Patient Initials: J.M.

A Age: 64 y/o
Impression / Diagnosis: CVD Infarct VS Bleed
Allergies: None

Generic/Brand Name & Dose Strength & Indication / Mechanism Contraindication & Nursing Responsibilities Rationale
Classification Formulation of Action Adverse/ Side Effect of
Drug Interaction
Generic Name: Ordered: 40 mg 1 tab Indication: Contraindication: 1.Discontinue 1. Because serious skin
Febuxostat Chronic management of Hypersensitivity to medication immediately reactions can occur with
Timing: OD hyperuricemia in pts febuxostat. Concomitant if rash appears this medicine
with gout. Not use with azaTHIOprine,
Brand Name: Duration: recommended for mercaptopurine.
Uloric treatment of 2. Encourage high fluid 2. This will help to
Other forms: asymptomatic Cautions: Severe intake reduce stomach upset
hyperuricemia. renal/hepatic and reduce the risk of
Classification: impairment, history of getting gout or kidney
xanthine oxidase heart disease or stroke. stones
inhibitors Mechanism of Action Hypersensitivity to
Decreases uric acid allopurinol. Pts at risk
production by for urate formation. 3. Monitor I&O 3. Patient output should
selectively inhibiting the be at least 2,000
enzyme xanthine Adverse Effect (Rare) mL/day
oxidase. Therapeutic
Effect: Reduces uric acid  Arm, back, or jaw 4.Assess urine 4. To check for
concentrations in serum pain complications like
and urine.  black, tarry stools cloudiness, unusual
color and order
 bloody nose
 blurred vision
 chest pain or
discomfort
 chills
 cloudy urine
 confusion
 cough
 dark urine
  decreased
frequency or
amount of urine
 diarrhea
 difficult or
labored breathing
 difficulty with
moving
 dizziness
 dry mouth
 fainting
 fast, irregular,
pounding, or
racing heartbeat
or pulse

Clinical Instructor’s Printed Name and Signature Student’s Printed Name and Signature
Patient Initials: J.M.A Age: 64 y/o
Impression / Diagnosis: CVD Infarct VS Bleed
Allergies: None

Generic/Brand Name & Dose Strength & Indication / Mechanism Contraindication & Nursing Responsibilities Rationale
Classification Formulation of Action Adverse/ Side Effect of
Drug Interaction
Generic Name: Ordered: 40 mg 1 tab Indication: Contraindication: 1.Inform the patient 1. Sometimes
Atorvastatin -Dyslipidemias: Primary Hypersensitivity to that atorvastatin may be healthcare providers
Timing: OD, q4hrs prevention of atorvastatin. Active taken at any time of the may recommend taking
cardiovascular disease hepatic disease, breast- day. it in the evening. This is
Brand Name: Duration: in high-risk pts; Reduces feeding, pregnancy or because the body
Lipitor risk of stroke and heart women who may be- makes most cholesterol
Other forms: Tablets: 10 attack in pts with type 2 come pregnant, at night. It may also be
mg, 20 mg, 40 mg, 80 diabetes with or unexplained elevated administered without
Classification: mg. without evidence of LFT results. regard to food.
Anti-hyperlipidemic heart disease; Reduces
risk of stroke in pts with Cautions: Anticoagulant
or without evidence therapy; history of 2. Advise the patient to 2. Atorvastatin interacts
of heart disease with hepatic disease; avoid grapefruit juice with grapefruit juice in
multiple risk factors substantial alcohol and products. large quantities (more
other than diabetes. consumption; pts with than 1.2 liters daily), but
prior stroke/TIA; an occasional glass is
concomitant use of thought to be safe.
Mechanism of Action potent CYP3A4
Inhibits HMG-CoA inhibitors; elderly
reductase, the enzyme (predisposed to 3. Reinforce the 3. Only the physician or
that catalyzes the early myopathy). importance of taking healthcare provider
step in cholesterol the medication exactly may decide to lower the
synthesis. Results in an Adverse Effect as prescribed and not dose or change the
increase of expression Potential for cataracts, stopping or changing medicine to avoid
in LDL receptors on photosensitivity, the dosage without unwanted effects.
hepatocyte membranes myalgia, consulting a healthcare
and a stimulation of LDL rhabdomyolysis. provider.
catabolism. Therapeutic
Effect: Decreases LDL Side Effects: 4. Provide patient 4. This may include
and VLDL, plasma education. teaching the patient
 triglyceride levels; Common: Atorvastatin about the proper dosing
increases HDL is generally well instructions, potential
concentration. tolerated. Side effects side effects, and
are usually mild precautions to take
and transient. when taking
atorvastatin.
Frequent (16%):
Headache.

Occasional (5%–2%):
Myalgia, rash, pruritus,
allergy.

Rare (less than 2%–1%):

Flatulence, dyspepsia,
depression.

Clinical Instructor’s Printed Name and Signature Student’s Printed Name and Signature