Beruflich Dokumente
Kultur Dokumente
Responsibilities
Generic : 40 mg/ tab 1 Antihyperlipidemic To reduce the risk Contraindicated in Nausea & vomiting, Monitor patient’s
Atorvastatin tab OD @ HS of MI, stroke, patients diarrhea, abdominal lipid and liver
Calcium angina, and hypertensive to the pain, constipation, function levels at
revascularization drug and in those dyspepsia & baseline and
Trade name: procedures in with active liver flatulence. periodically
Lipitor/ patients with no disease or Headache, skin thereafter.
Simvastatin evidence of CAD conditions linked rashes, dizziness, Monitor patient for
with multiple risk with unexplained blurred vision, signs of
factors. persistent increases insomnia, dysgeusia. rhabdomyolyis,
Heterozygous in transaminase Cholestatic jaundice, especially if taking
familial levels. pruritus, more than one class
hypercholesterole Adolescent girl hypoglycemia, of lipid lowering
mia. must be at least 1 hyperglycemia. drugs.
Adjunct to diet to year post- Anorexia, Asses patient’s and
reduce elevated menarche pancreatitis, family’s knowledge
LDL, total alopecia, weight of drug therapy.
cholesterol, apo B, gain, Stevens-
and triglyceride Johnson syndrome.
levels to increase Back & chest pain,
HDL level in muscle cramps,
patients with peripheral edema,
primary malaise & fatigue
hypercholesterole Drug and food
mia and mixed interaction:
dyslipidemia. Cyclosporine, fibric
acid derivatives,
erythromycin, niacin,
azole antifungals.
Oral antacid
containing Mg & Al
hydroxide, colestipol,
efavirenz & rifampin.
Digoxin. Protease
inhibitors, diltiazem
HCl & grapefruit
juice. Norethindrone
& ethinylestradiol.
Generic: 5 mg/ tab 1 tab Antihypertensive Treatment of Contraindicated CNS: Headache, Assessment
Enalapril Maleate OD ACE inhibitor hypertension with allergy to dizziness, History: Allergy to
alone or in enalapril. fatigue, enalapril, impaired
combination Use cautiously insomnia, renal function, salt
with other with impaired paresthesias or volume
Trade name: antihypertensive renal function; salt CV: Syncope, depletion,
Buergli s, especially or volume chest pain, lactation,
thiazide-type depletion palpitations, pregnancy
diuretics (hypotension may hypotension in Physical: Skin
Treatment of occur); lactation, salt- or volume- color, lesions,
acute and pregnancy. depleted turgor; T;
chronic CHF patients orientation,
Treatment of GI: Gastric reflexes, affect,
asymptomatic irritation, peripheral
left ventricular nausea, sensation; P, BP,
dysfunction vomiting, peripheral
(LVD) diarrhea, perfusion; mucous
Unlabeled use: abdominal pain, membranes,
Diabetic dyspepsia, bowel sounds,
nephropathy elevated liver liver evaluation;
enzymes urinalysis, renal
GU: Proteinuria, and liver function
renal tests, CBC, and
insufficiency, differential
renal failure,
polyuria, Interventions
oliguria, urinary Alert surgeon, and
frequency, mark patient's
impotence chart with notice
Hematologic: that enalapril is
Decreased being taken; the
hematocrit and angiotensin II
hemoglobin formation
Other: Cough, subsequent to
muscle cramps, compensatory
hyperhidrosis renin release
during surgery will
Interactions be blocked;
Drug-drug hypotension may
Decreased be reversed with
hypotensive volume expansion.
effect if Monitor patients
taken on diuretic
concurrently therapy for
with excessive
indomethaci hypotension after
n, rifampin the first few doses
of enalapril.
Monitor patient
closely in any
situation that may
lead to a drop in
BP secondary to
reduced fluid
volume (excessive
perspiration and
dehydration,
vomiting,
diarrhea) because
excessive
hypotension may
occur.
Arrange for
reduced dosage in
patients with
impaired renal
function.
Monitor patient
carefully because
peak effect may
not be seen for 4
hr. Do not
administer second
dose until BP has
been checked.
Teaching points
Do not stop taking
the medication
without consulting
your health care
provider.
Be careful in any
situation that may
lead to a drop in
blood pressure
(diarrhea,
sweating,
vomiting,
dehydration).
Avoid over-the-
counter
medications,
especially cough,
cold, and allergy
medications that
may interact with
this drug.
These side effects
may occur: GI
upset, loss of
appetite, change
in taste perception
(will pass with
time); mouth sores
(use frequent
mouth care); rash;
fast heart rate;
dizziness, light-
headedness
(usually passes in a
few days; change
position slowly,
limit activities to
those not
requiring alertness
and precision).
Report mouth
sores; sore throat,
fever, chills;
swelling of the
hands, feet;
irregular
heartbeat, chest
pains; swelling of
the face, eyes, lips,
tongue, difficulty
breathing.
Trade name: