Initial Information

Name: S.T.M.
Age: 52
Sex: Male
Civil Status: Married
Religion: Roman Catholic
Address: Brgy. Masi, Pamplona, Cagayan
Chief Complaints: Aphasia, Right-sided Weakness
Date & Time Admitted: 08/21/2023
Impression/ Diagnosis: T/C CVD Infarct
Surgical Operation Performed: None
Attending Physician: Dr. Alava
Informant- Relationship: J.M. - Spouse

Amlodipine
Name Classification Mechanism of Indication Dosage Side Adverse Contraindication Nursing Health Teaching
Action Effects Effects Responsibility
Generic Calcium Binds to Essential •WARNING: Monit • Tell patient to take
name: Channel Blocker dihydropyridine hypertension, Amlodipine •swelling of •Dizziness Amlodipine is or patient missed dose as
and nondihy alone or in the hands, contraindicated in carefully (BP, soon as
Amlodipine dropyridine cell combination with -10 mg/day feet, ankles, • Light- dihydropyridine cardiac rhythm, remembered and
membrane other or lower legs headedness\ hypersensitivity. It and output) while next dose in
Brand receptor sites antihypertensive Dose: 1 tab can cause liver adjusting drug to 24 hours.
name: on myocardial •Drowsiness •Headache damage therapeutic dose;
and vascular Frequently: . use special
Norvasc smooth OD (Once •Excessive • Asthenia caution if patient • Suggest taking
muscle cells and tiredness. •Fatigue has CHF. amlodipine with food
inhibits influx of daily) to
extracellular •Peripheral • Monitor patient reduce GI upset.
calcium ions Route: NGT edema with impaired
across slow (Nasogastric hepatic
calcium •Arrhythmias function closely • Advise patient to
channels. tube) because have blood pressure
•Flushing amlodipine is checked routinely for
extensively possible
•Rash metabolized by the hypotension.
liver, and
•Nausea expect to titrate • Report irregular
dosage slowly heartbeat, shortness
•Abdominal when of breath, swelling of
discomfort administering drug the hands or feet,
to patients with pronounced
severe dizziness,
hepatic impairment constipation.

• Monitor blood
pressure while
adjusting
dosage, especially
in patients with
heart
failure or severe
aortic stenosis
because
symptomatic
hypotension may
occur.

• Administer drug
without regard to
meals
 Citicoline
Name Classification Mechanism Indication Dosage Side Adverse Contraindication Nursing Health Teaching
of Action Effects Effects Responsibility
Generic Neurotropic it acts Acute and Citicoline - • Swelling Hypertonia of the • Teach patient to
name: by increasing subacute 500 mg • Abdominal parasympathetic • Instruct patient to gain benefits & not to
the synthesis cerebrovas pain • Fatigue nervous system. take the miss any dosage
of cular • Fever • Flushing
Citicoline phosphatidylch accident Dose: 1 cap • Rash medication as • Teach the patient
oline, the such as •Transcie prescribed. tha t ci t i c ol i n e ma y
Brand primary cerebral Frequently: nt blood be taken with or
name: neuronal circulatory pressure without food.
phospholipid insufficienc OD (Once changes • Teach the patient
Cholinerv and enhancing y, cerebral daily) • Educate the patient on
the production hemorrhag that citicoline may the
of e, cerebral Route: NGT proper food and fluid
Nasogastric be taken with or
acetylcholine. palsy. intake such as avoiding
Brain Traumatic tube heavy meals, alcohol,
without food.
phospholipid brain caffeine, or smoking
synthesis is injury . before bedtime to avoid
impaired • Monitor for hindrance in sleep onset.
following
stroke and adverse effects; • Monitor for adverse
ischemic effect
events. instruct patient to
report immediately
if he/she develops
chest tightness,
tingling in mouth
and throat,
headache, diarrhea
and blurring of
vision.
 Pantoprazole
Name Classification Mechanism Indication Dosage Side Effe Adverse Contraindicati Nursing Health Teaching
of Action cts Effects on Responsibility
Generic Proton-pump Irreversibly • Gastro- Pantopraz Hypersensitivity • Monitor patient •Instruct patient to
name: inhibitor binds to, esophagea ole - 40 mg • Nausea • Headache to pantoprazole, for signs and
inhibits l reflux • Dizziness other proton symptoms of low report bothersome
• Tiredness
Pantoprazo hydrogen- disease • Asthenia pump magnesium or prolonged side
or
le potassium (GERD) • Insomia Inhibitors or any level, such as
weakness effects, including
adenosine • Apathy drug abnormal HR or
Brand triphosphate, •Esophage • Abdominal • Anxiety components rhythm, headache or GI
name: an al gastric pain • palpitations,
• Loss of effects (diarrhea,
enzyme on varices Paresthesia muscle
Protonix surface of bleeding appetite • Dream spasms, tremor, or flatulence, belching,
gastric prohylaxis, • Skin rash abnormalitie seizures. In abdominal pain)
parietal cells. erosive • Unusual s children, abnormal
Inhibits esophahirti weight gain • HR may
• Swallow tablets
hydrogen ion s after Inflammation present as fatigue,
whole; do not chew,
transport receiving • Vomiting upset stomach,
crush, dissolve, or
into •Acid this • dizziness, and
divide.
gastric peptic medicine Constipation light-headedness.
• Best if given before
lumen. disease • Dry mouth
breakfast. May give
Helicobact • Pruritus •Magnesium
without regard to
Therapeutic er pylori supplementation or
food.
Effect: eradication drug
Increases discontinuation
• Teach patient to
gastric pH, may be
report all adverse
reduces required.
reactions and to
gastric acid
recognize and
production. •Instruct patient to
 take exactly as report signs and
prescribed and at symptoms of low
about the same magnesium levels
time every day.

• Tell patient that

• Advise patient to
antacids don't
affect drug avoid alcohol and
absorption. foods that may
cause an increase in
GI irritation.

References

 Karch, Amy (n.d.) 2011 LIPPINCOTT’S Nursing Drug Guide retrieved on September 13,2022
 StackPath. (n.d.). https://www.mims.com/philippines/drug/info/citicoline?mtype=generic