Generic Name Omeprazole (Losec)

Classification Proton pump Inhibitor

Dosage 40 mg IVTT q24 6

Date ordered:

Contraindication Mechanism of Action To prevent Contraindicated Gastric acidacid secretion with pump inhibitor: in the G.l hypersensitivity to Suppresses omeprazole or its gastric acid Given via components. secretion by NGT last specific Jan. 11 inhibition of the hydrogenNGT potassium removed ATPase Jan.12 enzymes system at the secretory surface of the gastric parietal cells, blocks the final of acid production.

Indication

Adverse Effects CNS: Headache, dizziness, insomnia, anxiety DERM: Rash, inflammation, dry skin GI: Diarrhea, abdominal pain, nausea, vomiting, constipation, dry mouth.

Nursing Responsibilities assess allergy to omeprazole and its contents. inform about possible adverse side effects. caution patient to avoid hazardous activities if he gets dizzy. report unusualities achieve therapeutic effect and no adverse effect.

Generic Name Amlodipine (norvasc) Date ordered

Classification antihypertensive (Calcium channel blocker)

Dosage 10 mg itab PO 8am

Indication To lower down blood pressure

Contraindication contraindicated with allergy to amlodipine, impaired hepatic renal function, heart block

Mechanism of Action Inhibits calcium ion influx across cardiac and smooth muscle cells, thus decreasing myocardial contractility and oxygen demand ;also dilates coronary arteries and arterioles.

Nursing Responsibilities CNS: asess Headache, hypersensitivity to somnolence, amlodipine or any fatigue, its components. dizziness, monitor BP parenthesia. frequently during initiation of theraphy GI: because drug nausea, induced vomiting, and vasodilation has a abdominal pain gradual onset, acute hypertension CV: edema, is rare. flushing, notify prescriber if palpitations signs of heart failure occur, such MUSCULOSKEL as swelling of hards ITAL: mucle pain and feet or SOB. achive therapeutic effect and no adverse reaction..

Adverse Effects

Generic Name Losartan (Cozaar)

Classification Antihypertensive

Dosage 50 mg itab PO OD . 8pm

Indication To lower down blood pressure

Date ordered

(angiotesin ll receptor antagonist)

Mechanism of Action contraindicated selectively with blocks the hypersensitivity to binding of losartan. angiotensin ll to specific tissue receptors found in the vascular smooth muscle and adrenal gland:this action blocks the vasoconstriction effect of the renin angiotensin system as well as the release of aldosterone leading to decrese BP.

Contraindication

Adverse Effects CNS: headache,diz ziness,synco pe,insomnia drowsiness, fatigue, insomnia, CV: hyotension DERM: rash, urticaria, alopecia, dry skin GI: nausea and diarrhea, abdominal pain, constipation, dry mouth OTHER: back pain, fever, muscle weakness

Nursing Responsibilities Asses allergy to losartan hepatic or renal impairement and hypovolemia Plan care of SO administer without regards to meal Monitor BP. Inform about possible adverse side effects. Achieve therapeutic effect and no reaction of drugs.

Generic Name Furosemide (Lasix)

Classification
Diuretics

Dosage 40 mg IVTT q6h BID 6pm .

Indication Treatment of edema associated with CHF, cirrhosis of liver, and kidney disease, including nephrotic syndrome. May be used for management of hypertension, alone or in combination with other antihypertensi ve agents, and for treatment of hypercalcemia . Has been used concomitantly

Contraindication Hypersensitivity Cross-sensitivity

with thiazides and sulfonamides may occur. Pre-existing electrolyte imbalance, hepatic comaor anuria.

Mechanism of Action
Inhibits the reabsorption of sodium and chloride from the loop of henle and distal renal tubule. Increase renal excretion of water, sodium, chloride, magnesium, hydrogen and calcium. Diereses and subsequent mobilization of excess fluid

Date ordered 12mn

Adverse Effects CV:Postural hypotension, dizziness with excessive diuresis, acute hypotensive episodes, circulatory collapse. Metabolic:Hy povolemia, dehydration, hyponatremia , hypokalemia, hypochloremi a metabolic alkalosis, hypomagnes emia, hypocalcemia (tetany), hyperglycemi a, glycosuria, elevated BUN,

Nursing Responsibilities Assess patients underlying condition before starting th erapy. Give in morning to avoid interference with sleep Teach patient to take medication early in the day to prevent nocturia Decreased edema

with mannitol for treatment of severe cerebral edema, particularly in meningitis.

hyperuricemi a;. GI:Nausea, vomiting, oral and gastric burning, anorexia, diarrhea, constipation, abdominal cramping, acute pancreatitis, jaundice. Urogenital:Al lergic interstitial nephritis, irreversible renal failure, urinary frequency. Hematologic :Anemia, leukopenia, thrombocytop enic purpura; aplastic anemia,

agranulocyto sis (rare). Skin:Pruritus, urticaria, exfoliative dermatitis, purpura, photosensitivi ty, porphyria cutanea tarde, necrotizing angiitis (vasculitis).

Generic Name Salbutamol

Classification Bronchodilators

Dosage Neb q8 8pm

Indication Used as a quick-relief agent for acute bronchospas m and for prevention of exerciseinduced bronchospas m

Date ordered:

Contraindication Mechanism of Action Hypersensitivity Binds to beta2to adrenergic adrenergic amines receptors in airway smooth Hypersensitivity muscle, to fluorocarbons leading to activation of adenylcyclase and increased levels of cyclic3', 5'adenosine monophosphat e (cAMP). Increases in cAMP activate kinases, which inhibit the phosphorylatio n of myosin and decrease intracellular calcium. Decreased intracellular calcium relaxes

Adverse Effects CNS: nervousness, restlessness, tremor, headache, insomnia. CV: chest pain palpitations, angina, arrhythmias, hypertension. GI: nausea, vomiting. Endo: hyperglycemia . F and E: hypokalemia. Neuro: tremor

Nursing Responsibilities Assess cardiorespiratory function: BP, HR, and rhythm and breath sounds Give oral administratio n with meals to decrease gastric irritation; oral solution for children (no alcohol, sugar) Instruct patient on dosage and not use more than prescribed. If regular oral dose is missed, do not double dose. Take dose when remembered and adjust other doses on a new time schedule

smooth muscle airways.

Relief of dyspnea and wheezing after 1 hour Improved airway exchange