DRUG STUDY

Patient’s Name: Age: Hospital No.: Room No.:

Impression/Diagnosis: Attending Physician:
Allergy to:
Generic &
Dose, Strength Indication/Mechanisms of Drug Adverse/Side Effects Nursing Client
Brand Name, Rationale
& Formulation Action Drug Interaction Responsibilities Teaching
Classification

Generic: Ordered: Indications: Adverse effect: Assessment:

LOSARTAN Give 50mg 1tab, Treatment of hypertension, alone or CNS: Headache, BEFORE: > Take drug
OD in combination with other dizziness, syncope, • Assess patient’s *To obtain baseline without regard to
antihypertensive insomnia health history. data. meals.
Brand: Timing: Agents. CV: Hypotension *To obtain >Do not stop taking
• Assess patient’s
Cozaar 8 am Treatment of diabetic neuropathy Dermatologic: Rash, precautionary this drug without
blood pressure.
with an elevated serum creatinine urticaria, pruritus, measures consulting your
• Assess patient’s
Duration: and proteinuria in patients with type alopecia, dry skin *To know if the health care
renal function.
Classification: unknown 2 (non–insulin-dependent) diabetes GI: Diarrhea, abdominal patient can have this provider.
DURING:
cardiovascular and a history of hypertension pain, nausea, constipation, medication. >Tell patient to
• Monitor *To indicate renal
agent; Other forms: dry mouth patient’s intake take drug at
angiotensin Tablets: 25 mg, 50 Respiratory: URI impairment morning to prevent
and output. *To avoid excessive
II receptor mg, 100 mg Mechanism of Action: symptoms, cough, sinus • Administer insomnia at night.
antagonist; Selectively blocks the binding of disorders urination at night. >Stop medication if
drug at
antihypertensive angiotensin II to specific tissue Other: Back pain, fever, daytime. adverse reaction
receptors found in the vascular gout, muscle weakness AFTER: occur, notify
smooth muscle and adrenal gland; prescriber
• Be alert for *to establish proper
this action blocks the Interactions immediately.
adverse precautionary
vasoconstriction effect of the renin- Drug-drug
reaction. measures.
angiotensin system as well as the Decreased serum levels
release of aldosterone leading to and effectiveness if taken • Monitor *To know if the
decreased blood pressure. concurrently with patient’s patient can sleep
phenobarbital sleeping well.
Losartan is converted to an pattern.
active metabolite by Nursing Diagnosis:
cytochrome P450-3A4. >Risk for injury
Drugs that inhibit 3A4 related to presence of
(ketoconazole, hypertension
fluconazole, diltiazem) >Sleep deprivation
may decrease the
antihypertensive effects of
losartan.
related to drug
induced insomnia.
>deficient
knowledge related to
drug therapy.