Drug

Name
Generic
name:
Calcium
carbonate
Brand
name:
Caltrate
Dose:
1 tab OD

Classificatio
n
Antacid

Action
Act as an
activator in the
transmission of
nerve impulses
and contraction
of cardiac,
skeletal and
smooth
muscles. It is
essential for
bone formation
and blood
coagulation. It
is also used a
replacement of
calcium in
deficiency
states. It
controls
of hyperphosphatemia in
end-stage renal
disease without
promoting
aluminum

Indication
Antacid,
calcium
supplement

Adverse Effect
CNS: syncope,
tingling
CV: cardiac

arrest,

arrythmias,
bradycardia
GI:
constipation,

nausea,
vomting
GU: calculi,

hypercalciuruia
Local: phlebitis
(IV only)

Nursing
Consideration
Monitor VS
especially BP and
PR.
Obtain ECG result.
Asses for
heartburn,
indigestion,
abdominal pain.
Monitor serum
calcium before
treatment.
Assess for nausea
and vomiting,
anorexia, thirst,
severe
constipation.

absorption

Drug
Name
Generic
name:
Felodipine
Brand
name:
Plendil

Dose:
10 mg 1
tab

Classificatio
n
Calcium
channel
blocker

Action
Blocks calcium
ion influx into
vascular smooth
muscle and
myocardium.

Indication
Treatment of
hypertension

Adverse Effect

Peripheral

edema
Hypotension
Syncope
Myocardial
infarction
Angina
Tachycardia

Headache
Dizziness
Lightheadedne
ss
Nausea
Vomiting
Sinusitis
Wheezing
cough
Sneezing

Nursing
Consideration
Monitor VS
Assess fluid
volume status,
adequacy of pulse,
pitting edema,
dehydration,
hypotension and
dry mouth
.Monitor cardiac
status
Assess for
aggravating
factors

Drug
Name
Generic
name:
Clonidine
Brand
name:
Catapres
Dose:
150 mg
OD

Classificatio
n
Antiadrenergic

Action

Indication

Adverse Effect

Inhibits central
vasomotor
centers, thereby
decreasing
sympathetic
outflow.
Stimulates
alpha-2
adrenergic
receptor

Hypertension

drowsiness

dizziness
fatigue
sedation

nervousness
headache
orthostatic
hypotension
bradycardia
urine retetion
impotence
transient
glucose
intolerance(afte
r large dose)
constipation
pruritis
dermatitis

Nursing
Consideration
Monitor VS
Monitor blood
pressure and pulse
rate.
May be given
rapidly lower blood
pressure in some
hypertensive
emergencies.
Rising slowly and
avoid sudden
position change to
prevent orthostatic
hypotension.

Drug
Name

Classificati
on

Generic
name:
Clopidogr
el

Antiplatelet
Platelet
aggregatio
n inhibitor

Brand
name:

Dose:
75 mg 1
tab OD

Action
Inhibits platelet
aggregation by
irreversibly
inhibiting the
binding of ATP
to platelet
receptors.

Indication

Reduction
of atheroscler
otic events(MI,
stroke,
vascular death
) in patients at
risk for such
events
Therapeutic
including
Effects:
recent MI,
Decreased
acute
occurrence
coronary
of atheroscleroti syndrome
c events in
(unstable
patients at risk. angina/non-Qwave MI),
stroke,
or peripheral
vascular disea
se

Adverse Effect

Nursing
Consideration

CNS: Depression, Assess patient for

symptoms of
Dizziness, Fatigue,
stroke, peripheral
Headache.
vascular disease,
EENT: Epistaxis.
or MI periodically
Resp: Cough,
during therapy
Dyspnea.
.Monitor patient
CV: Chest Pain,
for signs of
Edema,
thrombotic
Hypertension.
purpura
GI: GI
Bleeding, Abdomin (thrombocytopeni
a, micro
al Pain, Diarrhea,
angiopathic
Dyspepsia,
hemolytic
Gastritis.
anemia,
Derm: Pruritus,
neurologic
Purpura, Rash.
findings, renal
Hemat: Bleeding,
dysfunction, and
Neutropenia,
fever).
Thrombotic

Discontinue
Thrombocytopenic
clopidogrel 5-7
Purpura.
days before
Metab:

Hypercholesterole
planned surgical
mia.
procedures.
Administer
MS: Arthralgia,
once daily
Back Pain.
without regard to
Misc: Fever,
food.
Hypersensitivity
Instruct patient to
Reactions
take medication
exactlyas
directed.
Donot double
doses.
Drug
Name

Classificatio
n

Generic
name:
Omeprazo
le

Proton
pump
inhibitor
(PPI)

Brand
name:

Dose:
40 mg

Action

Indication

Like other
proton-pump
inhibitors, blocks
the enzyme in
the wall of the
stomach that
produces acid.
By blocking the
enzyme, the
production of
acid is
decreased

Prevention of
upper
gastrointestin
al bleeding in
critically ill
patients

Adverse Effect

Nursing
Consideration

Monitor VS
Headache
Take the drug
Dizziness
before meals.
Dry cough
Swallow whole
Dry mouth
capsule. Do not
Fatigue
chew, open, or
Disturbances of
crush them.
the gut such as
diarrhea,
Instruct to take
constipation,
Omeprazole 30
nausea,
minutes apart
vomiting,
from Antacids
indigestion or

abdominal pain
because of
Pain in the
possible
muscles or
antagonistic
joints
interactions
Chest pain
Tell the patient that
(angina).
he may experience
Pins and
the said side
needles
effects
sensations
(paraesthesia)
Feeling of
weakness
(asthenia)
Low blood
pressure
(hypotension)

Drug
Name

Classificatio
n

Generic
name:

Angiotensi
n II

Action
Blocks the
vasoconstrictor

Indication
Hypertension
Nephepaticall

Adverse Effect
Dizziness
Headache

Nursing
Consideration
Monitor patients
blood pressure

Losartan
Brand
name:
Cozaar

inhibitor
Antihypertensiv
e

Dose:
10 mg 1
tab

Drug
Name

Classificatio
n

Generic
name:
Ferrous
Sulfate

Enzymatic
mineral
Iron
preparation

Dose:

and aldosterone
secreting effect
of angiotensin II
at various
receptor sites,
including
vascular smooth
muscle and the
adrenal glands.

Action
Elevates the
serum iron
concentration
which then helps
to form High or
trapped in the
reticuloendotheli
al cells for

y in type 2
daibetic
patients, to
reduce risk
of CVA in
patients with
hypertension
and left
ventricular
hypertrophy

Indication

Asthenia
Monitor patients
Fatigue
who are also
Insomnia
taking diuretics for
Edema
symptomatic
Chest pain
hypotension.
(angina).
Abdominal
Assess patients
pain
renal function
Muscle cramps
Diarrhea
Tell patient to avoid
Myalgia
salt substitutes

Adverse Effect

Nursing
Consideration

Prevention
Mild, transient Advised patient to
take medicine as
and treatment nausea
prescribed.
of anemia.
Heartburn
Caution patient to
Anorexia
make position
Constipation
changes slowly to
Diarrhea
minimize
orhtostatic

storage and
eventual
conversion to a
usable form of
iron

hypotension.
Instruct patient to
avoid concurrent
use of alcohol or
OTC medicine
without consulting
the physician.
Advise patient to
consult physician if
irregular
heartbeat,
dyspnea, swelling
of hands and feet
and hypotension
occurs.
Inform patient that
angina attacks
may occur 30 min.
after
administration due
reflex tachycardia.