Generic name/ Dosage / Classification Indicators Contra indicators Side effect Nursing responsibilities

trade name frequency

Amlodipine 175mg/5ml Antiaginal Aginal pectoris due Contraindicated CNS: dizziness, Take with meals if upset if
suspension 7.5ml/ q12 Antihyperten to coronary artery with allergies to light headedness, upset stomach occurs
(ECTRIW) sive spasm amplodipine, headache
calcium impaired renal or report irregular heartbeat,
channel chronic stable agina, renal function, sick CV: peripheral shortness of breath,
blocker alone or ion sinus syndrome, edema, swelling of hands or feet,
combination with heart block lactation arrhythmias pronounced dizziness and
other drugs constipation
use cautiously with GI: nausea,
essential heart failure, abdominal
hypertension, alone pregnancy discomfort
or in combination
with other
antihypertensives

Contraindicated Na+ and fluid

Hydrocortisone 100 mg IV Adrenocortic Short term with allergy to any retention, Report unusual weight gain,
q8 al steroid inflammation and component of the hypocalcemia, swelling of lower
Corticosteroi allergic disorder, drug, fungal hypokalemia, extremities, muscle
d (short- such as status infections, increased blood weakness, black or tarry
acting) asthmaticus amebiasis, sugar, in, stools, vomitting of blood,
Glucocorticoi hepatitis , vaccina increased serum epigastric burning, puffing
d hormone allergic state – severe or varicella and cholesterol, of face, menstrual
or incapacitating antibiotic-resistant decreased serum irregularities, fever,
allergies infections, immuno- T3 and T4 levels prolonged soar throat, cold
supression or other infection ,
worsening of symptoms
Use with caution
with kidney disease;
liver disease
cirrhosis,
 hypothyroidism;
ulcerative colitis,
with impending
perforation;
diverticulitis,;
recent GI surgery;
active or latent
peptic ulcer;
inflammatory bowel
disease;
hypertension, heart
failure,
thromboembolic
tendencies;
thrombophlebitis,
osteoporosis,
convulsive disorder,
metastatic
carcinoma, diabetes
mellitus, TB;
lactation

 Dizziness,lighth
Losartan 1 tab Angiotensin eadedness, Assessment
once II Treatment of HTN Losartan is blurred vision, or  History:
daily Antagonists in patients who do contraindicated in a stuffy nose as Hypersensitivity to
not respond to patients who are your body losartan, pregnancy,
monotherapy hypersensitive to adjusts to the lactation, hepatic or
alone. any component of medication. If renal dysfunction,
this product any of these hypovolemia
effects persist or  Physical: Skin
worsen, notify lesions, turgor; T;
doctor or reflexes, affect; BP;
pharmacist R, respiratory
promptly. side auscultation; liver
effects and kidney function
occur: fainting, tests
decreased sexual
ability. Tell your Interventions
doctor  Administer without
immediately if regard to meals.
any of these  Ensure that patient is
highly unlikely not pregnant before
but very serious beginning therapy,
side effects suggest using barrier
occur: change in birth control while
the amount of using losartan; fetal
urine, injury and deaths
stomach/abdomi have been reported.
nal pain, severe  Find an alternative
nausea, method of feeding
yellowing eyes the baby if given to
or skin, dark a nursing mother.
urine, unusual Depression of the
fatigue, muscle renin-angiotensin
pain.An allergic system in infants is
reaction to this potentially very
drug is unlikely, dangerous.
but seek  Alert surgeon and
immediate mark patient's chart
medical attention with notice that
if it occurs. losartan is being
Symptoms of an taken. The blockage
allergic reaction of the renin-
include: rash, angiotensin system
itching/swelling following surgery
(especially of the can produce
face/tongue/throa problems.
t), severe Hypotension may be
 dizziness, trouble reversed with
breathing. volume expansion.
 Monitor patient
closely in any
situation that may
lead to a decrease in
blood pressure
secondary to
reduction in fluid
volume—excessive
perspiration,
dehydration,
vomiting, diarrhea—
excessive
hypotension can
occur
Propanalol Beta-
adrenergic Hypertension alone
20mg /day blocker or with other Contraindicated
(nonselective drugs, especially with allergy to Allergic  Do not discontinue
) diuretics beta-blocking reactions: drug abruptly after
Antianginal Angina pectoris agents, sinus Pharyngitis, long-term therapy
Antiarrhythm caused by bradycardia, erythematous (hypersensitivity to
ic coronary second- or third- rash, fever, catecholamines may
Antihyperten atherosclerosis degree heart sore throat, have developed,
sive IHSS to manage block, laryngospas causing exacerbation
associated stress- cardiogenic m, of angina, MI, and
induced angina, shock, CHF, respiratory ventricular
palpitations, and bronchial distress arrhythmias). Taper
syncope asthma, CNS: Dizziness, drug gradually over
Cardiac arrhythmias, bronchospasm, vertigo, 2 wk with
especially COPD, tinnitus, monitoring.
supraventricular pregnancy fatigue,  Ensure that alpha-
tachycardia, and (neonatal emotional adrenergic blocker
bradycardia, depression, has been given
 ventricular hypoglycemia, paresthesias, before giving
tachycardias and apnea, and sleep propranolol when
induced by low birth weight disturbances, treating patients
digitalis or with long-term hallucination with
catecholamines use during s, pheochromocytoma;
Prevention of pregnancy), disorientation endogenous
reinfarction in lactation. , memory catecholamines
clinically stable Use cautiously with loss, slurred secreted by the
patients 5–21 hypoglycemia speech tumor can cause
days after MI and diabetes, CV: severe hypertension
Pheochromocytoma, thyrotoxicosis, Bradycardia, if vascular beta
an adjunctive hepatic CHF, receptors are
therapy after dysfunction. cardiac blocked without
treatment with an arrhythmias, concomitant alpha
alpha-adrenergic sinoatrial or blockade.
blocker to AV nodal  Consult with
manage block, physician about
tachycardia peripheral withdrawing drug if
before or during vascular patient is to undergo
surgery or if the insufficiency, surgery (withdrawal
pheochromocyto claudication, is controversial).
ma is inoperable CVA,  Provide continuous
Prophylaxis for pulmonary cardiac and regular
migraine edema, BP monitoring with
headache hypotension IV form. Change to
Treatment of Dermatologic: oral form as soon as
essential tremor, Rash, possible.
familial or pruritus,  Give oral drug with
hereditary sweating, dry food to facilitate
Unlabeled uses: skin absorption.
Recurrent GI EENT: Eye
bleeding in irritation, dry
cirrhotic patients, eyes,
schizophrenia, conjunctivitis
tardive , blurred
dyskinesia, acute vision
panic symptoms GI: Gastric
pain,
flatulence,
constipation,
diarrhea,
nausea,
vomiting,
anorexia,
ischemic
colitis, renal
and
mesenteric
arterial
thrombosis,
retroperitone
al fibrosis,
hepatomegal
y, acute
pancreatitis
GU: Impotence,
decreased
libido,
Peyronie's
disease,
dysuria,
nocturia,
frequency
Musculoskeletal
: Joint pain,
arthralgia,
muscle
cramp
Respiratory:
Bronchospas
 m, dyspnea,
cough,
bronchial
obstruction,
nasal
stuffiness,
rhinitis,
pharyngitis
Other:
Decreased
exercise
tolerance,
Maalox development
Antacids, of ANAs,
1tab OD Antireflux Use in severely hyperglycemi
Agents & debilitated patients a or
Antiulcerants Symptomatic relief or in those suffering hypoglycemi
of hyperacidity and from kidney failure. a, elevated
as antiflatulent to serum Do not drive, use
alleviate symptoms transaminase, machinery, or do any
of gas, including alkaline activity that requires
post-operation gas phosphatase, alertness until you are sure
pain and LDH you can perform such
activities safely. Avoid
Gastrointestinal alcoholic beverages.
side effects are Caution is advised when
using this drug in children
uncommon. because they may be more
Occasionally, sensitive to the effects of
high doses of the drug, especially the
antacids may drowsiness effect. 
cause diarrhea or
constipation.