DRUG STUDY Patients Name: Impression/Diagnosis: Allergy to: Generic & Brand Name, Classification Generic: Amlodipine Dose,

Strength & Formulation Indication/Mechanisms of Drug Action Age: Hospital No.: Attending Physician: Adverse/Side Effects Drug Interaction Nursing Responsibilities Room No.:

Rationale

Client Teaching

Ordered: Give 10 mg 1tab, OD

Indications: Angina pectoris due to coronary artery Spasm, Chronic stable angina, alone or in combination with other agents, Essential hypertension, alone or in combination with other antihypertensive,

Adverse Effect: CNS: Dizziness, lightheadedness, headache, asthenia, fatigue, lethargy CV: Peripheral edema, arrhythmias Dermatologic: Flushing, rash GI: Nausea, abdominal Discomfort Interactions: Drug-drug Possible increased serum levels and toxicity of cyclosporine if taken concurrently.

Assessment: BEFORE: Obtain patients history to allergy of amlodipine. Assess vital signs before therapy. DURING: Monitor patients BP, cardiac rhythm Monitor intake and output. AFTER: Monitor vital signs. Be alert for adverse effect. Nursing diagnosis: >Acute pain related to increased oxygen demand in cardiac *To indicate if the patient can have this medication. *To obtain baseline data. *Drug can cause hypotension, careful monitoring needed. *To assess hepatic impairment. * To stop medication if BP is < 90 mmHg or heart rate < 50 bpm. *to establish proper precautionary measures.

Brand: Norvasc

Timing: 8 am Duration:

Classification: Calcium channel-blocker Antianginal Drug Antihypertensive

24 hrs. Other forms: Tablets: 2.5 mg, 5 mg, 10 mg

Mechanism of Action: Inhibits the movement of calcium ions across the membranes of cardiac and arterial muscle cells; inhibits transmembrane calcium flow, which results in the depression of impulse formation in specialized cardiac pacemaker cells, slowing of the velocity of conduction of the cardiac impulse, depression of myocardial contractility, and dilation of coronary arteries and arterioles and peripheral arterioles; these effects lead to decreased cardiac work,

>Advise patient to take medication as directed, even if feeling well. >Take missed doses as soon as possible unless almost time for next dose; do not double doses. > Caution patient to change positions slowly to minimize orthostatic hypotension. > Advise patient to notify health care professional if irregular heartbeats, dyspnea, swelling of hands and feet, pronounced dizziness, nausea, constipation, or hypotension occurs or if

decreased cardiac oxygen consumption, and in patients with vasospastic angina, increased delivery of oxygen to cardiac cells.

tissue. >Risk for injury related to hypertension >Deficient knowledge related to drug therapy.

headache is severe or persistent. > Caution patient to wear protective clothing and use sunscreen to prevent photosensitivity reactions.