Name of the General

Specific Action Indication Contraindications Adverse Reaction Nursing Responsibilities

Drug Action

• Antianginal Inhibits the movement • Angina • Contraindicated

AMLODI- • Antihyperte of calcium ions across pectoris due to with allergy to CNS: Dizziness, ASSESMENT:
PINE nsive the membranes of coronary artery amlodipine, impaired lightheadedness, headache, · History: Allergy to amlodipine, impaired hepatic or renal
BESYLATE • Calcium cardiac and arterial spasm hepatic or renal asthenia, fatigue, lethargy function, sick sinus syndrome, heart block, lactation, heart
channel muscle cells; inhibits (Prinzmetals’ function, sick sinus failure,
Norvasc blocker transmembrane variant angina) syndrome, heart CV: Peripheral edema, · Physical: Skin lesions, color, edema; P, BP, baseline ECG;
calcium flow, which · Chronic stable block (second or arrhymias peripheral perfusion, auscultation; R, adventitious sounds;
Dosage: 1 tab results in the angina, alone or third degree), and liver evaluation, GI normal output; LFT’s, renal function
10mg OD depression of impulse in combination lactation. Dermatologic: Flushing, tests, urinalysis
formation in with other drugs • Use cautiously withrash jaundice (yellowing of
specialized cardiac · Essential heart failure, the skin or eyes). INTERVENTIONS:
pacemaker cells, hypertension, pregnancy.
Pregnancy slowing of the alone or in GI: Nausea, abdominal Warning: Monitor patient carefully (BP, cardiac rhythm, and
category C velocity of conduction combination with discomfort output) while adjusting drug to therapeutic dose; use special
of the cardiac other anti- caution if patient has heart failure.
impulse, depression hypertensives Urinating more or less than · Monitor BP carefully if patient is also on nitrates.
of myocardial usual, or not at all; · Monitor cardiac rhythm regularly during stabilization of
contractility, and dosage and periodically during long term therapy.
dilation of coronary Fever, chills, body aches, · Administer drug without regard to meals.
arteries and arterioles flu symptoms; • Always remember and follow the 10 R’s of drug
and peripheral administration.
arterioles; these Tired feeling, muscle
effects lead to weakness, and pounding or TEACHING POINTS:
decreased cardiac uneven heartbeats; · Take with meals if upset stomach occurs.
work, decreased · You may experienced these side effects: Nausea, vomiting
cardiac oxygen chest pain; (eat frequent small meals); headache (adjust lightning, noise,
consumption, and in and temperature; medication may ordered)
patients with swelling, rapid weight gain; · Report irregular heartbeat, shortness of breath, swelling of
vasospatic angina, the hands or feet, pronounced dizziness, constipation.
increased delivery of · Vomiting, diarrhea, or heavy sweating can cause you to
oxygen to cardiac become dehydrated. This can lead to very low blood
cells. pressure, electrolyte disorders, or kidney failure while you
are taking amlodipine and benazepril. Drink 6 to 8 full
glasses of water daily while you are taking this medication.
 Name of the General
Specific Action Indication Contraindications Adverse Reaction Nursing Responsibilities
Drug Action

MEFENAMIC • NSAID Anti- Relief of moderateContraindicated CNS: Headache, dizziness, BEFORE:

ACID inflammatory, pain when therapy with somnolence, insomnia, • Assess for history of allergies, renal, hepatic, CV,GI
analgesic and will not exceed 1 hypersensitivity to fatigue, tiredness, tinnitus, conditions; pregnancy; lactation
Apo- antipyretic week. mefenamic acid, ophthalmic effects • Assess the physical for skin color and lesions; orientation,
Mefenamic, activities related Treatment of aspirin allergy, and Dermatologic: Rash, reflexes, opthalmolgic, and andiometric evaluation,
ponstel to inhibition of primary as treatment of prurotus, sweating, dry peripheral sensation; P, edema R, adventitious sounds,; renal
prostaglandin dysmenorrhea. preoperative pain mucous function tests, serum electrolytes, stool guaiac
synthesis; exact with coronary artery membranes,stomatitis
500 mg 1 cap mechanisms of bypass grafting. DURING:
3x/day action are not GI: nausea, dyspepsia, GI • Be aware that patient may be at increase risk for CV events,
known. Use cautiously with pain, diarrhea, vomiting, GI bleeding, monitor accordingly.
Pregnancy asthma, renal or constipation, flatulence • Give the milk or food to decrease GI upset.
category C hepatic impairment, • Arrange for periodic ophthalmologic examinations during
peptic ulcer disease, GU: Dysuria, renal long-term therapy.
GI bleeding, impairment
• If overdose occurs, institute emergence procedures-
hypertension heart
supportive therapy and induced emesis, activated charcoal,
failure, pregnancy Hematologic: bleeding,
and/or an osmotic cathartic
lactation. platelet inhibition wiyh
higher doses, neutropenia, • Do not exceed 1 week therapy
eosinophilia, leukopenia, • Always remember and practice the 10 R’s
pancytopenia,
thrombocytopenia, AFTER:
agranulocytosis, • Take drug with food; take only the prescribed dosage and
granulocytopenia, aplastic teach not to take the drug longer than 1 week
anemia, decrease Hgb or Hct, • Discontinue drug and consult health care provider if rash,
bone marrow depression, diarrhea, or digestive problems occur.
menorrhagia • Dizziness or drowsiness can occur ( so avoid driving and
using dangerous machinery )
Respiratory: Dyspnea, • Report sore throat, fever, rash, itching, weight gain, swelling
hemoptysis, pharyngitis, in the ankles or fingers, changes in vision; cephalexin.
bronchospasm, rhinitis

• Other: Peripheral edema,

anaphylactoid reactions to
anaphylactic shock