Drug Order Generic Name: Amlodipine Brand Name: Norvasc Classificati on: -Calcium channelblocker -Antianginal Drug Antihyperte nsive

Mechanis m of Action Inhibits the movement of calcium ions across the membrane s of cardiac and arterial muscle cells; inhibits transmemb rane calcium flow, which results in the depression of impulse formation in specialized cardiac pacemaker cells, slowing of the velocity of conduction of the cardiac impulse, depression of myocardial contractilit y, and dilation of coronary arteries and

Indication Angina pectoris due to coronary artery Spasm, Chronic stable angina, alone or in combinatio n with other agents, Essential hypertensio n, alone or in combinatio n with other antihyperte nsive

Contraindication The presence of any allergies to nitrates. These drugs are also contraindicated in the following conditions: Sever e anemia, head trauma or hemorrhage, preg nancy and lactation.

Adverse Effect CNS: Dizziness, lightheaded ness, headache, asthenia, fatigue, lethargy CV: Peripheral edema, arrhythmias Dermatolog ic: Flushing, rash GI: Nausea, abdominal Discomfort

Nursing Responsibil ities BEFORE: -Obtain patients history to allergy of amlodipine. -Assess vital signs before therapy. DURING: -Monitor patient’s BP, cardiac rhythm -Monitor intake and output. AFTER: -Monitor vital signs. -Be alert for adverse effect. >Advise patient to take medication as directed, even if feeling well. >Take missed doses as soon as possible unless almost time for next dose; do

increased delivery of oxygen to cardiac cells. not double doses. > Advise patient to notify health care professiona l if irregular heartbeats.arterioles and peripheral arterioles. decreased cardiac oxygen consumpti on. constipatio n. dyspnea. pronounced dizziness. these effects lead to decreased cardiac work. > Caution patient to wear protective clothing and use sunscreen to prevent photosensit ivity reactions. . and in patients with vasospastic angina. nausea. or hypotensio n occurs or if headache is severe or persistent. swelling of hands and feet. > Caution patient to change positions slowly to minimize orthostatic hypotensio n.

dyspepsia. flatulence.Drug Name Generic Name: Azithromyci n Brand Name: Zmax Classificati on: Antibiotic Dose: 500mg Mechanis m of Action Bacteriosta tic or bactericida l insusceptib le bacteria. angioede ma. vertigo. abdominal pain. bowel sounds. influenzae -Treatment of lower respiratory infections: Streptococ cal pharyngitis and tonsillitis due to Streptococ cus pyogenes in those who cannot take Contraindication Adverse Effect -Contraindicated with hypersensitivity to azithromycin. lactation -Physical: Site of infection. pseudomembran ous colitis. urinalysis. Moraxella catarrhalis. gonorrhea or syphilis. -Administer on an empty stomach 1 hr before or 2–3 hr after meals. headache. hepatic or renal impairment. erythromycin. cholestati c jaundice. cramping. pneumonia e. lesions. GI output. Food affects the absorption of this drug. skin color. Streptococ cus pneumonia e. lactation. culture and sensitivity tests of infection. somnolen ce. -Use cautiously with gonorrhea or syphilis. or any macrolide antibiotic. liver evaluation. dizziness. transient elevations of liver enzyme values. orientation. or any macrolide antibiotic. Mild to moderate nausea. pseudomembran ous colitis. renal function tests -Culture site of infection before therapy. -Take the full . Nursing Responsibilities -History: Hypersensitivity to azithromycin. erythromycin. Indication -Treatment of lower respiratory infections: Acute bacterial exacerbatio ns of COPD due to Haemophil us influenzae. hepatic or renal impairment. H. community -acquired pneumonia due to S. vomiting. diarrhea. LFTs.

Do not take with antacids. discomfort.penicillin’s course prescribed. Counsel patients -You may experience these side effects: Stomach cramping. Tablets and oral suspension can be taken with or without food. vaginal sores. additional infections in the mouth or vagina (consult with health care provider for treatment). fatigue. headache (medication may help). shake well. -Report severe or watery diarrhea. rash or itching. diarrhea. severe nausea or vomiting. -Prepare Zmax by adding 60 mL water to bottle. mouth sores. .

and transpeptidas es in the bacterial cytoplasmic membrane. uncomplic ated gonorrhea.Drug Order Generic Name: Ceftriaxon e Brand Name: Forgram Classificat ion: Cephalosp orins Dose: 1g Mechanism of Action Works by inhibiting the mucopeptide synthesis in the bacterial cell wall. -Assess patient for signs and symptoms of infection before and during the treatment -Obtain C&S before beginning drug therapy to identify if correct treatment has been initiated. -Monitor hematologic. intraabdominal infections. meningitis Contraindic ation Hypersensit ivity to cephalospor ins. renal and hepatic function. bone & joint infections. UTI. diarhhea . These enzymes are involved in cell-wall synthesis and cell division. skin & skin structure infection.elect rolytes. endopeptidas es. redness. By binding to these enzymes. -Assess for allergic reaction. The beta-lactam moiety of Ceftriaxone binds to carboxypepti dases. Assess for possible superinfection: itching fever. malaise. Ceftriaxone results in the formation of defective cell walls and cell death. Indication Treatment of infections of the lower respirator y tract. acute bacterial otitis media. pelvic inflammat ory disease. Hypersensit ivity to lidocaine (IM inj) Adverse Effect -Pain -Induration -Phlebitis -Rash -Diarrhea Thrombocyt osis -Leucopenia -Glossitis Respiratory superinfecti ons Nursing Responsibilities -Assess patient’s previous sensitivity reaction to penicillin or other cephalosphorins. bacterial septicemia .