DRUGS

ACTION

INDICATION

ADVERSE EFFECTS

NURSING CONSIDERATION Skin lesions, edema, orientation, reflexes, BP

PATIENT TEACHING Ensure that the patient do not chew or divide tablets Establish safety precautions Establish position to alleviate peripheral edema Teach to eat small frequent meals

GENERIC NAME: lacidipine

BRAND NAME: Lacipil

DOSAGE: 6mg OD

CLASSIFICATION: Calcium channel blocker

Inhibit the movement of calcium ions across a cell membrane, which results in fewer dysrhythmias, a slower rate of contraction of the heart and relaxation of smooth muscle of blood vessels resulting in vasodilation and reduced blood pressure.

hypertension

CNS: Dizziness, nervousness CV: Peripheral edema, hypotension Dermatologic: Flushing, rash GI: Nausea, diarrhea constipation flatulence

DRUGS

ACTION

INDICATION

ADVERSE EFFECTS

NURSING CONSIDERATION Physical: skin color, orientation, reflexes, peripheral sensation, adventitious sounds, urinalysis, blood glucose.

PATIENT TEACHING Do not discontinue this medication without consulting your health care provider Monitor blood glucose Avoid using alcohol while taking this drug

GENERIC NAME: metformin hydrochloride BRAND NAME: Metfomin HCL DOSAGE: 880 mg TID CLASSIFICATION: Antidiabetic

Increases peripheral utilization of glucose, decreases hepatic glucose production and alters intestinal absorption of glucose

Adjunct to diet to lower blood glucose with type 2 diabetes mellitus

Diarrhea Nausea and vomiting Weakness Abdominal pain Headache

DRUGS

ACTION

INDICATION

ADVERSE EFFECTS

NURSING CONSIDERATION Bleeding ulcers, vitamin K deficiency, impaired hepatic function Physical: skin color, orientation, BP, CBC, LFT urinalysis

PATIENT TEACHING Give drugs with food or after meals Give with full glass of water. Do not crush and ensure that the patient does not chew

GENERIC NAME: aspirin

Inhibition of platelet aggregation is attributable to the inhibition of platelet BRAND NAME: Aspilet constrictor and inducer of platelet aggregation . DOSAGE: 80mg OD

To reduce the risk of recurrent transient ischemic attack and stroke.

Acute aspirin toxicity: respiratory alkalosis, tachypnea, hemorrhage, confusion, pulmonary edema, seizures, teteny, metabolic acidosis, fever, renal and respiratory failure. Aspirin Intolerance: brochospasm, rhinitis GI: Nausea, dyspepsia, heartburn, epigastric discomfort Hematologic: Occult blood loss Dizziness, tinnitus, difficulty hearing, nausea

CLASSIFICATION: Antiplatelet

DRUGS

ACTION

INDICATION

ADVERSE EFFECTS

NURSING CONSIDERATION Skin lesions, turgor, orientation, reflexes, affect: BP, R, Respiratory auscultation LFT

PATIENT TEACHING Administer without regards to meals May experience side effects

GENERIC NAME: telmisartan hydrochlorothiazide

BRAND NAME: Pritor plus DOSAGE: OD CLASSIFICATION: Antihypertensive

Selectively blocks the binding of angiotensin II to specific tissue receptors found in the vascular smooth muscle and adrenal gland; this action blocks the vasoconstriction effect of the renninangiotensin system as well as the release of aldosterone leading to decrease BP

Hypertension

Light headedness headache, dizziness Hypotension , palpitation Rash dermatitis eczema Constipation flatulence gastritis vomiting dry mouth dental pain

DRUGS

ACTION

INDICATION

ADVERSE EFFECTS

NURSING CONSIDERATION Skin color lesions eyeball turgor orientation reflexes peripheral sensation BP adventitious sounds urinalysis blood glucose

PATIENT TEACHING Store drug in the refrigerator Use the same type and brand of syringe Rotate injection sites regularly to prevent breakdown at injection sites.

GENERIC NAME: insulin

BRAND NAME: Novamix

DOSAGE: 100 u/ml TID

CLASSIFICATION: Antidiabetic

Hormone secreted by beta cells of the pancreas that by receptor mediated effects promotes the storage of the body fuels facilitating the transport of metabolites and ions through cell membrane and stimulating the synthesis of glycogen from glucose of fats from lipids and proteins from amino acids

To reduce the risk of recurrent transient ischemic attack and stroke.

Anaphylaxis or Angioedema