NURS 2516 Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency

Name
Norvasc
amlodipine antihypertensives 10 mg PO Q AM
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions

6-9 hrs Unknown 24 Hours N/A

Normal Dosage Range:
5-10 mg once daily
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Systemic vasodilation resulting in decreased blood pressure Hypersensitivity
For this patient Blood pressure <90 mmHg
Hypertension Use cautiously in Geriatric patients and patients with a history of
CHF
Common side effects
CNS: headache, dizziness, fatigue CV: peripheral edema, angina,
bradycardia, hypotension, palpitations, GI: gingival hyperplasia,
nausea, Derm: flushing,

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Additive hypotension may occur when used concurrently
with other antihypertensives , nitrates.
Lab value alterations caused by medicine
Total serum calcium concentrations are not affected by calcium
channel blockers
Be sure to teach the patient the following about this
medication
Caution patient to change positions slowly to minimize orthostatic
hypotension

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor blood pressure and pulse before med? Decrease in blood pressure,
therapy, during dose titration, and periodically Blood Pressure less than 90 mm Hg
during therapy. Monitor ECG periodically during
prolonged therapy. Monitor intake and output
Systolic
ratios and daily weight. Assess for signs of CHF
(peripheral edema, rales/crackles, dyspnea,
weight gain, jugular venous distention)