Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching

effects

Date Ordered: June For hypertension Selectively blocks the Headache, dyspepsia, Ensure that patient is not Take drug without regard
25, 2010 Renal protection in binding of angiotensin II to cramps, diarrhea pregnant before beginning to meals. Do not stop
type 2 diabetic patient specific tissue receptors found therapy taking this drug without
Generic name: with proteinuria in the vascular smooth muscle Orthostatic hypotension consulting your health
Losartan and adrenal gland; this action (dizziness, weakness, Patient who is also receiving care provider
blocks the vasoconstriction faintness) diuretics may suffer some
Brand name: Ecozar effect of the renin-angiotensin degree of orthostatic Teach patient to rise
system as well as the release of Hyperkalemia hypotension slowly from a supine or
Classification: aldosterone leading to sitting position and to sit
Angiotensin II decreased blood pressure. Monitor blood pressure in or lie down if feeling faint
receptor blocker, both supine and standing
Antihypertensive postions.
drugs Report fever, chills,
Patient may develop slight dizziness, pregnancy.
Route: orally increase in serum potassium.
Dosage: 50 mg OD Most cases resolve without
discontinuation of therapy.

Monitor patient closely in

any situation that may lead
to a decrease in blood
pressure secondary to
reduction in fluid volume—
excessive perspiration,
dehydration, vomiting,
diarrhea—excessive
hypotension can occur.
 Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
effects

Date Ordered: May Dietary supplement when Essential element of the body; CV: slowed heart rate, Do not administer oral Take drug between meals
11, 2010 calcium intake is helps maintain the functional drop in BP drugs within 1-2 hr of and at bedtime
inadequate integrity of the nervous and antacid administration.
Generic name: muscular systems; help Local: local irritation, Do not take with other
Calcium Carbonate Treatment of calcium maintain cardiac function, severe necrosis, Give calcium carbonate oral drugs. Absorption of
deficiency in tetany of blood coagulation; is an sloughing and abscess antacid 1 and 3 hr after medication can be
Brand name: newborn, acute and enzyme co-factor and affects formation meals and at bedtime blocked; take other oral
Caltrate chronic the secretory activity of medications at least 1-2
hypoparathyroidism, endocrine and exocrine Metabolic: hours after calcium
Classification: pseudohypoparathyroidism glands; neutralizes or reduces Hypercalcemia, carbonate
Antacid, Electrolyte , postmenopausal and gastric acidity. abdominal pain, dry
senile osteoporosis, mouth, polyuria Report loss of appetite,
Route: orally rickets, osteomalacia nausea, vomiting,
Dosage: 500mg 1 abdominal pain,
tab three times a day Prevention of constipation, dry mouth,
hypocalcemia during thirst, increased voiding
exchange transfusions

Symptomatic relief of
upset stomach associated
with hyperacidity;
hyperacidity associated
with peptic ulcer, gastritis,
peptic esophagitis, gastric
hyperacidity , hiatal hernia
Prophylaxis of GI
Bleeding, stress ulcers, and
aspiration pneumonia
Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
effects
Date Ordered: June Prevention and Elevates the serum iron > gastric irritation Monitor for adverse reaction: Instruct patient not to
25, 2010 treatment of iron- concentration which then helps nausea, epigastric pain, substitute one iron salt for
deficiency anemia to form High or trapped in the > nausea and vomiting constipation, diarrhea, black another because they have
Generic name: reticuloendothelial cells for stools, anorexia different elemental iron
Ferrous Sulfate storage and eventual > diarrhea content
conversion to a usable form of Assess diet and nutrition:
Classification: iron. > constipation amount of iron in diet Remind patient that
Angiotensin II poisoning may occur if
receptor blocker, > dark stool Obtain baseline assessment increased beyond
Antihypertensive or iron deficiency before recommend level.
drugs starting therapy.
Evaluate hemoglobin. Caution patient to avoid
Route: orally Hematocritt and reticulocyte reclining position 15-
Dosage: 50 mg OD count during therapy. 30mins after taking drug
to avoid esophageal
Assess bowel elimination, corrosion
increase water, bulk and
activity if constipation Avoid over the counter
occurs. medication.

Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
 effects

Date Ordered: Erosive reflux A proton pump inhibitor CNS: headache, Evaluate for therapeutic Report headache
August 3, 2010 esophagitis. Prevents that is converted to active dizziness, insomnia response
relapse of healed metabolites that irreversibly Take more than 1hour
Generic Name: esophagitis, bind to & inhibit hydrogen- DERMATOLOGIC: rash, Monitor f or relief of GI before eating.
-Esomeprazole asymptomatic of potassium adenosine tri inflammation, alopecia, symptoms
gastro-esophageal phosphates, an enzyme on the dry skin For patients with difficulty
Brand Name: reflux disease. surface of gastric parietal cell Question if GI discomfort, swallowing capsules, open
-Nexium inhibits hydrogen ion gastric GI: diarrhea, abdominal nausea, diarrhea occur. capsule & mix pellets with
lumen. pain, nausea, vomiting, 1tbsp applesauce
Classification: dry mouth Establish safety precaution
-Gastric acid if dizziness or other CNS swallow spoonful without
inhibitor RESPIRATORY: cough, occur (use side rails, chewing
sinusitis accompany patient)
Dosage:
-40mg/tab Assess patient’s and family’s
P.O knowledge of drug therapy

Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
 effects

Date Ordered: Treatment of edema Furosemide acts primarily on Oral irritation, dry mouth Emphasize the importance of Expect increased
-August 11, 2010 associated with the ascending limb of the loop oral hygiene frequency and volume of
chronic renal failure of Henle but also on the Orthostatic hypotension urination
Generic Name: proximal and distal portions of Monitor blood pressure daily
-Furosemide the tubule to prevent sodium Electrolyte imbalance, in both supine and standing Report palpitations
and chloride reabsorption. dehydration positions
Brand Name: Teach patient to rise
-Lasix Diuresis results in enhanced Hyperuricemia Hypokalemia is most likely slowly from a supine or
excretion of sodium, chloride, to occur sitting position and to sit
Classification: potassium, hydrogen, calcium, Hyperglycemia or lie down if feeling faint
-Loop, diuretic magnesium, ammonium, Assess skin turgor, mucous
bicarbonate and phosphate. Hives, pruritus,rash membrane for hydration Pruritus may be relieved
Dosage: status by adding baking soda to
-40mg, P.O bath water
Observe for edema

Monitor laboratory results

for early indication of
hyperuricemia
Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
effects
Date Ordered: Treatment of Bactericidal CNS: headache, Evaluate food tolerance. Do not skip doses take full
-August 2010 susceptible infections dizziness, insomnia, course of therapy
due to E.coli Etc. -A fluoroquinolone that fatigue, blurred vision Monitor for dizziness,
Generic Name: including intra- inhibits the enzyme DNA headache, visual changes -Eat not take antacids
-Ciprofloxacin abdominal, bone and gyrase in susceptible bacteria, GI: nausea, vomiting, dry (reduces/ destroys &
joint and lower interfering with bacterial cell mouth, abdominal pain Assess for chest and joint effectiveness)
Brand Name: respiratory tract. replication. pain.
-Ciloxan GU: renal failure -Question for history of
Observe therapeutic hypersensitivity.
Classification: OTHERS: fever and rash response.
-Anti-infective -report rash, visual
encourage patient to changes, severe GI
-Dosage: complete full course of problem and weakness
-500mg/tab therapy
orally -drink plenty of fluids
ensure the patient is well while are taking this drugs
hydrated
Drugs Indications Actions Side effects / Adverse Nursing consideration Patient teaching
effects
Date ordered: Relief of mild to -Aspirin like drug that has G.I discomfort diarrhea or assess patient pain before -instruct client not to take
May 11, 2010 moderate pain analgesics, anti-pyrectic and constipation, nausea, therapy;location, duration drug for more than 10
including muscular anti-inflammatory activities vomiting, drowsiness and precipitating factors days
Generic name: rheumatic, traumatic, thid activities appear to be due dizziness
Mefenamic acid dental, post surgical, to its ability to inhibit Visual disturbances, -monitor for possible drug -take it after meals to
head ache, migraine, cyclooxygenase and also induce adverse reactions. avoid G,I disturbances
Brand Name: fever and antagonized certain effects of -CNS: headache,
-ponstel dysmenorrhea prostaglandins it displays dizziness, fatigue, -assess patient and family -advice client to
central and peripheral ophthalmic effects. knowledge on drug therapy immediately report
Classification: activities persistence failure to
Analgesic, NSAIDs -GU: renal impairment relieve pain

Dosage: RESPIRATORY: -advice client to report

-250mg, once a day, dyspnea occurrence of drug induce
P.O, PRN adverse reactions.

-report for sore throat,

fever, rash, itching

-discontinue drug and

consult your health care
provider if rash, diarrhea
or digestive problem
occur.