NURS 1566 Clinical Form 3: Clinical Medications Worksheets
(You will need to make additional copies of these forms)Generic NameSimvastatinTrade NameZocor ClassificationLipid-loweringagentDose80mgRoutePOTime/frequencyQ HSPeak UnknownOnsetUnknownDurationUnknown Normal dosage range5-80 mg/day in the eveningWhy is your patient getting this medicationHypercholesterolemiaFor IV meds, compatibility with IV drips and/or solutions N/AMechanism of action and indicationsInhibit an enzyme, 3-hydroxy-3 methylglutarylcoenzymeA reductase, which is responsible for catalyzing an earlystep in the synthesis of cholesterol.
Nursing Implications (what to focus on)
Contraindications/warnings/interactionsHypersensitivity, acute hypotension, major surgery, trauma,severe metabolic disturbances, endocrine or electrolytedisorders.Common side effectsDizziness, headache, insomnia, weakness, rhinitis, bronchitis, Abdominal cramps, constipation, diarrhea,flatus, heartburn, altered taste, rashes, pruritus.Interactions with other patient drugs, OTC or herbalmedicines (ask patient specifically)UnknownLab value alterations caused by medicineEvaluate serum cholesterol and triglyceride levels beforeinitiating after 4-6 wk of therapy, and periodicallythereafter. If muscle tenderness develops monitor CPK levels.Be sure to teach the patient the following about thismedicationTake medication as directed & do not skip doses, or double up on missed doses. Avoid drinking more than 1 qtgrapefruit juice during therapy. This medication should beused in conjunction with diet restrictions, exercise, andsmoking cessation. Photosensitivity (rare).
Nursing Process- Assessment
(Pre-administration assessment)Obtain dietary history, ophthalmic exams arerecommended before and yearly duringtherapy.
Why would you
hold or not give
thismed?Hypersensitivity reaction, muscletenderness.
givingEvaluate serum cholesteroland triglyceride level 4-6weeks after the initiation of therapy, and periodicallythereafter.