DRUG MECHANISM OF INDICATION CONTRAINDI ADVERS NURSING

NAME ACTION CATION E RESPONSIBILITI

EFFECT ES
GENERIC Digoxin increases the LANOXIN is Digitalis Diarrhea; • Monitor
NAME: strength and vigor of indicated for the glycosides are nausea. apical
Digoxin heart contractions, and treatment of mild contraindicate pulse
is useful in the to moderate heart d in patients before
BRAND treatment of heart failure. LANOXIN with administe
NAME: failure. It is extracted increases left ventricular ring.
Lanoxin from the leaves of a ventricular fibrillation or in • Monitor
plant called digitalis ejection fraction patients with a blood
lanata. Digoxin and improves known pressure
increases the force of heart failure hypersensitivit periodicall
contraction of the symptoms as y to digoxin. A y in
muscle of the heart by evidenced by hypersensitivit patients
inhibiting the activity of exercise capacity y reaction to receiving
an enzyme (ATPase) and heart failure- other digitalis IV
that controls related preparations dogoxin.
movement of calcium, hospitalizations usually • Monitor
sodium and potassium and emergency constitutes a intake
into heart muscle. care, while having contraindicatio and
Calcium controls the no effect on n to digoxin. output
force of contraction. mortality. Where ratios and
Inhibiting ATPase possible, daily
increases calcium in LANOXIN should weights.
heart muscle and be used with a • Observe
therefore increases the diuretic and an patient for
force of heart angiotensin- signs and
contractions. Digoxin converting symptoms
also slows electrical enzyme inhibitor,
conduction between but an optimal of toxicity.
the atria and the order for starting • Oral
ventricles of the heart these three drugs preparatio
and is useful in treating cannot be ns can be
abnormally rapid atrial specified. administe
rhythms such as atrial red
fibrillation, atrial flutter, without
and atrial tachycardia. regard to
(Abnormally rapid atrial meals.
rhythms can be caused
by heart attacks,
excessive thyroid
hormones, alcoholism,
infections, and many
other conditions.)
During rapid atrial
rhythms, electrical
signals from the atria
cause rapid
contractions of the
ventricles.
DRUG NAME MECHANISM OF ACTION INDICATION CONTRAINDICA ADVERSE NURSING
TION EFFECT RESPONSIBILITIES
GENERIC Losartan is an oral medication that Hypertension HYZAAR is Diarrhea; • Observe for
NAME: belongs to a class of drugs called contraindicated dizziness; systemic
angiotensin receptor blockers COZAAR is hypertension
Losartan indicated for the in patients who tiredness.
(ARBs). Other ARBs include are and
BRAND NAME: irbesartan (Avapro), valsartan treatment of tachycardia
Cozaar hypertension. It hypersensitive
(Diovan), and candesartan to any especially in
(Atacand). Angiotensin, formed in may be used alone patients with
or in combination component of
the blood by the action of this product. • CHF,
angiotensin converting enzyme with other
Because of the hyponatremi
(ACE), is a powerful chemical that antihypertensive
hydrochlorothiaz a, high dose
attaches to angiotensin receptors agents, including
ide component, diuretics ore
found in many tissues but primarily diuretics.
this product is severe
on smooth muscle cells of blood Hypertensive
contraindicated volume
vessels. Angiotensin's attachment Patients with Left
in patients with depletion.
to the receptors causes the blood Ventricular
anuria or • Monitor BP
vessels to narrow (vasoconstrict) Hypertrophy
hypersensitivity in supine
which leads to an increase in blood COZAAR is to other position,
pressure (hypertension). Losartan indicated to reduce sulfonamide- electrolytes,
(more specifically, the chemical the risk of stroke in derived drugs. urinalysis
formed when the liver converts the patients with and CBC.
inactive losartan into an active hypertension and
chemical) blocks the angiotensin left ventricular
receptor. hypertrophy, but
there is evidence
that this benefit
does not apply to
Black patients.
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATIO ADVERSE EFFECT NURSING
ACTION N RESPONSIBILITIES
Vastarel Prophylactic Lactation. nausea & vomiting use cautiously in
GENERIC NAME: (TRIMETAZIDINE) patients with heart
Trimetazidine treatment of
is a psychedelic episodes of angina failure or
against in place of pectoris; adjuvant hypertension and in
the treatment of symptomatic elderly patients
BRAND NAME:
ischaemic boldness treatment of vertigo
Vastarel
malady (angina & tinnitus. Vastarel
pectoris, sequelae MR Adjunct
of infarction). treatment of visual
Trimetazidine is an disorders of a
anti-ischemic (anti- circulatory origin.
anginal) metabolic
agent, that
improves
myocardial glucose
utilization with the
aid impediment of
Fatty acid
metabolism.
ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
S: > “hindi sya Impaired physical Short Term • establish • To establish After 4 hours of
makagalaw dahil na mobility related to After 4 hours of rapport trust with the nursing
stroke sya” as neuromuscular nursing intrventions • Note client interventions the
verbalized by the impairment the client will emotional • Feelings of client has
significant other. secondary to demonstrate response to frustrations demonstrate
O: stroke. techniques that will problems of may impair technique that will
• Absence of enable resumption immobilizatio attainment of enable resumption
ROM in right of activities n goals of activity.
side of the • Instruct • For safety in
body significant position
• (+) others in use changes and
weakness of side rails. transferring
lethargic Support affected To reduce risk of
body part using pressure ulcers
pillows.
ASSESSMENT NURSING PLANNING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS
S: Ineffective airway -the client Independent: • Provide a The client
>“lage akong clearance related to verbalized that • Monitor basis for verbalized that DOB
nahihirapang accumulation DOB was lessen. rhythm, rate, adequacy for was lessen,
huminga at may secreation in the -imroved and depth and ventilation. improved and
plema ako” as airway as maintain a patent effort of • To identify if maintained patent
verbalized by the manifested by airway. respiration there are any airway.
patient. crackles heard • Auscultate pressence of
O: upon auscultation. breathe abnormal
>restlessness R.r=28bpm sounds breath
>dyspneic noting for sounds.
>pale skin color any • >Enhancing
>difficulty in adventitious to both lung
breathing sounds. segments.
-crackles heard • >Elevate To promote
upon auscultation HOB every oxygenation while
>R.r= 28bpm 2hrs. controlled cough.
• >Encourage
deep
breathing
exercise.
Dependent:
• Administer
prescribed
medication.
Collaborative
Consult respiratory