Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing

effect Consideration
Renvela Control of serum P in Patients with chronic kidney Sevelamer Nausea, vomiting, Assess patient for GI
(Sevelamer) patients w/ chronic disease (CKD) retain carbonate (Renvela) diarrhea, dyspepsia, side effects
kidney disease (CKD) phosphorus and can develop is contraindicated in abdominal pain, periodically during
Brand Name: on dialysis; hyperphosphatemia. When patients with flatulence, therapy.
Renagel, hyperphosphatemia in the product of serum hypersensitivity to constipation. GI
Renvela adults receiving calcium and phosphorus the active substance disorders eg, Lab Test
hemo- or peritoneal concentrations (Ca x P) or to any of the abdominal distention Considerations:
Classification: dialysis exceeds 55 mg2/dL2, there is excipients. & discomfort Monitor serum
Phosphate an increased risk that phosphorous,
Binder ectopic calcification will calcium, bicarbonate,
occur. Hyperphosphatemia and chloride levels
plays a role in the periodically during
development of secondary therapy
hyperparathyroidism in renal
insufficiency.
Treatment of
hyperphosphatemia includes
reduction in dietary intake of
phosphate, inhibition of
intestinal phosphate
absorption with phosphate
binders, and removal of
phosphate with dialysis.
Sevelamer carbonate taken
with meals has been shown
to control serum phosphorus
concentrations in patients
with CKD who are on dialysis
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration
Generic name: Chest pain (angina) These medications block the PREGNANCY/ Side effects of Monitor BP for
amlodipine occurs because of transport of calcium into the NURSING MOTHERS: amlodipine are therapeutic
insufficient oxygen smooth muscle cells lining Generally, generally mild and effectiveness.
Brand Name: delivered to the heart the coronary arteries and amlodipine is reversible. The two
Norvasc muscles. Insufficient other arteries of the body. avoided in most common side Monitor for S&S of
oxygen may be a Since calcium is important in pregnancy, and by effects are headache dose-related
cardiovascular result of coronary muscle contraction, blocking nursing mothers and edema (swelling) peripheral or facial
agent; artery blockage or calcium transport relaxes since it may cross of the lower edema that may not
calcium channel spasm, or because of artery muscles and dilates the blood brain extremities. Less be accompanied by
blocker; physical exertion coronary arteries and other barrier and cause common side effects weight gain; rarely,
antihypertensive which increases heart arteries of the body. By include dizziness, severe edema may
agent oxygen demand in a relaxing coronary arteries, flushing, fatigue, cause discontinuation
patient with coronary amlodipine is useful in nausea, and of drug.
artery narrowing. preventing chest pain palpitations
Amlodipine is used for (angina) resulting from Monitor BP with
the treatment and coronary artery spasm. postural changes.
prevention of angina Relaxing the muscles lining Report postural
resulting from the arteries of the rest of the hypotension.
coronary spasm. body lowers the blood Monitor more
Amlodipine is also pressure, which reduces the frequently when
used in the treatment burden on the heart as it additional
of high blood pressure pumps blood to the body. antihypertensives or
diuretics are added.
Monitor heart rate;
dose-related
palpitations (more
common in women)
may occur
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing Consideration
effect
Calcium Treatment and Essential for nervous, : Hypercalcemia; CNS: headche, Calcium
Carbonate prevention of muscular, and skeletal Renal calculi; tingling. CV: Supplement/Replacement:
hypocalcemia. systems. Maintain cell Ventricular arrhythmias, Observe patient closely for
Adjunct in the membrane and capillary fibrillation. Use bradycardia. GI: symptoms of
Brand prevention of permeability. Act as an Cautiously in: constipation, hypocalcemia
Name: Caltrate postmenopausal activator in the Patients receiving nausea, (paresthesia, muscle
osteoporosis. Relief transmission of nerve digitalis glycosides; vomiting.GU:calculi, twitching, laryngospasm,
Classification: of acid indigestion or impulses and contraction Severe respiratory hypercalciuria. colic
Antacid heartburn. of cardiac, skeletal, and insufficiency;
Treatment of smooth muscle. Essential Renal disease; Instruct patients on a
hyperphosphatemia for bone formation and Cardiac disease regular schedule to take
in end-stage renal blood coagulation. missed doses as soon as
disease Therapeutic Effects: possible, then go back to
Replacement of calcium regular schedule.
in deficiency states.
Control of Advise patient that
hyperphosphatemia in calcium carbonate may
end-stage renal disease cause constipation.
without promoting
aluminum absorption. Calcium Supplement:
Encourage patients to
maintain a diet adequate
in vitamin D.
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration
NaC Inhaln: Mucolytic in Inhaln: Degrades mucus, Hypersensitivity. Use CNS: drowsiness. CV: Assess type, amount,
(Acetylcysteine) the management of allowing easier mobilization Cautiously in: Severe vasodilation, and time of
conditions associated and expectoration. respiratory tachycardia, acetaminophen
Classfication: with thick viscid Therapeutic Effects: PO: insufficiency, hypotension. EENT: ingestion.
mucous secretions. Prevention or lessening of asthma, or history of rhinorrhea. Resp:
Mucolytic liver damage following bronchospasm; bronchospasm, Assess plasma
acetaminophen History of GI bronchial/tracheal acetaminophen
overdose.Inhaln:Lowers the bleeding (oral only); irritation, chest levels. Initial levels
viscosity of mucus OB, Lactation: Safety tightness,qsecretions. are drawn at least 4
not established. GI: nausea, vomiting, hr after ingestion of
stomatitis. Derm: acetaminophen.
rash, clamminess,
pruritus, urticaria. Plasma level
Misc: allergic determinations may
reactions (primarily be difficult to
with IV), including interpret following
ANAPHYLAXIS, ingestion of
ANGIOEDEMA, chills, extended-release
fever preparations. Do not
wait for results to
administer dose.
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration
Name of Drug Indication Mechanism Of Action Contraindication Side effect / adverse Nursing
effect Consideration