Patient name: Garcia, Himelia C.

Medical diagnosis: Acute CVD Infarct

DRUG NAME DOSAGE/FREQUENCY/ MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ROUTE CONSIDERATION

Generic Name: Dose: 40g Gastric acid-pump Indicated for: Contraindicated with CNS: Headache, dizziness, C: Antisecretory drug;
Omeprazole inhibitor: Suppresses  Short-term treatment of hypersensitivity to asthenia, vertigo, insomnia,
Proton pump inhibitor
Frequency: OD gastric acid secretion by activeduodenal ulcer; omeprazole or its apathy, anxiety,
Brand Name: specific inhibition of the First-line therapy in components; paresthesias, dream H: IVTT
Losec (CAN) Route: IV hydrogen-potassium treatment of heartburn Use cautiously with abnormalities E: decrease gastric acid
ATPase enzyme system at or symptoms of pregnancy, Dermatologic: Rash, secretion
Drug Classification: the secretory surface of the gastroesophageal reflux lactation. inflammation, urticaria, C: Take the drug before
Antisecretory drug gastric parietal cells; disease (GERD); pruritus, alopecia, dry skin meals.
Proton pump inhibitor blocks the final step of acid  Short-term treatment of GI: Diarrhea, abdominal Report severe headache,
production. active benign gastric pain, nausea, vomiting, worsening of
ulcer; constipation, dry mouth, symptoms, fever, chills.
tongue atrophy K: Swallow the
 GERD, severe erosive
Respiratory: URI capsules whole; do not
esophagitis, poorly
symptoms, cough, epistaxis chew, open, or crush
responsive symptomatic
Other: Cancer in them.
GERD;
 Long-term therapy: preclinical studies,
Treatment of pathologic back pain, fever
hypersecretory
conditions (Zollinger-
Ellison syndrome,
multiple adenomas,
systemic mastocytosis);
 Eradication of H. pylori
with amoxicillin or
metronidazole and
clarithromycin;
DRUG NAME DOSAGE/FREQUENCY/ROUTE MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECT NURSING CONSIDERATION
ACTION

Generic Name: Dose: 10 mg Increases metabolic For treating Thyrotoxicosis, Side effects: Instruct patient to take the drug with
rate, cardiac output Hyperthyroidism myocardial infarction meals to decrease gastrointestinal
Methimazole and protein and severe renal disease Nausea and vomiting, symptoms
synthesis. Useful for diarrhea, cramps, tremors,
Route: PO nervousness, insomnia,
treating thyrotoxic Advise patient about the effects of
Brand Name: Frequency: q6 crisis and in headache and weight loss
iodine and its presence in iodized salt,
preparation for shellfish and OTC cough medicines
Tapazole subtotal
thyroidectomy. Adverse Effects:
Emphasize the importance of drug
Tachycardia, hypertension compliance; abruptly stopping the
antithyroid drug could bring on a
and palpitations
thyroid crisis
Teach patient the signs and symptoms
of hypothyroidism: lethargy, puffy
eyelids and face, thick tongue, slow
speech with hoarseness, lack of
perspiration and slow pulse.
Hypothyroidism may result to
treatment of Hyperthyroidism
DRUG NAME DOSAGE/FREQUENCY/ MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ROUTE CONSIDERATION
GGeneric Name: Dosage: 0.22 Potentiates the actions of Acute and extended Intramuscular use Hemorrhage Consider dosage
Enoxaparin
Route: SQ an endogenous inhibitor of prophylaxis of deep-vein Use with prosthetic anemia,injection site adjustment for clients with
Brand Name: Lovanox blood coagulation known thrombosis valves due to possible hematoma,Nausea,thromb low weight (<45kg)
Frequency: OD
Classification: as antithrombin III With warfarin for in- valve thrombosis. ocytopenia,fever,Headache,
Anticoagulant, low Increases antithrombin III– patient treatment of DVT Hypersensitivity to Edema and spinal Give only by deep SC while
molecular weight mediated inhibition of the With aspirin to prevent heparin and enoxaparin. hematoma lying down
Heparin
formation and activity of ischemic complications of Hypersensitivity to pork
factor Xa, resulting to unstable angina and non- products Do not give IM
reduced thrombin Q-wave myocardial
generation infarction Continue treatment until
. risk of DVT decreases

Do not mix with other

injections/infusions

Discard any unused

solution

Assess for Heparin or pork

product hypersensitivity

Document baseline
hematologic parameters,
liver function, and
coagulation studiesg
Monitor VS and assess for
signs of bleeding
Client may self-inject if
educated and if follow-up
on out-patient basis is
needed

Alternate administration
between the left and right
anterolateral and
posterolateral abdominal
wall
DRUG NAME DOSAGE/FREQUENCY/ MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING
ROUTE CONSIDERATION
Inhibits vasoconstrictiv Hypetension, Patients hypersensitive CNS-dizziness, asthenia, Monitor patients BP.
Generic name: Dosage: 50mg e and aldosterone- Nephepatically in type to drug, breast-feeding is fatigue, headache, inso
Losartan Potassium secreting action of angi 2 daibetic patients, to not mia. Monitor patients who
Frequency: otensin II by blocking reduce risk of CVA in recommended,c a u s e s are also taking diuretics
Brand name: OD angiotensin II receptor patients with hypertension and fetal and neonatal CV- for symptomatic
Cozaar on the surface of left ventricular hypertrophy morbidity and edema,chest pain. hypotension.
vascular smooth muscle death.
and other tissue cells. EENT Assess patients
Drug Classification: -nasal congestion, sinusitis, renal function.
Cardiovascular agent pharyngitis, sinus disorder.
Tell patient to avoid
GI salt substitutes.
-Abdominal pain, nausea,
diarrhea, dyspepsia.

Musculoskeletal
-muscle cramps, myalgia,
back or leg pain.

Respiratory
-cough, upper
respiratory infection.