DRUG NAME ACTION INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING

EFFECTS CONSIDERATION
Generic Name: Binds to an enzyme on - Short-term treatment - Drowsiness - Hypersensitivity Assessment
- Omeprazole gastric parietal cells in the of active duodenal - Fatigue - Metabolic acidosis - assess patient routinely
presence of acidic gastric ulcer; First-line - Headache - Hypocalcemia for epigastric or
Classification: pH, preventing the final therapy in treatment - Chest pain abdominal pain and
- Proton Pump transport of hydrogen ions of heartburn or - Abdominal pain frank or occult blood
Inhibitor into the gastric lumen. - Constipation
symptoms of gastro in the stool, emesis, or
- Anti ulcer Agents - Diarrhea
Therapeutic Effects: esophageal reflux gastric aspirate
- Nausea
diminished accumulation disease (GERD) Lab Test:
Doctor’s Order: - Vomiting
of acid in the gastric - Itching - Monitor CBC with
- Omeprazole 40mg IV lumen with lessened gastro - Short-term treatment differential
- Rash
esophageal reflux, healing of active benign - Allergic reaction periodically during
Date started: of duodenal ulcer. therapy
gastric ulcer
- January 15,2017 - May cause Increase
- GERD, severe AST, ALT, alkaline
erosive esophagitis, phosphatase and
poorly responsive bilirubin.
symptomatic GERD
 DRUG NAME ACTION INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
Generic Name: Increase the osmotic Test dose for marked - Headache - Dehydration Assessment:
- Mannitol pressure of the glumerular oliguria or suspected - Blurred vision - Hypersensitivity 1. Vital signs
filtrate, thereby inhibiting inadequate renal - Chest pain - Active cranial 2. Intake and output
Classification: reabsorption of water and function, prevent acute - Tachycardia bleeding 3. Central venous
- Osmotic Diuretic electrolytes. Causes renal failure during - Nausea - Anuria pressure
excretion of: Water, cardiovascular and - Vomiting 4. Pulmonary artery
Doctor’s Order: - Renal failure
Sodium, Potassium, other surgeries, acute pressure
- Urinary retention
- Potassium, Chloride, renal failure, to reduce 5. Signs and
- Dehydration
Calcium, Phosphorus, intracranial pressure - Hypokalemia symptoms of
Date started: Magnesium, Urea, Uric and brain mass, reduce - Hyponatremia dehydration
- acid. intraocular pressure, to 6. Signs of electrolyte
Therapeutic Effects: promote dieresis in imbalance/deficit
mobilization of excess drug toxicity, 7. Neurologic status
fluid in oliguric renal irrigation during and intracranial to
failure or edema. transurethral resection decrease cerebral
Reduction of intraocular or of prostate. edema.
intracranial pressure. Laboratory Tests
Increased urinary 1. Renal function
excretion of toxic (BUN and
materials. Decreased Creatinine)
hemolysis when used as an 2. Serum Electrolyte
irrigant after transurethral (Sodium and
prostatic resection. Potassium)
 DRUG NAME ACTION
Generic Name: Increase water content and - Treatment of chronic
- Lactulose softens the stool. Lowers
the pH of the colon, which
Classification: inhibits the diffusion of
- Laxative ammonia from the colon
into the blood, thereby
Doctor’s Order: reducing blood ammonia
- Lactulose 30cc OD levels.
Therapeutic Effect: Relief
of constipation. Decreased
Date started: blood ammonia levels with
- Jan. 15,2017 improved mental status in
PSE.
INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
- Abdominal cramps - Low-galactose diet Assessment:
constipation in adults - Distention 1. Assess patient for
and geriatric patients. - Flatulence abdominal distention,
Adjunct in the - Diarrhea presence of bowel
management of portal- - Nausea sounds, and normal
- Vomiting pattern of bowel
systemic (hepatic)
encephalopathy (PSE) function.
2. Assess color,
consistency, and
amount of stool
produced.
Laboratory Test:
- Monitor serum
electrolytes
periodically when used
chronically. May cause
diarrhea with resulting
hypokalemia and
hypernatremia.
 DRUG NAME ACTION INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
Generic Name: Inhibits HMG-COA - Adjunct to diet in - Headache - Acute liver disease or Assessment
- Simvastatin reductase enzyme, which, the treatment of - Nausea unexplained 1. Assess nutrition
reduces cholesterol synthesis elevated total - Flatulence persistent elevations 2. Monitor creatinine
Classification: ; this enzyme is needed cholesterol and LDL - Heartburn of serum phosphokinase levels,
- Antihyperlipidemic for cholesterol production. cholesterol with - Abdominal pain transaminases serum cholesterol
- HMG-CoA reductase - Diarrhea 3. Monitor for
primary hyper
- Blurring of vision triglycerides,
inhibitor cholesterol in those
- Dizziness cholesterol baseline a
unresponsive to
Doctor’s Order: nd throughout
dietary restriction of
- Simvastatin 80 g OD treatment
saturated fat and
4. Monitor intake and
cholesterol and
output
Date started: other non- 5. Assess liver function
- Jan 15, 2017 pharmacologic tests prior to therapy
measures and periodically
thereafter
6. Evaluate therapeutic
response
and adverse reactions
on a regular basis
 DRUG NAME ACTION
Generic Name: Used to block the action of
- Captopril angiotensin converting
enzyme (ACE) which is
Classification: naturally produced in the
- ACE Inhibitor body. ACE produces
- Antihypertensive angiotensin II which
causes constriction and
Doctor’s Order: narrowing of the blood
- Captopril ½ tablet vessels thereby increasing
OD blood pressure. By
blocking ACE, production
of angiotensin II decreases
Date started: allowing the blood vessels
- Jan 15, 2017 to relax and widen
resulting in decrease blood
pressure.
INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
- Captopril is used - Hypotension - Hypersensitivity - Monitor blood
alone or in - Dizziness - Bilateral renal artery pressure and pulse
combination of other - dry mouth stenosis frequently.
drugs for the - Itching - Renal impairment - Monitor weight and
management of - Sleep problems assesses patient
- Rashes frequently for signs
hypertension. It is
- Constipation
also used in of fluid overload if
- Changes in the way
combination with with concurrent
things taste
other drugs in the diuretic therapy.
- Upset stomach
treatment of heart - Assessments of urine
- Abdominal pain
failure after a heart - Shortness of breath protein may be
attack. Also used to - Neutropenia ordered. Proteinuria
treat kidney problems and nephrotic
caused by diabetic syndrome may occur
nephropathy. with therapy.
- Monitor BUN, Crea
and electrolyte levels
periodically.
- WBC should be
monitored prior to
therapy and
periodically
thereafter.
 DRUG NAME ACTION INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
Generic Name: - Blocks stimulation - Management of HPN - Dizziness - Hypersensitivity
- Carvedilol of beta1(myocardial) & angina pectoris - Fatigue - Bronchial asthma or - Monitor vital signs
& beta2 (pulmonary, also as an adjunct to - Weakness related broncho before and frequently
vascular &uterine)- - Drowsiness spastic conditions during therapy
Classification: standard therapy in
androgenic receptor - Headache - Monitor intake and
- Antihypertensive sites-also has alpha1 symptomatic heart
- Beta blockers - Bradycardia output
blocking activity, w/c failure
- Monitor serum
may result in
Doctor’s Order: orthostatic bilirubin, AST, ALT,
- Carvedilol20 mg OD hypotension and LDH before and
- Decrease heart rate periodically during
Date Started: and blood pressure. therapy. May cause
Improved cardiac mild, reversible
- Jan 15, 2017
output, slowing of the increase in AST,
progression of CHF
alkaline phosphatase,
and decrease risk of
death. and bilirubin.
- Monitor BUN, serum
creatinine and uric
acid before and
periodically during
therapy.
 DRUG NAME ACTION
Generic Name: Increase coronary blood
- Nitroglycerin flow by dilating coronary
arteries and improving
Classification: collateral flow to ischemic
- Antianginals regions. Produces
vasodilation. Decrease left
Doctor’s Order: ventricular end-diastolic
- pressure and left
ventricular end-diastolic
Date started: volume (preload). Reduces
- Myocardial oxygen
consumption.
Therapeutic Effects: Relief
or prevention of angina
attacks. Increased cardiac
output. Reduction of blood
pressure.
INDICATION ADVERSE/SIDE CONTRAINDICATIONS NURSING
EFFECTS CONSIDERATION
- Preventing chronic - Dizziness or light- - Hypersensitivity Do not use NTG patch if:
chest pain caused by headedness - Pericardial - Allergic to any
heart disease. - Headache tamponade ingredient in
- Indicated for the - Irritation at site of
prevention of angina nitroglycerin patch
patch
pectoris due to - Severe allergic - Allergic to the
coronary artery
reactions adhesive that makes
disease.
- Dry mouth the patch stick to
- Fast or irregular your skin
heartbeat
- Restlessness - Increased pressure in
or severe injury to the
head
- Have severe anemia