CACHO DRUGSTUDY (AcuteIschemicStroke)

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Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES


Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

DRUG STUDY
omeprazole
(Prilosec, Losec, Zegerid)
Name and Dose, Mechanism of Indications Contraindications Adverse Effects Nursing Responsibilities
Classification of Frequency, Action
Drug Route,
Duration of
Administration
Generic name: 40mg IV now This drug inhibits This drug is Contraindicated in CNS: headache,  Check orders
omeprazole then OD proton pump given to suppress patients hypersensitive dizziness, carefully
activity by gastric acid to drug and in its asthenia  Observe the 10
Brand name: binding to secretion thus, components GI: diarrhea, rights of
Prilosec, Losec, Hydrogen- relieve abdominal pain, medication
Zegerid Potassium heartburn and Zegerid is nausea, vomiting, administration.
adenosine other acid reflux contraindicated in constipation,  Warn patients that
Classification: triphosphatase, manifestations patients with metabolic flatulence Zegerid contains
Proton pump inhibitor located at alkalosis and Musculoskeletal: 460 mg sodium
secretory surface hypocalcemia back pain bicarbonate per
of gastric parietal Respiratory: dose. Those
cells thus, cough, upper following a
suppress gastric respiratory tract sodium-restricted
acid secretion. infection diet should be
Skin: rash cautious.
 Instruct patient to
take the drug 30
minutes before
meals

Reference: Lippincott Williams and Wilkins; Nursing2006 Drug Handbook; 26th Edition
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

 Advise patient to
avoid hazardous
activities if he gets
dizzy
 Monitor patient for
signs and
symptoms of
low magnesium
level such as
abnormal heart rate
or rhythm,
palpitations,
muscle spasms,
tremor or seizures.
 Monitor patient for
hepatotoxicity

Reference: Lippincott Williams and Wilkins; Nursing2006 Drug Handbook; 26th Edition
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

losartan
(Cozaar)
Name and Dose, Mechanism of Indications Contraindications Adverse Effects Nursing Responsibilities
Classification of Frequency, Action
Drug Route,
Duration of
Administration
Generic Name: 50 mg/tab 1 tab Inhibits Used to treat Cozaar is CNS: fatigue, asthenia,  Check orders carefully
OD PO vasoconstrictive hypertension contraindicated: headache, dizziness,  Observe the 10
and and insomnia rights of medication
losartan aldosterone- Diabetic  In patients who administration.
secreting action Nephropathy, are EENT: nasal  Monitor patient’s blood
of angiotensin II and is used to hypersensitive congestion, sinusitis, pressure closely
by blocking reduce the sinus disorder, cataract
Brand Name to any  Regularly assess the
angiotensin II risk of stroke. component of
Cozaar receptor on the CV: edema, chest pain patient’s renal function
surface of
this product.  Instruct patient to avoid
 For GI: abdominal pain, salt substitutes; these
vascular smooth
Classification: coadministration products may contain
muscle and nausea, constipation,
Angiotensin II with aliskiren in
other tissue cell vomiting, diarrhea potassium, which can
receptor patients with Musculoskeletal: cause high potassium
antagonist diabetes. muscle cramps, level in patients taking
myalgia, back or leg losartan
pain  Advise patient to
immediately report
Respiratory: Cough,
swelling of face, eyes,
upper respiratory
infection lips, or tongue, or any
Other: angioedema breathing difficulty
Reference: Lippincott Williams and Wilkins; Nursing2006 Drug Handbook; 26th Edition
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

atorvastatin
(Lipitor)
Name and Dose, Mechanism of Indications Contraindications Adverse Effects Nursing Responsibilities
Classification of Frequency, Action
Drug Route,
Duration of
Administration
Generic name: 40 mg tab 1 tab Inhibits HMG- To prevent Contraindicated in CNS: headache,  Check orders
Atorvastatin OD PO CoA reductase, cardiovascular patients asthenia, insomnia carefully
an early (and events in hypersensitive to CV: peripheral  Observe the 10
Brand name: rate-limiting) patients with this drug and in edema rights of medication
Lipitor step in cardiac risk those with active EENT: rhinitis, administration.
cholesterol factors and for liver disease or pharyngitis, sinusitis  Before starting
Classification: biosynthesis patients with unexplained GI: treatment, assess
HMG-CoA Reductase abnormal lipid persistent elevations Abdominal pain, patient for underlying
Inhibitors, Lipid- profiles of transaminase dyspepsia, causes for
Lowering Agents, levels flatulence nausea, hypercholesterolemia
Statins constipation, and obtain a baseline
diarrhea lipid profile
GU: urinary tract  Watch for signs of
infection myositis
Musculoskeletal:  Instruct patient about
arthritis, arthralgia, proper dietary
myalgia management, weight
Respiratory control, and exercise.
Bronchitis Explain the
Skin: rash importance of
controlling high fat
levels
Reference: Lippincott Williams and Wilkins; Nursing2006 Drug Handbook; 26th Edition
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Website: www.unp.edu.ph Mail: unp_nursingvc@yahoo.com
CP# 09177148749, 09175785986

Other: infection,  Advise patient to


flulike syndrome, avoid alcohol
allergic reactions  Instruct patient to
inform prescriber of
adverse effect, such
as muscle pain,
malaise, and fever
 Advise patient that
drug can be taken at
any time of day,
without regard to
meals

Reference: Lippincott Williams and Wilkins; Nursing2006 Drug Handbook; 26th Edition

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