Irbesartan 150mg/tab 1 tab BID Ca + Vit D 1 tab BID
Generic Name: Irbesartan Generic Name: Calcium + Vitamin D
Brand Name: Brand Name:
Classification: Angiotensin II Receptor Blocker, Pregnancy category D Classification: Mineral and vitamin supplement
Indication: Hypertension, Diabetic Nephropathy Indication: Calcium and vitamin D deficiency, prevention of osteoporosis
MOA: Blocks Angiotensin receptors (A1) in vascular smooth muscle and Mechanism of Action (MOA): Calcium is essential for bone health, and vitamin D
adrenal cortex, Decreases aldosterone secretion helps with the absorption and utilization of calcium in the body.
Side Effects: Hypotension, Hypoglycemia, anemia, diarrhea, dizziness, fatigue, Side Effects: Side effects are generally minimal, but excessive intake may lead to
and renal impairment hypercalcemia, constipation, or kidney stones.
Responsibility: Assess BP before and after medication. Monitor renal function, Nursing Responsibilities: Assess the patient's calcium and vitamin D levels and
electrolyte levels regularly (especially potassium). Advise to rise slowly from a educate them on the importance of maintaining adequate levels. Instruct the patient
sitting or lying position to prevent hypotension on the appropriate dosage and timing of administration. Encourage the patient to
consume an adequate amount of dietary calcium and to follow a balanced diet.
Monitor for signs of hypercalcemia or other adverse effects.
Amlodipine 10 mg 1 tab BID Vitamin B complex 1 tab OD AM
Generic Name: Amlodipine Brand Name: Generic Name: Vitamin B complex Brand Name:
Classification: Calcium channel blocker Classification: Vitamin supplement
Indication: hypertension Indication: Nutritional supplement, support for nervous system function
Mechanism of Action (MOA): Blocks the influx of calcium ions into vascular Mechanism of Action (MOA): Various B vitamins play vital roles in energy
smooth muscle cells and cardiac muscle cells, resulting in vasodilation and metabolism and neurological functions.
reduced cardiac workload. Side Effects: Side effects are generally minimal, but allergic reactions or
Side Effects: Common side effects may include peripheral edema, headache, gastrointestinal disturbances may occur in some individuals.
dizziness, and flushing. Nursing Responsibilities: Assess the patient's nutritional status and the need for
Nursing Responsibilities: Assess blood pressure and heart rate before vitamin B complex supplementation. Educate the patient on the importance of
administering and monitor regularly. Educate the patient about the drug's taking the medication as prescribed and the potential benefits of vitamin B complex
purpose, dosage, potential side effects, and the importance of adherence to the supplementation. Monitor for any adverse reactions or allergies. Encourage the
medication regimen. Instruct the patient to avoid sudden position changes to patient to follow a balanced diet rich in B vitamins.
prevent orthostatic hypotension. Monitor for signs of peripheral edema and
report any significant changes to the healthcare provider.
Vitamin E 1 cap OD AM Carvedilol 625mg 1 tab OD
Generic Name: Vitamin E Brand Name: Generic Name: Carvedilol Brand Name:
Classification: Vitamin supplement Classification: Non-selective beta-blocker with alpha-blocking activity
Indication: Antioxidant support, may aid in cardiovascular health Indication: Treatment of hypertension, heart failure, and angina
Mechanism of Action (MOA): Acts as an antioxidant, protecting cells from Mechanism of Action (MOA): Blocks both beta-adrenergic receptors and alpha1-
oxidative damage. adrenergic receptors, resulting in reduced heart rate, blood pressure, and cardiac
Side Effects: Side effects are rare, but high doses may increase the risk of workload.
bleeding or interact with certain medications. Side Effects: Common side effects may include dizziness, fatigue, hypotension,
Nursing Responsibilities: Assess the patient's nutritional status and the need for bradycardia, and bronchospasm.
vitamin E supplementation. Educate the patient on the purpose of vitamin E Nursing Responsibilities: Assess blood pressure, heart rate, and respiratory status
supplementation and potential interactions with other medications. Monitor for before administering carvedilol. Educate the patient on the purpose of carvedilol,
any signs of bleeding or adverse reactions. Advise the patient on appropriate potential side effects, and the importance of adherence to the medication regimen.
dosage and timing of administration Monitor for any signs of worsening heart failure, such as fluid retention or increased
shortness of breath. Advise the patient not to stop taking the medication abruptly
and to consult the healthcare provider before any dose adjustments.
Clonidine 150mcg 1 tab PO TID UDCA 250mg/tab 1 tab TID
Generic Name: Ursodeoxycholic acid (UDCA) Brand Name:
Generic Name: Clonidine; Brand Name Classification: Bile acid
Classification: Alpha-2 adrenergic agonist Indication: Treatment of primary biliary cholangitis, certain liver diseases, and
Indication: Treatment of hypertension, ADHD, and withdrawal symptoms in gallstone dissolution
opioid dependence Mechanism of Action (MOA): UDCA exerts its effects by reducing cholesterol
Mechanism of Action (MOA): Stimulates alpha-2 adrenergic receptors, absorption, promoting bile acid secretion, and improving bile flow. In patients with
resulting in decreased sympathetic outflow from the central nervous system and Chronic Kidney Disease (CKD), UDCA may have additional benefits, including
decreased peripheral vascular resistance. anti-inflammatory and antioxidant properties that could potentially help protect the
Side Effects: Common side effects may include sedation, dry mouth, kidneys and mitigate some aspects of renal dysfunction.
hypotension, and bradycardia. Side Effects: Common side effects may include diarrhea, abdominal pain, nausea,
Nursing Responsibilities: Assess blood pressure, heart rate, and symptoms and elevated liver enzymes.
before administering clonidine. Educate the patient on the purpose of clonidine, Nursing Responsibilities: Assess the patient's liver function, gallstone status, and
potential side effects, and the importance of adherence to the medication renal function before initiating UDCA therapy. Collaborate with the healthcare
regimen. Instruct the patient to rise slowly from a sitting or lying position to team to determine the appropriateness of UDCA use in patients with CKD,
prevent orthostatic hypotension. Monitor for any signs of sedation, dry mouth, considering the potential risks and benefits. Educate the patient about the purpose of
or hypotension. UDCA, potential side effects, and the importance of adherence to the medication
regimen. Monitor for any signs of adverse reactions, such as worsening abdominal
pain, changes in liver function tests, or worsening renal function. Consider
adjustments to the dosage or frequency of UDCA administration based on the
patient's renal function and overall clinical status. Encourage the patient to maintain
adequate hydration and adhere to any dietary modifications recommended by the
healthcare provider.
Ciprofloxacin 400mg Human Albumin 20% 1 vial
Generic Name: Ciprofloxacin Brand Name: Generic Name: Human Albumin Brand Name:
Classification: Fluoroquinolone antibiotic Classification: Plasma protein
Indication: Treatment of various bacterial infections, including urinary tract Indication: Treatment of hypovolemia, hypoalbuminemia, and plasma volume
infections, respiratory tract infections, skin and soft tissue infections, and expansion
certain sexually transmitted infections Mechanism of Action (MOA): Human Albumin is a natural protein found in the
Mechanism of Action (MOA): Ciprofloxacin inhibits bacterial DNA synthesis blood. It helps maintain oncotic pressure and plays a crucial role in regulating fluid
by targeting the DNA gyrase and topoisomerase IV enzymes. This action balance within the body. When administered intravenously, it helps restore and
disrupts bacterial replication, leading to bacterial cell death. maintain adequate blood volume and fluid balance.
Side Effects: Common side effects may include gastrointestinal disturbances, Side Effects: Side effects are generally rare but may include allergic reactions, fluid
headache, dizziness, rash, and tendon rupture (rare but serious). overload, and transmission of infectious agents (although the risk is low due to
Nursing Responsibilities: Assess the patient's medical history, allergy profile, rigorous screening processes).
and renal function before administering Ciprofloxacin. Educate the patient Nursing Responsibilities: Assess the patient's fluid status, blood volume, and serum
about the purpose of Ciprofloxacin therapy, the importance of completing the albumin levels before administering Human Albumin. Educate the patient and their
full course of treatment, and potential side effects to watch for. Monitor the family about the purpose of Human Albumin therapy, potential side effects, and the
patient for any signs of adverse reactions, such as allergic reactions, tendon importance of monitoring for any adverse reactions. Monitor the patient's vital
pain or swelling, or symptoms of superinfection (e.g., diarrhea). Administer signs, fluid balance, and laboratory values during and after the administration of
Ciprofloxacin as prescribed, following the recommended dosage, route, and Human Albumin. Implement appropriate safety measures, such as verifying the
infusion time. Encourage the patient to maintain adequate hydration during compatibility and correct administration technique for the specific product. Adhere
treatment with Ciprofloxacin. Instruct the patient to avoid concurrent to aseptic techniques and ensure proper storage and handling of the medication to
administration with antacids, sucralfate, or dairy products as they can interfere prevent contamination.
with Ciprofloxacin absorption.
Essentiale Forte 1 tab BID Iron Sulfate
Generic Name: Essentiale Forte Brand Name: Generic Name: Iron Sulfate Brand Name:
Classification: Nutritional supplement Classification: Mineral supplement
Indication: Supportive treatment in patients with chronic liver diseases, Indication: Treatment and prevention of iron deficiency anemia in patients,
including Chronic Kidney Disease (CKD) including those with Chronic Kidney Disease (CKD)
Mechanism of Action (MOA): Essential Forte is a combination of essential Mechanism of Action (MOA): Iron is an essential mineral involved in the
phospholipids derived from soybeans. It helps protect and support liver production of hemoglobin, the oxygen-carrying protein in red blood cells. Iron
function by promoting the regeneration and repair of liver cells, improving cell sulfate provides a supplemental source of iron to replenish iron stores and support
membrane integrity, and enhancing liver detoxification processes. In CKD the production of healthy red blood cells, thereby addressing iron deficiency
patients with liver involvement, Essential Forte may provide supportive therapy anemia. In CKD patients, iron deficiency anemia can occur due to factors such as
to mitigate liver damage. reduced erythropoietin production and impaired iron absorption.
Side Effects: Essential Forte is generally well-tolerated. However, individual Side Effects: Common side effects may include gastrointestinal disturbances such
sensitivity or allergies to soybean-derived products may result in rare allergic as constipation, diarrhea, nausea, and abdominal discomfort. Iron sulfate may also
reactions. It's important to monitor for any signs of adverse reactions or cause darkening of the stool.
intolerance. Nursing Responsibilities: Assess the patient's hemoglobin levels, iron status, and
Nursing Responsibilities: Assess the patient's liver function, nutritional status, CKD-related factors before initiating Iron Sulfate therapy. Collaborate with the
and CKD-related complications before initiating Essential Forte therapy. healthcare team to determine the appropriate dosage and administration regimen
Collaborate with the healthcare team to determine the appropriateness of based on the patient's iron deficiency severity, CKD stage, and other individual
Essential Forte supplementation in CKD patients with liver involvement. factors. Educate the patient about the purpose of Iron Sulfate therapy, potential side
Educate the patient about the purpose of Essential Forte, potential benefits, and effects, and the importance of adherence to the medication regimen. Monitor the
any precautions or signs of intolerance to watch for. Monitor the patient's liver patient's hemoglobin levels, iron indices, and signs of adverse reactions during Iron
function tests, nutritional status, and signs of adverse reactions during Sulfate therapy. Instruct the patient on the proper administration of Iron Sulfate,
Essentiale Forte therapy. Encourage the patient to follow a balanced diet, including considerations such as taking it on an empty stomach or with food (as
adhere to any dietary restrictions or recommendations, and maintain adequate directed) to optimize absorption and minimize gastrointestinal side effects. Advise
hydration. Assess for any potential drug interactions or contraindications with the patient to avoid taking Iron Sulfate with calcium-rich foods, antacids, or
other medications the patient may be taking concurrently. Document and report medications that can interfere with iron absorption. Encourage the patient to follow
any changes in the patient's condition or response to Essential Forte therapy to a balanced diet rich in iron sources and to adhere to any dietary recommendations
the healthcare team. provided by the healthcare provider. Document and report any changes in the
patient's condition, hemoglobin levels, or response to Iron Sulfate therapy to the
healthcare team.
Generic Name: Sodium Bicarbonate Brand Name: Generic Name: Sevelamer Brand Name:
Classification: Antacid, urinary alkalinizing agent Classification: Phosphate binder
Indication: Management of metabolic acidosis in patients with Chronic Kidney Indication: Management of hyperphosphatemia in patients with Chronic Kidney
Disease (CKD) Disease (CKD)
Mechanism of Action (MOA): Sodium Bicarbonate acts as an alkalinizing Mechanism of Action (MOA): Sevelamer is a phosphate binder that works by
agent by increasing blood and urinary pH. In CKD patients, metabolic acidosis binding to dietary phosphate in the gastrointestinal tract, preventing its absorption.
can occur due to impaired renal bicarbonate reabsorption. Sodium Bicarbonate This helps reduce serum phosphate levels in CKD patients, as high phosphate levels
supplementation helps correct acid-base imbalances and maintain proper pH can lead to complications such as mineral and bone disorders.
levels. Side Effects: Common side effects may include gastrointestinal disturbances such
Side Effects: Common side effects may include gastrointestinal disturbances as constipation, nausea, vomiting, and abdominal discomfort. Sevelamer may also
such as nausea, vomiting, and abdominal discomfort. Sodium Bicarbonate may interfere with the absorption of other medications, so it's important to take it at a
also cause fluid retention and electrolyte disturbances. different time than other medications.
Nursing Responsibilities: Assess the patient's acid-base balance, electrolyte Nursing Responsibilities: Assess the patient's serum phosphate levels, calcium
levels, and CKD stage before initiating Sodium Bicarbonate therapy. levels, and CKD stage before initiating Sevelamer therapy. Collaborate with the
Collaborate with the healthcare team to determine the appropriate dosage and healthcare team to determine the appropriate dosage and administration regimen.
administration regimen.Educate the patient about the purpose of Sodium Educate the patient about the purpose of Sevelamer therapy, potential side effects,
Bicarbonate therapy, potential side effects, and the importance of adherence to and the importance of adherence to the medication regimen. Monitor the patient's
the medication regimen. serum phosphate levels and adjust the dosage as needed to achieve target levels.
Monitor the patient's serum bicarbonate levels and adjust the dosage as needed Instruct the patient to take Sevelamer with meals as prescribed to enhance its
to achieve target levels. efficacy. Advise the patient to separate the administration of Sevelamer from other
Instruct the patient on the proper administration of Sodium Bicarbonate, medications by at least two hours to avoid interference with their absorption. Assess
including considerations such as taking it with or after meals as prescribed. the patient for any signs of gastrointestinal side effects and provide appropriate
Assess the patient for any signs of fluid retention or electrolyte disturbances, interventions or recommendations to manage them. Document and report any
and provide appropriate interventions or recommendations to manage them. changes in the patient's serum phosphate levels or response to Sevelamer therapy to
Advise the patient to adhere to any dietary restrictions or recommendations the healthcare team.
provided by the healthcare team to optimize acid-base balance.
Document and report any changes in the patient's acid-base balance, serum
bicarbonate levels, or response to Sodium Bicarbonate therapy to the healthcare
team.
