Tamargo, Janina Marie V.

October 10, 2010

BSN134/Group133
Ma’am Concepcion Castro

DRUG STUDY

Name of Patient: Deogenes, Acusar

Admitting Diagnosis: Hypertention and Cerebrovascular Accident

DRUG CLASSIFICATI INDICATION ADVERSE CONTRAINDIC NURSING

NAME ON REACTIO ATION RESPONSIBILITY
N
Mannitol Osmotic Reduction of Dizziness, Hypersensitivity Assess patient
diuretics intracranial headache, . Severe renal condition before
pressure associated convulsion disease, severe therapy and regularly
with cerebral s, rebound dehydration, thereafter to monitor
edema, promotion increases pulmonary drug effectiveness.
of dieresis in the ICP, congestion. Assess neurologic
prevention and or confusion, Renal status if drug is given
treatment of seizures dysfunction. for increased ICP: LOC,
oliguria and anuria and ICP reading pupil size
due to acute renal fevers. and reaction.
failure, reduction of Assess patient for
increase intraocular tinnitus, hearing loss
pressure, promoting and ear pain.
urinary excretion of
substances.
Nifedipin Anti Treatment of Dizziness, Hypersensitivity Use caution in severe
e Hypertensive vasospastic angina, flushing, . Cardiovascular aortic stenosis or
Drugs chronic angina, headache, shock. severe hepatic
hypertension. hypotensi impairment.
 on, Assess potential for
peripheral interactions with other
edema, pharmacological
tachycardi agents or herbal
a and products patient is
palpitation taking that may
. increase hypotension
and toxicity.
Monitor blood pressure
and pulse before
therapy. Monitor ECG
periodically during
prolonged therapy.
Captopril Cardiovascular Hypertension, Fever, Hypersensitivity Monitor blood studies,
Drugs/Anti congestive heart, chills, , heart block, decreased platelets,
Hypertensive left ventricular hypotensi potassium WBC with differential
Drugs dysfunction after on, sparing baseline and
myocardial postural diuretics, periodically every 3
infarction and hypotensi bilateral renal months.
diabetic on, artery stenosis. Monitor blood pressure,
neuropathy. tachycardi chech for orthostatic
a and hypotension, syncope,
angina. if changes oocur
dosage adjustment
may require.
Dexamet Corticosteroids Testing of adrenal Thromboe Systemic fungal Obtain patient’s history
hasone cortical hyper mbolism infections of underlying condition
function, and fat before therapy.
management embolism, Monitor cardiac status;
primary and thrombopl blood pressure, edema,
secondary adrenal ebhitis, chest pain and
cortex insufficiency, cardiac arrhythmias.
allergic arrhythmi Assess potassium
 inflammatory as and ecg depletion.
process, respiratory changes.
diseases.
Piraceta Central Used as adjunct in Insomnia, Hypersensitivity Monitor test of renal,
m nervous the treatment of or , severe renal hepatic and
system drugs myoclonus of somnolenc insufficiency. hematological function.
cortical origin, e, Assess patient’s
dementia. depressiao previous sensitivity
n, reactions.
diarrhea Monitor effects on
and other vital signs.
rashes.
Losartan Cardiovascular Treatment of Dizziness, Hypersensitivity Assess patient’s blood
drugs/ Anti hypertension, in dose . Active liver pressure before
hypertensive heart failure and related disease. starting therapy and
drugs myocardial orthostatic after therapy.
infarction it may be hypotensi Obtain baseline liver
used alone or on. and renal function
combination with before therapy and
other hypertensive regularly assess kidney
drugs. function.
Monitor for possible
drug adverse
reactions.