Impression/Diagnosis: Attending Physician: Allergy to: Generic & Dose, Strength Indication/Mechanisms of Drug Adverse/Side Effects Nursing Client Brand Name, Rationale & Formulation Action Drug Interaction Responsibilities Teaching Classification
Generic: Ordered: Indications: Adverse Effect: Assessment: >Advise patient to
take medication as Amlodipine Give 10 mg 1tab, Angina pectoris due to coronary CNS: Dizziness, BEFORE: directed, even if artery Spasm, Chronic stable lightheadedness, OD angina, alone or in combination headache, asthenia, • Obtain patients *To indicate if the feeling well. history to patient can have this >Take missed with other agents, Essential fatigue, lethargy allergy of medication. doses as soon as hypertension, alone or in CV: Peripheral edema, Brand: Timing: amlodipine. possible unless combination with other arrhythmias • Assess vital *To obtain baseline almost time for Norvasc 8 am antihypertensive, Dermatologic: Flushing, signs before data. next dose; do not rash therapy. double doses. GI: Nausea, abdominal DURING: > Caution Duration: Discomfort • Monitor *Drug can cause patient to change Mechanism of Action: Classification: 24 hrs. patient’s BP, hypotension, careful positions slowly to Inhibits the movement of calcium cardiac rhythm monitoring needed. minimize Calcium Interactions: ions across the membranes of • Monitor intake *To assess hepatic orthostatic channel-blocker Drug-drug Other forms: cardiac and arterial muscle cells; and output. impairment. hypotension. Antianginal Possible increased serum inhibits transmembrane calcium AFTER: > Advise patient to Drug Tablets: 2.5 mg, 5 levels and toxicity of flow, which results in the • Monitor vital * To stop medication notify health care Antihypertensive mg, 10 mg cyclosporine if depression of impulse formation in signs. if BP is < 90 mmHg professional if taken concurrently. specialized cardiac pacemaker cells, or heart rate < 50 irregular heartbeats, • Be alert for slowing of the velocity of bpm. dyspnea, swelling adverse effect. conduction of the cardiac impulse, *to establish proper of hands and feet, depression of myocardial precautionary pronounced Nursing diagnosis: contractility, and dilation of measures. dizziness, nausea, >Acute pain related to coronary arteries and arterioles and constipation, or increased oxygen peripheral arterioles; these effects hypotension demand in cardiac lead to decreased cardiac work, occurs or if decreased cardiac oxygen tissue. headache is severe consumption, and in patients with >Risk for injury related or persistent. vasospastic angina, increased to hypertension > Caution patient to delivery of oxygen to cardiac cells. >Deficient knowledge wear protective related to drug therapy. clothing and use sunscreen to prevent photosensitivity reactions.