BRAND NAME

Z O C O R

GENERIC NAME
S I V A S T A T I N

CLASSIFICATIO N
A N T I L I P E M I C

ACTION

DOSAGE/ ROUTE

CONTRAINDICATIO N/ INDICATION

ADVERSE EFFECT/ SIDE EFFECT

NURSING RESPONSIBILITIES
Assess nutrition fat, protein, carbohydra tes nutritional status analysid should be completed by dietician before treatment is initiated. Monitor triglyceride s cholesterol baseline and throughout treatment. Assess liver function test prior to theraphy and therafter. Evaluate therapeutic

Lower abnor mal blood lipid levels, and lower choles terol level in the blood.

1tab at INDICATION: ADEVERSE bed To reduce EFFECT : time low density HEADACHE hours of lipoprotein(L RASH sleep DL) GASTROINTESTI 9pm cholesterol NAL Oral apolipoprotei ABDOMINAL administ n beta and CRAMPS ration triglyceride DIARRHEA To increase NAUSEA high density HEARTBURN lipoprotein STOMACH (HDL ) UPSET cholesterol in the treatment of hyperlipidem ia CONTRAINDICATION: Active liver discase or unexplained elevations of serumtransm inases.

response (reduction in lipid levels and adverse reaction regular basis Administer drug w/ the evening meal because taking this enchances absorption and increase cholesterol biosynthesi s Teach patient about diaetary manageme nt of cholesterol and triglyceride s Tell patient to notify physical if

adverse reaction occur particularly muscles aches and pairs.

BRAND GENERIC CLASSIFICATI NAME NAME ON

C E P H U L A C L A C T U L O S E G A S T R O I N T E S T I N A L A G E N T

ACTION

DOSAGE/ ROUTE
20ml at bedtime 9pm Oral administr ation

CONTRAINDUCATIO N/ INDICATION
INDICATION : Treatment of constipation

ADVERSE EFFECT/ SIDE EFFECT

ADVERSE EFFECT : Gastroi ntestin al Abdom inal discom fort Nausea & vomiti ng Severe diarrhe a Stomac h pain SIDE EFFECT: Stomac h pain Diarrhe a Nausea vomiti ng Bloatin g gas

NJRSING RESPONSIBLITIES
Monitor the serum electrolyte and acid base disturbanc e Monitors for diarrhea Do not use any other laxatives while taking lactulose Report persistent or abdominal cramping Increase fibers, fluids and exercise may help reduce constipati on Do not freeze

Reduce blood ammonia, appears to inlove metabolis m of lactose to organic acids by resident intestinal bacteria

CONTRAINDICATION : Hypersensitivit y Patients w/ galactusemia and require a low galactose diet

laxative form Ask patient to report diarrhea and abdominal fullness

BRAN D NAME P L A V I X

GENERI C NAME C L O P I D O G R E L

CLASSIFICATIO N A N T I P L A T E L E T S

ACTION

DOSAGE/ ROUTE 1tab od 6am 75mg

Block the formati on of blood clots by prevent ing the clumpin g of platelet s Used to prevent thromb osis in arteries , stroke and MI

CONTRAINDICATIO N/ INDICATION INDICATION: Prevent of vascular ischemic events in patient w/ symptomati c atheroscler osis Acute coronary syndrome without STsegment elvation ST elevation MI ( STEM) CONTRAINDICATION : Patients with active pathologic bleeding , coagulation disorders hypersensiti vity

ADVERSE EFFECT/ SIDE EFFECT ADVERSE EFFECT : Cardiovascular Chestpain Hypertension Headache Dizziness Rash SIDE EFFECT : High blood pressure Fatigue Constipation Stomach bleeding or ulcers

NURSING RESPONSIBILITIES Use soft toothbrus h to prevent given bleeding Monitor increase pulse rate and decrease BP rt indicates bleeding Check stool periodical Do not take anticoagul ant with intensitive s bleeding Monitor for excessive sedation and sedication of respirator

depressio n Avoid alcohol and and other prescriptio n and OTC medicatio n w/ sedative or depressan t activity because may cause dizziness, nervousne ss and blood vision.

BRAN D NAME I M D U R

GENERI C NAME I S O S O R B I D E M O N O N I T R A T E

CLASSIFICATIO N V I T A M I N S U P P L E M E N T

ACTION

DOSAGE/ ROUTE 60mg 1 tab 12nn Oral administ ration

Is a drug principall y and treatmen t of angina pectoris and acts by dilating the bloodves sels, to reduce the bloodpre ssure.

CONTRAINDICATIO N/ INDICATION INDICATION: For prevention of angina pectoris due to coronary artey disease and treatment of acute and chronic angina pectoris, hypertensio nand myocardial infarction.

ADVERSE EFFECT/ SIDE EFFECT ADVERSE EFFECT: Fast slow pounding Or uneven heart rate Trouble breathing Worsening angina pain Headache Mild dizziness

NURSING RESPONSIBILITIES Monitor blood pressure and heart rate before and after giving the drugs Monitor the electrolyte to know if there is edema Watch out for hypotensi on and arrhythmi as Check the heart rates < 60 bpm with hold the drug Check normal serum level ( watchoutr

SIDE EFFECT: DIZZINESS HEADACHE CONTRAINTICATION NAUSEA & : VOMITING In a acute MI, severe anemia, cerebral hemorrhage , hypotension , and obstructive cardiomegal y

for toxicity Check if the drug is effective

BRAN D NAME N E O B L O C K

GENERI C NAME M E T R O P R O L O L

CLASSIFICATIO N A N T I H Y P E R T E N S I V E D R U G

ACTION

DOSAGE/ ROUTE

These effects leads to decreas e blood pressure and reversal for cardiac arrhyth mia consequ ently preventi ng myocard ial tissue damage.

CONTRAINDICATIO N/ INDICATION 1tab INDICATION: after Moderate to meal severe Oral congestive administr heart failure ation (CHF) Atrial fibrillation and ventricular extra systolic MI

ADVERSE EFFECT/ SIDE EFFECT ADVERSE EFFECT: Occasionaly fatigue Dizziness Bradycardia Postural disorder SIDE EFFECT:

NURSING RESPONSIBILITIES Assess pt. condition before theraphy and regularly the after to monitor drug effectiven ess. Assess BP and apical radial pulses (rate ryhtm and quality) before theraphy ( drug administra tion) Monitor for possibles drug adverse reactions Monitor IandO

ratioand weight daily

BRAN D NAME A S P I L E T S

GENERI C NAME A S P I R I N

CLASSIFICATIO N A N T I P L A T E L E T

ACTION

DOSAGE/ ROUTE After meal 80mg 1tab OD Oral administr ation

CONTRAINDICATION/ INDICATIO INDICATION: Treatmen to mild and modearate pain Fever Various inflammatory conditions CONTRAINDICATION: HYPERSENSITIVI TY to salicylates or NSAID Bleeding ulcers Hemophilia

Relieve pain and reduces inflammati on by inhibition of peripheral prstagland in synthesis

ADVERSE EFFECT/ SIDE EFFECTS ADVERSE EFFECT: Dizzin ess Heart burn Bleedi ng Nause a

NURSING RESPONSIBILITIE S Monitor renal fxn ; input output Assess pain : character location Identify prior drug reactions Assess for toxicity Assess for the visual changes