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DRUG STUDY

Classification Side
Name of and Indication and Contraindication Effects/Adve Nursing Responsibilities
Drug Mechanism Dosage rse Reaction
of Drug

Lipitor Antihyperlipide *Adjunct to diet 1.Contraindicated CNS: 1. Teach patient about
mic reduce LDL, total in patients headache, proper dietary
*Atorvasta cholesterol, hypersensitive to asthenia, management,
tin Inhibits HMG – apolipoprotein B, drug and in those insomnia weight control and
Calcium* CoA reductase, and triglyceride with active liver exercise.
an early step levels and to disease. CV: peripheral 2. Warn patient to
in cholesterol increase HDL edema avoid alcohol.
biosynthesis levels in patients 2. Contraindicated 3. Tell patient inform
with primary in pregnant and EENT: rhinitis, prescriber of
hypercholesterol breastfeeding pharyngitis, adverse reactions
emia women and in sinusitis such as muscle pain,
women of malaise and fever.
Adults: Initially childbearing. GI: abdominal 4. Advise patient that
10 or 20mg PO pain, drug can be taken at
once daily 3. Use cautiously in dyspepsia, any time of day,
patients with flatulence, without regard to
*To reduce the history of liver nausea, meals.
risk of stroke disease or heavy constipation 5. Before starting
alcohol use. treatment, assess
Adults: 10mg PO Musculoskelet patient for
daily 4. Withhold or stop al: arthritis, underlying causes
drug in patients at athralgia, for
risk for renal failure myalgia hypercholesteromia
caused by and obtain a
rhabdomyolysis Respiratory: baseline lipid profile.
bronchitis 6. Patient should follow
a standard low –
Skin: rash cholesterol diet
before and during
therapy.

Classification Side
Name of and Indication and Contraindicatio Effects/Adverse Nursing Responsibilities
Drug Mechanism of Dosage n Reaction
Drug

Ziac Antihypertensive Hypertension Use in serious side effects: 1. Do not perform activities
Adults: 2.5mg / bronchospastic that require mental
*hydrochlo- First line therapy 6.25mg tab PO daily. pulmonary  swelling, rapid alertness until drug
rothiazide in mild to Increase or decrease disease, weight gain, feeling effects realized.
and moderate daily dose based on cardiogenic shock, short of breath,
bisoprolol hypertension blood pressure. overt CHF, even with mild 2. Report sign and
fumarate* hypersensitivity to exertion symptoms of heart
either drug or to failure (increase edema,
other sulfonamide  fast, slow, or fatigue) as alternative
derived drugs, uneven heartbeat therapy may be indicated
during lactation
3. Diabetics should monitor
 chest pain
blood sugar carefully as
beta blockers may mark
 easy bruising or symptoms of
bleeding hypoglycemia

 sudden 4. Monitor vital signs
numbness or carefully
weakness on one
side of the body, 5. Assess ECG to ensure no
problems with dysrhythmias (second –
vision or speech, or third degree AV block
chest pain, or pain or bradycardia) that
in one or both legs; would preclude drug
therapy
 numbness or
tingly feeling in
your hands or feet

less serious
• diarrhea,
constipation,
upset
stomach;
• headache,
tired feeling;
• dizziness,
spinning
sensation;
• cough,
runny nose;