PHINMA University of Pangasinan

College of Health Sciences

Name of Student Nurse: ______________________________________________ Date: ______________________________________________

Level/block/group: ____________________________ Hospital/Area: _______________________________________ Clinical Instructor: ____________________________________

NAME OF DRUG MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
GENERIC NAME

Metoprolol

BRAND NAME Unknown: A selective beta blocker that Hypersensitive to drug. CV:
selectively blocks beta1 receptors; Pt. With sinus, Hypotension CV: -Always check patient’s apical pulse.
Loppressor decreases cardiac output, peripheral bradycardia, cardiogenic Bradycardia -Monitor BP
resistance, and cardiac oxygen shock and heart failure. GI: Heart failure -Store drug at room temperature.
consumption; and depresses rennin Nausea and vomiting -Inform patient about the side effects
secretion. and adverse effects of the medication.
CLASSIFICATION
Respi: -Advise pt. To take it with meals.
Dyspnea -Tell pt. To report if he/she fells
Beta-adrenergic
shortness of breath.
blocking agents
Skin: -Tell pt. that metoprolol is not
Rash advisable to breastfeeding mothers.
-Advise not to withdrawn drug
abruptly.
INDICATION

-Hypertension
-Acute MI
-Angina Pectoris

DOSAGE & FREQUENCY

100 mg
 PHINMA University of Pangasinan
College of Health Sciences

Name of Student Nurse: ______________________________________________ Date: ______________________________________________

Level/block/group: ____________________________ Hospital/Area: _______________________________________ Clinical Instructor: ____________________________________

NAME OF DRUG MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
GENERIC NAME

Losartan Potassium CNS: dizziness, asthenia,

Inhibits vasoconstrictive an d Patients hypersensitive cold or flu symptoms fatigue, headache,
BRAND NAME aldosteronesecreting action of angioten to drug, breast-feeding such as stuffy nose, insomnia. -Monitor patients BP.
sin II by blocking angiotensin II receptor is not recommended, sneezing, sore throat, CV -edema,chest pain. -Monitor patients who are also taking
Cosaar on the surface of vascular smooth uses fetal and neonatal fever; EENT -nasal congestion, diuretics for symptomatic
muscle and other tissue cells. morbidity and death . dry cough; sinusitis, pharyngitis, sinus hypotension.
disorder. -Assess patients renal function
muscle cramps; GI -Abdominal pain, -Tell patient to avoid salt substitutes
CLASSIFICATION
pain in your legs or nausea, diarrhea,
back; dyspepsia.
stomach pain, Musculoskeletal -muscle
Anti-hypertensives
diarrhea; cramps, myalgia, back or
leg pain.
headache, dizziness;
Respiratory -cough, upper
tired feeling; or. respiratory infection.
INDICATION sleep problems
Hypertension,
(insomnia).
Nephepatically in type 2
daibetic patients, to
reduce risk of
CVAinpatients
withhypertensionandleft
ventricularhypertrophy
DOSAGE & FREQUENCY
For HPN: Adults-Initially
25-50 mg PO daily,
Nephropathy: Adults-50
mg PO; OD
 PHINMA University of Pangasinan
College of Health Sciences

Name of Student Nurse: ______________________________________________ Date: ______________________________________________

Level/block/group: ____________________________ Hospital/Area: _______________________________________ Clinical Instructor: ____________________________________

NAME OF DRUG MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
GENERIC NAME

Amlodipine CNS: Dizziness, BEFORE:

Inhibits the movement of calcium lightheadedness, • Obtain patients history to allergy of
BRAND NAME ions across the membranes of Hypersensitivity to swelling of your legs headache, asthenia, amlodipine.
cardiac and arterial muscle cells; amlodipine or ankles. fatigue, lethargy • Assess vital signs before therapy.
Norvasc inhibits transmembrane calcium CV: Peripheral edema,
tiredness or extreme
arrhythmias DURING:
flow, which results in the depression sleepiness. Dermatologic: Flushing, • Monitor patient’s BP, cardiac rhythm
of impulse formation in specialized
stomach pain. rash • Monitor intake and output.
CLASSIFICATION cardiac pacemaker cells, slowing of
nausea. GI: Nausea, abdominal
the velocity of conduction of the Discomfort AFTER:
Calcium channel- cardiac impulse, depression of dizziness. • Monitor vital signs.
blocker myocardial contractility, and dilation hot or warm feeling in • Be alert for adverse effect.
Anti-anginal
of coronary arteries and arterioles your face (flushing)
Drug Antihypertensive
and peripheral arterioles; these
irregular heart rate
effects lead to decreased cardiac
(arrhythmia)
INDICATION work, decreased cardiac oxygen
consumption, and in patients with very fast heart rate
Angina pectoris due to
vasospastic angina, increased (palpitations)
coronary artery Spasm,
Chronic stable angina, delivery of oxygen to cardiac cells.
alone or in combination
with other agents,
Essential hypertension,
alone or in combination
with other
antihypertensive
DOSAGE & FREQUENCY
Give 10 mg 1 tab, OD
Timing: 8 am
Duration: 24 hrs.

Other forms:
Tablets: 2.5 mg, 5 mg,
10 mg