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Drug cards Drug name,class,uses,side effects and nursing interventions for 1.Amlodipine 2.prazosin 3.Lisinopril 4.Nitroglycerin 5.Atorvastatin 6.Metoprolol

Drug cards
Drug name,class,uses,side effects and nursing interventions for 1.Amlodipine 2.prazosin 3.Lisinopril 4.Nitroglycerin 5.Atorvastatin 6.Metoprolol

Solutions

Expert Solution

(1) DRUG NAME :- Amlodipine

CLASS:- Calcium channels blocker
USES :- It is used to treat high blood pressure, coronary artery disease, and angina.
SIDE EFFECTS:-
               - may cause extreme sleepiness
               - swelling of legs or ankles
               - stomach pain
               - dizziness and nausea
               - warm feeling in face (flushing)
               - irregular heart rate (arrhythmia)
               - very fast heart rate (palpitations)
               - tremors

NURSING INTERVENTIONS:-
               -Monitor patient carefully (BP, cardiac rhythm, and output) .
               -Adjusting drug to therapeutic dose; use special caution if patient has CHF.
               -Monitor BP very carefully if patient is also on nitrates.
               -Monitor cardiac rhythm regularly during stabilization of dosage and periodically during long-term therapy.

(2) DRUG NAME:- Prazosin
CLASS:- Alpha-blockers
USES:- It works by relaxing blood vessels
          -high blood pressure.
          -it helps prevent strokes, heart attacks, and kidney problems.
SIDE EFFECTS:-

            -Headache
            -drowsiness
            -tiredness and weakness
            - blurred vision
              -nausea
             -vomiting and diarrhea

NURSING INTERVENTIONS:-
           - Monitor patient's blood pressure and pulse rate.
           - Elderly patients may be more sensitive to the drug's hypotensive effects.
           - Monitor patient compliance.
           - Full therapeutic effect of drug is reached within 4-6 weeks.
           - Educate the patient about weight loss, exercise programs as needed.
           - Educate the patient about additional methods to lower blood pressure (low-sodium diet, decrease tobacco use, decrease alcohol consumption).

(3) DRUG NAME :- Lisinopril
    CLASS :- ACE (Angiotensin convertin enzyme)
                     Inhibitor
USES:- Lisinopril is used to treat high blood pressure(hypertension), congestive heart failure, and to improve survival after a heart attack.

SIDE EFFECTS:-
                  - Blurred vision
                  - cloudy urine
                  - confusion
                  - decrease in urine output
                  - dizziness, faintness
                  - sweating
                  - unusual tiredness or weakness
NURSING INTERVENTIONS:-
        -Begin drug within 24 hr of acute MI,ensure that patient is also receiving standard treatment.
        - Keep epinephrine readily available in case of angioedema of the face or neck region.
        - Monitor patients on diuretic therapy for excessive hypotension following the first few doses of lisinopril.

(4) DRUG NAME:- NITROGLYCERIN
      CLASS:- Nitrates
      USES:- it is used to treat angina (chest pain)
              -myocardial infarction (heart attack)
               -Congestive heart failure (CHF),
               -hypertension (high blood pressure).
SIDE EFFECTS:-
                  -Headache
                  -dizziness
                  -Lightedness
                  -nausea,
                  -flushing
NURSING INTERVENTIONS:-
           -Enquire the complete health history of the patient including allergy, drug interactions, and family background of hypertension.
           -Monitor blood pressure and pulse before and during treatment.
           -Check lab test for CBC, blood glucose, BUN, creatinine, platelets, electrolytes, LFT.
           -Arterial pressure should be monitored during treatment via intra-arterial recording.
           -Observe patients for possible s/s of edema or congestive heart failure.

(5) DRUG NAME:- Atorvastatin
     CLASS:- statins
     USES:- it is useful in lower "bad" cholesterol and raise "good" cholesterol (HDL) in the blood.
           -decreases the risk of heart disease and helps prevent strokes and heart attacks.

SIDE EFFECTS:-

:        -hemorrhagic stroke
          -arthralgia
          -diarrhea,
          -nasopharyngitis
          -urinary tract infection,
          - insomnia,
          - limb pain
          - myalgia and nausea
NURSING INTERVENTIONS:-
      - monitor cholesterol levels and liver function.
      - monitor blood pressure and pulse rate.

(6) DRUG NAME:- Metoprolol
     CLASS:- Beta blockers
     USES :- it is used in-
            - Hypertension
            - helps prevent strokes, heart attack and kidney problems.
            - chest pain (angina).

SIDE EFFECTS:-
         -Drowsiness
         -dizziness
         -tiredness
         -diarrhea
         -slow heartbeat may occur
         -Decreased sexual ability.
NURSING INTERVENTIONS:-
      - Inquire patient’s complete health history including allergies, diabetes or any respiratory diseases.
      - Monitor blood pressure and pulse prior administration of medicine.
      - Observe daily intake an output of fluid. Check body weight.
      - Patient with respiratory disease specially with asthma or COPD should be closely monitored for sign and symptoms.


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