Name of Classificatio Doctor’s Action Side Effects Adverse Effects Nursing Consideration

Medication n Order
Generic Name: HMG-CoA 20 mg It inhibits HMG-  Headache  Allergic reaction - Advise patient to tsake the medication by
Simvastatin reductase OD, PO CoA reductase, an  Nausea  Yellowing eyes/skin
Brand Name: inhibitors 8:00 PM early (and rate-  Constipation  Dark urine mouth and can also be taken with or
Zocor limiting) step in  Weakness/cramps  Severe dizziness without food.
Date Given: cholesterol  Muscle pain  Trouble breathing
Date biosynthesis. - Advise patient to avoid eating grapefruit or
 Diarrhea
Discontinued: drinking grapefruit juice because it might
 Cold symptoms
 Confusion increase adverse effects
 Stomach/abdominal - Instruct patient to restrict intake of foods
pain
with saturated fats and cholesterol such as
fried foods
- Tell patient to immediately report
unexplained muscle pain, tenderness, or
weakness (especially if accompanied with
malaise and fever) and loss of appetite,
upper abdominal pain, dark-colored urine
or yellowing of skin and eyes.

Generic Name: Nitrates 30 mg Thought to reduce  Headache  Bluish-colored lips, - Remind patient to take drug as prescribed
Isosorbide OD, PO cardiac oxygen  Feeling dizzy or fingernails, or palms
Mononitrate 12:00PM demand by weak.  Dark urine and keep it accessible at all times
Brand Name: decreasing preload  Feeling tired or  Pale skin - Advise patient that stopping drug abruptly
Nitrofix Sr and afterload. Drug sleepy  Tachycardia
Date Given: also may increase may cause increased angina symptoms and
 Feeling sick  Abnormal heart
Date blood flow through (nausea and sound risk for MI
Discontinued: the collateral vomiting)  Absence of or - Tell patient to change in an upright position
coronary vessels  Flushing decrease in body
 Swelling in lower movement
slowly and to lie down at first sign of
legs, ankles or feet  Arm, back, or jaw dizziness
 (edema) pain - Tell patient to store drug in a cool dark
 Bladder pain
 Bleeding after place, in a tightly closed container
defecation - Monitor BP, HR and intensity and duration
 Bleeding gums
of drug response
 Blood in the urine or
stools
Generic Name: Platelet 75 mg Inhibits the binding  Confusion  Hallucinations - Inform patient that drug may be taken
Clopidogrel aggregation OD, PO of the P2Y12  Headache  Epistaxis
Bisulfate inhibitors component of ADP  Abdominal pain  Hemorrhage without regard to meals
Brand Name: to its platelet  Diarrhea  UTI - Advise patient not to consume grapefruit or
Plavix receptor, impeding  Nausea and  Hematuria
Date Given: ADP-mediated grapefruit juice
vomiting  Bronchospasm
Date activation and  Tiredness - Instruct patient to notify prescriber if
 Rash
Discontinued: subsequent platelet
 Constipation  Pruritis unusual bleeding or bruising occurs
aggregation, and
irreversibly modifies  Bruising
platelet ADP  Eczema
receptor  Anaphylaxis
 Vomit with blood or
that looks like coffee
grounds
 Trouble speaking
 Vision changes
 Seizures
 Yellowing eyes/skin,
 Bloody/red/pink/dark
urine

Generic Name: Partial fatty 35 mg Works by preventing  Dizziness  Rash - Instruct pt to avoid sodium, calcium and
Trimetazadine acid oxidation OD, PO a particular enzyme  Headache  Itching
Dihydrochloride inhibitors Breakfast termed long-chain 3-  Stomach pain  Hives magnesium-rich foods such as frozen
Brand Name: (PFox ketoacyl-CoA  Diarrhea  Swelling of face, foods, banana and processed meats. The
Cardiotaz inhibitors) thiolase, which is  Indigestion lips, mouth, tongue,
Date Given: involved in the salts may reduce the blood-pressure-
 Malaise or throat, which
Date oxidation of fatty lowering effect of Trimetazidine.
Discontinued: acids in the beta  Vomiting could cause trouble - Advise pt to notify prescribing physician
form. Trimetazidine  Feeling of swallowing or
decreases fatty acid weakness breathing for signs of heart failure such as swelling of
oxidation and  Constipation  Tachycardia hands and feet or SOB.
increases glucose  Palpitations
oxidation by - Advise patient of the adverse effects of the
inhibiting this drug
enzyme.
- Monitor BP and PR before and after giving
the meds.
Generic Name: Selective 50 mg A selective beta-  Fatigue  Depression - Instruct pt to take drug with or immediately
Metoprolol beta- BID, PO blocker that  Dizziness  Hallucinations
Brand Name: adrenergic selectively blocks  Headache  Edema after meal
Angimet blockers beta receptors;  Bradycardia  Palpitations - Advise pt that if a dose is missed, omit the
Date Given: decreases cardiac  Nausea and  Blurred vision
Date output peripheral missed dose and give the next scheduled
vomiting  Heartburn
Discontinued: resistance, and  Diarrhea dose without doubling it
 Dyspnea
cardiac oxygen
 Constipation  Wheezing - Tell pt to report all adverse reactions
consumption; and
 Sweating  Bronchospasm especially weight gain and shortness of
depresses renin
secretion  Dry mouth  Rash
 Pruritus breath
 Shortness of breath

Generic Name: Nitrates 5 mg Thought to reduce  Headache  Bluish-colored lips, - Remind patient to take drug as prescribed
ISDN Sublingual cardiac oxygen  Feeling dizzy or fingernails, or palms
Brand Name: demand by weak.  Dark urine and keep it accessible at all times
decreasing preload  Feeling tired or  Pale skin - Advise patient that stopping drug abruptly
Date Given: and afterload. Drug sleepy  Tachycardia
Date also may increase may cause increased angina symptoms and
 Feeling sick  Abnormal heart
Discontinued: blood flow through (nausea and sound risk for MI
the collateral vomiting)  Absence of or - Tell patient to change in an upright position
coronary vessels  Flushing decrease in body
 Swelling in lower movement
slowly and to lie down at first sign of
legs, ankles or feet  Arm, back, or jaw dizziness
(edema) pain
  Bladder pain - Tell patient to store drug in a cool dark
 Bleeding after
defecation place, in a tightly closed container
 Bleeding gums - Monitor BP, HR and intensity and duration
 Blood in the urine or of drug response
stools
Generic Name: Sulfonylurea 80mg increases insulin  Stomach ache or  Prolonged bleeding - Advise pt to try to rest and relax. It can
Glicalazide OD, PO secretion via indigestion  Bruising
Brand Name: Breakfast activating the beta  Nausea and  Sore throat help to eat and drink slowly, and have
Glazide cell sulphonylurea vomiting  Fever smaller and more frequent meals. Putting a
Date Given: receptor and,  Diarrhea  Anaphylaxis
Date presumably, by heat pad or covered hot water bottle on her
 Constipation  Jaundice
Discontinued: having a direct  Muscle pain stomach may also help.
 Arthritis
impact on the
 Back pain - Advise pt to continue taking small,
transfer of
intracellular calcium. frequent sips of water or squash to avoid
It especially dehydration.
improves type 2
diabetes' aberrant - Instruct also pt to get more fiber into her
first phase insulin diet, such as fresh fruit, vegetables and
release and affects
the second phase as cereals.
well. - Assess orientation and reflexes; baseline
pulse and blood pressure; adventitious
breath sounds; abdominal sounds and
function, to monitor effects of altered
glucose levels
-