BULACAN STATE UNIVERSITY

COLLEGE OF NURSING
City of Malolos

DRUG STUDY

Patient’s Initial: Age: 62 years old Gender:Male Date Handled: 02/22/2021 Medical Diagnosis:
Chief Complaint: Hospital: Ward/Clinical Area:

MEDICATIONS DATE ROUTE OF MECHANISMS OF INDICATION CONTRAINDICATION CLIENT’S NURSING

ORDERED/ ADMINISTRATION/ ACTION RESPONSE RESPONSIBILITIES
GIVEN/ DOSAGE/
TAKEN FREQUENCY
Generic Name Oral Ramipril blocks ACE Treatment of · Contraindicated with · Administer 1 hr
10mg from converting hypertension allergy to ramipril, before or 2 hr after
Rampiril angiotensin I to alone or in pregnancy meals.
Initiate dosing at angiotensin II, a combination (embryocidal in · Discontinue
Drug Classes: 2.5 mg once daily powerful with thiazide- preclinical studies). diuretic for 2–3 days
Antihypertensiv for 1 week, 5 mg vasoconstrictor, type diuretics before beginning
e, Angiotensin- once daily for the leading to decreased · Treatment of therapy, if possible,
converting next 3 weeks, and BP, decreased CHF in stable Drug Interactions: to avoid severe
enzyme (ACE) then increase as aldosterone secretion, patients in the hypotensive effect.
inhibitor tolerated, to a a small increase in first few days · Exacerbation · Open capsules and
maintenance dose serum potassium after MI of cough if taken with sprinkle contents
Brand Name of 10 mg once levels, and sodium and · To decrease capsaicin over a small amount
Altace daily. fluid loss; increased the risk of of applesauce or mix
prostaglandin synthesis cardiovascula · Increased in applesauce or
also may be involved in r disease in serum levels water if patient has
the antihypertensive patients at and increased difficulty swallowing
action. risk for toxicity with capsules. Mixture is
developing lithium; monitor stable for 24 hr at
CAD patient closely room temperature
and 48 hr if
refrigerated.
· Alert surgeon and
mark chart that
 ramipril is being
used; the
angiotensin II
formation
subsequent to
compensatory renin
release during
surgery will be
blocked;
hypotension may be
reversed with
volume expansion.
· Monitor patient
closely for falling BP
secondary to
reduction in fluid
volume (excessive
perspiration and
dehydration,
vomiting, diarrhea)
because excessive
hypotension may
occur.
· Reduce dosage in
patients with
impaired renal
function.
Student’s Name: Santos, Richmon Joseph E. Yr. & Sec./Grp. No.:BSN 3C Clinical Instructor: Sir, Laurence Santos RN MAN