Generic Dosage/ Classfication Side Effect Indications Contraindications Nursing

Name/Trade Frequency Responsibilities

Name
Amlodipine 10 mg/tab calcium channel Palpitations, Hypertension; Sick sinus  Assess
OD blocker, peripheral chronic stable Syndrome; second cardiores
antianginal, edema, angina; or third degree piratory
antihypertensive syncope, vasospastic atrioventricular status:An
tachycardia, angina block except with a ginal
bradycardia, functioning pain, B/P,
arrytmias, pacemaker. pulse,
ventricular respiratio
asystoles, n, ECG
headache,
dizziness,  Assess
lightheadedness, hydration
fatigue, lethargy, and fluid
somnolence, volume
dermatitis; rash, status:
pruritis; Input &
uriticaria, output
nausea, ratio,
abdominal presence
discomfort, of edema,
cramps, distended
dyspepsia, neck
shortness of veins,
breath, dyspnea, lung
wheezing, crackles,
flushing, sexual adequate
difficulties, pulses, &
muscle cramps, skin
pain or turgor.
inflammation.
 Monitor
 liver
function:
ALT,
AST,biliru
bin

 Monitor if
platelet
count is
less than
150,000/
mm3;
drug is
usually
discontin
ued and
another
drug
started.

Generic Dosage/ Classification Side Effect Indications Contraindications Nursing

Name/Trade Frequency Responsibilities
Name
 40mg/ tab anti-secretory Headache, Erosive Known  Assess
Esomeprazole OD drug , proton- abdominal pain, reflux hypersensitivity to patient’s
pump inhibitor diarrhea, esophagitis. esomeprazole, condition
flatulence, Prevents substituted before
nausea/vomiting relapse of benzimidazoles ot and during
, constipation, healed any other drug
dermatitis, esophagitis, constituents of the therapy.
pruritus, symptomatic, formulation. Assees GI
urticaria, treatment of system;
dizziness, dry gastro- anorexia
mouth, blurred esophageal and
vision, reflux abdominal
hypersensitivity disease. pain.
reactions. Helicobacter
pylori  Assess
associated hepatic
ulcer function
disease. because
drug is
extensibly
metabolize
d in the
liver: AST,
ALT,alkali
ne
phosphate

 Monitor for
adverse
reactions:
 CNS:
headache
GI:
diarrhea,
abdominal
pain,
nausea,
vomiting,
constipatio
n and dry
mouth.

 Assess
patient’s
and
family’s
knowledge
of drug
therapy.

Generic Dosage/ Classification Side Effect Indications Contraindications Nursing

Name/Trade Frequency Responsibilities
Name
 100mg/tab Hypotension, Treatment of Hypersensitivity to  Obtain
Atenolol OD beta1-selective bradycardia, hypertension beta-blockers; history of
adrenergic cold xtremeties, , angina sinus bradycardia; patients
blocker, second or third pectoris greater than first underlying
antianginal,
antihypertensiv degree heart resulting degree heart block; condition
e block, insomnia; from CHF unless
fatigue, coronary secondary to  Monitor
dizziness, atherosclero tachyarrythmia drug
depression, sis, acute MI. treatable with beta- effectivene
lethargy, blockers; overt ss:
drowsiness, cardiac failure; hypertensi
forgetfulness, cardiogenic shock. on, angina
slurred speech, pectoris,
rash, hives; risk of re-
fever; alopecia, infarction.
dry eyes,
 Assess for
blurred vision,
adverse
tinnitus, dry
reaction:
mouth,sore
visual
throat,nausea,
disturbanc
vomiting;
e, nausea,
diarrhea,
vomiting,
impotence,
rashes,
painful, difficult
alopecia,i
or frequent
mpotence,
urination,
behaviour
agranulocytosis,
al
weight changes,
changes,
hypoglycaemia,
hallucinati
hyperglycemia; ons, and
hyperlipidemia. aggressive
ness.

 Check for
baseline in
renal, liver
function
tests
before
therapy
begins.

 Assess for
edema in
feet, legs
daily;
monitor
input-
output
ratio, daily
weight;
check for
jugular
vein
distention,
rales
bilaterally,
dyspnea.
 Generic Dosage/ Classification Side Effect Indications Contraindications Nursing
Name/Trade Frequency Responsibilities
Name
 20mg/tab GI disturbances. Hypercholest Hypersensitivity to  Document
Atorvastatin OD antihyperlipide Headache, erolemia: any component of indications
mic, HMG-CoA myalgia, Adjunct to this medication. for
reductase asthenia, diet to Active liver disease therapy,
inhibitor
insomnia; reduce or unexplained onset and
angioneurotic elevated total persistent duration of
edema. Muscle cholesterol, elevations of serum illness,
cramps, LDL transaminases other
myositis, cholesterol, exceeding 3x the medication
myopathy, Apolipoprotei upper limit of s taken.
cholestatic n B, and normal.
jaundice; triglycerides  Monitor
peripheral levels. cholesterol
neuropathy; ,
pruritus. tryglycerri
des and
liver
function
tests
before
therapy
and
reassess
regularly.

 Assess
nutrition
and
dietary
habits:
 weight,
exercise
habits,
lifestyle
and
complete
nutritional
analysis.

 Assess for
muscle
pain,
tendernes
s, obtain
CPK if
these
occur,
drug may
need to be
discontinu
ed.

 Monitor
bowel
pattern
daily;
diarrhea
may be a
problem.
  Assess
patient’s
and
family’s
knowledge
on drug
therapy.

Generic Dosage/ Classification Side Effect Indications Contraindications Nursing

Name/Trade Frequency Responsibilities
Name
 15-30ml Abdominal Constipation, Patients who  Assess
Lactulose given for 3 Laxative, discomfort salmonellosi require a low patient’s
days Ammonia associated with s. Treatment lactose diet. condition
reduction drug flatulence and of hepatic Galactosemia or before
intestinal encephalopa disaccharide therapy
cramps. thy. deficiency. and
Nausea, Intestinal reassess
vomiting, obstruction. regularly
diarrhea on therafter to
prolonged use. monitor
drug’s
effectivene
ss. Identify
cause of
constipatio
n: Assess
lifestyle in
relation to
fluids,
bulk, and
exercise.

 For patient
with
hepatic
encephalo
pathy,
regularly
assess
 mental
condition
ammonia
level.

 Monitor for
possible
adverse
GI
reaction:
nausea,
vomiting,
abdominal
cramps,
belching,
diarrhea,
flatulence,
and
distention.

 Monitor
fluid and
electrolyte
status:
Urine
output,
input-
output
ratio to
identify
 fluid loss,
hypokalem
ia, and
hyperbatre
mia.

 Monitor for
increased
glucose
levels in
diabetic
patients.

 Assess
patient’s
and
family’s
knowledge
of drug
therapy.