Patient’s Name: Orlando S. Marmes Sr.

Height: 5’7 Final Dx: HCVD, Infarct (L) MCA Ward & Bed Number: 9-48
Age: 56 years old Weight: 80 kg Surgical Operations performed: N/A Physician: Dr. Mishelle Bala
Sex: Male Date of Admission: July 22, 2010 Name: Emy Jane D. Pilapil

Name of Drug Classification of Drug Mechanism of Action Indication Contraindications Side Effects Nursing Responsibilities
Generic Name: >antilipemic Inhibits HMG-CoA >to reduce risk of death in CV >Contraindicated in patients CNS: headache, asthenia Before:
Simvastatin >Pregnancy Risk X reductase, an early (and disease and CV events in hypersensitive to drug and GI: abdominal pain, Assess hypersensitivity.
rate-limiting) step in patients at high risk for coronary in those with active liver constipation, diarrhea, Check for active liver disease.
Trade Name: cholesterol biosynthesis. events. disease or conditions that dyspepsia, flatulence, Nausea, Check if pregnant or breastfeeding women.
Lipex, Zocor, >to reduce total LDL cholesterol cause unexplained Vomiting Obtain liver function test.
ROUTE: P.O levels in patients with persistent elevations of RESPIRATORY: upper Inform pt. of possible adverse reactions of the
Maximum Dose: ONSET: unknown homozygous familial trans-aminase levels. respiratory tract infections drug.
80 mg PEAK: 1-2 hrs hypercholesterolemia. >Contraindicated in
DURATION: unknown >heterozygous familial pregnant and breastfeeding
Minimum Dose: hypercholesterolemia women and in women of
10 mg childbearing age. During:
>Use cautiously in patients Use drug only after diet and other nondrug
Patient’s Dose: who consume substantial therapies proved ineffective.
40mg OD quantities of alcohol or have Follow a standard low-cholesterol diet during
a history of liver disease. therapy.
Availability: Provide small frequent feedings to alleviate GI
Tablets: 5 mg, 10 mg, 20 upset.
mg, 40 mg, 80 mg

After:
Instruct pt. to take drug with the evening meal
because taking this enhances absorption and
increases cholesterol biosynthesis,
Teach pt. about proper dietary mgmt of
cholesterol and triglyceride.
Recommend weight control, exercise and
smoking cessation programs.
Tell pt. to inform prescriber if adverse reaction
occurs particularly muscle aches and pain.

Source: Source: Source: Source: Source: Source: Source:

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