DRUG STUDY

Generic Dosage Action Indication Contraindication Side Effects Nursing

Name Considerations

Omeprazole 40 mg tab OD Inhibits activity of Symptomatic gastro Contraindicated  Dosage

cid (proton) pump esophageal reflux disease in patients CNS: asthenia, adjustments
and binds to hypersensitive to dizziness, may be
neessary in
hydrogen- drug or it’s headache
Asians and
potasium component.
G.I: abdominal patients
adenosine with hepatic
pain,
triphosphatase at impairemen
constipation,
secretory surface t.
diarrhea, nausea
of gastric parietal
and vomiting.  Gastrin
cells to block level rises in
formation of Musculoskeletal: most
gastric acid. cough patients
during the
Skin: rash first 2 weeks
of therapy.

PATIENT
TEACHING:

o Tell
patient
to
swallo
w
tablets
or
capsul
es
whole
and
not to
open,
 crush,
or
chew
them.
o Instruc
t
patient
to take
drug
30
minute
s
before
meals.
Hypertension Contraindicated
in those with
Carvedilol 25 mg tab ½ Nonselective beta Left ventricular dysfunction CNS: dizziness,
bronchial asthma.
tab blocker with after MI headache,
alpha blocking Use with caution malaise, fever, Patients who
Mild to severe heart failure.
activity. in patients with vertigo. have a history
thyroid disease. of severe
CV: hypotension, anaphylactic
postural reaction to
hypertension. several
allergens
EENT: sinusitis, maybe more
abnormal vision, repeated
blurred vision. challenge.

Monitor
diabetic
patient
closely.

PATIENT
TEACHING:
 Ell patient not
to interrupt or
stop drug
without
medical
approval.

Advise patient
with heart
failure to call
prescriber if
wt. gain or
shortness of
breath occurs.

Chronic stable angina, Contraindicated

vasospastic angina. in pt.
Amlodipine 10 mg Inhibit calcium CNS: headache,
hypersensitive to
ion influx across Hypertension. fatigue, dizziness, Monitor
drug.
cardiac and light-headedness, patient
smooth-muscle Use cautiously in carefully.
CV: edema,
cells, dilates patients receiving
flushing, Monitor blood
coronary arteries other peripheral
palpitations. pressure
and arterioles, vasodilators.
frequently
and decreases GI: nausea, during
blood pressure. abdominal pain. initiation of
therapy.

Acute anginal attacks. Use cautiously in

CNS: headache,
patients with
dizziness,
Isosorbide 60 mg Tab ½ Thought to blood volume
weakness.
dinitrate tab OD reduce cardiac depletion.
Monitor BP
oxygen demand CV: orthostatic and intensity
 by decreasing hypotension,
preload and tachycardia and duration
afterload. of drug
EENT: Burning. response.

GI: nausea, PATIENT

vomiting. TEACHING:

Advice pt. that

stopping drug
abruptly may
Moderate to severe diabetic Contraindicated cause spasm
EENT:blurred
ketoacidosis or with patients with of coronay
vision arteries.
Increases glucose hyperosmolar history of
transport across hyperglycemia systemic allergic GI: dry mouth Make sure
muscle and fat reaction to pork patients
Insulin R cell membranes when porcine- knows that
to reduce glucose derived products drug relieves
level. are used for symptoms but
hypersensitivity doesn’t cure
disease.
to any component
of preparation.