DRUG

NTG
PATCH

DOSAGE
5mg
On
anterior
chest
wall
Once a
day

MECHANISM
OF ACTION
Causes
relaxation of
vascular smooth
muscle, and
consequent
dilatation of
peripheral
arteries and
veins, especially
the latter.
Dilatation of the
veins promotes
peripheral
pooling of blood
and decreases
venous return to
the heart,
thereby
reducing left
ventricular enddiastolic
pressure and
pulmonary
capillary wedge
pressure.

SPECIFIC
INDICATIO
N
To prevent
chest
pain/angina
with a
certain
heart
condition
like
coronary
artery
disease.

CONTRAINDICAT
ION
Hypersensitive to
nitroglycerin or
any ingredients of
the medication
Allergic to the
adhesive used in
nitroglycerin
patches
Hypotensive

ADVERSE
EFFECT
Dizziness,
orthostatic
hypotensio
n,
irregular
heartbeat,
flushing of
the face
and neck,
headache,
nausea,
vomiting,
reddened
skin where
the patch
was applied

NURSING
PRECAUTION

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Remove the
patch from its
pouch, and
peel off the
protective
clear liner as
directed.
Apply each
new patch to
a different
area of skin
to avoid skin
irritation.
Remove if
Page | 1

Dilatation of the
coronary
arteries also
occurs.

DRUG

Aspirin

DOSAGE

80mg/ta
b
1 tab
once a
day

MECHANISM
OF ACTION
Exhibits
antipyretic, antiinflammatory
and analgesic
effects. The
antipyretic
effect is due to
an action on the
hypothalamus,
resulting in heat
loss by
vasodilation of
peripheral blood
vessels.

SPECIFIC
INDICATIO
N
For pain
To prevent
blood
coagulation
due to
hypertensio
n

ADVERSE
EFFECT

CONTRAINDICAT
ION
Hypersensitive to Nausea,
salicylates
epigastric
discomfort,
Severe anemia
bronchospa
sm
History of blood
,skin
coagulation
rashes,
defects
urticaria,
prolongatio
n of
bleeding
time

blood
pressure is
greater than
or equal to
90/60 mmHg
Do not
suddenly stop
using this
medication
without
consulting.
NURSING
PRECAUTION

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Monitor CBC
Determine
history of
Page | 2

Antiinflammatory
effects are
mediated by a
decrease in
prostaglandin
synthesis.

It also decreases
platelet
aggregation by
blocking ADP
receptors on
platelets,
preventing
clumping of
platelets.

DRUG

DOSAGE

Omepraz
ole

40mg/ca
p
1 cap
Once a
day

MECHANISM
OF ACTION
A gastric acidpump inhibitor
which
suppresses
gastric acid
secretion by
specific

SPECIFIC
INDICATIO
N
To treat acid
reflux and
ulcers.

CONTRAINDICAT
ION
Contraindicated
with
hypersensitivity
to Omeprazole.

ADVERSE
EFFECT
Constipatio
n, nausea,
vomiting,
headache,
rash,
itching,
dizziness,

bleeding
tendencies
Administer
with food or
after meal to
avoid GI
upset
Ensure
patient to not
crush and
chew tablets
to prevent
losing drugs
effectivity

NURSING
PRECAUTION

Check and
verify
physicians
order
Observe 12
rights of
medication
Page | 3

inhibition of the
hydrogenpotassium ATP
as enzyme
system at the
secretory
surface of the
gastric parietal
cells thus
blocking the
final step of acid
production.

muscle
spasms,
diarrhea,
stomach
pain

DRUG

DOSAGE

Clopidogr
el

75mg/ta
b
1 tab

MECHANISM
OF ACTION
Selectively
inhibits the
binding of

SPECIFIC
ADVERSE
INDICATIO CONTRAINDICAT
EFFECT
N
ION
For patients Hypersensitivity
Bleeding,
with non-ST- to the medication urticaria,
segment
hypotensio

administratio
n
Assess if
allergic to
medication
Take the drug
before meals.
Swallow the
capsules
whole; do not
chew, open,
or crush
capsules.
Have regular
medical
follow-up
visits.

NURSING
PRECAUTION

Check and
verify
physicians
Page | 4

Once a
day

Clexane

0.4 cc
SQ
Every 12
hours

adenosine
diphosphate to
its platelet
receptor and the
subsequent
ADP-mediated
activation of the
glycoprotein
GPIIb/IIIa
complex,
thereby
inhibiting
platelet
aggregation.

elevation
Acute
Coronary
Syndrome/
unstable
angina

Enoxaparin is a
low molecular
weight heparin
which has
antithrombotic
properties.

Prophylaxis
of Ischemic
complicatio
n of
Unstable
Angina

Active bleeding

n, nausea,
vomiting

Hypersensitivity
to medication

Hemorrhag
e

Active bleeding

order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Administer
with food or
after meal to
avoid GI
upset
Ensure
patient to not
crush and
chew tablets
to prevent
losing drugs
effectivity
Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
Page | 5

DRUG

DOSAGE

Lactulose

15 cc
Once a
day
At hours
of sleep

MECHANISM
OF ACTION
Broken down
primarily to
lactic acid, and
also to small
amounts of
formic and
acetic acids, by
the action of
colonic bacteria,
which results in
an increase in
osmotic
pressure and
slight
acidification of
the colonic
contents. This in
turn causes an
increase in stool
water content

SPECIFIC
INDICATIO
N
For the
treatment
of
constipation
.
Increases
the number
of bowel
movements
per day and
the number
of days on
which bowel
movements
occur.

ADVERSE
EFFECT

CONTRAINDICAT
ION
Patients who
Flatulence,

require a low
intestinal
galactose diet.
cramps,
diarrhea,
dehydration
,
hypokalemi
a,
hypernatre
mianausea ,
vomiting

n
Routinely
select site for
injection
NURSING
PRECAUTION
Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Do not
administer if
with bowel
movement of
more than 3x
per day or
with watery
stools
Page | 6

Atorvasta
tin

DRUG
Micardis
Plus

and softens the

stool.
80mg/ta Selective,
b
competitive
1 tab
inhibitor of
Once a
HMG-CoA
day
reductase, the
rate limiting
enzyme that
converts 3hydroxy-3methylglutarylcoenzyme A to
mevalonate
MECHANISM
DOSAGE
OF ACTION
40/12.5
mg
1 tab
Twice a
day

Blocks the
vasoconstrictor
and aldosterone
secreting effects
of angiotensin II
by selectively
blocking the
binding of
angiotensin II to
the AT1 receptor
in many tissues,
such as vascular

Prevention
of
Cardiovascu
lar Disease
Hyperlipide
mia

SPECIFIC
INDICATIO
N
Hypertensio
n

Active liver
disease
Hypersensitivity
to any component
of this
medication.

CONTRAINDICAT
ION
hypersensitivity
to telmisartan or
any other
Cardiovascu component of this
lar risk
product
reduction

Urticaria,
flatulence,
musculoske
letal pain,
abdominal
discomfort

ADVERSE
EFFECT
headache,
dizziness,
asthenia,
coughing,
nausea,
fatigue,
weakness,
edema

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
NURSING
PRECAUTION

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to

Page | 7

smooth muscle
and the adrenal
gland.
Blockade of the
angiotensin II
receptor inhibits
the negative
regulatory
feedback of
angiotensin II on
renin secretion.

DRUG

DOSAGE

K-Lyte

1 tab
Three
times
a day
after

MECHANISM
OF ACTION
A principal
intracellular
cation that is
essential for the
maintenance of

SPECIFIC
INDICATIO
N
Treats and
prevents
low
amounts of

CONTRAINDICAT
ION
Hyperkalemia
Chronic renal
disease

ADVERSE
EFFECT
GI
discomfort
Nausea
Vomiting

medication
Assess
patients
blood
pressure
before
administering
Administer
with food or
after meal to
avoid GI
upset

NURSING
PRECAUTION

Check and
verify
physicians
order
Page | 8

meals for
six doses
only

intracellular
isotonicity,
transmission of
nerve impulses,
contraction of
cardiac, skeletal,
and smooth
muscles,
maintenance of
normal kidney
function, and for
enzyme activity.
It plays a
prominent role in
both formation
and correction of
imbalances in
acidbase
metabolism.

potassium
in the blood

Diarrhea

Caltrate
Plus

1 tab
Once a
day

Reduces total
acid load in GI
tract, elevates

Calcium
supplement

Hypercalcemia
Renal diseases

GI
discomfort,
hypercalce

Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Administer
medication
after meals or
with food to
prevent GI
upset
Monitor
patients
closely with
cardiac
monitor.
Monitor the
serum
potassium
and
electrolytes
of the patient
Check and
verify
physicians
Page | 9

After
breakfas
t

gastric pH to
reduce pepsin
activity.

mia,
hypercalciu
ria.

order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Record
amount and
consistency
of stools
Monitor
calcium levelWOF
evidence of
hyercalcemia
(Nausea,
vomiting,
headache,
confusion and
anorexia)

Page | 10

DRUG

DOSAGE

Clonidine

150
mcg/tab
1 tab
Sublingu
al
For SBP
greater
than or
equal to
160 as
needed

MECHANISM
OF ACTION
Stimulates
alphaadrenoreceptors
in the brain
stem, resulting
in reduced
sympathetic
outflow from the
central nervous
system and a
decrease in
peripheral
resistance, renal
vascular
resistance, heart
rate, and blood
pressure.

SPECIFIC
INDICATIO
N
Hypertensio
n

ADVERSE
EFFECT

CONTRAINDICAT
ION
Hypersensitive to Nausea,
the medication
vomiting,
rashes,
diarrhea,
hypotensio
n

NURSING
PRECAUTION

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Assess
patients
blood
pressure
before
administering
Administer
with food or
after meal to
avoid GI
Page | 11

upset
Biogesic

500
mg/tab
1 tab
Every 4
hours as
needed
for
headach
e

The mechanism
of action is
associated with
inhibition of
prostaglandin
synthesis thus
enhancing heat
transfer.

Headache

Renal
Insufficiency
Anemia

Minimal GI
upset,
Urticaria,
Jaundice,
Drowsiness,
liver
damage

Check and
verify
physicians
order
Observe 12
rights of
medication
administratio
n
Assess if
allergic to
medication
Take with

food or milk
to minimize
GI upset.
Report N&V.

cyanosis,
shortness of
breath and
abdominal
pain as these
are signs of
toxicity.

Page | 12

ASSESSMENT
Subjective:
Baka hindi na
ako
makapagtrabaho
at makatakbo
araw-araw dahil
dito sa antenna
sa leeg ko as
verbalized by
patient
Objective:

DIAGNOSIS

ANALYSIS

Disturbed body
image related to
preoccupation
with change
lifestyle and
career.

Body image
disturbance is
the sum of a
persons
conscious and
unconscious
attitudes about
his body.
It is how a
person
perceives the
size,
appearance, and

GOAL

INTERVENTION

Short term:

Independent:

After 8 hours
of nursing
intervention,
the patient will
verbalize
understanding
of body
changes and
situation

Evaluate level of
clients knowledge
and anxiety related
to situation.
Note signs of
grieving or
indicators of severe
or prolonged
depression.

Long term:
Observe interaction

RATIONALE

EVALUATION
Short term:
Goal met

To assess
acceptance or
nonacceptance of
behavior.
To evaluate the
need for
counseling.

After 8 hours of
nursing
intervention, the
patient
verbalized
understanding of
body changes
and situation
Long term:
Partially met
Page | 13

 Intrajugular
Catheter in
place.
For HD after
discharge.

functioning of
the body and its
parts.
It is included in
the four
components of
self-concept of
personal
identity, body
image, role
performance
and selfesteem.

After 2 weeks
of nursing
intervention,
patient will
demonstrate
improved self
-esteem and
acceptance of
self in situation

of client with
significant others.

Provide
information at
clients level of
acceptance and in
small segments.
Identify or plan for
alterations to home
and work
environment or
activities.

Distortions in
body image
may be
unconsciously
reinforced by
family
members.
To allow easier
understanding
of situation.

After 2 weeks
of nursing
intervention,
patient showed
willingness and
acceptance in
improving ones
situation

To
accommodate
individual
needs and
support
independence.

Dependent:
Provided
information with
the importance of
the procedure and
duration of device
placed

To provide
knowledge and
understanding
of body
changes and
situation

Page | 14