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Brand Name: MICRO K

Normal Dosage: 40-80mEq/day

Indication and MOA: Maintain acid base balance, isotonicity, and

electrophysiologic balance of the cell, activator in many enzymatic
reactions; essential to transmission of nerve impulses, contraction of
cardiac, skeletal and smooth muscle. prevention of potassium
depletion or replacement.

Side effects: abdominal pain, diarrhea, flatulence, nausea, vomiting

and arrhythmias.

Apo-Alpraz – XANAX
Drug classes
Antianxiety drug
Therapeutic actions
Exact mechanisms of action not understood; main sites of action may be the
limbic system and reticular formation; increases the effects of gamma-
aminobutyrate, an inhibitory neurotransmitter; anxiety blocking effects occur
at doses well below those necessary to cause sedation, ataxia.
Management of anxiety disorders, short-term relief of symptoms of
anxiety associated with depression. Treatment of panic attacks
with or without agoraphobia .Unlabeled uses: Social phobia,
premenstrual syndrome, depression

Apo-Hydroxyzine (CAN), Atarax, Novo-Hydroxyzine (CAN),

Drug classes Anxiolytic, Antihistamine, Antiemetic
Therapeutic actions :Mechanisms of action not understood; actions may be
due to suppression of subcortical areas of the CNS; has clinically
demonstrated antihistaminic, analgesic, antispasmodic, antiemetic, mild
antisecretory, and bronchodilator activity
Indication: relief of anxiety and tension, Control of nausea and vomiting,
Sedation when used as premedication
Adult dosage: ADULTS
Symptomatic relief of anxiety: 50–100 mg qid.
Management of pruritus: 25 mg tid–qid.
Sedative (preoperative and postoperative): 50–100 mg.
Brand Name: Apo- Metoprolol, Betaloc, Lopressor, Novometropol
Generic Name:Metoprolol
PO: used alone or in combination with other agents in
the treatment of Hypertension and Angina Pectoris
Drug Classification: Antihypertensive – Beta-adrenergic blocker,
Antianginal, Beta- adrenergic blocker - selective
Mechanism of Action: Blocks stimulation of Beta1 adrenergic
receptors with less effect on Beta2 receptor sites
: Chronic treatment of hypertension, Angina; Myocardial Infarction
PO (Adults): 100-450 mg/day – single dose or bid.



USES: Oxazepam is used to treat anxiety and acute alcohol withdrawal.

class of drug: benzodiazepines.

MOA:It works by enhancing the effects of a certain natural chemical in the

body (GABA). act on the brain and nerves (central nervous system) to
produce a calming effect

EFFECTS: Drowsiness, dizziness, blurred vision, or headache may occur.

Cotazym- Pancrelipase
Combination of lipase, proteasse and amylase, produce by the
pancreas and are important in digestion of fats, proteins and sugar.

Cotazym (Organon) Indication: For treatment of cystic fibrosis,

chronic pancreatitis, pancreatic duct blockage
Mechanism Of Action: The lipase, protease and amylase components
of pancrelipase break down fat, protein, and starches, respectively, in
the small intestine. Lipase hydrolyzes fats into glycerol and fatty
acids. Protease converts proteins into proteoses and derived
substances, while amylase converts starches into dextrins and sugars.
Brand Name: Crestor Generic Name:Rosuvastat
Indications: Adjunct to dietary therapy in the management of primary
hypercholesterolemia and mixed dyslipidemias. Reduction of lipids/cholesterol
reduces the risk of MI and stroke sequelae (primary prevention and secondary
prevention) nd decreases the need for bypass procedures/angioplasty.
Drug Classification: Lipid-lowering agents, HMG-CoA reductase inhibitors
Mechanism of Action: Inhibit an enzyme, 3-hydroxy-3-methylglutaryl-coenzyme A
(HMG-CoA) reductase, which is responsible for catalyzing an early step in the
synthesis of cholesterol.
Therapeutic effects: Lowering of total and LDL cholesterol; Increase HDL and
decrease VDDL cholesterol and triglycerides; Slowing of the progression of
coronary artery disease with resultant decrease in MI/stroke and need for
myocardial revascularization
Dosage: Adult: 10 mg od initially (range 5-20 mg); dose may be adjusted at 2-4
wk intervals; some patients may require up to 40 mg/day; concurrent
cyclosporine therapy – not to exceed 5 mg od; concurrent
gemfibrozil therapy – not to exceed 10 mg od.

Lactic Acid Bacillus Flora l Tablet

Lactobacilli have an inhibitory effect on other organism by producing lactic acid in the

Some Lactobacilli produce a specific antimicrobial substance or produce a metabolite

Lansoprazole Prevacid
Drug classes : Antisecretory agent ,Proton pump inhibitor
Therapeutic actions Gastric acid-pump inhibitor: Suppresses gastric acid
secretion by specific inhibition of the hydrogen–potassium ATPase enzyme
system at the secretory surface of the gastric parietal cells; blocks the final
step of acid production.
Indications: Short-term treatment (up to 4 wk) of active duodenal
Short-term treatment (up to 8 wk) of gastric ulcers
Short-term treatment (up to 8 wk) of gastroesophageal reflux
disease (GERD):
Severe erosive esophagitis; poorly responsive symptomatic GERD
Long-term treatment of pathological hypersecretory conditions (eg,
Ellison syndrome, multiple adenomas, systemic mastocytosis)
Brand name: Plavix Generic name:Clopidogrel
Drug Classification: Anticoagulant, antithrombotics & fibrinolytics
Indication: for the reduction of atherosclerotic events (MI, stroke & vascular
death) in patients w/ atherosclerosis documented by recent stroke, MI or
established peripheral arterial disease. For the treatment of patients
suffering from non- ST segment elevation acute coronary syndrome
(unstable angina or non-Q wave MI) in combination w/ ASA.
Mechanism of Action: low dosage aspirin appear to inhibit clot formation by
blocking the synthesis of prostaglandin, which in turn prevents
formation of the platelet- aggregating substance thromboxane A2.
Dosage: 75 mg daily
Contraindication: Severe liver impairment. Peptic ulcer and intracranial
hemorrhage. Lactation.
Adverse Reaction:
CNS: depression, dizziness, fatigue, headache


Tablet; Oral; 300 mcg; 10 mg; 1 mg; 20 mg; 1.5 mg; 6 mcg; 1.7 mg; 10 mg; 100 mg
 Folic Acid Vitamin B1 (Thiamine Mononitrate) Vitamin B12 (Cyanocobalamin)
Vitamin B2 (Riboflavin) Vitamin B3 (Nicotinamide)
Vitamin B5 (Calcium D-Pantothenate) Vitamin B6 (Pyridoxine Hydrochloride)
Vitamin C (Ascorbic Acid)
Vitamin H (Biotin)

Replavite Side Effects:

This medication may cause mild nausea or unpleasant taste. Consult your
doctor if any of these effects persist or become severe. If you notice other
effects not listed above, contact your doctor or pharmacist

Classification: allergy, cold and cough remidies, antihistamine,
MOA: significant CNS depressant and anticholinergic properties.

Dose 12.5 mg
Trinipatch- nitoglycerin
Drug classes Antianginal Nitrate

Therapeutic actions
Relaxes vascular smooth muscle with a resultant decrease in venous return
and decrease in arterial BP, which reduces left ventricular workload and
decreases myocardial oxygen consumption.

edna dunford

docusate sodium- SOFLAX

Classification: laxatives
Dose 1 unit
Route REC
Mechanism of action and indications
(Why med ordered)
Promotes incorporation of water into stool, resulting in softer fecal
mass, May also promote electrolyte and water secretion into the colon.
Common side effects cramps.
Nursing Implication
Hypersensitivity. Abdominal pain, nausea, or vomiting, especially
when associated with fever or other signs of an acute abdomen.
Excessive or prolonged use may lead to dependence.

USES: This medication is used for the short-term treatment (usually less than
one week) of constipation.

SIDE EFFECTS: Rectal irritation, bloating, cramping may occur.

Classification: laxatives.

HOW TO USE: Take this medication by mouth as directed, usually with a full
glass of water before bedtime. The medication works within 8 to 12 hours to
produce a bowel movement. Laxatives should not be used without doctor's
approval especially in persons experiencing stomach cramps, nausea or
vomiting. Prolonged, frequent or excessive use of laxatives may lead to

Domperidone- MOTILIUM
is a medicine that increases the movements or contractions of the stomach and
bowel. Domperidone is also used to treat nausea and vomiting caused by other drugs
used to treat Parkinson's Disease.
MOA is related to its peripheral dopamine receptor blocking properties. Emesis
induced by apomorphine, hydergine, morphine or levodopa through stimulation of
the chemoreceptor trigger zone (situated outside the blood-brain barrier) can be
blocked by domperidone.
Indications And Clinical Uses: In the symptomatic management of upper
gastrointestinal motility disorders associated with chronic and subacute gastritis and
diabetic gastroparesis. Domperidone may also be used to prevent gastrointestinal
symptoms associated with the use of dopamine agonist antiparkinsonian agents.
SIDE EFFECTS Drowsiness, disorientation and extrapyramidal reactions, especially
in children) and cardiovascular effects (arrhythmia, hypotension) might possibly

Fenofibrate- LIPIDIL
Drug class : Antihyperlipidemic drug
Therapeutic actions ; Inhibits triglyceride synthesis in the liver resulting in a
reduction in VLDL released into circulation; may also stimulate the breakdown of
triglyceride-rich lipoproteins
Adjunct to diet in treating adults with primary hypercholesterolemia or mixed
Adjunct to diet for treatment of adults with hypertriglyceridemia
Unlabeled use: Polymetabolic syndrome x
Hypertriglyceridemia: Initially, 54–160 mg/day (tablet form) or 67–200 mg
(capsule) PO with a meal.

Primary hypercholesterolemia or mixed dyslipidemia: 160 mg/day PO with a
Brand name: Diamicron

Indication: For non-insulin dependent diabetes (type 2), in association with dietary
measures and with exercise, when these measures alone are not sufficient.
Drug Classification: Oral anti diabetic agent

Mechanism of Action: hypoglycemic sulfonylurea- oral antidiabetic

Dosage: 1 to 4 tablets (30 mg tablet) per day as a single dose

Adverse Effects: Hypoglycemic manifestations: sweating, pallor, intense hunger,

malaise. Skin reactions: urticaria, itching, skin rash. Nausea, diarrhea, stomach
upsets, constipation, hepatitis. Abnormal laboratory results affecting blood and liver
Form: Tablet 80 mg x 100’s
Nursing Responsibilities:
Patients who are NPO may need to have their dose held to avoid hypoglycemia
RAMIPRIL . : Altace
CLASSIFICATION: CV agent, angiotensin-converting enzyme (ACE) inhibitor
2. Dose range and routes for adult & geriatric client.
PREPARATIONS: PO – (1.25, 2.5, 5, 10) mg capsules
DOSING: 2.5 – 5 mg q d
3. Purpose prescribed. Underline reason your client is prescribed drug.
THERAPEUTIC EFFECTS: lowers BP, inhibition of ACE also decreases serum aldosterone
levels; reduces peripheral anterial
resistance, and improves cardiac output as well as exercise tolerance.
USES: Hypertension, CHF Major side effects & drug interactions.
DRUG INTERACTIONS: K+ sparing diuretics may increase risk of hyperkalemia. May
elevate serum lithium levels.
SIDE EFFECTS: dizziness, fatigue, headache, N/V, diarrhea, hyperkalemia, hyponatremia,
Check blood pressure before initiation of therapy .Report diminished antihypertensive effects
D/C med and report S&S of angioedema
Maintain adequate fluid intake



USES: Naphazoline is a decongestant and pheniramine is an

antihistamine. This combination is used to relieve redness,
puffiness, itchy and watering eyes associated with colds, allergies
or eye irritations.


Brand Name: Norvasc Generic Name:Amlodipine

Indications: Alone or with other agents in the management of Hypertension, Angina Pectoris,
and Vasospastic (Prinzmetal’s) Angina.
Drug Classification: Therapeutic: Antihypertensives Calcium Channel Blocker
Mechanism of Action: Inhibits the transport of calcium into myocardial and
vascular smooth muscle cells, resulting in inhibition of excitation – contraction coupling and
subsequent contraction.

Therapeutic Effects: Systematic Vasodilation resulting in decreased blood pressure. Coronary

Vasodilation resulting in decreased frequency and severity of attacks of Angina.

Dosage: PO (Adults): 5-10mg once daily; antihypertensive in fragile or small patients or

patients already receiving other antihypertensives – initiate at 2.5mg/day, increase as
required/tolerated (up to 10mg/day) as an antihypertensive therapy with 2.5mg/day in patients
with hepatic insufficiency.

Side effects: hypotension, palpitations, angina, bradycardia

BN: Rivotril – GN: clonazepam

Class: benzodiazepines,
Clonazepam is used to treat seizure disorders. It helps by slowing
the activity of the nerves in the brain
Dosage: 0.5-2 mg/day

SIDE EFFECTS: clumsiness or unsteadiness, dizziness or

lightheadedness, drowsiness, slurred speech

GENERIC NAME: Morphine sulphate

DOSING: Adult (PO) 10-30mg q4h prn, or 15-30 mg sustained release q8 – 12 h.
THERAPEUTIC EFFECTS: Controls severe pain; also used as an adjunct to
USES: Symptomatic relief of severe, acute and chronic pain after non-narcotic
analgesics have failed and as preanesthetic
medication; also used to relieve dyspnea of acute left ventricular failure and
pulmonary edema and pain of MI
SIDE EFFECTS: depressed respiration, drowsiness, dizziness, blurred