Drug: Citicoline Brand name: cholinerv Classification: nootropics and neurotonics/ neurotrophics Dosage, route, frequency: Per orem,

citicoline 500 mg Cap BID Mechanism of action: increases blood flow and oxygen consumption of the brain. It is also involved in biosynthesis of lecithin Desired effect: our patient is suffering from CVD, thus this drug is given to improve cerebral circulation and metabolism and it decreases brain tissue damage during brain injury Nursing responsibilities 1. Explain the importance of taking the drug 2. Instruct the patient to adhere to drug regimen 3. Instruct the patient or significant other that the drug should be taken in the morning or early afternoon. 4. Note for adverse effects such as nausea and vomiting and headache 5. Monitor frequently the patients Blood pressure 6. Monitor neurologic status of the patient Rationale To gain compliance and cooperation To achieve expected therapeutic effect Because The drug causes difficulty of sleeping To intervene immediately Because the drug causes hypotension To asses effectiveness of the drug