DRUG Drug name: -telmisartan, hydrochlorothiazide Brand name: -micardis plus Doctors order: -40mg 1tab OD

INDICATION -essential hypertension ACTION -blocks the vasoconstrictive and aldosterone-secreting effects of angotensin II by binding angiotensin II to the ! I receptor in many tissue"

CONTRAINDICATION -hypersensitivity to the drug -# and $ trimester of pregnancy -lactation

nd rd

SIDE EFFECTS -diarrhea -anore%ia -loss of appetite -gastric irritation -constipation

NURSING CONSIDERATIONS -special precaution in patients &ith impaired hepatic and renal impairment -special precaution &ith volume and'or (adepleted patients -may impair ability to drive or operate machineries

DRUG

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Drug name: -di tia!em Brand name: -corda!em Doctors order: -"#mg $ta% BID

-angina pectoris )!IO( -inhibits calcium ion influ% across cell membrane during cardiac depolarization, produces rela%ation of coronary arteries, slo&s + ' 0 node conduction times, dilates peripheral arteries"

-sick-sinus syndrome -#nd and $rd 0 block -severe hypotension -pregnancy

-nausea -s&elling'edema -arrhythmia -headache -rash -fatigue

-monitor v's especially the 12 -should be administered &ith food or after eating

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING CONSIDERATIONS

Drug name: -nicorandil Brand name: -aprior Doctors order: -10mg'tab3 1tab 1ID

-angina pectoris ACTION - (icorandil dilates arterioles and large coronary arteries by opening the potassium channels, and stimulates guanylate cyclase causing venous vasodilatation" It therefore reduces preload and afterload, and improves coronary blood flo&" -cardiogenic shock -hypotension -left ventricular failure &ith lo& filling pressure -lactation -headache -flushing dizziness -n4v -&eakness -hypotension

-may be taken &ith or &ithout food -monitor v's especially the 12 -may impair ability to drive or operate machineries

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING CONSIDERATIONS

Drug name: -atorvastatin Brand name: -lipitor Doctors order: -50mg 1tab 6+

-reduction of elevated total cholesterol 4 7D7 cholesterol ACTION -selectively 68/-)o reductase &hich converts 68/-)o to mevalonate, a precursor of sterols" -lo&ers cholesterol and lipoprotein levels

-active liver disease -pregnancy -lactation

-/i disturbance -headache -myalgia -insomnia -pruritus -muscle cramps

-avoid intake of alcohol -monitor creatinine phosphokinase and transaminase elevation -history of liver disease -monitor v's especially the 12 -should be administered &ith food or after eating

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING CONSIDERATIONS

Drug name: -amlodipine Brand name: -vasalat Doctors order: -9mg 1tab OD

-hypertension ACTION -inhibits influ% of calcium ion across cell membranes to produce rela%ation of coronary vascular smooth muscle, decrease peripheral vascular resistance of smooth muscle :;12<

-lo& 12 -)6-hypersensitivity -hepatic impairment

-headache -edema -dizziness -flushing -palpitation -fatigue -nausea -abdominal pain

-monitor v's especially the 12 -should be administered &ith food or after eating

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING CONSIDERATIONS

Drug name: -digo%in Brand name: -lano%in Doctors order: -0"#9mg 1tab OD

-atrial fibrillation ACTION -:=< inotrophic effect more available calcium promotes increase forces to increase cardiac output

-hypersensitivity -intermittent complete heart block -# heart block

nd

-anore%ia -/I disturbance -atrial tachycardia -gynecomastia -)(+ effect

-monitor v's -should be administered &ith food or after eating -&atch out for the adverse reaction of drug

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING

CONSIDERATIONS Drug name: -pantoprazole (a Brand name: -pantoloc Doctors order: -40mg OD ACTION -inhibits both basal 4 stimulated gastric acid secretion by suppressing the final step in acids production, through inhibition of proton pump by binding to 4 inhibiting hydrogen potassium adenosine triphosphate, the enzyme system located at the secretory surface of gastric parietal cell" -hypersensitivity to pantoprazole (a and its components -abdominal pain -diarrhea -constipation -flatulence -nausea -headache -dizziness -blurred vision -rash -pruritus -should be taken on an empty stomach :take 1 hour before meal<

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING

CONSIDERATIONS Drug name: -montelukast Brand name: -singulair Doctors order: -10mg 1tab OD -prophyla%is 4 treatment of asthma, including prevention of day 4 night time symptoms ACTION - 8ontelukast is a selective leukotriene receptor antagonist that blocks the effects of cysteinyl leukotrienes in the air&ays" -hypersensitivity to montelukast and its component -abdominal pain -thirst -headache -vomiting

DRUG

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING CONSIDERATIONS

Drug name: -tiotropium 1r Brand name: -spiriva Doctors order: -OD at 6+

-maintenance treatment for patients &ith )O2D ACTION -1y binding to the muscarinic receptors in the bronchial smooth musculature, tiotropium bromide inhibits the cholinergic :bronchoconstrictive< effects of acetylcholine, released from parasympathetic nerve endings" It has a similar affinity to the subtypes of muscarinic receptors 81-89" In the air&ays, tiotropium bromide competitively and reversibly antagonises the 8$-receptors, resulting in rela%ation

-hypersensitivity to tiotropium 1r and its component

-dry mouth -constipation -cough 4 local irritation -tachycardia -urinary retention

-do not take more than there recommended dose