DRUG STUDY

Mechanism of
Generic Action Indication Nursing Implications Rationale
Name
Losartan 1. Check the medication ordered.  To ensure that the
medication was ordered.
Brand Name It works by blocking a 2. Read the  To have adequate knowledge
substance in the body that medication
Cozaar about the drug.
causes blood vessels to tighten. information.
Treatment of Hypertension.
As a lower blood pressure will
Classification
increase the supply of the blood 3. Assess for hypersensitivity to
Angiotensin and oxygen to the heart. the drug.
Receptor 4. Check the dose, time, and  To decrease the incidence of
Blockers (ARBs) route. untoward reactions.
D.R.F.F.T  To ensure the desired dose,
frequency, and right route.
Dosage: 100 mg 5. Perform hand hygiene.
Route: P.O.  To prevent
Frequency: once a day contamination/spread of
Form: Tablet microorganisms.
Timing: 8am 6. Prepare medications for one  To prevents errors in
Precautions Contraindications patient at a time.
medication administration.
Use cautiously with the Contraindicated with the 7. Identify the patient.
following conditions: following conditions:  To ensures the right patient
 HF (may result in  Hypersensitivity receives the medications and
azotemia, oliguria,  Concurrent use helps prevent errors.
acute renal failure with aliskiren in 8. Perform necessary assessment  To establish specific
and/or death) patients with prior to medication parameters prior to
 Volume- or salt- diabetes or administration. administration.
depleted patients or moderate-to-  To reduce anxiety, to gain
patients receiving high severe renal 9. Explain the purpose and action compliance, and to know
doses of diuretics impairment of medication to the patient. what to expect.
(correct deficits before (CCr 60 10. Assist the patient to an upright  To protects the patient from
initiating therapy or mL/min) position. (Note: depending on
aspiration
initiate at lower doses)  Severe hepatic the route of administration).
 Impaired renal impairment 11. Administer the medications
function due to (candesartan) a. Offer water.
primary renal disease
or HF (may worsen
 To facilitate swallowing of
renal function)
b. Ask the patient preference solid drugs.
in taking the medications  To encourage the patient’s
 Obstructive biliary
by hand or in a cup. participation in taking the
disorders (telmisartan)
or hepatic impairment c. Remain with the patient medications.
(losartan, or until each medication is
telmisartan) swallowed.  To ensure that the drug is
Side Effects Adverse Reactions 12. Store the medicine at room swallowed.
temperature away from
moisture and heat.
CNS: MISC: 13. Document the administration of
 To preserve the medicine.
Dizziness Angioedema the medication immediately
after administration.
CV:
Hypotension  Timely documentation helps to
ensure patient safety.