DRUG STUDY

Name Mode of Action Indications Contraindications Adverse Effects Nursing

Interventions

Generic Name: Increases metabolic For treating Thyrotoxicosis, Side effects:  Instruct patient to take the
methimazole rate, cardiac output Hyperthyroidism myocardial infarction Nausea and vomiting, drug with meals to decrease
and protein and severe renal diarrhea, cramps, tremors, gastrointestinal symptoms
Brand Name: synthesis. Useful for disease nervousness, insomnia,
Tapazole 10 mg treating thyrotoxic headache and weight loss  Advise patient about the
crisis and in effects of iodine and its
Dose: 10 mg preparation for Adverse Effects: presence in iodized salt,
subtotal Tachycardia, hypertension shellfish and OTC cough
Route: PO thyroidectomy. and palpitations medicines

Frequency: q6
 Emphasize the importance of
drug compliance; abruptly
stopping the antithyroid drug
could bring on a thyroid crisis

 Teach patient the signs and

symptoms of hypothyroidism:
lethargy, puffy eyelids and
face, thick tongue, slow
speech with hoarseness, lack
of perspiration and slow
pulse. Hypothyroidism may
result to treatment of
Hyperthyroidism
 Name Mode of Action Indications Contraindications Adverse Effects Nursing
Interventions

Generic Name: Selectively blocks To control Second and Third Side Effects:  Monitor vital signs especially
propranolol Hcl beta  - adrenergic hypertension and degree heart block, Bradycardia, blood pressure and pulse
receptor sites, management for cardiogenic shock, thrombocytopenia,
Brand Name: decreases thyrotoxicosis CHF, sinus bradycardia drowsiness, dry mouth  Instruct patient to comply
Inderal 20 mg sympathetic and dizziness with drug regimen: abrupt
outflow to the Caution: discontinuation of
Dose: 20 mg periphery, Hepatic, renal or Adverse Effects: antihypertensive drug may
suppresses rennin- thyroid dysfunction; Complete heart block, cause rebound hypertension
Route: PO angiotensin- asthma; peripheral bronchospasm,
aldosterone system vascular disease; type 1 agranulocytosis  Advise patient that
Frequency: OD diabetes mellitus antihypertensives may cause
dizziness resulting from
orthostatic hypotension.
Instruct patient to remain in a
sitting position for several
minutes before standing

 Encourage patient to increase

fluid intake

 Instruct client to avoid

excessive intake of alcoholic
beverages. Alcohol can cause
vitamin B complex
deficiencies
 Name Mode of Action Indications Contraindications Adverse Effects Nursing
Interventions

Generic Name: Water- soluble To treat Patient with liver GI irritation and  Instruct client to take the
Vitamin B Complex vitamins are not peripheral dysfunction vasodilation, resulting in prescribed amount of drug.
stored in the body neuritis, essential flushing sensation
Brand Name: and are readily for building block  Advise client to check the
Nevramin excreted in the of nucleic acids, expiration dates on vitamin
urine. Protein red blood cell containers before purchasing
Route: PO binding of water – formation and and taking them. Potency of
soluble vitamins is synthesis of the vitamin is reduced after
Frequency: OD minimal. hemoglobin the expiration date.

 Advise client to eat a well-

balanced diet that includes the
recommended amounts and
types of food detailed in the
food pyramid

 Encourage patient to eat foods

high in Vitamin B such as
grains, cereal, bread and
meats

 Instruct client to avoid

excessive intake of alcoholic
beverages. Alcohol can cause
vitamin B complex
deficiencies