Name of Patient: Roberts Neil Date of Admission: October 7, 2022 Room#:213 Age:65years old Sex: Male
Attending Physician: Dr. Claude
DRUG NAME CLASSIFICATION / INDICATION CONTRAINDICATIO ADVERSE NURSING MECHANISM OF NS/ CAUTIONS EFFECTS/SIDE RESPONSIBILITY ACTION EFFECTS Generic Name: Chronic stable Contraindicated in CNS: Headache, Monitor patients carefully. Some Amlodipine besylate Therapeutic: angina, patients hypersensitive somnolence, fatigue, patients, especially those with Antihypertensives vasospastic to drug. dizziness severe obstructive CAD, have Brand Name: Katerzia, angina (Prinz developed increased frequency, Pharmacologic metal or CV: Edema, flushing, duration, or severity of angina or Norvasc class: Calcium variant Use cautiously in palpitations, acute MI after of inanition of angina); to patients receiving calcium channel blocker therapy channel blockers reduce risk of other peripheral GI: Nausea, abdominal or at time of dosage increase. hospitalization vasodilators, especially pain, ROUTE: PO because of those with severe Mechanism of angina; to aortic stenosis or Monitor BP frequently during Action: RESPIRATORY: reduce risk of hypertrophic initiation of therapy. Because drug ONSET: Unknown Inhibits calcium ion coronary cardiomyopathy with induces after of inanition of influx across cardiac Pulmonary edema, revascularizati outflow tract dyspnea calcium channel blocker therapy. PEAK: 6 to 12 Hours and smooth- muscle on procedure obstruction, and in Because drug induced cells, dilates coronary in patients with patient with HF with vasodilation has a gradual onset, DURATION: 24 Hours SKIN: Pruritus, rash arteries and recently reduced LVEF. acute hypotension is rare. ADMINISTRATION PO: arterioles, and documented Because drug is . decreases BP and CAD by metabolized by the myocardial oxygen angiography liver, use cautiously Notify prescriber if signs of HF and without HF and in reduced dosage occur, such as swelling of hands demand. or with LVEF in patients with severe and feet or shortness of breath. AVAILABLE FORMS: less than 40% hepatic disease. Suspension: 1mg/ML PATIENT TEACHING: Tablets: 2.5 mg,5mg, 10 mg Caution patient to report all adverse reactions and to continue taking drug, even when feeling better.
Tell patient SL nitroglycerin may
be taken as needed when angina References: Nursing symptoms are acute if patient 2022 Drug Handbook continues nitrate therapy during Wolters Kluwer adjustment of amlodipine dosage, urge continue compliance.
Advise patient to shake
suspension before using. EGAY, TWINKLE MAE P. BSN 13-H GROUP 31