V.

DRUG STUDY

Side Effects/
Drugs Indication Action Nursing Consideration Patient Teaching
Adverse Effects
Date Ordered: Treatment of Increase blood flow and oxygen Headache, nausea, • Monitor V/S • Teach patient not
June 7, 2010 cerebrovascular consumption in the brain. It increases vomiting, diarrhea, • Check blood pressure before to miss any dose
accident in acute the shock, and after giving the • Instruct patient to
Generic Name: and recovery neurotransmission levels because it hypersensitivity, medication. take only the
Citicoline phase. favors the synthesis and production hypotension, • Assess allergic reaction like prescribed
It was indicated speed of dopamine in the striatum, insomnia, gastrointestinal disturbances medicines
Brand Name: for the patient to acting then as a dopaminergic agonist excitement • Must not be given with • Advice patient to
accelerate the thru the inhibition of tyrosine- medicaments containing consult the
Classification: recovery of hydroxylase. Citicoline activates the meclophenoxate physician if any
CNS stimulant/ consciousness biosynthesis of structural problems occurs
neurotonic and helps the phospholipids in the neuronal during
patient to membrane, increases cerebral medication
Dosage: 1g OD overcome motor metabolism and increases the level of
deficit. various neurotransmitters, including
acetylcholine and dopamine. It has
shown neuroprotective effects in
situations of hypoxia and ischemia.
 Side Effects/
Drugs Indication Action Nursing Consideration Patient Teaching
Adverse Effects
Date Ordered: Treatment of Blocks ACE from Side effects to expect: • Be careful of drop in blood • Take drug 1 hour before meals;
June 7, 2010 hypertension converting angiotensin I • Nausea pressure (occurs most often with do not take with food. Do not
alone or in to angiotensin II, a • Fatigue diarrhea, sweating, vomiting, stop without consulting your
Generic Name: combination powerful • Headache dehydration); if light-headedness health care provider.
Captopril with thiazide- vasoconstrictor, leading • Diarrhea or dizziness occurs, consult your • Avoid over-the-counter
type diuretics. It to decreased BP, • Orthostatic Hypotension health care provider. medications, especially cough,
Brand Name: was indicated decreased aldosterone (dizziness, weakness, • Observe the patient closely for at cold, allergy medications that
Capoten for the patient secretion, a small faintness) Observe the least 2 hours after the initial may contain ingredients that
due to its action increase in serum patient closely for at dose and for at least an will interact with ACE
Classification: which results in potassium levels, and least 2 hours after the additional hour until blood inhibitors. Consult your health
ACE inhibitor, dilation of sodium and fluid loss; initial dose and for at pressure has stabilized. care provider.
Antihypertensive peripheral blood increased prostaglandin least an additional hour • Monitor the blood pressure in • You may experience these side
vessels and a synthesis also may be effects: GI upset, loss of
 Dosage: reduction of the involved in the until blood pressure has both the supine and standing appetite,change in taste
25 mg BID blood pressure. antihypertensive action. stabilized. positions. Anticipate the perception (limited effects, will
development of postural pass); mouth sores(frequent
Drugs Management
Indication of Action SideSide Effects/
effects to report: hypotension and take measures
Nursing Consideration mouth care may
Patient help); rash;
Teaching
hypertensive Adverse Effects to prevent an occurrence. fast heart rate; dizziness,
Date Ordered: To reduce the
crises Aspirin is a COX-1 Hearing
• Swelling of the face, •
loss, tinnitus, •Watch
Teachforthe
signs and symptoms
patient of
to rise slowly • Tell patient to report
lightheadedness(usually passes
risk of transient inhibitor. It prevents ototoxicity Nausea, vomiting,
eyes, lips, tongue hypersensitivity and other adverse
from a supine or sitting position ototoxicity
after the firstsymptoms,
few days; change
Generic Name: ischemic attacks the blood to clot by abdominal pain, dyspepsia,
(Angioedema) reactions, especially
and to sit bleeding
or lie down if feeling unusual bleeding,
position slowly, and andlimit your
Aspirin (TIAs) or directly adhering to epigastric
• Difficulty ofheartburn,
distress, breathing tendencies
faint. like hematemesis, bruising.
activities to those that do not
(Acetylsalicylic cerebrovascular enzymes that clot the anorexia, GI bleeding
• Neutropenia •melena,
Severe easy bruising
fetal damageand canfrequent
occur if • Ototoxicity
require is theand
alertness damage to
acid) accident in men blood which includes: Thrombocytopenia, nosebleeding .
captopril is taken during eight cranial
precision). nerve which
• Agranulocytosis (drug-
with a history of thromboxan A2 and hemolytic anemia, • Stay alert for signsofand
pregnancy.Use symptoms
contraceptives • may initially
Report mouthmanifested
sores; soreby
Brand Name: TIAs caused by Adenosine induced
leukopenia, bone marrow
agranulocytosis, of acute toxicity, such as
is advised; if pregnancy diplopia,
should throat, fever, chills;and
dizziness, tinnitus swelling of
emboli diphosphate (ADP). shortenedsuppression)
red blood cell life ECG abnormalities, generalized
occur, stop drug and notify your progressive
the hands, feet;hearing loss.
irregular
Classification: • Nephrotoxicity
span Hepatotoxicity seizures,
• Hyperkalemia health hallucinations,
care provider. • Assess thechest
heartbeat, patient for swelling
pains;
NSAID Hyponatremia, hypokalemia, hyperthermia, oliguria, acute renal difficulty
of the face,ineyes,
walking
lips,unaided
tongue,
Nonopioid • Chronic cough
hypoglycemia Wheezing, failure, incoherent speech, and assess the level
difficulty breathing. of
analgesic, hyperpnea, pulmonary edema irritability, restlessness, tremor, hearing daily.
antipyretic, with toxicity Rash, urticaria, vertigo, confusion, disorientation, • Intentionally speak to
antiplatelet drug bruising, angioedema mania, lethargy, laryngeal edema, patients softly; note if they
Hypersensitivity reactions, anaphylaxis, and coma. are aware that you said
Dosage: salicylism or acute toxicity • With prolonged therapy, frequently anything.
assess hemoglobin, hematocrit, • Caution patient to avoid
International Normalized Ratio, and activities that may cause
kidney function test results. injury. Advise him to use soft
• Check salicylate blood levels toothbrush and electric razor
frequently. to avoid gum and skin injury.
• Evaluate patient for signs and • Instruct patient to tell all
symptoms of ototoxicity (hearing prescriber’s Physician that
loss, tinnitus, ataxia, and vertigo). he's taking the drug, because
it may cause serious
interactions with many
common medications.
• Tell patient not to take other
over-the-counter preparations
containing aspirin.
• Inform patient that he may
need to undergo regular
blood testing during therapy.
 DRUG INDICATION ACTION SIDE EFFECTS/ NURSING CONSIDERATIONS PATIENT TEACHINGS

ADVERSE EFFECT

Enhances body’s Needed for wound

natural immune healing, collagen
Date Ordered: function synthesis, Stomach upset 1. Assess for nutritional status for 1. Teach patient
inclusion of foods high in vitamin C: necessary foods to be
Generic Name: antioxidant, Diarrhea citrus fruits, tomatoes included in diet that are
carbohydrate rich in vitamin C:
ascorbic acid metabolism, protein, Mouth sores 2. Assess for vitamin C deficiency citrus fruits
(Vitamin C) lipid synthesis, before, during, and after treatment;
Frequent urination scurvy, poor bone development 2. Teach patient that
prevention of
Brand Name: N/A smoking decreases
infection Abdominal/back pain
vitamin. C levels; not
Classification: 3. Monitor input-output ratio; polyuria; to exceed prescribed
Vitamins Painful urination
in patients receiving large doses dose; increases will be
renal stones may occur excreted in urine
Dosage 4. Monitor ascorbic acid levels 3. Teach patient not to
throughout the treatment if continued exceed RDA
deficiency is suspected recommended dose,
urinary stones may
occur
5. Assess patient’s and family’s
knowledge on drug therapy
4. Teach patient using
ascorbic acid for
6. Do not crush, break, or chew acidification of urine to
extended release capsule/tablet. test urine pH
periodically.