DRUG STUDY Name: R.D.C.

Name of the Drug CITICOLINE Brand Name: Brainact, Cholinerv, Nicholin Classification: Neuroprotective CNS Drugs Age: 58 Action Citicoline is a derivative of choline ad cytidine involved in the biosynthesis of lecithin. It is claimed to increase blood flows and oxygen consumption in the brain. Sex: Male Dosage 500mg/cap BID Diagnosis: Cerebrovascular disease Indication Patient’s with cerebro-vascular accident. Contraindication Hypertonia of the parasympathetic nervous system Adverse Reaction: Insomnia Nursing Responsibility Assessment: >Obtain patient’s medical history. >Assess patient’s condition >Monitor Vital Signs (BP, PR, RR) >Assess for allergic reactions like GI disturbances. Planning: >Give parenteral & Oral administration >Direct IV administration should be very slowly to prevent episodes of hypotension. Health teaching: >Teach patient to gain benefits & not to miss any dose >Instruct patient to

Reduction of Cardio-Vascular morbidity and mortality in hypertensive patients. Contraindication Hyperkalemia Adverse Reaction: Fever and Insomnia Selectively blocks 100mg/ tab OD the binding Angiotensin II to receptor sites in many tissues. >Advised patient to consult the physician if any problem occurs during medication.take only prescribed medicines. Health Teaching: >Advise patient to . Name of the Drug LOSARTAN Brand Name: Lozargard Classification: Angiotensin II blocker Action Dosage Indication Treatment for Hypertension. This prevents the vasoconstriction and aldosterone – secreting effects of angiotensin II on these tissues. >Assess patient’s Blood Pressure before starting therapy & regularly thereafter >Monitor for possible adverse reaction Planning: >Administer without regard to meals. especially the vascular smoot h muscles and adrenal glands. >Explain to the patient about the drug his receiving. Nursing Responsibility Assessment: >Obtain patient’s medical history.

even if feeling better >Tell patients to avoid sodium substitutes because they may contain potassium can cause hyperkalemia. Amlodipine produce relaxation Besylate of coronary vascular smooth muscle Classification: (dilation of coronary Antianginal arteries) decrease Antihypertensive peripheral vascular Calcium channel resistance of smooth blocker muscle (decreased BP) and increases oxygen delivery. Dizziness Inhibits influx of 10 mg/ tab OD calcium ion across Brand Name: all membranes to Vasalat. Nursing Responsibility Assessment: >Obtain patient’s medical history >Monitor the patient’s blood pressure >Assess hydration ad fluid volume status. fainting or light headedness. Planning: >Give once a day without regards to meals . >Inform patient that drug may cause dizziness.comply with dosage schedule. Name of the Drug AMLODIPINE Action Dosage Indication Treatment for hypertension Contraindication Hyperensitivity Adverse Reactions: Syncope.

Nursing Responsibility Assessment: >Obtain patient’s medical history >Monitor vital signs especially the BP and Heart Rate >Check edema in feet and legs daily >Monitor input and output ratio >Assess for patient’s mental status Planning: >Hypertensive patients may need to decrease sodium and calories in diet.vasoplastic angina. Dosage 75 mcg/ tab PRN for BP of 160/100 Indication Management of all grades of hypertension. analgesic Action Stimulates central alpha-adrenergic receptors to inhibit sympathetic cardio accelerator and vasoconstrictor centers. Adverse Reaction: Sleep disturbances . Health Teaching: >Teach patient to use the drug as directed even if feeling better >advise patient to avoid hazardous activities until stabilized. Name of the Drug CLONIDINE Brand Name: Catapres Classification: Cardiovascular agent. Contraindication Hypersensitivity of clonidine. central-acting antihypertensive.

or withdrawal symptoms may occur anxiety.--PO route: give last dose at bedtime Health Teaching: >Instruct patient not to discontinue drug abruptly. Dosage 80 cc OD HS Indication Treatment for constipation Contraindication Abdominal discomfort Nursing Responsibility >Assess patient’s condition before therapy and reassess regularly >Advise patient to consult the physician if having discomfort in taking the medications Patient who requires Adverse Reaction: a low lactose diet Nausea and vomiting . Hyperosmolar laxative Action Causes an influx of fluid in the intestinal tract by increasing the osmotic pressure within the intestinal lumen. increase BP and insomnia >Advise patient to take drugs 1 hour before meal. Name of the Drug LACTULOSE Brand Name: Duphalac Lilac Classification: Gastrointestinal agent.

Alcohol intake Adverse Reaction: Drowsiness Nursing Responsibility >Obtain patient’s medical history >Monitor client’s vital signs especially the increase of temperature q1 >Have the patient for Tepid Sponge Bad (TSB) ideally with ice chips to decrease the heat level. noting characteristics. triggers. & patients at risk of acid aspiration Contraindication Contraindication: Cirrhosis of the liver. >Advised the patient to drink plenty of water. persistent dyspepsia. impaired renal or hepatic function Adverse Effects: Nursing Responsibilities >Assess stomach pain. things that . frequency of occurrence.Name of the Drug PARACETAMOL Brand Name: Acetaminophen Classification: Anti-pyretic Action Dosage Indication Relief of mild to moderate pain and treatment for fever Contraindication Hypersensitivity. Decrease fever by 300g TIV every 4 inhibiting the hours for fever effects of pyrogen on the hypothalamic heat regulating centers Drug RANITIDINE Brand Name: Zantac Action Competitively inhibits gastric acid secretion by blocking the effect of histamine on histamine h2 Dosage 50 mg IV every 8 hours Indication Management of peptic ulcer disease. GERD.

or endoscopy findings Drug VITAMIN B COMPLEX Classification: Vitamins and Minerals Action A coenzyme that stimulate metabolic function and is needed for cell replication. malaise. hematopoiesis. hct. folate levels before beginning therapy. diarrhea. iron.Classification: Histamine-2 (H2) anatagonist receptors. ~ Obtain a sensitivity test history before . pylori. dizziness. Both daytime and nocturnal basal gastric acid secretions. thus. leukopenia.and pengastrinstimulated gastric acid are inhibited. Weak inhibitor of cytochrome P-450 (drug metabolizing enzymes). UGI. abdominal pain CNS: headache. insomnia. GI: constipation. Vit. pancytopenia alter/relieve >Provide concurrent antacid therapy to relieve pain >Note H. as well as food. B12. vertigo. granulocytopenia. confusion. drug interactions involving inhibitions involving inhibition of hepatic metabolism are not expected to occur during general anesthesia. and nucleoprotein and myelin synthesis. >early Leber’s disease Adverse Effects: CV: peripheral vascular Nursing Responsibilities BEFORE: ~ Determine reticulocyte count. anxiety. Dosage 1 tab OD Indication Pernicious anemia Contraindication >hypersensitive to vitamin B12 or cobalt. hallucinations CV: bradycardia or tachycardia HEMATOLOGIC: thrombocytopenia.

administration ~ Avoid I. Skin: itching. anaphylactoid reactions with parenteral administration. pain or burning at injection site. transitory exanthema. B12 from light. ~ Don’t mix parenteral preparation in same syringe with other drugs. Other: anaphylaxis. Give potassium supplements. . AFTER: ~ Protect Vit. ~ Monitor patient for hypokalemia for first 48 hours. faster systemic elimination will reduce effectiveness of vitamin. GI: transient diarrhea. as needed. urticaria. DURING: ~ Don’t give large doses of vitamin B12 routinely. heart failure. Don’t refrigerate or freeze.thrombosis.V. Respi: pulmonary edema. drug is lost through excretion. administration bec. as anemia correct itself.