COLEGIO SAN AGUSTIN BACOLOD

COLLEGE OF HEALTH AND ALLIED PROFESSIONS

NURSING PROGRAM
B.S. Aquino Drive, Bacolod City
Contact Number: (034) 434 – 24 71 Local 162
Email Address: csab.chap@gmail.com

Name: Mr. XYZ Date of Admission: January 25, 2021

Age: 69 years old Chief Complaint:
Room: Diagnosis:
Attending Physician: Dr. XXX

Drug Study
Generic Name Brand Classification Mechanism of Action Indication Side Effects/ Nursing
Name Adverse React Considerations

Furosemide Therapeutic: Inhibits the Treatment of edema -Observe 10 rights in

Urinary: Increase
1 tab reabsorption of associated with giving medication.
Loop Diuretics urinary frequency,
40 mg sodium and chloride congestive heart
-Test if the patient is
PO from the loop of failure bladder spasm
allergic to the drug.
OD henle and distal renal
tubule. Increases -To prevent nocturia,
GI: dyspepsia,
renal secretion of give PO and IM
water, sodium, diarrhea, preparations in the
chloride,magnesium, morning. Give
constipation,
second dose in early
potassium and
calcium. electrolyte afternoon.
disturbances 
-Monitor weight,
blood pressure, and
pulse rate routinely
MS: abdominal
with long term use
cramps, fatigue, and during rapid
dieresis. Use Can
plank pain,
lead to profound
restlessness water and electrolyte
depletion.

CNS: dizziness, -If oliguria or

azotemia develops or
headache, blurred
increases, drug may
vision, photo need to be
stopped.Monitor
sensitivity
fluid intake and
output and
electrolyte, BUN,and
Dermatologic: rash, carbon dioxide levels.
diaphoresis
-Consult physician
regarding allowable
Adverse Effect: salt and fluid intake.
Hypokalemia,
hyponatremia, -Ingestion potassium-
dehydration, rich foods daily (e.g.,
ototoxicity bananas, oranges,
peaches, dried dates)
to reduce or prevent
potassium depletion.

-Learn S&S of
hypokalemia . Report
muscle cramps or
weakness to
physician.

-Make position
changes slowly
because high doses
of antihypertensive
drugs taken
concurrently may
produce episodes of
dizziness or
imbalance.

-Avoid replacing fluid

losses with large
amounts of water

-Avoid prolonged
exposure to direct
sun.
Captopril Therapeutic: Suppress renin- CNS: dizziness, -Monitor patient’s
Treatment of
angiotensin- angiotensin fatigue, headache, intake and output
1/2 tab congestive heart and weight daily.
converting aldoseterone- system failure weakness, insomnia,
25 mg Monitor also the
enzyme (ACE) [prevents conversion confusion daily pattern of
PO inhibitors of angiotensin I to bowel activity and
BID agiotensin II, a patent RESP: cough, upper stool consistency.
vasoconstrictioor: respiratory
may inhibit infection  -Assess signs and
angiotensin II at local symptoms of CHF
(dyspnea,
vascular and renal CV: hypotension,
rales/crackles,
sites] decreases chest pain, peripheral edema,
plasma angiotensin II, palpitations, jugular venous
increases plasma tachycardia, distention, exercise
renin activity, paresthesia intolerance) to help
decreases document whether
aldosterone GI: abdominal pain, drug therapy is
effective in reducing
secretion. diarrhea, nausea,
these symptoms.
vomiting,
constipation, dry -Watch for signs of
mouth, impaired renal
 function, including
GU: erectile decreased urine
dysfunction, output, cloudy urine,
or sudden weight
impaired renal
gain due to fluid
function, nephrotic retention. Report
syndrome  these signs to the
physician.
DERM: rashes
-Assess dizziness that
F and E: might affect gait,
balance, and other
hyperkalemia
functional activities
Report balance
MS: muscle cramps  problems and
functional limitations
HEMA: to the physician, and
agranulocytosis, caution the patient
neutropenia and family/caregivers
to guard against falls
and trauma. Assist
MISC: angioedema
with ambulation if
dizziness occurs.

-Monitor symptoms
of high plasma
potassium levels
(hyperkalemia),
 including
bradycardia,

Nifedipine Pharmacologic: Calcium channel Indications CNS: headache, - Monitor BP

1 tab -Calcium channel blocking agent that Management of asthenia, carefully during
30mg blocker titration
selectively blocks ion hypertension dizziness,fatigue,
PO -Vasodilator nervousness,sleep dis period.Patient may
influx across cell
q8 turbances. become severely
membranes of cardiac hypotensive,especiall
muscles and vascular CV: peripheral y if also taking other
smooth muscle edema,angina, drugs known to
without changing hypotension, lower BP.
serum calcium arrhythmias, 
AV block,asystole -Monitor blood sugar
concentrations.Class
in diabetic
IV antiarrhythmic Dermatologic: patients.Nifedipine
Flushing, rash,pruritus, has diabetogenic
dermatitis properties.
GI: 
nausea,Constipation,  
diarrhea,cramps, -Monitor for gingival
flatulence hyperplasia and
report promptly.This
OTHER: is a rare but serious
nasal adverse effect
congestion (similar to phenytoin-
induced)