Names: Hashhash Abtissam, Roselyn Barbosa, Kaycelyn A.

Jimenez Section: BSN 3B-2a

SIDE
DRUG MECHANISM OF
GENERIC NAME BRAND NAME EFFECTS/ADVERSE NURSING RESPONSIBILITIES
CLASSIFICATION ACTION
EFFECT
BEFORE:
GENERIC: BRAND NAME: THERAPEUTIC: Tolvaptan is in a class CNS: Asthenia, CVA,  Assess neurologic health status
Tolvaptan Jinarc, Jynarque, Vasopressin Antagonist of medications called fever, thirst  Monitor serum sodium level closely
Samsca vasopressin receptor CV: Deep vein  Monitor
PHARMACOLOGIC: antagonists. It works by thrombosis, intracardiac  Check for allergies to the drugs or its components.
DOSAGE: Selective Vasopressin increasing the amount thrombus, ventricular  Assess for history of liver disease
15 mg receptor antagonists of water released from fibrillation, palpitations.  Make sure to practice the 10 R’s in giving the medicine
the body as urine. EENT: Dry mouth prescribed.
ROUTE: INDICATIONS: Removing fluid from ENDO: Diabetic
Per Orem For Hypervolemic and the body help to ketoacidosis, hyper- DURING:
euvolemic hyponatramia increase the level of glycemia
 Monitor serum electrolytes levels, volume status, and
FREQUENCY (serum sodium level less sodium in the blood. GI: Anorexia, constipation,
neurologic status when therapy has begun.
O.D. than 125 mEq/L and gastrointestinal bleeding,
 Provide safety measures such as side rails up, paddings as
symptomatic SOURCE: ischemic colitis, nausea
necessary, and close supervision as needed.
hyponatremia) in Lippincott, W. (2020) GU: Nocturia, polyuria,
 Offer a glass of water as tolerated
hospitalized patients, Nursing 2020 DRUG urethral or vaginal
including those with HANDBOOK (2 Vol.- hemorrhage  Promote rest and comfort
SIADH (Samsca) set). Philadelphia PA , HEME: Disseminated  Keep the client in bed with assistance
19103: Two commerce intravascular coagu-  Double check Doctor’s Order before giving the medication
CONTRAINDICATION: Square, Wolter Kluwer lation, prolonged and identify the name and the age of the client before
Contraindicated in patients Health, Inc. prothrombin time administration
hypersensitive to drug or MS: Rhabdomyolysis  Check for any adverse effects
its components. RESP: Pulmonary
embolism, respiratory AFTER:
failure  Demonstrate to the daughter in proper administration of
Other: Dehydration, prescribed drug.
hyperkalemia,  Advise patient to promptly report all adverse reactions,
hyponatremia, especially difficulty speaking or swallowing, drowsiness,
hypovolemia mood changes, seizures, anorexia, and the like.
 Educate the daughter the importance of following the
therapeutic regimen as prescribed.
 Discuss to the daughter that drug can be taken with or without
food but to avoid grape fruit products during therapy.
 Encourage the daughter to verbalize any concerns or queries
with regards to therapeutic regimen.