NAME OF DOSAGE, MECHANISM INDICATIO ADVERSE SPECIAL NURSING CLASSIFICATIO CONTRAINDICATION SIDE EFFECTS

DRUG ROUTE, OF ACTION N REACTION PRECAUTION RESPONSIBILITIES N

FREQUENC
Y, TIMING
GENERIC: DOSAGE: Amlodipine is Treatment  Edema or Generally,  Verify patient Calcium  Contraindicat  Swelling of
AMLODIPI 1 TAB a of water since the identity before Channel ed with the hands,
NE (5mg/10mg dihydropyridi hypertensio retention vasodilation administering Blockers allergy to feet ankles,
) ne calcium n and  Asthenia, induced by the drug. amlodipine, and lower
BRAND antagonist prophylaxis Vasodilati amlodipine is  Assess for signs impaired legs
NAME: ROUTE: (calcium ion of angina on and gradual of Congestive hepatic or  headache
DIADIPINE PO antagonist or Epistaxis onset, acute Heart Failure renal  upset
slow-channel  Nervous hypertension  Monitor intake function, sick stomach
FREQUENC blocker) System: has rarely and output sinus  nausea
Y: that inhibits fainting, been  Assess syndrome,  stomach pain
OD as the dizziness, reported characteristics heart block  dizziness or
maintenan transmembra spinning after oral of angina (second or lightheadedn
ce ne influx of sensation, administratio  Monitor third ess
calcium ions drowsines n. none less, patient degree),  drowsiness
into vascular s, caution carefully (BP, lactation.  excessive
TIMING: smooth should be
depression cardiac rhythm, tiredness
Morning muscle and exercised
, and output)  Use  flushing
after meal cardiac when
nervousne while adjusting cautiously
muscle. ss, administering drug to with Serious side effects
insomnia amlodipine therapeutic Congestive (call medical attention
The and besilate dose Heart Failure, immediately):
contractile strange tablets,  Report any pregnancy.  more
processes of dreams. particularly in rhythm frequent or
cardiac  Digestive patients with disturbances or more severe
muscle and system: severe aortic symptoms of chest pain
vascular Diarrhea, stenosis. increased  rapid,
smooth constipati Should be arrhythmias, pounding, or
muscle is on, nausea used in including irregular
dependent and caution in palpitations, heartbeat
upon the vomiting, patients with chest pain,  fainting
movement of dry Heart Failure. shortness of
extracellular mouth, Caution breath,
calcium ions weight should be fainting, and
into these changes, exercised fatigue/weakn
cells through stomach when ess.
specific ion pain and administering  Instruct patient
channels. loss amlodipine of
appetite. to patients interventions
Amlodipine with severe for
inhibits hepatic hypertension
calcium ion impairment. and how to
influx across take blood
cell pressure
membranes
selectively,
with a
greater effect
on vascular
smooth
muscle cells
than on
cardiac
muscle cells.

Amlodipine is
a peripheral
arterial
vasodilator
that acts
directly on
vascular
smooth
muscle to
cause a
reduction in
peripheral
vascular
resistance and
reduction in
blood
pressure.
Exertional
Angina: In
patients with
exertional
angina,
amlodipine
reduces the
total
peripheral
resistance
(afterload)
against which
the heart
works and
reduces the
rate pressure
product, and
thus
myocardial
oxygen
demand, at
any given
level of
exercise.
 ASSESSMENT DIAGNOSIS PLANNING/ DESIRED OUTCOME INTERVENTION/IMPLEMENTATION EVALUATION
SUBJECTIVE:  Risk for prone behavior  After 8 hours of nursing INDEPENDENT:  After 8 hours of nursing
related to lack of interventions, the patient  Define and state the limits intervention, the patient
"MADALAS PO AKO NAHIHILO knowledge about the will verbalize of desired BP. Explain was able to verbalize
SABAY NG PAG SAKIT NG AKING disease understanding of the hypertension and its effect understanding of the
BATOK" disease process and on the heart, blood disease process and
(I always feel dizzy and my nape treatment regimen vessels, kidney, and brain treatment regimen.
hurts) as verbalized by the patient  Assist the patient in
identifying modifiable risk
OBJECTIVE factors like diet high in
 Request for information sodium, saturated fats and
 Agitated behavior cholesterol.
 Inaccurate follow through  Reinforce the importance
instructions V/S taken as of adhering to treatment
follows: regimen and keeping
T: 37.3 follow up appointments.
P:84  Suggest frequent position
R:18 changes, leg exercises
BP: 180/110 when lying down.
 Help the patient identify
sources of sodium intake.
 Encourage patient to
decrease or eliminate
caffeine like in tea, coffee,
cola and chocolates.
 Stress importance of
accomplishing daily rest
periods.

COLLABORATIVE:
 Provide information
regarding community
resources, and support
patients in making lifestyle
changes.
 ASSESSMENT DIAGNOSIS PLANNING/ DESIRED OUTCOME INTERVENTION/IMPLEMENTATION EVALUATION
SUBJECTIVE:  Decrease cardiac output Short -Term Objective: Short-Term Objective:
related to elevated blood  Asses underlying condition
''Usahay malipong ug musakit pressure as manifested by  After 8 hours of nursing  Monitor blood pressure for  After 8 hours of
akong tan-kugo'' as verbalized by occipital headache interventions, the patient every 2 hours. nursing intervention
the patient blood pressure will  Observe skin color, clients blood pressure
decrease from 140/110 temperature, capillary decrease from
OBJECTIVE down to 120/90. refill, and diaphoresis. 140/110 to 120/90.
 Conscious and coherent  Administer prescribed Goal was met
 Able to perform ADL's drugs(anti-hypertensive) as
 Dizziness noted maintenance Long-Term Objective:
occasionally  Discuss the importance of  After 3-5 days of
Long-Term Objective:
 instructions V/S taken as taking hypertensive nursing intervention
 After 3-5 days of nursing
follows: maintenance regularly. the patient maintain a
interventions the client will
T: 37.3c  Encourage patient to stable blood pressure
maintain normal and
P:103bpm decrease intakes of Goal was met.
stable blood pressure. The
R:18 bpm caffeine, cola, and
client will take his
BP: 140/110mmHg chocolate
maintenance religiously.
 Encourage high back rest
and ensure head is
elevated while in lying
position.
 Emphasize the concept of
controlling hypertension
rather than curing it.
 Encourage patient to
maintain low salt and low-
fat diet.
 Encourage relaxation
techniques such as; deep
breathing exercise
 provide cool and calm
environment