NAME: HONEYMEL VINCE M.

RUPINTA BLOCK: BSN 4B

DATE OF SUBMISSION: 10/03/2023

Nursing Process Focus: Care Patients Receiving: TELMITAR

Classification of the Drug: Antihypertensive Drug; Angiotensin-II Receptor Antagonist

Common Indications of the Drug: for hypertension, heart failure, and acute myocardial infarction.
Common Brand Names: Micardis

Assessment Possible Nursing Diagnoses

Prior to administration:  Risk for injury related to orthostatic
 Obtain baseline data such as vital signs, hypotension
especially blood pressure and pulse rate and  Hypersensitivity
rhythm regularly  Deficient knowledge related to drug therapy
 Perform physical assessment of patient
 Assess patient’s medical history, allergy and
contraindications of drug

Planning: Patient Outcomes

After nursing interventions, the patient will:
 Blood pressure will be maintained within acceptable limits.
 Risk for injury will be minimized.
 The patient will verbalize correct drug administration.

Implementation
Interventions with Rationales
1. Administer the drug with food or at bedtime
as indicated.
2. Monitor vital signs especially blood pressure
regularly.
3. Prevent or minimize orthostatic hypotension
by helping the patient to get up slowly and by
telling the patient not to make sudden
movements.
4. Maintain the patient’s non-pharmacologic
therapies, such as sodium restriction, calorie
reduction, stress management, and exercise
program.
5. Monitor liver enzymes, as appropriate, and
assess for evidence of drug toxicity in patients
with severe hepatic disease because they’re at
increased risk for toxicity from increased drug
accumulation.
6. Know that the dosage is usually adjusted to
the patient’s blood pressure and tolerance.
7. Notify physician for adverse effects such as
diarrhea, dizziness, nausea or vomiting.
8. Provide patient education about the
effectiveness of drug therapy and purpose
Patient Education/Discharge Planning
1. Encourage patient to drink adequate amounts
of fluid during hot weather and when
exercising.
2. Instruct patient to change position slowly to
minimize effects of orthostatic hypotension.
3. Advise patient to integrate a healthy lifestyle
such as exercising, eating healthy food,
reduction of calorie, and sodium intake to
increase the effectiveness of drug therapy and
for patient’s optimum recovery.
4. Instruct patient to report all OTC drugs being
taken before starting drug and to report all
adverse reactions.
5. Advise patient not to use potassium
supplements or salt substitutes that contain
potassium without checking with prescriber
first.
6. Provide thorough patient teaching and inform
patient about the name and usage of drug as
well as the side effects and the avoidance of
certain drug interactions and adverse reactions

Evaluation of Outcome Criteria (Met, Partially met, Not met)

After nursing interventions, the patient was able to:
 Maintained blood pressure within acceptable limits.
 Minimized risk for injury.
 Verbalized correct drug administration.

Reference:

NPF Drug Study No. 4