Patient Medication Profile 11 November 2009 U.L.

M 64 y/o Allergies: Adhesive Tape & IVP Dye
Medication as ordered: name/class/dose Normal dose range. Safe dose? Action of drug 1. Therapeutic effects expected 2. Why is patient receiving med? 1. Adverse reaction / side effects possible 2. Patient teaching 3. Patient’s response to med Fluoxetine/Antidepressants/20mg daily. Yes 20-80mg daily Selectively inhibits the reuptake of serotonin in the CNS. Anti depressant action and decreased behaviors associated with panic disorders and bulimia. Anxiety, drowsiness, weight loss. Patient should change position slowly to minimize dizziness. An increase in well being. Depression Diltiazem/Antianginal, Antiarrhythmics, Antihypertensives/180mg daily Yes Up to 360mg daily Inhibits transport of calcium into myocardial & vascular smooth muscle cells, resulting in inhibition of excitation – contraction coupling and Hypertension Systemic vasodilation resulting in decreased blood pressure. Abnormal dreams, confusion, nervousness Patient should not drink large amounts of grapefruit juice.

subsequent contraction.

Decrease in blood pressure.

Aspirin/Antipyretics, Nonopioid Analgesics/Salicylates/81mg daily

80-325mg daily

Decreases platelet aggregation.

Decreased incidence of transient ischemic attacks and MI.

Tinnitus, dyspepsia Patient should avoid effervescent tablets or buffered aspirin preparations. Prevention of ischemic attacks.

Yes

Bisacodyl/Laxatives,Stimulant Laxatives/10mg daily

10mg daily

Stimulates peristalsis.

Evacuation of the colon (bowel movement)

Abdominal cramps, diarrhea, rectal burning.

Yes Constipation

Patient should increase fruit & fiber intake and fluid intake. Patient having soft, formed bowel movement.

Potassium Chloride/Mineral & Electrolyte replacements/Supplements/40mEq twice a day

40-100mEq a day

To maintain balance, isotonicity, and electrophysiologic

Replacement and prevention of deficiency.

Confusion, restlessness, weakness. Patient should not chew tablets to avoid GI irritation.

Yes

balance of the cell. Hypokalemia

Correction of serum potassium depletion. Gabapentin/Angalgesic adjuncts, Anticonvulsants, Mood stabilizers/600mg four times a day Yes 300mg up to 800mg a day Mechanism of action is unknown, however; it may affect transport of amino acids and stabilize neuronal membrane. Chronic pain Decreased incidence of seizures and post herpetic pain. Depression, confusion, drowsiness. Patient should not take antacids within two hours of taking Gabapentin. Decreased intensity of pain. Aluminum Hydroxide/Antiulcer agents/Hypophosphametics/30mL every hour/prn Yes 5-30mL 3 to 6 times a day Binds phosphate in the GI tract and neutralizes gastric acid and inactivates pepsin. Lowering of serum phosphate levels and healing of ulcers and decreased pain associated with ulcers and gastric hyperacidity. Indigestion and constipation. Patient should check food labels for sodium content. A decrease in GI pain and irritation. Gastric ulcers Nitroglycerin/Antianginals/0.4mg prn every 5 minutes 0.3-0.6mg every 5 minutes for 15 minutes Increases coronary blood flow by dilating coronary arteries and improving collateral flow to ischemic regions. Reduction of blood pressure and increased cardiac output. Dizziness, apprehension, abdominal pain. Patient should immediately call the

Yes

Hypertension and Fem Bypass.

doctor if blurred vision or dry mouth occurs. An increase in activity tolerance.

Morphine Sulfate/Opioid analgesics, Opioid agonists/15mg every four hours/prn

30mg every three to four hours

Depresses pain impulse transmission at the spinal cord level by interacting with opioid

Decreased pain.

Drowsiness, Bradycardia, confusion.

Yes

receptors.

Stage III Pressure Ulcer, skin grafts, chronic pain

Tell patient that drowsiness, dizziness, and confusion are common side effects. Decreased Pain

Simvastatin/Antilipidemic/20mg at bedtime

5 to 80mg once a day

Inhibits HMG-CoA reductase enzyme which reduces cholesterol

Decrease in cholesterol levels.

Headache, constipation, diarrhea. Patient to lower risk

Yes

synthesis; this enzyme is needed for cholesterol production. Hypertension

factors i.e. high fat diet and smoking. A decrease in cholesterol levels and improved ration with HDL’s.

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