David, Melissa D.

Generic
Isosorbide
dinitrate

Classification
Anti-anginals

Indication
Acute angina
attacks

Brand name:
Isoket

Magnesium
sulfate

Anticonvulsant

IV or IM:
preeclampsia or
eclampsia

Metocloprami
de

Antiemetic

Relief of symptoms
of acute and
recurrent diabetic
gastroparesis

GI stimulant

Short-term therapy

Contraindication
Contraindicated to
patients with
cardiogenic shock,
circulatory
collapse, severe
hypotension,
marked anemia,
head trauma,
cerebral
hemorrhage,
severe
hypovolemia
Contraindicated
with allergy to
magnesium
products; heart
block, myocardial
damage; fecal
impaction,
intestinal and
biliary tract
obstruction

Allergy to
metoclopramide
GI hemorrhageMechanical
obstruction or
perforation

Action
It relaxes the
vascular smooth
muscle and
consequent
dilatation of
peripheral arteries
and veins.

Nrsg. Responsibilities
Instructed the patient to take without
regard to meals. Absorption is faster on
empty stomach.

Prevents or controls
seizures by
blocking
neuromuscular
transmission;
attracts and retains
water in the
intestinal lumen
and distends bowel
to promote mass
movement and
relieve constipation
Stimulates motility
of upper GI tract
without stimulating
gastric, billiary, or
pancreatic
secretions; appears

Monitor patients closely during and

following infusions. Observe orthostatic
precautions

Monitor blood pressure and intensity and

duration of drug response

Monitor BP carefully during IV

administration.- Monitor for
extrapyramidal reactions, and consult
physician if they occur

Nicardipine

Anti-anginals

for adults with

symptomatic
GERD who fail to
respond to
conventional
therapy
Chronic stable
angina

Pheochromocytom
a
Epilepsy

to sensitize tissues
to action of
acetylcholine;
relaxes pyloric
sphincter

Advanced aortic
stenosis

Inhibits calcium ion

from entering the
"slow channels" or
select voltagesensitive areas of
vascular smooth
muscle and
myocardium during
depolarization,
producing a
relaxation of
coronary vascular
smooth muscle and
coronary
vasodilation

Do not crush or chew sustained release

forms; swallow whole.
>
Take with nonfatty food. Avoidcaffeine
and alcohol