Medication Information Sheet Student Name: ______________________________ Date: ___________ Patient Initials: _________ Generic Name: ___________Amblodipine__________Trade Name:

______Norvasc__________________ Pronunciation: _____________________(am-lodi-peen)__ Classification / Therapeutic use of Medication: _________antihypertensive_____________Source/Page P#78_______

Patient Dose Pt. Route PO Pt. Frequency of Administration bid Recommended Route & Dosage Maximum Safe Daily Dose or dosage range Time/s Due (PNC shift)

10 mg

Adult: 5-10mg once daily Uses: Why is your patient getting this medication related to their diagnosis and/or condition? Hypertension? Administration Considerations Give drug without regard to meals.

Contraindications or Cautious Use Contraindications: Hypersensitivity to amlodipine; hypotension; sever obstructive coronary artery disease; severe aortic stenosis. Cautious Use: liver disease; concomitant use with hypotension; CHF, ventricular dysfunction; lactation; older adults; children younger than 6 yr, GERD, haptic disease, pregnancy category C

Interactions: Is this medication incompatible with any medications, OTCs, herbals or foods? _______No _____Yes Explain: DRUG: Adenosine may increase risk of bradycardia; bosentan may decrease efficacy of amlodipine; additive hypotensive effects with older antihypertensive agents; azole fluconazole may inhibit metabolism of amlodipine, itrconazole may increase edema. FOOD: grapefruit juice may increase amlodipine levels. HERBAL: Ephedra, ma huang, melatonin may antagoznize antihypertensive. Adverse Effects/ Side Effects (limit to ten) 1. Palpitations 2. Flushing Tachycardia 3. Peripheral or facial edema 4. Light-headedness 5. Abdominal pain 6. Constipation 7. Dyspnea 8. Flushing rash 9. Flatulence 10. vomiting

Nursing Implications: Assessment & Drug Effects Monitor BP for therapeutic effectiveness. BP reduction is greatestafter peak levels of amlodipine are achieves 6-9h following oral doses. Monitor for S&S of dose-related peripheral or facial edema that may not be accompanied by weight gain; rarely, severe edema may cause discontinuation of drug. Monitor BP with postural changes. Report postural hypotension. Monitor more frequently when additional antihypertensives or diuretics are added.

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Medication Information Sheet Student Name: ______________________________ Date: ___________ Patient Initials: _________ Monitor heart rate; dos-related palpitations. (more common in women)

Patient and/or Family Education Report significant swelling of face or extremities. Exercise caution when standing and walking due to possible dose-related light headedness/dizziness Report shortness of breath, palpitations, irregular heartbeat, nausea, or constipation to physician.

If an IV medication (IVP, IVPB) Administration Considerations:

Is the IV medication incompatible with other IV drips and/or solutions: ______No _____Yes Explain:

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