DRUG STUDY

Name: R.D.C. Age: 58 Sex: Male Diagnosis: Cerebrovascular disease

Name of the Drug Action Dosage Indication Contraindication
Nursing
Responsibility
CITIC!IN"
Brand Name:
Brainact,
Colinerv,
Nicolin
Classi!ication:
Neuro"rotective
CNS Drugs
Citicoline is a
derivative o!
coline ad c#tidine
involved in te
bios#ntesis o!
lecitin. $t is
claimed to increase
blood !lo%s and
ox#gen
consum"tion in te
brain.
5&&mg'ca" B$D (atient)s %it
cerebro*vascular
accident.
+#"ertonia o! te
"aras#m"atetic
nervous s#stem
Adverse Reaction:
$nsomnia
Assessment#
,-btain "atient)s
medical istor#.
,Assess "atient)s
condition
,Monitor .ital
Signs
/B(, (R, RR0
,Assess !or allergic
reactions li1e 2$
disturbances.
$lanning#
,2ive "arenteral 3
-ral administration
,Direct $.
administration
sould be ver#
slo%l# to "revent
e"isodes o!
#"otension.
%ealth teaching#
,4eac "atient to
gain bene!its 3 not
to miss an# dose
,$nstruct "atient to
ta1e onl# "rescribed
medicines.
,Advised "atient to
consult te
"#sician i! an#
"roblem occurs
during medication.

Name of the Drug Action Dosage Indication Contraindication
Nursing
Responsibility
!SARTAN
Brand Name:
5o6argard
Classi!ication:
Angiotensin $$
bloc1er
Selectivel# bloc1s
te binding
Angiotensin $$ to
rece"tor sites in
man# tissues,
es"eciall# te
vascular smoot
muscles and adrenal
glands. 4is
"revents te
vasoconstriction and
aldosterone 7
secreting e!!ects o!
angiotensin $$ on
tese tissues.
8&&mg' tab -D 4reatment !or
+#"ertension.
Reduction o!
Cardio*.ascular
morbidit# and
mortalit# in
#"ertensive
"atients.
+#"er1alemia
Adverse Reaction:
9ever and $nsomnia
Assessment:
,-btain "atient)s
medical istor#.
,Assess "atient)s
Blood (ressure
be!ore starting
tera"# 3 regularl#
terea!ter
,Monitor !or
"ossible adverse
reaction
(lanning:
,Administer %itout
regard to meals.
,:x"lain to te
"atient about te
drug is receiving.
+ealt 4eacing:
,Advise "atient to
com"l# %it dosage
scedule, even i!
!eeling better
,4ell "atients to
avoid sodium
substitutes because
te# ma# contain
"otassium can cause
#"er1alemia.
,$n!orm "atient tat
drug ma# cause
di66iness, !ainting or
ligt eadedness.
Name of the Drug Action Dosage Indication Contraindication
Nursing
Responsibility
A&!DI$IN"
Brand Name:
.asalat, Amlodi"ine
Bes#late
Classi!ication:
Antianginal
Anti#"ertensive
Calcium cannel
bloc1er
$nibits in!lux o!
calcium ion across
all membranes to
"roduce relaxation
o! coronar# vascular
smoot muscle
/dilation o! coronar#
arteries0 decrease
"eri"eral vascular
resistance o! smoot
muscle /decreased
B(0 and increases
ox#gen deliver#,
8& mg' tab -D 4reatment !or
#"ertension
+#"erensitivit#
Adverse Reactions:
S#nco"e,
Di66iness
Assessment:
,-btain "atient)s
medical istor#
,Monitor te
"atient)s blood
"ressure
,Assess #dration
ad !luid volume
status.
(lanning:
,2ive once a da#
%itout regards to
meals
vaso"lastic angina.
+ealt 4eacing:
,4eac "atient to
use te drug as
directed even i!
!eeling better
,advise "atient to
avoid a6ardous
activities until
stabili6ed.
Name of the Drug Action Dosage Indication Contraindication
Nursing
Responsibility
C!NIDIN"
Brand Name:
Cata"res
Classi!ication:
Cardiovascular
agent; central*acting
anti#"ertensive;
analgesic
Stimulates central
al"a*adrenergic
rece"tors to inibit
s#m"atetic cardio
accelerator and
vasoconstrictor
centers.
<5 mcg' tab
(RN !or B( o!
8=&'8&&
Management o! all
grades o!
#"ertension.
+#"ersensitivit# o!
clonidine.
Adverse Reaction:
Slee" disturbances
Assessment:
,-btain "atient)s
medical istor#
,Monitor vital signs
es"eciall# te B(
and +eart Rate
,Cec1 edema in
!eet and legs dail#
,Monitor in"ut and
out"ut ratio
,Assess !or "atient)s
mental status
(lanning:
,+#"ertensive
"atients ma# need to
decrease sodium and
calories in diet.
**(- route: give last
dose at bedtime
+ealt 4eacing:
,$nstruct "atient not
to discontinue drug
abru"tl#, or
%itdra%al
s#m"toms ma#
occur anxiet#,
increase B( and
insomnia
,Advise "atient to
ta1e drugs 8 our
be!ore meal.
Name of the Drug Action Dosage Indication Contraindication
Nursing
Responsibility
!ACTU!S"
Brand Name:
Du"alac 5ilac
Classi!ication:
2astrointestinal
agent;
+#"erosmolar
laxative
Causes an in!lux o!
!luid in te
intestinal tract b#
increasing te
osmotic "ressure
%itin te intestinal
lumen.
8& cc -D +S 4reatment !or
consti"ation
(atient %o re>uires
a lo% lactose diet
Abdominal
discom!ort
Adverse Reaction:
Nausea and
vomiting
,Assess "atient)s
condition be!ore
tera"# and reassess
regularl#
,Advise "atient to
consult te
"#sician i! aving
discom!ort in ta1ing
te medications
Name of the Drug Action Dosage Indication Contraindication Nursing
Responsibility
$ARAC"TA&!
Brand Name:
Acetamino"en
Classi!ication:
Anti*"#retic
Decrease !ever b#
inibiting te
e!!ects o! "#rogen
on te #"otalamic
eat regulating
centers
?&&g 4$. ever# @
ours !or !ever
Relie! o! mild to
moderate "ain and
treatment !or !ever
+#"ersensitivit#.
Alcool inta1e
Adverse Reaction:
Dro%siness
,-btain "atient)s
medical istor#
,Monitor client)s
vital signs
es"eciall# te
increase o!
tem"erature >8
,+ave te "atient
!or 4e"id S"onge
Bad /4SB0 ideall#
%it ice ci"s to
decrease te eat
level.
,Advised te
"atient to drin1
"lent# o! %ater.
Drug Action Dosage Indication Contraindication
Nursing
Responsibilities
RANITIDIN"
Brand Name:
Aantac
Classi!ication:
Com"etitivel#
inibits gastric acid
secretion b#
bloc1ing te e!!ect
o! istamine on
istamine B
rece"tors. Bot
5& mg $. ever# 8
ours
Management o!
"e"tic ulcer disease,
2:RD, "ersistent
d#s"e"sia, 3
"atients at ris1 o!
acid as"iration
during general
Contraindication:
Cirrosis o! te
liver, im"aired renal
or e"atic !unction
Adverse :!!ects:
2$: consti"ation,
,Assess stomac
"ain, noting
caracteristics,
!re>uenc# o!
occurrence, triggers,
tings tat
alter'relieve
+istamine*B /+B0
anatagonist
da#time and
nocturnal basal
gastric acid
secretions, as %ell
as !ood* and
"engastrin*
stimulated gastric
acid are inibited.
Cea1 inibitor o!
c#tocrome (*@5&
/drug metaboli6ing
en6#mes0; tus,
drug interactions
involving
inibitions
involving inibition
o! e"atic
metabolism are not
ex"ected to occur
anestesia. diarrea, abdominal
"ain
CNS: eadace,
di66iness, malaise,
insomnia, vertigo,
con!usion, anxiet#,
allucinations
C.: brad#cardia or
tac#cardia
+:MA4-5-2$C:
tromboc#to"enia,
granuloc#to"enia,
leu1o"enia,
"anc#to"enia
,(rovide concurrent
antacid tera"# to
relieve "ain
,Note +. "#lori,
D2$, or endosco"#
!indings
Drug Action Dosage Indication Contraindication
Nursing
Responsibilities
'ITA&IN (
C&$!")
Classi!ication:
.itamins and
Minerals
A coen6#me tat
stimulate metabolic
!unction and is
needed !or cell
re"lication,
emato"oiesis, and
nucleo"rotein and
m#elin s#ntesis.
8 tab -D (ernicious anemia ,#"ersensitive to
vitamin B8B or
cobalt.
,earl# 5eber)s
disease
Adverse :!!ects:
C'# "eri"eral
vascular
trombosis, eart
("*R"#
E Determine
reticuloc#te count,
ct, .it. (8B, iron,
!olate levels be!ore
beginning tera"#.
E -btain a
sensitivit# test
istor# be!ore
administration
!ailure.
GI# transient
diarrea.
Respi# "ulmonar#
edema.
S+in# itcing,
transitor#
exantema,
urticaria.
ther# ana"#laxis,
ana"#lactoid
reactions %it
"arenteral
administration, "ain
or burning at
inFection site.
E Avoid $...
administration bec.
!aster s#stemic
elimination %ill
reduce e!!ectiveness
o! vitamin.
DURING#
E Don)t give large
doses o! vitamin
(8B routinel#; drug
is lost troug
excretion.
, Don)t mix
"arenteral
"re"aration in same
s#ringe %it oter
drugs.
A*T"R#
E (rotect .it. (8B
!rom ligt. Don)t
re!rigerate or !ree6e.
E Monitor "atient
!or #"o1alemia !or
!irst @8 ours, as
anemia correct
itsel!. 2ive
"otassium
su""lements, as
needed.