LOSARTAN

Angiocard, Bepsar, Cozaar, Lifezar, Losargad

Dosage: 50 mg tab/ OD

Adverse Side Nursing Indication Contraindication

Reaction Effects Consideration
Dizziness Assessment: Treatment of Pregnancy
and dose hypertension (category D)
related ◦Assess ; in heart breastfeeding, renal
orthostati patient’s blood failure and artery stenosis,
c pressure before myocardial hyperkalemia,
hypotensi starting therapy infarction, it hypersensitivity,
on, and regularly may be used anuria, patients who
Impaired and pulse rate. alone or in are hypersensitive
renal ◦Obtain combination to other
function baseline liver with other sulfonamide-derived
and and renal antihyperten drugs
rarely, function before sive agents.
rash, therapy and Renal
angioede regularly assess protection in
ma, and kidney function type 2
raised BUN and diabetic
alanine creatinine. patients with
aminotra ◦Monitor for proteinuria.
nsferase, possible Reduction in
hyperkale adverse drug the risk of
mia and reaction cardiovascul
myalgia, ◦Assess for ar morbidity
facial hydration and
edema, status: mucous mortality in
fever, membranes hypertensive
angina and skin turgor patients with
pectoris, ◦Assess left ventricle
second patient‘s hypertrophy.
degree family’s
AV block, knowledge of
arrhythmi Drug therapy.
as,
diarrhea, Nursing
dry Diagnoses:
mouth,
anemia, ◦Risk injury
gout, related to
muscle hypertension.
cramps,
arthritis, ◦Disturbed
anxiety sleeping
disorder. pattern related
Rarely, to drug induced
raised insomnia.
liver ◦Knowledge-
enzymes deficit related
values. to drug therapy
taste
disturban Planning:
ces ◦Administer
progressi without regard
ng to to meal.
complete
Taste Implementation
loss. :
Severe
migraine Advise patient
to comply with
dosage
schedule, even
if feeling better.
Tell patient to
avoid sodium
substitutes
because it may
contain
potassium
which can
cause
hyperkalemia in
patients taking
drug.
Teach patient to
avoid sunlight
or wear
sunscreen
because
photosensitivity
may occur.
Inform patient
that drug can
cause dizziness,
fainting or
light-
headedness.
Instruct patient
to report drug
induced
adverse effects.

Evaluation:

Positive
therapeutic
outcome

Patient’s blood
pressure is
normal.
Patient does
not experience
drug induced
adverse
reactions.
Patient and
family state
understanding
of drug therapy.
HYDROCORTISONE
Cortisan, Drugmaker’s Biotech Hydrocortisone, Efficort, Hydrotopic
Dosage: 100 mg/ q 6˚

Adverse Side Nursing Indicatio Contraindicati

Reaction Effec Consideration n on
ts
Depression, Assessment: Treatment Systemic
flushing, of primary fungal
sweating, Assess patient or infections: IM
headache, condition before secondary use in
circulatory starting therapy adrenal idiopathic
collapse, mood and reassess cortex thrombocytope
changes, regularly. insufficien nic purpura,
hypertension, Monitor cy, Nonasthmatic
thrombophlebi patient’s weight, rheumatic bronchial
tis, embolism, blood pressure, disorder, disease,
tachycardia, glucose and respirator amebiasis.
edema, fungal electrolyte. y disease, Acute
infections, Monitor for drug hematolog glomeruloneph
increased induced adverse ic ritis, psychosis.
intraocular reaction. disorders,
pressure, Monitor input- collagen
blurred vision, output ratio, disease,
diarrhea, urine output and allergic
nausea, increasing states,
abdominal edema. dermatolo
distention, Assess for gic
hemorrhage, systemic disease,
increased absorption and allergic
appetite, irritation. and
pancreatitis, Assess carefully inflammat
thrombocytope for signs of ory
nia, acne, poor infection ophthalmi
wound especially fever c
healing, and WBC count processes,
ecchymosis, because the neoplastic
petechiae, drug masks disease
fractures, infection edematou
osteoporosis, symptoms. s states,
weakness multiple
Nursing sclerosis,
Diagnoses: tuberculou
s
Ineffective meningitis
health ,
maintenance trichinosis
related to with
underlying neurologic
condition. or
Risk for myocardia
infection related l
to involment
immunosuppres
sion.
Deficient
knowledge
related to drug
therapy.

Planning:

P/O route
Give with food
or milk to
decrease GI
symptoms.

Implementation
:

Patient /family
education
Teach patient all
aspects drug
usage, the
danger of
stopping
abruptly after
long term
therapy and
signs of early
adrenal
insufficiency.
Instruct patient
to notify
physician of
decreased
therapeutics
response for
proper dose
adjustment.
Instruct patient
to monitor and
report signs of
infection
because long-
term therapy
may be needed
to resolve
infection.

Evaluation:

Positive
therapeutic
outcome
Patient’s
condition
improves.
Serious drug
induced
complications
does not
develop.
Patient does not
develop serious
infection.
Patient and
family state
understanding
of drug therapy.
CAPTOPRIL
Capoten, Captace, Captril, Hartylox, Primace, Tensoril, Septuagen,
Vasostad
Dose: 25 mg tab/ PRN

Adverse Side Nursing Indication Contraindicati

Reaction Effect Considerati on
s on
Fever, chills, Assessment: Hypertensio Pregnancy
hypotension, n, (category D:
postural congestive second-third
hypotension, heart trimester; C
tachycardia, failure first trimester).
angina, loss of (CHF), Left Hypersensitivity
taste, liver ventricular , lactation,
function tests, dysfunction heart block,
impotence, (LVD) after children,
dysuria, myorcardial potassium-
nocturia, infarction sparing
proteinuria, (MI), diuretics,
nephritic diabetic bilateral renal
syndrome, nephropath artery stenosis.
acute reversible y.
renal failure,
polyuria,
oliguria,
frequency,
neutropenia,
agranulocytosis,
pancytopenia,
thrombocytope
nia, anemia,
rash,
angioedema,
hyperkalemia,
bronchospasm,
dyspnea,
cough.