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Generic Name Indications Actions Side effects/ Nursing Responsibilities

Contraindications
Fludrocortisone Fludrocortisone Fludrocortisone  Fluid Retention,  Regularly assess vital
may be promotes the  Hypertension, signs, especially
prescribed to retention of  Hypokalemia, blood pressure, to
increase blood sodium in the  Headache, monitor for
volume and body, leading to Diziness or hypertension .
alleviate increased blood lightheadachene
symptoms in volume and s  Monitor electrolyte
certain cases of subsequently,  nausea, levels, particularly
orthostatic elevated blood  mood changes potassium, as
hypotension. pressure. and insomnia. fludrocortisone can
affect potassium
balance.

 Instruct the patient to


report any signs of
fluid retention, edema,
or changes in blood
pressure.

Midodrine Midodrine is Midodrine forms  Tingling, Monitor blood pressure,


(Orvaten) used to manage an active numbness, or assess for supine
and alleviate the metabolite called itching of the hypertension, educate on
symptoms of desglymidodrine, skin . dosing, watch for adverse
orthostatic which acts as an effects, and instruct on
hypotension by alpha-1  Chills and slow position changes to
increasing adrenergic goosebumps prevent orthostatic
standing blood agonist. hypotension.
pressure.  Stomach Communicate regularly
It increases problems such with the healthcare team
arteriolar and as gas, for coordinated care.
venous tone, heartburn, or
resulting in a rise nausea
in standing,
sitting, and supine  Trouble
systolic and sleeping
diastolic blood
pressure in  Weakness
patients with
orthostatic  Pain or
hypotension sensitivity of
the skin to
touch

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