DRUG STUDY

Name of the Patient: Age: 52 Sex: Female Name of Student Casilao, Mike Arone H.
Civil Status: Religion: Rm/Bed No. _________________ Area: __________________________ Level/ Block: BSNII-B
Address: Date Submitted: 19/02/2022
Date of Admission: _____________________ Diagnosis: Diabetes Mellitus Type 2 Rating: ___________________________________________________

MEDICATION Classification/ Action Indications Contraindications Side Effects Adverse Effects Nursing Responsibilities
(Telmisartan)  Upper
Generic name: Telmisartan Treatment of This drug is respiratory tract  Overdosage may Before:
hypertension alone contraindicated to infection manifest as  Verify doctor’s order in
Telmisartan and Pharmacotherapeutic: or in combination patients with: hypotension, regards to the medication.
Hydrochlorotiazide with other  Sinusitis The order should include the
Angiotensin II receptor tachycardia;
antihypertensives.  Hypersensitivity to  Back/leg pain drug name, dosage,
antagonist bradycardia occurs less
telmisartan.  Diarrhea frequency and route of
Brand name: Clinical: (Hydrochlorothiazide often. administration. If any element
 Concurrent use with  Dizziness
Antihypertensive ) aliskiren in pts with  Vigorous diuresis may is missing, check with the
 Headache
Micardis Plus Treatment of mild to diabetes. lead to profound water practitioner.
Hydrochlorothiazide moderate  Fatigue  Check the patient's medical
 Hypersensitivity to loss/electrolyte
Usual dosage/ hypertension, hydrochlorothiazide  Nausea record for an allergy or
depletion, resulting in
frequency: Pharmacotherapeutic: edema in HF,  Anuria  Heartburn contraindication to the
hepatic cirrhosis, hypokalemia, prescribed medication. If an
Sulfonamide derivative,  History of  Myalgia
Initially, 20-40 mg renal dysfunction hyponatremia, allergy or contraindications
Thiazide Diuretic hypersensitivity to  Cough
once daily. (e.g., nephrotic sulfonamides or dehydration exist, don't administer the
(Telmisartan) Clinical: syndrome).  Peripheral  Acute hypotensive medication and notify the
thiazide diuretics.
12.5 mg once daily Antihypertensive edema episodes may occur. practitioner.
(Hydrochlorothiazide) Use cautiously in:  Increased  Observe the ten (10) rights of
 Hyperglycemia may
urinary medication administration
occur during prolonged  Obtain and record vital signs
Drug action: (Telmisartan)  Hypovolemia frequency therapy.
Usual route:  Educate and explain the
Blocks vasoconstrictor and  Hyperkalemia  Potassium
Oral  Pancreatitis, blood medication to the client and
aldosterone secreting  Hepatic/Renal
 effects of angiotensin II, Impairment depletion dyscrasias, pulmonary SO.
inhibiting binding of  Renal artery  Orthostatic edema, allergic
angiotensin II to AT1 stenosis hypotension pneumonitis, During:
Drug order:  Biliary obstructive
receptors  Headache dermatologic reactions
disease  Take the full course
40 mg + 12.5 mg PO Therapeutic Effect:  GI disturbances occur rarely.
 Significant prescribed.
OD Causes vasodilation,  Photosensitivity  Overdose can lead to  Give without regard to food.
aortic/mitral stenosis
Drug interactions: decreases peripheral  Concurrent use with lethargy, coma without  Take with full glass of water.
resistance, decreases B/P. ramipril changes in electrolytes  Monitor for hypotension
 NSAIDs (e.g.,  Potassium or hydration when initiating therapy.
ibuprofen, Drug Action: supplements  Stay with patient throughout
ketorolac, (Hydrochlorothiazide)  Prediabetes or whole duration of
naproxen) diabetes administration.
may decrease Inhibits sodium
reabsorption in distal renal  Elderly or debilitated
antihypertensi After:
tubules, causing excretion  History of gout
ve effect.  Monitor the effect of the
 Moderate to high
 May increase of sodium, potassium, drugs that are administered
serum cholesterol
digoxin hydrogen ions, water. to the patient
 Hypercalcemia
concentration, Therapeutic Effect:  Discontinue drug if
risk of toxicity. Promotes diuresis; hypersensitivity reactions
 Cholestyramin occur.
reduces B/P
e, colestipol  Immediately report any side
may decrease or adverse effects such as
absorption, Pharmacokinetics:
fatigue, dizziness, and
effects. (Telmisartan) diarrhea
 Antihypertensi  Obtain and record vital signs.
ves (e.g., Absorption: Rapidly,  Document the time, location,
amlodipine, completely absorbed dose, and medication given
clonidine, to the client.
Protein binding: Greater
lisinopril,
valsartan) than 99%
Metabolism: Metabolized Patient Teaching
may increase
in the liver  Avoid tasks that require
hypotensive
alertness, motor skills
effect. Excretion: Excreted in
until response to drug is
 May increase feces established (possible
risk of digoxin Half-life: 24 hrs. dizziness effect).
toxicity Pharmacodynamics:  Maintain proper
associated
hydration.
 with Onset: 1-2 hrs  Avoid Pregnancy
hydrochlorothi Peak: Unknown  Immediately report
azide induced Duration: 24 hrs suspected pregnancy.
hypokalemia.  Report any sign of
 May increase infection (sore throat,
risk of lithium fever).
toxicity Pharmacokinetics
 Avoid excessive exertion
(Hydrochlorothiazide) during hot weather (risk
of dehydration,
Absorption: Variably hypotension).
absorbed from the GI tract  Expect increased
Excretion: Primarily frequency (diminishes
excreted unchanged in with continued use),
volume of urination
urine. Not removed by
 To reduce hypotensive
haemodialysis
effect, go from lying to
Half-life: 5.6-14.8 hrs standing slowly
 Eat foods high in
Pharmacodynamics: potassium, such as
whole grains (cereals),
Onset: 2 hrs legumes, meat,
Peak: 4-6 hrs. bananas, apricots,
orange juice, potatoes
Duration: 6-12 hours
(white, sweet), raisins
 Protect skin from sun,
ultraviolet light
(photosensitivity may
occur).

References:
 Vallerand, A. H., & Sanoski, C. A. (2019) Davis’s Drug Guide for Nurses (6th Edition). F.A Davis Company.
 Kizior, R. J., & Hodgson, K. J. (2020). Saunders Nursing Drug Handbook 2020. Elsevier.