COLEGIO SAN AGUSTIN BACOLOD

COLLEGE OF HEALTH AND ALLIED PROFESSIONS

NURSING PROGRAM
B.S. Aquino Drive, Bacolod City
Contact Number: (034) 434 – 24 71 Local 162
Email Address: csab.chap@gmail.com

Name: Mr. Anaheim Date of Admission: February 8, 2021

Age: 67 years old Chief Complaint: Pain
Room: 101 Diagnosis: Abdominal Aortic Aneur
Attending Physician: Dr. XXX

DRUG STUDY
Generic Name Brand Classification Mechanism of Action Indication Side Effects/ Nursing Considerations
Name Adverse React

Benazapril Lotensin Antihypertensive Blocks ACE from converting Treatment for CNS: Dizziness, fatigue, -Do not stop taking the
angiotensin I to angiotensin II, patients with high headache, somnolence: medication without
5 mg ACE Inhibitors a potent vasoconstrictor, blood pressure consulting your health
1 tab leading to decreased BP, CV: Angina
care provider
decreased aldosterone pectoris,hypotension in
OD secretion , a small increase in salt or volume depleted
serum potassium levels, and patients, palpitations -Monitor patient for
PO
sodium and fluid loss; possible drop in BP
increased prostaglandin Dermatologic: Rash, secondary to reduction in
synthesis also may be pruritus, diaphoresis, fluid volume (excessive
involved in the flushing perspiration and
antihypertensive action.
GI: Nausea, abdominal dehydration, vomiting,
pain, vomiting, diarrhea) because
constipation excessive hypotension
may occur.
Respiratosinusitis
--Reduce dosage in
Respiratory: Cough, patients with impaired
 renal function.
asthma, bronchitis,
dyspnea, -Be careful in any
conditions that may lead
Other: Angioedema,
impotence, decreased to a drop in blood
libido, asthenia, pressure (such as
myaglia, arthralgia diarrhea, sweating,
vomiting, dehydration); if
light-headedness or
dizziness occurs, consult
your health care provider.

-Report mouth sores; sore

throat, fever, chills;
swelling of the hands,
feet; irregular heartbeat,
chest pains; swelling of
the face, eyes, lips,
tongue, difficulty
breathing, persistent
cough.

Fluoxetine Prozac selective serotonin Acts as an antidepressant by Treatment of CNS: Headache, -Arrange for lower or less
reuptake inhibiting CNS neuronal depression; most nervousness, insomia, frequent doses in elderly
40 mg
inhibitors (SSRIs) uptake of serotonin; blocks effective in patients drowsiness, anxiety, patients and patients with
1 tab uptake of serotonin with little with major tremor, dizziness, light- hepatic impairement.
effect on norepinephrine; depressive headedness, agitation,
OD antidepressants -Administer drug in the
little affinity for muscarinic, disorder. sedation, abnormal
morning
histaminergic, and alphaa - gait, seizures
 PO adrenergic receptors. CV: Hot flashes, -Monitor patient for
palpitation response to therapy for
up to 4 wk before
Dermatologic:
increasing dose.
Sweating, rash pruritus,
acne, alopecia, contact -Switch to once a week
dermatitis therapy by starting weekly
dose 7 days after
GI: Nausea, vomitting,
20mg/day dose. If
diarrhea, dry mouth,
response is not
anorexia, dyspepsia,
satisdactory, reconsider
constipation
daily dosing.
GU: Painful
-If discontinuing drug,
menstruation, sexual
dosage should be tapered
dysfunction, frequency,
gradually to avoid with
cystitis, impotence,
drawal syndrome.
urgency, vaginitis
Respiratory: URI’s ,
pharyngitis, cough,
dyspnea, bronchitis,
rhinitis
Other: weight changes,
asthenia, fever

Furosemide Lasix Loop diuretic Inhibits reabsorption of Treatment for CNS: Dizziness, -Profound diuresis with
20 mg sodium and chloride from patient with edema headache, vertigo, water and electrolyte
proximal and distal tubules associated with paresthesias, depletion can occur;
1 tab
and ascending limb of loop heart failure. xanthopsia, weakness, careful medical
OD Henle, leading to a sodium- fatigue, blurred vision, supervision is required.
rich diuresis tinnitus, irreversible
PO -Administer with food or
hearing loss.
milk to prevent GI upset.
CV: Orthostatic -Reduce dosage if given

KCl Electrolyte Principal intracellular cation
of most body tissues,
20 mEq
participate in a number of
BID physiologic processes
maintaining intracellular
tonicity; transmission of
nerve impulses; contraction
of cardiac, skeletal, and
with other
hypotension, volume antihypertensives,
depletion, cardiac readjust dosage gradually
arythmias, as BP responds.
thrombophlebitis
-Give early in the day so
Dermatologic: that increased urination
Photosensitivity, rash, will not disturb sleep.
pruritus, urticaria, - Avoid IV use if oral use is
purpura, exfoliative at all possible.
dermatitis
-Do not mix parenteral
GI: Nausea, vomiting, solution with highly acidic
constipation, anorexia, solutions with Ph below
diarrhea, jaundice 3.5.
Hematologic:
Leukopenia, anemia,
thrombocytopenia,
fluid and electrolyte
imbalances,
hyperglycemia
Other: Muscle cramps
and muscle spasms.
Prevention and Dermatologic: Rash -Arrange for serial serum
correction of potassium levels before
GI: Nausea, vomitting,
potassium and during therapy.
diarrhea, abdominal
deficiency.
discomfort, GI -Administer liquid form to
obstruction, GI any patient with delayed
bleeding, GI ulceration GI emptying.
or perforation.
-Administer oral drugs
 smooth muscle, maintenance
of normal renal function; also
plays a role in carbohydrate
metabolism and various
enzymatic reactions.
Lovastatin Mevacor Antihyperlipidemic Inhibitsthe enzyme that
catalyzes the rate limiting
40 HMG-CoA
step in the cholesterol
reductase inhibitor
1 tab synthesis pathway, resulting
in a decrease in serum
OD
cholesterol, serum LDLs and
PO either an increase or no
change in serum HDLs
Hematologic: after meals or with food
Hyperkalemia increased and a full glass of water to
serum potassium, ECG decrease GI upset.
changes.
-Caution patient not to
Local: Tissue sloughing, chew or crush tablets;
local necrosis local have a patient swallow
phlebitis, and tablet whole.
venospasm with
-Monitor IV injection sites
injection.
regularly for necrosis,
tissue sloughing and
phlebitis.
-Monitor cardiac rhythm
carefully during IV
administration.
Treatment of CNS: Headache, blurred - Give in the evening;
familial vision, dizziness, highest rates of
hypercholesterole insomia, fatigue, muscle cholesterol synthesis are
mia cramps, cataracts between midnight and
5am.
GI: Flatulence,
abdominal pain, -Advised patient that this
cramps, constipation, drug cannot be taken
nausea, dyspepsia, during pregnancy; urge
heartburn, the use of barrier
transaminases contraceptives.
Other: Myalgia, -Administer only when
rhabdomyolysis, rash diet restricted in
cholesterol and saturated
fats fails to lower
cholesterol and lipids
adequately.
-Discontinue lovastatin if
LFTs increase to three
times the upper limit of
normal.