GENERIC BRAND MECHANISM SIDE HOW DOSAGE NURSING

NAME NAME CLASSIFICATION OF ACTION INDICATION CONTRAINDICATION EFFECTS SUPLIED AND RESPONSIBILITIES
FREQUENCY
Clopido- Plavix Antiplatelet drug Inhibits Reduction of Lactation, active Skin- Tablets Clopidogrel Before:
grel platelet M.I, stroke and pathologic bleeding such appendage 75mg 75mg 1 tab 1.) Document
aggregation ny death in clients as peptic ulcer- disorders, OD po atherosclerotic
bisulfate inhibiting with intracranial hemorrhage. headache, event(angina)
binding of atherosclerosis URTI, 2.) Assessed for any
adenosine documented chest pain, active bleeding.
diphosphate to by recent flu-like 3.) List all drugs
its platelet stroke, MI, or symptoms prescribed(ASA)
receptor and established
subsequent peripheral During:
ADP- arterial 1.) Take exactly as
mediative disease. directed
activation of 2.) Take with regard
glycoprotein Acute to food. Food will
SPHB/Na Coronary lessen chance of
compley. Syndrome stomach upset
Effect on (unstable 3.) Don’t ambulate
receptors is angina and during the peak hours
irreversible; non-Q wave of the drug. May
thus platelets MI) including cause dizziness or
are affected for those on drowsiness
remainder of medical
their lifespan. management After:
Also inhibits and clients 1.) Report any
platelet receiving unusual bruising or
aggregation stents. bleeding
caused by 2.) Report any
agonists other adverse effects noted
than ADP by 3.) Chart and record
blocking medications
amplification administered
of platelet
activation by
released ADP.
 (SPRATTO,20
08 Ed.:pg.348)

Azithrom Zithrom Antibiotic micr A microlide Acute bacterial Hypersensitivity to Nausea Tablet Azithromycin Before:
ycin ax Olide antibiotic exacerbations azithromycin, any and 500mg 500mg tab 1.) Determine any
derived from of COPD due microlide antibiotic, or Vomiting, 1tab OD po history of sensitivity
erythromycin. to hemophilus erythromycin. In clients abdominal to erythromycins and
Acts by influenzae who are not eligible for discomfor note any previous
binding to the outpatient PO therapy. t, therapy.
P site of the Those who can Used with pymozide. IV flatulence, 2.) Note indications
50S. take PO used in children less than diarrhea for therapy,
Ribosomal therapy for 16 years of age and lose onset/characteristics
subunit and mild stools, of symptoms, and
may inhibit community hearing other agents/remedies
RNA- -acquired impairme trialed.
dependent pneumonia(C nt 3.) Assessed for
protein AP) ,interstitial history or evidence of
synthesis by nephritis, prolonged QT
stimulating the Genital ulcer acute interval; note EKG,
dissociation of disease in men renal and culture results
peptidyl t- failure,
RNA from As an abnormal During:
ribosomes. alternative to liver 1.) Give suspension
Rapidly first-line function, atleast 1hr prior to or
absorbed and therapy to treat dizziness/ 2hrs after a meal.
distributed streptococcal vertigo, Tablets may be taken
widely pharyngitis or convulsio with or without food,
throughout the tonsillitis ns, although increased
body. Food headache, tolerability increases
increases the PO for and with food, maybe
absorption of uncomplicated somnolen taken with milk
azithromycin skin structure ce 2.) Infused IV over
(SPRATTO,20 infections 60 mins.or longer; do
07 Ed. Pg.131) not give as a bolus or
Urethritis and IM
Cervicitis
 After:
1.) Report any
unusualities
2.) Report any
adverse effects noted
3.) Chart and record
medication
administered
Captopril Capoten Anti- Onset: 30 Anti- Used with a history of Rash, tablet Captopril Before:
hypertensive, mins. or less. hypertensive, angioedema r/t ACE pluritus, 50mg 50mg q6 po 1.) Note disease
ACE inhibitor Peak serum alone or in inhibitor use flushing; onset, other medical
levels: 30-90 combination angioede conditions/agents
mins.; with other ma; loss trialed and outcome
Presence of hypertensive of taste 2.) Monitor vital
food decreased drugs perception signs, potassium,
absorption by especially ;stomatitis hematologic, renal,
30-40%. Is thiazide ; GI and LFT’s.
75% or more diuretics irritation 3.) Document any
bioavailable. and ACE intolerance
Duration: 6-10 In combination abdominal 4.) Determine if
hrs. with diuretics pain; diuretics or nitrates
(SPRATTO,20 and digitalis to leukopeni prescribed
07 Ed.;pg.209) treat CHF a; cough 5.) Determine ability
to understand/comply
To improve with therapy
survival
following MI During:
in clinically 1.) Do not
stable clients discontinue without
with LV the providers consent
dysfunction 2.) Give one hour
manifested as before meals
an ejection 3.) Discontinue
previous
antihypertensive
Treatment of medication 1 wk.
diabetic before starting
nephropathy captopril, if possible
4.) The tablets can be
used to prepare a
solution of captopril
if desired

After:
1.) Observe for
precipitous drop in
BP within 3hr after
initial dose, if on
diuretic therapy and a
low salt diet
2.) Check for
proteinuria monthly
for 9 mos. During
therapy and CBC
every 2wks. For the
first 3 mos. Of
therapy
3.) Withold
potassium-sparing
diuretics;
hyperkalemia may
result
Simvastat Zocor Antihyperlipide Does not Adjunct to diet Used if pregnant, Abdomina Tablet Simvastatin Before:
in mic reduce basal reduce planning to become l pain, 20mg 20mg 1tab OD 1.) Note indications
plasma cortisol elevated total pregnant or while flatulence, po for therapy
or testosterone and LDL breastfeeding constipati 2.) Monitor CBC,
levels or cholesterol, on, cholesterol profile,
impair renal Apoprotein B, asthenia, liver, CPK, and renal
reserve. and and function studies
Increased triglyceride headache 3.) Assessed level of
levels seen in levels in adherence to weight
those with hypercholester reduction, exercise,
hepatic and olemia and and cholesterol
severe renal mixed lowering diet, and BP
insufficiency dyslipidemia or BS control.
(SPRATTO,20 4.) Note any alcohol
07 To increase abuse
Ed.;pg.1272) HDL
cholesterol in During:
primary 1.) May give without
hypercholester regard to meals
olemia 2.) Dosage maybe
adjusted at intervals
Treatment of of atleast 4wks.
isolated
hypertriglyceri After:
demia 1.) Report any signs
and symptoms of
In coronary infections
heart and 2.) Review
hypercholester importance of regular
olemia to exercise, low alcohol
reduce risk of consumption,
total mortality smoking abstinence,
by reducing and following a low
coronary death cholesterol diet
Salbutam Albutero Sympathomimeti Stimulates Prophylaxis Aerosol for prevention Diarrhea, Inhalation Salbutamol q8 Before:
ol l c Beta2 and treatment of exercise-induced dry Aerosol nebulization 1.) Obtain history and
receptors of of bronchospasm and mouth, assessed EKG and
the bronchi, bronchospasm tablets are not appetite CNS status
leading to due to recommended for loss, 2.) To document
bronchodilatio reversible children less than 12yrs. epigastric PFT’s, CXR and lung
n. Causes less obstructive Used during lactation pain, sounds
tachycardia airway disease hyperkine 3.) Assessed
and is sia, symptom
longer/acting Inhalation nervousne characteristics, onset,
than solution for ss, duration, frequency,
isoproterenol. acute attacks dizziness, and any precipitating
Has minimal of vertigo, factors
Beta1 activity. bronchospasm weakness 4.) Monitored
Available as an and pulmonary status
inhaler that Prophylaxis of drowsines 5.) Observed for
contains no exercise- s evidence of allergic
chlorofluoroca induced responses
rbons bronchospasm
(SPRATTO,20 During:
07 Ed.;pg.27) 1.) When given by
nebulization, either a
face mask or mouth
piece maybe used.
2.) Used compressed
air or oxygen with a
gas flow of 6-
10L/min; a single
treatment lasts from
5-15mins
3.) The MDI may
also be administered
on a mechanical
ventilator through an
adapter
After:
1.) Take only as
directed; do not
exceed prescribed
dose
2.) When using
albuterol inhalers, do
not use other
albuterol inhalation
medication unless
specifically prescribe
3.) To check inhaler
content, may place in
a glass of water
4.) Check to make
sure you do not run
out of medication
Amlodipi Norvasc Calcium channel Inhibits Hypertension  Contraindicat CNS: Tablets: Amlodipine Before:
ne blocker calcium ion alone or in headach 2.5mg, 5mg, tab. 1. Monitor blood
ed in patients
combination 5mg,
influx with other hypersensitiv e, 10mg.
pressure
across anti- e to drug. somnole frequently during
cardiac and hypertensive.  Use nce, initiation of
smooth cautiously in fatigue. therapy. Because
muscle patients CV: drug induced
cells, thus receiving edema, vasodilators has
decreasing other flushing gradual onset
myocardial peripheral GI: acute hypotension
contractility vasodilators, nausea, is rare.
and oxygen especially abdomin 2. Don’t confuse
demand; those with al pain. amlodipine with
also dilates severe aortic GU: amiloride.
coronary stenosis, and sexual During:
arteries and in those with difficulti 1. Caution patient
arterioles. heart failure es. to continue taking
because drug Musculo drug even when
is skeletal: feeling better.
metabolized muscle 2. Tell patient
by the liver, pain. S.L. nitrolycerin
use Respirat may be taken as
cautiously ory: needed when
and induced dyspnea. angina symptoms
dosage in Skin: are acute.
patients with rash. After:
sever hepatic 1. report any
disease. symptoms of
chest pain, SOB,
dizziness,
swelling
extremities,
irregular pulse, or
altered vision
immediately.
2. Record blood
pressure and
pulse.