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Drug Study Medical Diagnosis: To consider Acute Coronary Syndrome Age:47 Sex: Male DIAGNOSIS: To consider Acute Coronary

Syndrome Name Of The Drug Date Ordered Date Started Date Changed Date Discontinued GENERIC NAME: Clopidogrel DO: Route Of Administration P.O (Per Orem) Inhibits binding of enzyme ADP to its platelets receptor. Antiplatelet It was given for reduction of atheroscleroti c Events and treatment to acute coronary syndrome. The patient did not manifest any side effects Route Of Administration Dosage And Frequency Of Administration General Action Specific Action Indication Clients Response With Actual Adverse Reactions

BRAND NAME: Timiflo

Dosage And Frequency Of Administration: 75mg/tab OD

Nursing Responsibilities 1. Check the pulse and blood pressure. 2. Monitor platelet count for evidence of thrombocytopenia. 3. Discontinue medication seven days before elective surgery if antiplatelet effect is not desirable.

4. The combination of low-dose aspirin and clopidogrel in acute coronary syndrome without ST elevation is given for at least one month but no longer than 9-12 months.

Name Of The Drug

Date Ordered Date Started Date Changed Date Discontinued

Route Of Administration Dosage And Frequency Of Administration

General Action Specific Action

Indication

Clients Response With Actual Adverse Reactions

GENERIC NAME: Isosorbide Mononitrate BRAND NAME: Isordil

DO:

Route Of Administration P.O (Per Orem)

Dosage And Frequency Of Administration: 30mg/tab BID

Produced Anti-angina vasodilation (venous greater than arterial). And relaxes vascular smooth muscle of arterial, venous vasculature. Decreases pre load, afterload.

It was given to treat for acute angina attacks

The patient mild chest pain decreased slightly.

Nursing Responsibilities 1. 2. 3. 4. 5. 6. Assist patient with ambulation if light-headiness, dizziness occurs. Asses for facial/neck flushing Monitor number of angina episodes Monitor orthostatic blood pressure. Monitor effectiveness of drug in relieving angina. Note: Headaches tend to decrease in intensity and frequency with continued therapy but may require administration of analgesic and reduction in dosage. 7. Note: Chronic administration of large doses may produce tolerance and thus decrease effectiveness of nitrate preparations. Name Of The Drug Date Ordered Route Of Administration General Action Specific Action Indication Clients Response

Date Started Date Changed Date Discontinued GENERIC NAME: Losartan BRAND NAME: Besartan DO:

Dosage And Frequency Of Administration

With Actual Adverse Reactions

Route Of Administration P.O (Per Orem)

Dosage And Frequency Of Administration: 50mg/tab OD

Causes vasodilation, decreased peripheral resistance, peripheral in BP.

Antihypertensive

Treatment for hypertension.

The patient blood pressure was maintained at 120/70 mmHg.

Nursing Responsibilities 1. 2. 3. 4. 5. 6. Monitor Blood pressure and pulse. Maintain hydration. Assess for upper respiratory infection, cough. Advise patient to avoid tasks that require alertness, motor skills (possible dizziness effect). Report any signs of infection, chest pain. Inform physician if dizziness, or lightheadedness, swelling of the lips occurs or tongue or difficulty of breathing occurs.