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Medication Dose / Route / Drug Class Actions Side Effects / Nursing Reason Patient Comments

Name Time Adverse Implications is Prescribed


Reactions Medication

ACE Inhibitors

Benazepril ACE Inhibitor, Anti- Block the conversion Fatigue, drowsiness, Monitor BP &pulse, Control of HTN N/A
Captopril Hypertensive of Angiotensin I to headache, cough, assess for
Enalapril / the vasoconstrictor dypsnes, angioedema
Enalaprilat Angiotensin II hypotension, (dypsnea, facial
tachycardia, chest swelling), FVE, &
Fosinopril
pain, edema weight gain
Lisinopril
Moexipril
Perindopril
Quinapril
Ramipril
Trandolapril
Beta-Blockers

Carteolol Beta-Blocker, Anti- Blocks stimulation of Fatigue, depression, Monitor BP & pulse; Control of HTN, Non-Selective
Carvedilol Hypertensive beta (myocardial, mental status monitor I/O & daily prevent MI
Labetalol pulmonary, vascualr, changes; respiratory weight. Assess for
Nadolol uterine) adrenergic irregularities, FVE
receptor sites; bradycardia, CHF,
Penbutolol
decreases heart rate pulmonary edema.
Pindolol & blood pressure Constipation/
Propranolol diarrhea/nausea,
Timolol hyperglycemia

Acebutolol Beta-Blocker, Anti- Blocks beta Fatigue, depression, Assess hepatic and Control of HTN, Selective
Atenolol Hypertensive myocardial mental status renal functioning, prevent MI
Betaxolol adrenergic changes; respiratory BP, respiratory
Bisoprolol stimulation to reduce irregularities, fuctioning, CHF
blood pressure and bradycardia, CHF, (FVR, rales,
Metoprolol
heart rate. pulmonary edema. crackles, peripheral
Nebivolol Constipation/ edema), history of
diarrhea/nausea, diabetes
hyperglycemia

Calcium Channel Blockers

Amlodipine Calcium Channel Reduces excitation- Dyspnea, anxiety, Monitor BP, pulse, Treatment of HTN, N/A
Diltiazem Blocker contraction of headache, EKG, I/O, daily and Angina
Felodipine cardiac muscle by drowsiness, weight, respiratory
Isradipine blocking calcium arrhytmia, CHF, distress
entering cardiac bradycardia,
niCARdipine
muscle hypotension
NIFEdipine
Nisoldipine

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Calcium Channel Reduces excitation- Dyspnea, anxiety, Monitor BP, pulse, Treatment of HTN, N/A
Blocker contraction of headache, EKG, I/O, daily and Angina
cardiac muscle by drowsiness, weight, respiratory
Medication Dose / Route / Drug Class Actions
blocking calcium
Side Effects /
arrhytmia, CHF,
Nursing
distress
Reason Patient Comments
Name Time entering cardiac Adverse
bradycardia, Implications is Prescribed
muscle Reactions
hypotension Medication

Verapamil

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Medication Dose / Route / Drug Class Actions Side Effects / Nursing Reason Patient Comments
Name Time Adverse Implications is Prescribed
Reactions Medication

Rapid Acting Insulins

Insulin Aspart Anti-Diabetic Lower blood glucose Hypoglycemia, Assess for side Diabetes HIGH RISK DRUG - REQUIRES CO-
(Novolog) (RAPID by stimulating erythema, effect symptoms. Management SIGNATURE; ADMINISTER WITHIN 5
ACTING: Onset: glucose uptake in lipodystrophy, Monitor glucose TO 10 MINUTES BEFORE A MEAL
<15 min; Peak: 1-2 skeletal muscle and pruritis, swelling, levels, weight, labs,
hrs; Duration: 3-4 fat; inhibits hepatic allergic reactions tox. Assess for
hrs) glucose production. including severe : anxiety, tingling in
anaphylaxis hands, feet, tongue.
Insulin Lispro
(Humalog) (RAPID
ACTING: Onset:
<15 min; Peak: 1-2
hrs; Duration: 3-4
hrs)

Insulin Glulisine
(Apidra) (RAPID
ACTING: Onset:
<15 min; Peak: 1-2
hrs; Duration: 3-4
hrs)

Short Acting Insulins

Regular Insulin Anti-Diabetic Lower blood glucose Hypoglycemia, Assess for side Diabetes HIGH RISK DRUG - REQUIRES CO-
(Novolin R) (SHORT by stimulating erythema, effect symptoms. Management SIGNATURE; ADMINISTER WITHIN 30
ACTING: Onset: glucose uptake in lipodystrophy, Monitor glucose TO 60 MINUTES BEFORE A MEAL
30-60 min; Peak: 2- skeletal muscle and pruritis, swelling, levels, weight, labs,
3 hrs; Duration: 3-6 fat; inhibits hepatic allergic reactions tox. Assess for
hrs) glucose production. including severe : anxiety, tingling in
anaphylaxis hands, feet, tongue.
Regular Insulin
(Humulin R)
(SHORT ACTING:
Onset: 30-60 min;
Peak: 2-3 hrs;
Duration: 3-6 hrs)

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Medication Dose / Route / Drug Class Actions Side Effects / Nursing Reason Patient Comments
Name Time Adverse Implications is Prescribed
Reactions Medication

Intermediate Acting Insulins

NPH (Humulin N) Anti-Diabetic Lower blood glucose Hypoglycemia, Assess for side Diabetes HIGH RISK DRUG - REQUIRES CO-
(INTERMEDIATE by stimulating erythema, effect symptoms. Management SIGNATURE
ACTING: Onset: 2- glucose uptake in lipodystrophy, Monitor glucose
4 hrs; Peak: 4-10 skeletal muscle and pruritis, swelling, levels, weight, labs,
hrs; Duration: 10- fat; inhibits hepatic allergic reactions tox. Assess for
16 hrs) glucose production. including severe : anxiety, tingling in
anaphylaxis hands, feet, tongue.
NPH (Novolin N)
(INTERMEDIATE
ACTING: Onset: 2-
4 hrs; Peak: 4-10
hrs; Duration: 10-
16 hrs)

Long Acting Insulins

Insulin Detemir Anti-Diabetic Lower blood glucose Hypoglycemia, Assess for side Diabetes HIGH RISK DRUG - REQUIRES CO-
(Levemir) (LONG by stimulating erythema, effect symptoms. Management SIGNATURE
ACTING: Minimal glucose uptake in lipodystrophy, Monitor glucose
Peak; Duration: Up skeletal muscle and pruritis, swelling, levels, weight, labs,
to 24 hrs) fat; inhibits hepatic allergic reactions tox. Assess for
glucose production. including severe : anxiety, tingling in
Insulin Glargine anaphylaxis hands, feet, tongue.
(Lantus) (LONG
ACTING: No Peak;
Duration: Up to 24
hrs)

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