Name of Patient: A.

L Age: 42 years old Drug Dosage Frequency Route Generic Name: amlodipine Brand Name: Norvasc Classification: Antianginal/ antihypertensive Dosage: 10 mg/tab Frequency: OD Route: Oral Inhibits calcium ion influx across cardiac and smooth-muscle cells, thus decreasing myocardial contractility and oxygen demand; also dilates coronary arteries and arterioles. For Mechanism of Action

Diagnosis: Chronic Kidney Disorder secondary to Chronic Glomerular Nephritis Sex: Female Indication Contraindication Adverse Effect Nursing Consideration

Contraindicated in patients hypersensitive to drug. Avoid drinking alcohol while taking amlodipine. Alcohol can further lower your blood pressure and may increase some of the side effects of amlodipine.

CNS: headache, somnolence, fatigue, dizziness, lightheadedness, paresthesia. CV: edema, flushing, palpitations. GI: nausea, abdominal pain. GU: sexual difficulties. Musculoskeletal: muscle pain. Respiratory: dyspnea. Skin: rash, pruritus.

Take NORVASC once a day, with or without food. It may be easier to take your dose if you do it at the same time every day, such as with breakfast or dinner, or at bedtime. Do not take more than one dose of NORVASC at a time. If you miss a dose, take it as soon as you remember. Do not take NORVASC if it has been more than 12 hours since you missed your last dose. Wait and take the next dose at your regular time. Monitor blood pressure frequently during initiation of therapy. Because druginduced vasodilation has a gradual onset, acute hypotension is rare.

hypertension

Drug

Dosage Frequency Route

Mechanism of Action

Indication

Contraindication

Adverse Effect

Nursing Consideration

Generic Name: furosemide Brand Name: Lasix Classification: Diuretics

Dosage: 40 mg Frequency: q8 Route: IVTT

A potent loop diuretic that inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of Henle.

For hypertension and increase urine output

Contraindicated in patients hypersensitive to drug. Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney problems, liver problems, inability to make urine, gout, lupus.

CNS: vertigo, headache, dizziness, paresthesia, weakness, restlessness, fever. CV: orthostatic hypotension, thrombophlebitis with I.V. administration. EENT: transient deafness, blurred GI: abdominal discomfort and pain, diarrhea, anorexia, nausea, vomiting, constipation GU: nocturia, polyuria, frequent urination, oliguria.

Monitor fluid intake and output and electrolyte, BUN, and carbon dioxide levels frequently.
Watch for signs of hypokalemia, such as

muscle weakness and cramps.

To prevent nocturia, give P.O. and I.M.

preparations in the morning. Give second dose in early afternoon. Teach patient to avoid direct sunlight and to use protective clothing and a sunblock because of risk of photosensitivity reactions. Hypertensive patients should avoid medications that may increase blood pressure, including over-thecounter products for appetite suppression and cold symptoms.

Drug

Dosage Frequency Route

Mechanism of Action

Indication

Contraindication

Adverse Effect

Nursing Consideration

Generic Name: methyldopa Brand Name: Aldomet Classification: Antihypertensive

Dosage: 250 mg/tab Frequency: TID Route: Oral

Methyldopa lowers blood pressure by decreasing the levels of certain chemicals in your blood. This allows your blood vessels (veins and arteries) to relax (widen) and your heart to beat more slowly and easily.

For increased blood pressure or hypertension

Contraindicated to patients hypersensitive to drug Alcohol is contraindicated while taking methyldopa. It may increase the drowsiness and may also increase dizziness. Use caution even with small amounts of alcohol.

an allergic reaction a very slow heart

Take methyldopa exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. Take each dose with a full glass of water. Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. DO NOT take a double dose of this medication. Use caution when driving, operating machinery, or performing other hazardous activities. Methyldopa may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

rate (fewer than 60 beats per minute);

unusually high or

low blood pressure (fainting, a severe headache, flushing of your face);

chest pain; uncontrollable

movements of your arms, legs, or facial muscles;

yellowing of your

skin or eyes; or
unusual bleeding or

bruising.

Drug

Dosage Frequency Route

Mechanism of Action

Indication

Contraindication

Adverse Effect

Nursing Consideration

Generic Name: NaHCO3 (sodium bicarbonate) Brand Name: Citrocarbonate Classification: Alkalinizers

Dosage: 1 tab Frequency: TID Route: Oral

Neutralizes gastric acids

For metabolic acidosis

Contraindicated in patients with metabolic or respiratory alkalosis; patients losing chlorides from vomiting or continuous GI suction; patients taking diuretics; and patients with hypocalcemia in which alkalosis may produce tetany, hypertension, seizures, or heart failure.

GI: Gastric distention, belching, flatulence .Metabolic: metabolic alkalosis, hypernatremia, hypokalemia, hyperosmolarity (with overdose)

Monitor urinary pH, calcium, electrolytes and phosphate levels. Record amount and consistency of stools.

Clients on low-sodium diets should evaluate sodium contents of antacids.

Drug

Dosage Frequency Route

Mechanism of Action

Indication

Contraindication

Adverse Effect

Nursing Consideration

Generic Name: CaCO3 (calcium carbonate) Brand Name: Calci-chew Classification: Electrolyte and replacement

Dosage: 1 tab Frequency: TID Route: Oral

Replaces Calcium and maintains Calcium level

For Calcium supplement

No known contraindication except for over dosage or hypercalcemia

CNS: headache, irritability, weakness GI: rebound hyperacidity, nausea, constipation, flatulence

Record amount and consistency of stools. Manage constipation with laxatives.

Monitor calcium level, especially in patients with mild renal impairment. Watch for evidence of hypercalcemia (nausea, vomiting, headache, confusion, and anorexia)

Advise patient to notify physician about signs and symptoms of GI bleeding, such as tarry stools, or coffee-ground vomitus