Republic of the Philippines

Naval State University
College of Arts and Sciences
NURSING AND HEALTH SCIENCES DEPARTMENT
Naval, Biliran

DRUG THERAPEUTIC RECORD
NAME: Altar, Lucio Jr. Decangchon SEX: Male AGE: 67 years old WARD: Neurological (stroke Station) DATE: 4 – 24- 2017 SHIFT: 7:00am – 3:00pm
DIAGNOSIS: CHIEF COMPLAINTS: PHYSICIAN:

DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS NURSING RESPONSIBILITIES
THERAPEUTIC CLASS:  Immediate – release only: CNS: dizziness, light – BEFORE:
 Antianginal chronic stable (effort – headedness, headache,  Observe 12 rights of drug
BRAND NAME  Antihypertensive related) angina. Use alone or athenia, fatigue administration.
 Calcium channel blocker  Assess for hypersensitivity
with beta blockers.
Nicardipin hydrochloride GI: nausea, hepatic injury  Check patient’s weight,
 Immediate – release and SR:
blood pressure and
Management of essential CV: peripheral edema, angina, electrolyte imbalance.
GENERIC NAME hypertension alone or with hypotension, arrhythmias,  Teach the patient and the
other antihypertensive. bradycardia, AV block, SO about the signs and
2 mg  IV: Short – term treatment asystole symptoms of dry mouth and
DOSE of hypertension when oral feel thirsty.
Dermatologic: Flushing, rash
use is not feasible.
DURING:
FREQUENCY  Instruct the patient to take
the drug with food.
 Advise the patient to give a
TIME frequent mouth care or
fluids if he may feel thirsty or
IVTT have a dry mouth.
ROUTE

membranes of cardiac and gain. hepatic or renal function. involved in the generation of  Instruct patient to the action of potential in promptly report adverse specialized automatic and Use cautiously with impaired reactions immediately. . blood pressure and lactation. conducting cells in the heart. calcium ions across the to nicardipine. sick in arterial smooth muscle .  Monitor patient’s weight Williams & Wilkins. Lippincott. sinus syndrome. calcium is electrolyte levels. and in excitation – contraction coupling in cardiac muscle cells. page 857. stenosis. pregnancy. heart block. advanced aortic 859 arterial muscle cells. REFERENCE MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS NURSING RESPONSIBILITIES NURSING 2013 DRUG Inhibits the movement of Contraindicated with allergy AFTER: HANDBOOK.

or TIME Fatal: Thrombocytopenia. hospitalization he develops unexplained for CHF.Xerostomia maintain its effects GENERIC NAME of coronary heart disease . Republic of the Philippines Naval State University College of Arts and Sciences NURSING AND HEALTH SCIENCES DEPARTMENT Naval.Infection  Advise patient to notify FREQUENCY risks of MI.allergy skip the missed dose.2017 SHIFT: 7:00am – 3:00pm DIAGNOSIS: CHIEF COMPLAINTS: PHYSICIAN: DRUG CLASSIFICATION INDICATIONS SIDE EFFECTS NURSING RESPONSIBILITIES THERAPEUTIC CLASS: Reduction of risk of stroke and .Headache  Stress that atorvastatin is  Dyslipidaemic Agent heart attack in type 2 diabetes . HTN.chest pain prescriber immediately if procedures. Once a day (HS) Patients with CHD. ROUTE .Nausea cholesterol diet Atorvastatin Calcium CV risk factors.Diarrhoea substitute for low- heart disease but with other . fever. especially if Rhabdomyolysis with acute accompanied by fatigue or IVTT renal failure. Biliran DRUG THERAPEUTIC RECORD NAME: Altar. revascularization . and .rash/pruritus possible. Lucio Jr. If it’s almost time DOSE (eg. and angina Potentially muscle pain. low HDL-C. he should family history of early CHD) .Flatulence an adjunct to – not a BRAND NAME patients without evidence of .Vomiting  Tell patient to take drug at revascularization procedures .alopecia for his next dose. tenderness. smoking. . Decangchon SEX: Male AGE: 67 years old WARD: Neurological (stroke Station) DATE: 4 – 24.Anorexia the same time each day to in patients without evidence .angioedema  Instruct patient to take a (CHD) but with multiple risk . weakness. to reduce .myalgia missed dose as soon as 40 mg factors other than diabetes .

page 857. lactation. . REFERENCE MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS NURSING RESPONSIBILITIES NURSING 2013 DRUG Atorvastatin competitively Hypersensitivity. Lippincott. active liver HANDBOOK. disease or unexplained Williams & Wilkins. Excretion: Faeces (as metabolites). leading to lowered LDL-cholesterol concentration. porphyria. 14 hr (elimination half-life). Metabolism: Extensively hepatic. Absorption: Rapid from the GI tract (oral). Distribution: Protein-binding: 98%. the induction of the LDL pregnancy. the enzyme that catalyses the persistent elevations of serum 859 conversion of HMG-CoA to mevalonic acid. This results in transaminase. receptors. converted to active inhibitors of HMG-CoA reductase. inhibits HMG-CoA reductase.