G enoxaparin Prevent thrombus/clot formation.

- Weigh regularly Report irregular heartbeat, unusual Dizziness

T Lovenox and report gains. bleeding or bruising. Headache
Prevents conversion of fibrogin - Promptly report Insomnia
R subq to fibrin. irregular heartbeat Weigh regularly and report gains. Confusion
D 60 mg unusual bruising, Edema
F 2x daily bleeding, rash or Inform dentist about enoxaparin use. Chest pain
C anticoagulant hives. Nausea
Vomiting
Urinary retension

G lisinopril Inhibits conversion of - Check BP for drug Take once or twice a day in the am with Dizziness
T lisinopril angiotenson I to angiotenson II, efficacy or w/o food Fatigue
decreasing systemic vascular - Monitor for Headache
R RO resistance, blood pressure, pre- Rise slowly after laying or sitting Hypotension
hypertension
D 20 mg load and after load. - Assess potassium position as drug may cause temporary Chest Pain
F daily intake blood pressure decrease Nausea
C antihyper- - Monitor respiratory Vomiting
tensive status before & Avoid potassium based salt substitutes or Diarrhea
during therapy potassium supplements Erectile Dysfuncion
- Assess cardio- Decreased Libido
vascular status care- Rash
fully Pruitis
- Monitor neurologic
status

G `adenosine Converts paroxysmal supra- - Monitor heart rhy- Patient may experience 1-2 min of Anxiety
T Adenacor ventricular tachycardia to normal thm for new arryth- flushing, chest pain, pressure & breath- Depression
sinus rhythm by slowing mias after ing difficulty during administration. Nausea
R IV conduction through AV node. Shortness of breath
administering dose
D 6mg - Check vital signs Minimize GI upset by eating small, Hypotension
F as needed - Watch for broncho- frequent servings of healthy food.
C antiarrythmic restriction in patients
asthma, empha- Drink plenty of water.
sema. bronchitis.
Drug Name Purpose Nursing Teaching Possible side effects

G amiodarone Prolongs duration & refractory - Don’t administer Take oral dose with meals Heart failure
T Amyben period of action potential. unless patient on con- AV block
Dilates blood vessels. tinuous ECG Patient will undergo regular blood testing, asystole
R IV and PO eye exams, chest xrays during therapy cardiac arrest
monitoring
D 100mg tab - Administer oral dizziness
mg/ml loading dose in 2 Report adverse reactions immediately. fatigue
F twice daily equal doses w/ meals headache
C antiarrythmia - Check BP & pulse insomnia
regularly
G morphine Alters neurotransmitter release - Monitor vital signs Take drug at first sign of pain. Dizziness
sulfate which alters the perception of - Be alert for fluid Fatigue
T Zomorph pain by interacting with opioid retention Inform patient it may cause constipation Headache
receptor sites in limbic system, - If constipation or urinary retention. Hypotension
R IV thalamus and spinal cord. Chest Pain
occurs intervene as
D 2 mg needed Advise patient to avoid herbs which my Nausea
F4qh worsen CNS effect Vomiting
C opioid analgesic Diarrhea

G verapomil Inhibits calcium influx into - Use cautiously in Don’t take with grapefruit Heart failure
T Zolvera cardia and vascular smooth renal or severe Bradycardia
muscle cells, inhibiting hepatic impairment Limit caffeine and avoid alcohol. Leukopenia
R PO / IV excitatory contraction, which - Use cautiously in Stiff Joints
D 100/120/180 prolongs AV node refactoriness elderly patients Avoid sun exposure and wear sunscreen.
mg and decreases myocardial
F TID oxygen consumption. Wear protective clothing outside.
C calcium
channel blocker
G ketoralac Interferes with prostaglandin - Don’t administer if Minimize GI upset by eating small, Nausea
tromethamine biosynthesis. Also acts as potent using aspirin or other frequent meals of healthy food. Vomiting
T Toradol inhibitor of platelet aggregation. NSAID Diarrhea
- Increased risk of Instruct patient to avoid aspirin products Tinnitus
R po/IV and herbs while taking this medicine. Hypertension
bleeding
D 60 mg pl/30 mg IV - Monitor I & O
F q 4-6 h Caution female patient not to take if she
C analgesic, anti- is breast feeding.
imflammatory

G hydocodone Blocks release of inhibitory - Monitor closely for - Avoid alcohol completely Confusion
T Vicodin, Lortab neurotransmitters which alters drug overdose Drowsiness
the perception of and emotional - Use cautiously in - Prolonged use may lead to Arrythmia
D 2.5 – 10 mg response to pain. severe renal, hepatic psychological or physical dependence Constipation
R po or pulmonary disease
F q 4-6 h - Move slowly when sitting up or
C opioid agonist standing to avoid sudden blood pressure
drop

G methylpred- Reduces inflammation. - Monitor fluid & Inform patient that drug increases risk of Nausea
nisone electrolyte level infection Vomiting
T Solu-Medrol - Watch for Fluid retention
D 4-160mg Cushingoid effects Report unusual weight gain, swelling, Muscle Weakness
- Monitor blood muscle weakness Acute adrenal insufficiency
R po
glucose level of
Fq 4d diabetic patients Immediately report fatigue, weight loss,
C antiinflammatory appetite loss

G prednasone Decreases inflammation by - Assess blood Inform patient that drug increases risk of Nausea
T Winpred reversing increased cell capillary glucose level infection Vomiting
permeability and inhibiting carefully in diabetic Fluid retention
D 200 mg migration of polymorpho- Do not stop drug suddenly Muscle Weakness
patient
R po nuclear leukocytes - Watch for Bronchospasm
F daily Cushingoid effects Immediately report bleeding or joint,
C - Monitor weight, BP muscle, tendon or abdominal pain
antiinflammatory and electrolyte level Do not take herbs
G Spirolactone Inhibits aldosterone effects in - Monitor I & O Take daily dose with breakfast – if 2nd Headache
T aldactone distal tubules which promotes - Monitor potassium dose, take with meal GI bleeding
sodium and water excretion and - Monitor CBC with Lethargy
D 25-200 mg retains potassium. Tell male patient it may cause breast Confus
white cell differential
R po enlargement
F single or
divided doses Restrict high potassium foods and licorice
C potassium spar-
ing diuretic
G digoxin Increases force & velocity of - Monitor ECG & Do not stop taking the drug abruptly Fatigue
mycaridal contraction & pro- blood levels of Headache
T Lenoxin Bradycardia
longs refractory period of AV digoxin, potassium, Follow up stress test is very important
D 0.1 – 0.2 mg node by increasing calcium entry magnesium, calcium Nausea
R po Vomiting
into myocardial cells. and creatinine. Don’t take over the counter drugs without Diarrhea
F q 4-8 h - Stay alert for hypo- prescriber’s approval.
C anti arrythmic calcimia

Interferes with synthesis of - Vitamin K reverses Immediately report unusual bleeding or Hematuria
vitamin K dependent clotting warfarin effect bruising Nausea
G warfarin Vomiting
factors and anti-coagulant - Use cautiously in Do not vary intake of foods high in Vit K
T Coumadin proteins C and S in the liver cancer patients, the Avoid alcohold Diarrhea
D 2.5-10mg elderly, severe
R PO diabetes
F daily mellitus
C anti-coagulation
G linolin I could not find this drug
T any where.
D
F
C