Question

Please help

Below are all drug

Acetaminophen 650 mg oral Q 4 hrs PRN

Heparin INJ, SOLN 5,000 unit/ml injection SC.Q 12hrs

Carvedilol, 12.5 mg, oral

Lisinopril (Zestril) tablet 40mg oral daily

Atorvastatin tab 80mg, oral

Notriptyline cap, oral

Pantoprazole tab, 20mg, oral

insulin aspart, high dose correction algorithm

ascorbic acid

minerals/ multivitamins

Please answer these question for each drug above

1. Medication classification (specify)

2. indications

(Why is this

prescribed for this patient?)

3. Most Common Major Side Effects (Maximum of 5)

4. List 5 Nursing Considerations for your patient.

(Labs to check, side effects to monitor for, patient teaching

Answer 1

	Classification	Indication	Side effects	Nursing Consideration
Acetaminophen	Analgesic, Antipyretics	Pain (headaches, musculoskeletal pain,abdomen ,soft tissue pain,tooth ache) Fever	Asthma Liver damage Toxic epidermal necrolysing Stevenson Johnson syndrome Allergies	Monitor patients vital signs Monitor blood values Avoid if unnecessary If diabetic monitor sugar level as liquid or chewable form contains sugar
Heparin	Anticoagulant	Deep vein thrombosis Cardiac issues Hemofilteration CABG	Pain at site Thrombocytopenia Bleeding Hyperkalemia Bone problems	Monitor clotting factors Avoid unnecessary prices Keep patidnt environment free of sharps Observe the site for any pain Keep injection site elevated to prevent extravasation
Carvedilol	alpha beta blocker	CHF HTN left ventricular failure	Hypotension Bradypenea Fatigue Hypoglycemia Wright gain Increased bowel movements	Monitor vital signs Assess Pati ent blood glucose level Provide dietary alterations in case of diarrhoea Prevent fall due to fatigue Not to be used in liver disease patient
Lisinopril	ACE inhibitor	Hypertension Heart failure Heart attack Diabetic nephropathy MI	Hypotension Hyperkalemia Cough Rash Headache, dizziness Nausea,diarrhoea	Monitor patients for side effects Assess electrolyte level Observe for any allergic reaction Health educate patient regarding the medication Monitor vital signs
Atorvastatin	statins	Hyoerlipidemia Prevention of cardiac complications	Rhabdomylosis Diabetes Nausea Joint pain,muscle pain Diarrhoea	Assess for any pain Monitor blood glucose level Avoid strenuous activity which may trigger pain in joints Monitor Creatinine kinase levels Encourage patient yo report side effects
Notriptyline	Tricyclic antidepressant	Depression	Allergic reactions Dizziness,hallucination Tachycardia GI disturbances Seizure Dyspnea	advice patient Not to take OTC Do MSE Monitor vitals No driving ,alcohol Do ECG if required
Pantaprazole	proton pump inhibitor	Peptic ulcer GERD H.pylori infection	GI disturbances Osteoporosis Arthralgia Thrombocytopenia Hypomagnesia Rhabdomylosis	Administer before food Report patient to inform side effects Monitor blood value (CK, AST,ALT) Avoid long term use Report any pain
Insulin	Hormone	Diabetes (Type 1 or Type 2)	Hypoglycemia	Monitor patients bloid glucose level Assess for hypoglycemia Provide patient low carbohydrate diet Feed patient every 3 hourly Record intake and output
Ascorbic acids	Vitamin C	Scurvy Decrease vitamin c level	GI disturbances Headache Heart burn or indigestion Dysuria Allergic reactions Rash Itching	Provide a diet which prevents nausea and vomiting Assess patients urinary pattern fir any painful micturation Assess for side effects Monitor vitamin C level Provide a nlzmd diet
Minerals/Multivitamins	organic and inorganic compounds	Deficiency Malnutrition Supplement Weight management Pregnancy	Allergies Constipation /diarrhoea Dizziness Rash Dyspnea	Provide fibre rich food Assess patients BMI to know patient status Monitor vital parameters Encourage patient to take food also Assess for any side effects.