OPIOD ANALGESIC
Classification
Ace Inhibitor-pril
ARBs Angiotensin -sartan
Alpha blocker- osin
Beta blocker-lol
Calcium channel blocker-
dipine
Diuretics-ide
Thiazide and thiazide like
Loop diuretics
Carbonic Anhydrase
Potassium-sparring
Osmotic
Biguanide (metformin)
Alpha glucosidase inhibitor
Therapeutic Action Indication Adverse Effect Route Nursing responsibility Vital sign monitoring
Treatment for moderate To alleviate moderate Hypotension, sedation, Orally Encourage client to avoid activities Assess BP, PR, RR before
to severe pain to severe pain euphoria, urinary Intravenously that require alertness. administering the drug.
retention Intramuscularly
Suppression of cough or Pulmonary edema Subcutaneous Discuss ways to minimize dry mouth Assess for allergies and
respiratory distress and constipation use of opioid and other
drug
ANTI-HYPERTENSIVE
Decrease heart High blood Dizziness Oral Encourage client to implement Assess sudden drop in
workload Fatigue IV healthy lifestyle. blood fluid volume
Decrease blood pressure Chest pain in people
Decrease heart rate with poor blood flow Administer on empty stomach, 1hr Assess: Baseline status
before meals or 2hrs after meals
DIURETICS
Decrease blood pressure Hypertension Dehydration ORAL Assess for mentioned Assess patient’s drug
Decrease symptoms of Hypokalemia IV contraindication and cautions. response through vital
fluid overload Edema signs, weight, serum
Administer oral form early in the electrolyte and hydration
day
ORAL ANTIDIABETIC
Decrease production Management of 2 Hypoglycemia ORAL Assess for contraindication and Monitor blood glucose
and increases the uptake Diabetes Nausea cautions. level
of glucose. GI upset
Heart burm Perform physical assessment. Monitor nutritional status
Delay absorption of
glucose Provide patient comfort measure to
help cope with drug effect
INSULIN
Regulate movement of Type 1 diabetes Hypoglycemia Subcutaneous Assess for contraindication and Obtain blood glucose
blood glucose from Type 2 diabetes when Ketoacidosis cautions. levels as ordered to
blood cells agents failed monitor response to
Perform physical assessment to insulin
Management of establish baseline data before Monitor response
hyperkalemia beginning therapy carefully to avoid adverse
effect
Monitor nutritional status