RHEA GRACE GELLE BSN3E

DRUG STUDY
TDH- PT: E.N.

Generic Name Brand Classification Mechanism of Action Indication Adverse Nursing Consideration
Name Effects

spironolactone Aldactone Pharmacologic Spironolactone acts on Treatment of CNS: dizziness, Before:

class: the distal renal tubules hypokalemia or clumsiness, ● Check Doctor’s
Route of Potassium-spar as a competitive prevention of headache order
Administration: ing diuretic antagonist of hypokalemia in ● Note for medicine
PO 25 mg OD aldosterone. It patients who CV: arrhythmias dosage, time, route
12N increases the excretion would be at high and client
Therapeutic of sodium chloride and risk if GU: erectile ● Assess for history
class: water while conserving hypokalemia dysfunction of: allergy to
diuretics potassium and occurred. spironolactone,
hydrogen ions. Digitalized F and E: hyperkalemia, renal
patients, patients hyperkalemia, disease
with cardiac hyponatremia
Arrythmias. During
Hemat: ● Verify patient’s
agranulocytosis identity
● Administer the right
MS: muscle drug at right dose at
cramps the right time
● Give daily doses
MISC:allergic early so that
reaction increased urination
does not interfere
with sleep.
● Avoid giving food
rich in potassium.
● Monitor intake and
output ratios and
daily weight during
therapy.

After:
● Monitor and record
regular weight to
monitor mobilization
 of edema fluid.
● Monitor response of
signs and
symptoms of
hypokalemia.
● Arrange for regular
evaluation of serum
electrolytes and
BUN.
● Do proper
documentation

Generic Name Brand Name Classification Mechanism of Action Indication Adverse Effects Nursing Consideration

carvedilol Coreg Therapeutic: Carvedilol is a non- Treatment of mild CNS: anxiety, Before:
PO 6.25 mg Antihypertensiv selective Beta-blocker. to severe HF, left depression, ● Check Doctor’s
BID 8A / 6P es It reduces vascular ventricular insomnia, order
resistance by selective dysfunction memory loss, ● Note for medicine
Pharmacologic: a1 receptor blockade following MI, mental status dosage, time, route
Beta- and suppresses renin hypertension changes, and client
adrenergic angiotensin-system nervousness, ● Assess for history
blocker through non- selective nightmares of: allergy to
B-blockade. Carvedilol EENT: Blurred carvedilol
has weak membrane vision, ● Give with food to
stabilizing properties intraoperative decrease
and has no intrinsic floppy iris orthostatic
sympathomimetic syndrome, nasal hypotension and
activity. stuffiness, reduce adverse
RESP: effects
Bronchospasm,
wheezing
GU: Erectile
dysfunction, During
Plibido ● Verify patient’s
DERM: identity
Steven-Johnson ● Administer the right
syndrome, drug at right dose at
urticaria the right time
ENDO: ● Monitor diabetic
hyperglycemia, patient closely; drug
hypoglycemia may mask
MISC: hypoglycemia or
 anaphylaxis, worsen
drug-induced hyperglycemia
lupus syndrome After:
● Monitor BP and PR
● Instruct pt to take
medication as
directed at the
same time each
day, even if feeling
well. Do not skip or
double up on
missed doses
● May cause
drowsiness or
dizziness. Caution
patients to avoid
driving other
activities that
require alertness.
● Advise patient to
change positions
slowly to minimize
orthostatic
hypotension
● Advise patient to
notify healthcare
professional if slow
pulse, difficulty
breathing,
wheezing, cold
hands and feet,
dizziness,
confusion,
depression, rash
fever, sore throat,
unusual bleeding,
or bruising occurs

Generic Name Brand Name Classification Mechanism of Action Indication Adverse Effects Nursing Consideration

atorvastatin Lipitor Pharmacologic: Atorvastatin is a statin Reduction of risk CNS: Insomnia, Before:
HMG-CoA medication and a of stroke and EENT : ● Check Doctor’s
Route of reductase competitive inhibitor of heart attack in Nasopharyngitis order
Administration: inhibitors the enzyme HMG-CoA type 2 diabetes , ● Note for medicine
PO 40 mg OD (statins) reductase. It acts mellitus patients pharyngolaryng dosage, time, route
6P primarily in the liver, without evidence eal pain and client
Therapeutic: where it decreases the of heart disease ● Assess for history
Antilipemic hepatic cholesterol but with other CV GI: abdominal of: allergy to
concentration that risk factors, and pain, diarrhea, atorvastatin
stimulates the revascularization dyspepsia, ● Do not crush,
upregulation of LDL procedures in flatulence, dissolve, or divide
receptors, and patients without nausea atorvastatin
increases the hepatic evidence of ● Obtain LFTs as a
uptake of LDL. Coronary heart GU: UTI baseline and
disease periodically during
Musculoskeletal: therapy.
arthralgia,
myalgia,
extremity pain, During
muscle spasms, ● Verify patient’s
musculoskeletal identity
pain ● Administer the right
drug at right dose at
Skin: rash the right time
● Administer drug
without food at the
same time each
day
● Administer at bed
time

After:
● Implement safety
and fall precautions
as atorvastatin may
affect
concentration,
alertness and
vision
● Advise patient to
notify prescriber
immediately if he
develops
 unexplained muscle
pain tenderness, or
weakness,
especially if
accompanied by
fatigue or fever.

Generic Name Brand Name Classification Mechanism of Action Indication Indication Nursing Consideration

furosemide Lasix Pharmacologic Inhibits reabsorption of Furosemide is CNS: dizziness, Before:

class: Loop sodium and chloride given to patients vertigo, ● Check Doctor’s
Route of Diuretic from the proximal and to treat acute paresthesias, order
Administration: distal tubules and pulmonary xanthopsia, ● Note for medicine
PO 40 mg OD ascending limb of the congestion and weakness dosage, time, route
8A Therapeutic loop of Henle, leading hypertension. and client
class: Loop to a sodium-rich CV: orthostatic ● Assess allergy to
Diuretic dieresis. hypertension, furosemide
thrombophlebitis ● Do not expose to
light, which may
Dermatologic: discolour tablets
Photosensitivity,
pruritus, During
urticaria, ● Verify patient’s
purpura identity
● Administer the
GI: nausea, right drug at right
anorexia,
dose at the right
vomiting, oral
and gastric
time
● Give early in the
irritation
day so that
increased urination
GU: nocturia,
will not disturb
glycosuria,
sleep.
urinary bladder
spasm ● Measure and
record weight to
GI: Nausea, monitor fluid
anorexia, changes
vomiting, oral After:
and gastric ● Monitor blood
irritation. glucose levels
● Arrange to monitor
Hematologic: serum electrolytes,
leukopenia, hydration, renal and
anemia, liver function
thrombocytopeni ● Advise patient to
a report loss or gain
Other: Muscle of more than 1.5 kg
cramp, muscle a day, swelling on
spasms ankles or fingers,
unusual bleeding or
bruising
● Do proper
documentation