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indication Consideration
Generic Antianemic Least Prophylaxis and Clients with GI: Constipation, gastric 1. Take iron preparations
Name: drugs expensive, treatment of hemosiderosis, irritation, nausea, abdominal with meals to reduce
most effective iron- deficiency hemochromatosi cramps, anorexia, vomiting gastric irritation.
Ferrous iron salt for anemia. s, peptic ulcer, and diarrhea. These effects
sulfate PO therapy. regional enteritis may be minimizes by 2. Identify the foods that
Ferrous Investigational: and ulcerative administering preparations as inhibit the absorption of
sulfate Clients colitis. a coated tablet. Soluble iron iron
products receiving Hemolytic preparations may stain the
Brand Name: contain 20% epoetin therapy anemia, teeth. 3. Discuss the possibility
elemental (Failure to give pyridoxine- of indigestion, change in
Feosol iron; whereas iron responsive the stool color (black and
ferrous sulfate supplements anemia, and tarry or dark green), and
dried products either IV or PO cirrhosis of the constipation
contain 30% can impair the liver.
elemental hematologic 4. Advise to increase
iron. The response to intake of fruit, fiber, and
exsiccated epoitin) fluids to minimize drug’s
form is more constipating effect
stable in air.
5. Explain the possible
side effects that may
occur.
Generic Loop Diuretics Furosemide Edema Never use with Electrolyte and fluid effects: 1. Monitor serum
DrugName Classification Action Indication Contra- Side Effects Nursing
indication Consideration
Generic Antihypertensive Variable Calcium channel Hypersensitivity, CV: Peripheral and 1. Document indications
name Drugs / effects on AV blocker Lactation pulmonary edema, MI, for therapy, other agents
Cardiovascular node effective hypotension, palpitations, trialed/outcome and any
Nifedipine Drugs and functional Vasospastic syncope, CHF (especially if sensitivity to CCBs.
refractory (Prinzmetal's or used with a beta blocker), GI: 2. Note any pulmonary
periods. CO is variant) angina Nausea, diarrhea, edema, ECG
slightly (except Adalat constipation, flatulence, abnormalities, or
Brand name increased CC). Chronic abdominal cramps, palpitations. Document
while stable angina CNS: Dizziness, K+ levels, BP, and
Adalat peripheral without lightheadedness, giddiness, cardiopulmonary
vascular vasospasm nervousness, sleep assessment findings.
resistance is (except Adalat disturbances, headache, 3. May take with or
significantly CC), including weakness, depression, without food. Sustained-
decreased. angina due to Dermatologic: Rash, release tablets should
Slight to no increased effort dermatitis, urticaria, pruritus, not be chewed, crushed,
increase in HR (especially in photosensitivity, erythema or divided. Grapefruit
and slight to clients who Respiratory: Dyspnea, cough, juice may cause
no decrease in cannot take beta wheezing, SOB, respiratory increased serum drug
myocardial blockers or infection; throat, nasal, or levels.
contractility. nitrates or who chest congestion. 4. Maintain a fluid
remain Hematologic: intake of 2–3 L/day to
symptomatic Thrombocytopenia, avoid constipation.
following leukopenia, purpura, anemia. There is no cause for
clinical doses of concern if a tablet
these drugs). . coating appears in the
Essential stool. .
hypertension 5. Report any
(sustained- symptoms of persistent
release only). headache, flushing,
nausea, palpitations,
weight gain, dizziness.
Drug Name Classification Action Indication Contra- Side Effects Nursing
indication Considerations