INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet
(You will need to made additional copies of these forms)
Generic Trade Classification Dose Route Time/Frequency Name Name antianginals 50mg PO Once/daily - antianginal antihypertensives 25-50mg PO once/daily - antihypertensive atenolol Tenormin 50mg PO given 10 min after last IV dose, then 50mg 12 hr later, then 100/mg/day as a single dose - MI Peak Onset Duration For IV meds, compatability with IV drips and/or solutions 2-4 hr 1 hr 24 hr Why is your patient taking this medication?
Mechanism of action and indications Nursing Implications (what to focus on)
Management of hypertension; management of angina Contraindications/warnings/interactions Uncompensated CHF; pulmonary pectoris; prevention of MI. edema; cardiogenic shock; bradycardia or heart block. Use cautiously in: Renal impairment; geriatric patients; pulmonary disease; diabetes mellitus; Decreased BP and HR. thyrotoxicosis; severe allergic reactions; pregnancy; lactation; children Decreased frequency of attacks of angina pectoris. Prevention of MI Common side effects fatigue; weakness; anxiety; depression; dizziness; brady cardia; CHF; pulmonary edema; hypotension; peripheral vasoconstriction; constipation; diarrhea; nausea; vomiting; impotence; urinary frequency; rash; hyperglycemia; hypoglycemia; arthralgia; back pain; joint pain; blurred vision; nervousness; bronchospasm; wheezing. Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine medicines (ask patient specifically) General anesthesia; IV phenytoin; verapamil; digoxin; antihypertensives; alcohol; nitrates; amphetamine; cocaine; ephedrine; epinephrine; norepinephrine; phenylephrine; Be sure to teach the patient the following about this medication pseudoephedrine; thyroid; insulins; oral hypoglycemic Take at same time each day; check pulse and BP; change position slowly; agents; theophylline; dopamine; dobutamine; may increase sensitivity to cold; consult doctor before taking OTC meds; MAO inhibitor. diabetic patients should montior blood glucose levels; notifiy doctor of slow pulse, dizziness, light-headedness, unusual bleeding, bruising; additional therapy of weight loss; Na+ restriction; stress reduction; exercise, no smoking or alcohol Nursing Process - Assessment Assessment Evaluation (Pre-administration assessment Why would you hold or not give Check after giving Vital Signs this med? Decrease in BP Monitor intake and output ratios and daily Bradycardia (<60) Reduction in frequency of angina weights. Assess routinely for CHF. Assess for Increase in activity tolerance frequency of angina. Prevention of MI or alcohol