Name
|
Action
|
Major Side
Effects
|
Nursing
Implications
|
Amlodipine
5mg/oral/once
a day
Start 8/21
0645
|
Antihypertensive,
calcium channel blocker, inhibits calcium ion influx across cardiac/smooth
muscle cells, dilates coronary arteries, decreases BP
|
Headache,
somnolence, fatigue, dizziness, light-headedness, asthenia, paresthesia,
edema, flushing, palpitations, dyspepsia, nausea, abdominal pain, sexual
difficulties, muscle cramps, dyspnea, rash, pruritis
|
Monitor
patient carefully, monitor BP, monitor for swelling of hands or feet, monitor
for shortness of breath. Assess BP/angina before therapy and during
|
Aspirin
Enteric Coated
81mg/oral/once
a day
Start 8/21
0647
|
Inhibitor
of prostaglandin synthesis and platelet aggregation, NSAID, makes platelets
less sticky
|
Tinnitus,
hearing loss, nausea, dyspepsia, GI distress, occult bleeding, renal
insufficiency, prolonged bleeding time, rash, bruising, urticaria
|
Monitor
blood pressure closely, Avoid use with ginko biloba, may decrease
antihypertensive effects, monitor BP closely. May increase risk of bleeding,
take with full glass of water
|
Bumetanide
1mg/oral/2x
day
Start 8/21
0645
|
Diuretic,
Loop diuretic
|
Dizziness,
headache, vertigo, orthostatic hypotension, oliguria, volume depletion and
dehydration, hypokalemia, hyphochloremic alkalosis, hypomagnesemia, rash,
pruritus, asymptomatic hyperuricemia
|
Monitor
glucose level, monitor potassium and digoxin level, asses for signs and
symptoms of excessive diuretic response,
|
Buspirone
10mg/oral/2x
day
Start 8/21
0650
|
Anxiolytic,
may inhibit neuronal firing and reduce serotonin turnover in cortical,
amygdaloid, and septohippocampal tissue
|
Dizziness,
drowsiness, headache, nervousness, insomnia, light-headedness, fatigue,
numbness, excitement, confusion, depression, anger, tachycardia, chest,
blurred vision, dry mouth, diarrhea
|
Monitor
patient closely for adverse CNS reactions, don’t give drug with grapefruit
juice, give drug at same times each day
|
Carbidopa +
Levodopa 25mg-100mg ERT
2 tablets/
oral/4x day
Start 8/21
0650
|
Antiparkinsonian,
decarboxylase inhibitor and dopamine precursor, relieves parkinsonian
symptoms by being converted to dopamine in the brain
|
Syncope,
dizziness, headache, cardiac irregularities, hypertension, hypotension,
palpitations, constipation, dry mouth, GI bleeding, taste alterations,
vomiting, muscle cramps, shoulder pain, nausea, dyspnea, sweating
|
Monitor
blood pressure, may increase ALT, AST, alkaline phosphates, LDH, bilirubin
levels. My decrease hemoglobin level and hematocrit. Monitor vital signs,
use cautiously in patients with severe CV, renal, hepatic, endocrine, or
pulmonary disorders
|
Docusate
100mg/oral/2x
day
Start 8/21
0652
|
Laxative,
surfactant, stool softener
|
Bitter taste,
mild abdominal cramping, diarrhea, laxative dependence with long term use
|
Monitor
abdominal pain/discomfort, bowel movement
|
Donepezil
5mg/oral/once
a day
Start 8/21
0652
|
Anti-Alzheimer,
acetylcholinesterase inhibitor
|
Headache,
insomnia, dizziness, fatigue, chest pain, bradycardia, nausea, diarrhea,
vomiting, GI bleeding, weight loss, dehydration, muscle cramps, bone
fracture, dyspnea
|
Monitor
vital signs, improvement in signs of Alzheimer type dementia, occult GI
bleeding
|
Furosemide
80mg/oral/once
a day
Start 8/21
0645
|
Loop
diuretic, antihypertensive, inhibits sodium and chloride reabsorption at the
proximal and distal tubules and the ascending loop of Henle
|
Vertigo,
dizziness, weakness, tinnitus, abdominal pain, vomiting, constipation,
anemia, volume depletion and dehydration, impaired glucose tolerance, hypocalcemia,
muscle spasm, gout
|
May
increase cholesterol, glucose, BUN, creatinine, uric acid levels. May
decrease calcium, hemoglobin, magnesium, potassium and sodium levels. May
decrease granulocyte, platelet, and WBC counts. Monitor weight, BP, pulse
rate. Monitor fluid intake and output, glucose level, potassium level.
|
Hydralazine
50mg/oral/3x
day
Start 8/21
0646
|
Antihypertensive,
peripheral dilator
|
Headache,
peripheral neuritis, dizziness, angina pectoris, palpitations, tachycardia,
orthostatic hypotension, edema, flushing, nausea, vomiting, diarrhea,
anorexia, nasal congestion, thrombocytopenia
|
Monitor BP,
may cause severe hypotension
|
Hydroxychloroquine
200mg/oral/once
a day
Start 0656
|
Antimalarial,
aminoquinoline, also for autoimmune problems
|
Seizures,
irritability, ataxia, vertigo, dizziness, cardiomyopathy, difficulty focusing
eyes, diarrhea, vomiting, muscle weakness, anemia, alopecia
|
Monitor
drug levels, may increase digoxin level, may decrease GI absorption
|
Insulin
lispro
10 units/
SubQ/3x day
Before meal
Start 8/21
0735
|
Humalog,
antidiabetic, pancreatic hormone
|
Blurred
vision, dry mouth, hyperglycemia, hypomagnesemia, swelling, redness, stinging
at injection site, dyspnea, anaphylaxis
|
Monitor
glucose level, monitor patients diet
|
Isosorbide
mononitrate Ext Release
30mg/oral/once
a day
Start 8/21
0930
|
Antianginal,
nitrate, thought to reduce cardiac oxygen demand by decreasing preload and
afterload. Drug also may increase blood flow through the collateral coronary
vessels.
|
Headache, dizziness,
weakness, orthostatic hypotension, tachycardia, palpitation, ankle edema,
flushing, nausea, vomiting, cutaneous vasodilation, rash
|
Use
cautiously in patients with blood volume depletion, monitor BP and heart rate
|
Magnesium
Oxide
800mg/oral/2x
day
Start 8/21
0656
|
Antacid,
magnesium salt
|
Diarrhea,
abdominal pain, nausea, hypermagnesemia
|
Monitor lab
values, bowel movement
|
Metoprolol
succinate 24Hr Ext Release
25mg/oral/2x
day
Start 8/21
0645
|
Antihypertensive,
beta blocker, blocks beta 1 receptors, decreases cardiac output, peripheral
resistance
|
Fatigue,
dizziness, depression, hypotension, bradycardia heart failure, AV block,
edema, nausea, diarrhea, constipation, heartburn, dyspnea, wheezing, rash
|
Use
cautiously in patient with heart failure and diabetes. Check patients apical
pulse rate before giving drug. If slower that 60 bpm withhold drug and call
prescriber. In diabetic patients, monitor glucose levels. Monitor BP.
|
Multivitamin,
Therapeutic
1
tablet/oral/daily
Start 8/21
0745
|
Multi
vitamin, supplement
|
Nausea,
gastrointestinal upset
|
Monitor lab
values
|
Ofloxacin
Opthalmic
2 drops/3x
a day
Right day
Start 8/21
0809
|
Antibiotic,
fluoroquinolone
|
Dizziness,
vertigo, transient ocular burning or discomfort, eye dryness, eye pain,
itching, lacrimation, periocular or facial edema, eye redness, earache, taste
perversion
|
Monitor
fever, symptomatic improvement. Take with fluids
|
Omeprazole
40mg/oral/2x
day
Start 08/21
0652
|
Antiulcer,
proton pump inhibitor, inhibits proton pump activity by binding to hydrogen
potassium edemosine triphosphatase located at secretory surface of gastric
parietal cells, to suppress gastric acid secretion
|
Asthenia,
dizziness, headache, abdominal pain, constipation, diarrhea, flatulence,
nausea, vomiting, back pain, cough, upper respiratory tract infection, rash
|
Monitor
magnesium level and signs and symptoms of low magnesium including abnormal
heart rate or rhythm, palpitations, muscle spasms, tremors, or seizures
|
Ropinirole
3mg/oral/4x
day
Start 8/21
2059
|
Antiparkinson,
nonergot dopamine agonist, stimulates dopamine (D2) receptors
|
Cough,
muscle cramps, dry mouth, dyspnea, falls, dizziness, fatigue, headache,
hypotension, tremor, pain, sweating, anemia
|
Use
cautiously in patients with severe renal impairment
|
Rosuvastatin
10mg/oral/once
a day
Start 08/21
0655
|
Antilipemic,
HMG-CoA reductase inhibitor
|
Anxiety,
asthenia, depression, dizziness, headache, pain, vertigo, chest pain,
peripheral edema, vasodilation, constipation, diarrhea, nausea, DM, back
pain, asthma dyspnea, cough, pneumonia
|
Monitor
lipid panel, liver function
|
Ursodiol
500mg/oral/2x
day
Start 08/21
0652
|
Concentrated
in bile, decreases biliary cholesterol saturation by suppressing hepatic synthesis
and secretion of cholesterol, and by inhibiting its intestinal absorption.
Reduced cholesterol saturation permits the gradual solubilization of cholesterol from gallstones, resulting in
their eventual dissolution. Increases bile flow.
|
Rash, constipation,
diarrhea, indigestion, nausea, vomiting, backache, dizziness, bronchitis,
cough, pharyngitis, upper respiratory infection
|
Take with
food
|