP
Bradycardia (<60) Reduction in frequency of angina
Increase in activity tolerance
Prevention of MI
or alcohol