St.

Anthony’s College
San Jose, Antique
Nursing Department

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B.
Age/Sex: 73/male Chief Complaint: chest pain

Name of Drug Side Effects or Adverse Nursing Responsibilities

Classification and Indication and
(Dosage, Route, Reactions
Mechanism of Action contraindication
Frequency, Timing)

Generic Name: Classification: Indication: Body as a whole: Back pain,  Observe the 14 rights in medication
Atorvastatin Calcium Therapeutic class: Antilipemics Adjunct to diet for the reduction of asthenia, hypersensitivity administration.
Pharmacologic class: HMG-CoA LDL cholesterol and triglycerides in reaction, myalgia,
Brand Name: reductase inhibitors patients with primary rhabdomyolysis.  Monitor for therapeutic effectiveness
Lipitor hypercholesterolemia and mixed which is indicated by reduction in
dyslipidemia. CNS: headache the level of LDL-C.

Dosage: Mechanism of Action: GI: abdominal pain,  Lab test: Monitor lipid levels within
60mg/tab Atorvastatin competitively inhibits constipation, diarrhea, 2-4 weeks after initiation of therapy
HMG-CoA reductase, the enzyme dyspepsia, flatulence, or upon change in dosage; monitor
that catalyses the conversion of increased liver function tests. liver functions at 6 and 12 wk after
Route: HMG-CoA to mevalonic acid. initiation or elevation of dose, and
NGT This results in the induction of the Contraindication: Respiratory: sinusitis, periodically thereafter.
LDL receptors, leading to lowered Hypersensitivity to atorvastatin, pharyngitis
LDL-cholesterol concentration. myopathy, active liver disease,  Assess for muscle pain, tenderness;
Frequency: unexplained persistent transaminase Skin: rash and, if present, monitor CPK level.
OD elevations
 Monitor carefully for digoxin
toxicity with concurrent digoxin use.
Timing:
8pm

DRUG STUDY
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B.

Age/Sex: 73/male Chief Complaint: chest pain

Name of Drug Side Effects or Adverse Reactions Nursing Responsibilities

Classification and Indication and
(Dosage, Route,
Mechanism of Action contraindication
Frequency, Timing)

Generic Name: Classification: Indication: CNS: vertigo, headache, dizziness, paresthesia,  Observe the 14 rights in medication
Furosemide Therapeutic class: Acute pulmonary edema weakness, restlessness, fever administration.
Antihypertensives Edema CV: orthostatic hypotension, thrombophlebitis with
 Monitor weight, BP, and pulse rate
IV administration
Brand Name: Pharmacologic class:Loop Hypertension with long term use.
EENT: blurred or yellow vision, transient deafness,
Lasix Diuretics tinnitus 
Mechanism of Action: GI: abdominal discomfort and pain, diarrhea,
Dosage: Inhibits sodium and chloride Contraindication: anorexia, nausea, vomiting, constipation,
20mg IVTT? reabsorption at the proximal Contraindicated in patients pancreatitis
and distal tubules and the hypersensitive to drug and GU: azotemia, nocturia, polyuria, frequent
Route: ascending loop of Henle in those with anuria urination, oliguria
IV Hematologic: agranulocytosis, aplastic anemia,
leukopenia, thrombocytopenia, anemia
Hepatic: hepatic dysfunction, jaundice
Frequency: Metabolic: volume depletion and
dehydration,asymptomatic hyperuricemia, impaired
Q8H
glucose tolerance, hypokalemia, hypochloremic
alkalosis, hyperglycemia, dilutional hyponatremia,
hypocalcemia, hypomagnesemia
Timing: Musculoskeletal: muscle spasm
? Skin: dermatitis, purpura, photosensitivity
reactions
Other: gout

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B.
Age/Sex: 73/male Chief Complaint: chest pain
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name of Drug Side Effects or Adverse Reactions Nursing Responsibilities

Classification and Indication and
(Dosage, Route,
Mechanism of Action contraindication
Frequency, Timing)

Generic Name: Classification: Indication: Body as a whole: allergy, fever,leg pain, malaise  Observe the 14 rights in medication
Amlodipine besylate- For the treatment of Cardiovascular: palpitation, dependent edema, administration.
telmisartan hypertension . angina pectoris, tachycardia, leg edema, abnormal
ECG

CNS: insomnia, somnolence, migraine, vertigo,
Brand Name: Mechanism of Action:
paresthesia, involuntary muscle contractions,
Twynsta hypoesthesia
GI:, constipation, flatulence, gastritis, vomiting, fry
Dosage: Contraindication: mouth, haemorrhoids, gastroenteritis, enteritis,
5/40mg 1tab gastroesophageal reflux, toothache
Metabolic: gout, hypercholesterolemia, diabetes
Route: mellitus
NGT Musculoskeletal: arthritis, arthralgia,, leg cramps
Psychiatric: anxiety, depression, nervousness
Resistance mechanism: infection,abcesses, otitis
Frequency: media
Respiratory: asthma, bronchitis, rhinitis, dyspnea,
OD
epistaxis
Skin: dermatitis, rash, eczema, pruritus
Urinary: micturition frequency, cystitis
Timing: Vascular: cerebrovascular disorder
Special senses: abnormal vision, conjunctivitis,
tinnitus, earache

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B.
Age/Sex: 73/male Chief Complaint: chest pain
 St. Anthony’s College
San Jose, Antique
Nursing Department

Name of Drug Side Effects or Adverse Nursing Responsibilities

Classification and Indication and
(Dosage, Route, Frequency, Reactions
Mechanism of Action contraindication
Timing)

Generic Name: Classification: Indication: Body as a whole: Back  Observe the 14 rights in
Omeprazole Antisecretory drug Proton pump Omeprazole is used to treat pain, asthenia, medication administration.
Brand Name: inhibitor symptoms of gastroesophageal hypersensitivity reaction,
? reflux disease (GERD) and other myalgia, rhabdomyolysis. 
Mechanism of Action: conditions caused by excess
Dosage: Gastric acid-pump inhibitor: stomach acid. It is also used to CNS: headache
40mg Suppresses gastric acid promote healing of erosive
secretion by specific inhibition esophagitis (damage to your GI: abdominal pain,
Route: of the hydrogen-potassium esophagus caused by stomach constipation, diarrhea,
IV ATPase enzyme system at the acid) dyspepsia, flatulence,
secretory surface of the gastric Contraindication: increased liver function
parietal cells; blocks the final Contraindicated with tests.
Frequency: step of acid production hypersensitivity to omeprazole or
OD its components; Respiratory: sinusitis,
pharyngitis

Timing: Skin: rash

6am
 St. Anthony’s College
San Jose, Antique
Nursing Department

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B
Age/Sex: 73/male Chief Complaint: chest pain

Name of Drug Side Effects or Adverse Nursing Responsibilities

Classification and Indication and
(Dosage, Route, Frequency, Reactions
Mechanism of Action contraindication
Timing)

Generic Name: Classification: Indication: Body as a whole: Back pain,  Observe the 14 rights in
KETOANALOGUE asthenia, hypersensitivity medication administration.
reaction, myalgia,
Brand Name: rhabdomyolysis. 
Mechanism of Action:
CNS: headache
Dosage: Contraindication:
2tabs GI: abdominal pain,
constipation, diarrhea,
Route: dyspepsia, flatulence,
NGT increased liver function tests.

Respiratory: sinusitis,
Frequency: pharyngitis

Skin: rash
Timing:
8am pm, 12
 St. Anthony’s College
San Jose, Antique
Nursing Department

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B
Age/Sex: 73/male Chief Complaint: chest pain

Name of Drug Side Effects or Adverse Nursing Responsibilities

Classification and Indication and
(Dosage, Route, Frequency, Reactions
Mechanism of Action contraindication
Timing)

Generic Name: Classification: Indication: Body as a whole: Back pain,  Observe the 14 rights in
Clopidogrel+Aspirin asthenia, hypersensitivity medication administration.
reaction, myalgia,
Brand Name: rhabdomyolysis. 
Mechanism of Action:
CNS: headache
Dosage: Contraindication:
74/75mg 1tab GI: abdominal pain,
constipation, diarrhea,
Route: dyspepsia, flatulence,
NGT increased liver function tests.

Respiratory: sinusitis,
Frequency: pharyngitis
OD
Skin: rash
Timing:
8am pm, 12
 St. Anthony’s College
San Jose, Antique
Nursing Department

DRUG STUDY
Name of Patient: E.F.F.JR. Physician: Dr. N. co-managed by Dr. B
Age/Sex: 73/male Chief Complaint: chest pain

Name of Drug Side Effects or Adverse Nursing Responsibilities

Classification and Indication and
(Dosage, Route, Frequency, Reactions
Mechanism of Action contraindication
Timing)

Generic Name: Classification: Indication: Body as a whole: Back pain,  Observe the 14 rights in
Diamicron asthenia, hypersensitivity medication administration.
reaction, myalgia,
Brand Name: rhabdomyolysis. 
Mechanism of Action:
CNS: headache
Dosage: Contraindication:
GI: abdominal pain,
Route: constipation, diarrhea,
NGT dyspepsia, flatulence,
increased liver function tests.

Frequency: Respiratory: sinusitis,

OD pharyngitis

Timing: Skin: rash

30mins before breakfast
St. Anthony’s College
San Jose, Antique
Nursing Department