Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

NURS 1556 Clinical Medication Worksheet Karen Nielsen

Generic Trade Name Classification Dose Route Time/frequency


Name
amlodipine Norvasc Antihypertensive 5 mg PO QD
Calcium Channel
Blocker
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
6-9 hr unknown 24 hr N/A

Mechanism of action and indications: Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions: Hypersensitivity;
Blocking of calcium channels in blood vessels and BP < 90 mm Hg systolic. Caution in history of CHF. Avoid
myocardial cells, resulting in inhibition of excitation- grapefruit juice. Additive hypotensive effect with other
contraction coupling and subsequent contraction. antihypertensives.
Systemic vasodilation results in decreased blood
pressure. Common side effects: CNS: H/A, dizziness, fatigue. CV:
peripheral edema, angina, bradycardia, hypotension,
For Hypertension. palpitations. GI: gingival hyperplasia, nausea. Derm:
flushing.

Interactions with other patient drugs, OTC or Lab value alterations caused by medicine:
herbal medicines (ask patient specifically): Monitor ECG periodically.
Be sure to teach the patient the following about this
Also on Lisinopril- additive hypotensive effect.
medication: Avoid grapefruit juice. Instruct pt on correct
way to monitor pulse if able. Change positions slowly.
Maintain good oral hygiene, see dentist frequently to
prevent gingival hyperplasia. Wear sunscreen to avoid
photosensitivity reaction.

Nursing Process- Assessment Assessment Evaluation


(Pre-administration assessment) Why would you hold or not give this Check after giving
Always check BP and pulse before giving. med?
Assess for signs of CHF( peripheral edema, Decreased BP, increase in
rales/crackles, dyspnea, wt gain, jugular BP < 90 Systolic, HR < 60 activity tolerance.
vein distention. Monitor ECG periodically

You might also like