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DRUG

CLASSIFICATION / INDICATION

DOSE

MECHANISM OF ACTION

CONTRAINDICATION SIDE EFFECT

NURSING RESPONSIBILITIES
Use cautiously in patients receiving other peripheral vasodilators, especially those with severe aortic stenosis, and in those with heart failure because drug is metabolized by the liver, use cautiously and induced dosage in patients with sever hepatic disease. Monitor blood pressure frequently during initiation of therapy. Because drug induced vasodilators has gradual onset acute hypotension is rare. Dont confuse amlodipine with amiloride. Caution patient tocontinue taking drugeven when feeling better.

Generic Name: Amlodipine Besylate

Classification: Anti Anginals

5 mg 1 tab OD (8)

Brand Name: Norvasc

Indication: Chronic Stable angina. Hypertension.

Inhibits c a l c i u m ion influx across cardiac and smooth muscle cells, thus decreasing myocardial contractility and oxygen demand; also dilates coronary arteries and arterioles.

Contraindicated in patients hypersensitive to drug. Use cautiously in patients receiving other peripheral vasodilators, especially those with severe aortic stenosis, and in those with heart failure because drug is metabolized by the liver, use cautiously and induced dosage in patients with sever hepatic disease.

CNS: headache, somnolence ,fatigue. CV: edema, flushing GI: nausea, abdominal pain. GU: Sexual difficulties. Musculoskeletal: muscle pain. Respiratory: dyspnea. Skin: rash.

DRUG

Action:

Classifications

Indication:

Nursing Responsibilities

GENERIC NAME: clonidine hydrochloride BRAND NAME: Catapres

Centrally acting anti adrenergic derivative. Stimulates alpha2adrenergic receptors in CNS to inhibit sympathetic vasomotor centers. Central actions reduce plasma concentrations of norepinephrine. It decreases systolic and diastolic BP and heart rate. Orthostatic effects tend to be mild and occur infrequently. Also inhibits renin release from kidneys.

cardiovascular agent; central-acting antihypertensive; analgesic

Step 2 drug in stepped-care approach to treatment of hypertension, either alone or with diuretic or other antihypertensive agents. Epidural administration as adjunct therapy for severe pain.

Monitor intake and output ratios and daily weight, and assess for edema daily, especially at beginning of therapy Monitor blood pressure and pulse frequently during initial dosage adjustment and periodically throughout therapy. Assessment Why would you hold or not give this med? BP and pulse is low Evaluation Check After giving Decrease in blood pressure