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Drug Study Revised

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Drug study for CVD patient
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  Name: Mrs.Mulan Diagnosis: CVD cerebral infarction Left hemiparesis  Name Classification Mechanism of Action Indication Contraindication Adverse Effect Nursing Consideration Generic Name: Metoprolol Brand Name : Cadiosel Dose & frequency prescribed July 28, 2014  (during admission) 50mg tab; 1 tab BID Therapeutic:  Antihypertensive  Antiangina pectoris Pharmacologic: Beta1-adrenergic antagonist   Inhibits stimulation of beta1-receptor sites, located mainly in the heart, resulting in decreased cardiac excitability, cardiac output, and myocardial oxygen demand, reduce blood pressure by decreasing renal release of renin.   To manage hypertension, alone or with other antihypertensives    Acute heart failure; pulse less than 45 beats/minute; cardiogenic shock; hypersensitivity to metoprolol, its components, or other beta blockers; pheochromocytoma; second or third-degree AV block; severe peripheral arterial disorders   CNS: Anxiety, confusion, depression, CV: Angina, arrhythmias, heart failure, EENT: Nasal congestion, rhinitis GI: Constipation, diarrhea, nausea, vomiting SKIN: Diaphoresis, rash,   Use cautiously in patients with hypertension or angina who have congestive heart failure heart failure. ã Instruct p atient to take metoprolol with food at the same time each day — once daily for E.R. tablets. ã Advise patient to notify prescriber if pulse rate falls below 60 beats/minute or is significantly lower than usual.   Check BP before and after  .   August 2,2014 (Home meds.) 47.5mg OD   Monitor bowel movement   Monitor side effects and refer to the physician   Ensure that pt. swallow the whole tablet   Do not cut, crush or chew the tablet   Instruct to report difficulty of breathing, night cough, swelling of extremities ,slow pulse, confusion ,depression ,fever, and rash. Reference: Nurse’s drug handbook 10 th  edition; Jones and Barlett    Name: Mrs.Mulan Diagnosis: CVD cerebral infarction Left hemiparesis  Name Classification Mechanism of Action Indication Contraindication Adverse Effect Nursing Consideration Ec asa Dose & frequency prescribed: 80mg 1 tab OD PO Date Ordered:  August 2,2014 Therapeutic: (nonopioid) elet count Pharmacologic: NSAID   inhibit the synthesis of prostaglandins, important mediators of inflammation.  Antipyretic effects are not fully understood, but aspirin probably acts in the thermoregulatory center of the hypothalamus to block effects of endogenous pyrogen by inhibiting synthesis of the prostaglandin.   moderate pain Reduction of risk of death or nonfatal MI in patients with history of infarction or unstable angina pectoris   allergy to salicylates or NSAIDs (more common with nasal polyps, asthma, chronic urticaria); allergy to tartrazine (cross-sensitivity to aspirin is common); hemophilia, bleeding ulcers, hemorrhagic states, blood coagulation defects, hypoprothrombinemia, vitamin K deficiency   Acute aspirin toxicity: tachypnea, hemorrhage, excitement, confusion GI: Nausea, dyspepsia, heartburn, epigastric discomfort, Salicylism: Dizziness, tinnitus, nausea, vomiting, diarrhea, mental confusion     Take the drug with food or after meals if GI upset occurs.   Do not cut, crush, or chew sustained-release products.   Pt. may experience these side effects: Nausea, GI upset, heartburn (take drug with food); easy bruising, gum bleeding (related to aspirin’s effects on blood clotting).    Report ringing in the ears; dizziness, confusion   Monitor for signs of bleeding   Monitor RR   Monitor bowel movement   Monitor for any adverse effects Reference: Nurse’s drug handbook 10 th  edition; Jones and Barlett  
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