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DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING

CONSIDERATIONS

Drug name: -essential -hypersensitivity to -diarrhea -special precaution in


hypertension the drug patients with
-telmisartan, -anorexia
impaired hepatic and
hydrochlorothiazide ACTION -2 and 3 trimester
nd rd

-loss of appetite renal impairment


of pregnancy
Brand name: -blocks the
-gastric irritation -special precaution
vasoconstrictive and -lactation
-micardis plus with volume and/or
aldosterone- -constipation Na-depleted patients
Doctor’s order: secreting effects of
angotensin II by -may impair ability to
-40mg 1tab OD binding angiotensin drive or operate
II to the AT I machineries
receptor in many
tissue.
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -angina pectoris -sick-sinus syndrome -nausea -monitor v/s


especially the BP
-diltiazem ACTION -2nd and 3rd AV block -swelling/edema
-should be
Brand name: -inhibits calcium ion -severe hypotension -arrhythmia
administered with
influx across cell
-cordazem -pregnancy -headache food or after eating
membrane during
Doctor’s order: cardiac -rash
depolarization,
-90mg 1tab BID produces relaxation -fatigue
of coronary arteries,
slows SA/AV node
conduction times,
dilates peripheral
arteries.
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -angina pectoris -may be taken with


-cardiogenic shock -headache or without food
-nicorandil ACTION
-hypotension -flushing dizziness -monitor v/s
Brand name: - Nicorandil dilates
especially the BP
arterioles and large -left ventricular failure -n&v
-aprior
coronary arteries by with low filling -may impair ability to
opening the -weakness drive or operate
Doctor’s order: pressure
potassium channels, -hypotension machineries
-10mg/tab; 1tab BID and stimulates -lactation
guanylate cyclase
causing venous
vasodilatation. It
therefore reduces
preload and
afterload, and
improves coronary
blood flow.
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -reduction of -active liver disease -Gi disturbance -avoid intake of
elevated total alcohol
-atorvastatin -pregnancy -headache
cholesterol & LDL
-monitor creatinine
Brand name: cholesterol -lactation -myalgia
phosphokinase and
-lipitor ACTION -insomnia transaminase
elevation
Doctor’s order: -selectively HMG- -pruritus
CoA reductase which -history of liver
-80mg 1tab HS converts HMG-CoA -muscle cramps disease
to mevalonate, a
-monitor v/s
precursor of sterols.
especially the BP
-lowers cholesterol
-should be
and lipoprotein
administered with
levels
food or after eating
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -hypertension -low BP -headache -monitor v/s


especially the BP
-amlodipine ACTION -CHF -edema
-should be
Brand name: -inhibits influx of -hypersensitivity -dizziness
administered with
calcium ion across
-vasalat -hepatic impairment -flushing food or after eating
cell membranes to
Doctor’s order: produce relaxation -palpitation
of coronary vascular
-5mg 1tab OD smooth muscle, -fatigue
decrease peripheral
-nausea
vascular resistance
of smooth muscle -abdominal pain
(↓BP)
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -atrial fibrillation -hypersensitivity -anorexia -monitor v/s

-digoxin ACTION -intermittent complete -GI disturbance -should be


heart block administered with
Brand name: -(+) inotrophic -atrial tachycardia
food or after eating
effect more -2nd
heart block
-lanoxin -gynecomastia
available calcium -watch out for the
Doctor’s order: promotes increase -CNS effect adverse reaction of
forces to increase drug
-0.25mg 1tab OD cardiac output
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: - -hypersensitivity to -abdominal pain -should be taken on


pantoprazole Na and an empty stomach
-pantoprazole Na ACTION -diarrhea
its components (take 1 hour before
Brand name: -inhibits both basal -constipation meal)
& stimulated gastric
-pantoloc -flatulence
acid secretion by
Doctor’s order: suppressing the final -nausea
step in acids
-40mg OD production, through -headache
inhibition of proton
-dizziness
pump by binding to
& inhibiting -blurred vision
hydrogen potassium
adenosine -rash
triphosphate, the -pruritus
enzyme system
located at the
secretory surface of
gastric parietal cell.
DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING
CONSIDERATIONS

Drug name: -prophylaxis & -hypersensitivity to -abdominal pain


treatment of montelukast and its
-montelukast -thirst
asthma, including component
Brand name: prevention of day & -headache
night time
-singulair symptoms -vomiting

Doctor’s order: ACTION


-10mg 1tab OD - Montelukast is a
selective leukotriene
receptor antagonist
that blocks the
effects of cysteinyl
leukotrienes in the
airways.

DRUG INDICATION CONTRAINDICATION SIDE EFFECTS NURSING


CONSIDERATIONS
Drug name: -maintenance -hypersensitivity to -dry mouth -do not take more
treatment for tiotropium Br and its than there
-tiotropium Br -constipation
patients with COPD component recommended dose
Brand name: -cough & local irritation
ACTION
-spiriva -tachycardia
-By binding to the
Doctor’s order: muscarinic receptors -urinary retention
in the bronchial
-OD at HS smooth
musculature,
tiotropium bromide
inhibits the
cholinergic
(bronchoconstrictive
) effects of
acetylcholine,
released from
parasympathetic
nerve endings. It
has a similar affinity
to the subtypes of
muscarinic receptors
M1-M5. In the
airways, tiotropium
bromide
competitively and
reversibly
antagonises the M3-
receptors, resulting
in relaxation