DRUG STUDY

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Patient Initial: V.D Age: _69______ Date: 09/27/2024 Student Name: _Geni Claire F. Bacasno_________________ _________.
Score:
Admitting Diagnosis/Current/Medical Diagnosis:
_____________________________________________________________________________________________________________
DRUG CLASSIFICATION MECHANISM OF INDICATIO CONTRAIND ADVERSE NURSING RESPONSIBILITIES
NAME ACTION N ICATION REACTION
(5 pts.) (15 pts.)
(5 pts.) (10 pts.) (5 pts.) (5 pts.) (5 pts.)
Generic Pharmacotherap Therapeutic Effect: Hypertensi Hypersensit 1. Severe Before:
name: eutic: on ivity to drowsin - Assess vital signs, particularly
Dilates coronary blood pressure and heart rate
amlodipine. ess
Amlodipine Calcium Channel arteries, peripheral
blocker arteries/arterioles. During:
(dihydropyridine). Decreases total - Keep the patient's bed in a low
Brand peripheral vascular position, ensure fall precautions
Clinical:
Name: resistance and B/P by are in place, and maintain a
Antihypertensive, vasodilation. hazard-free environment (e.g.,
Norvasc remove clutter) to reduce the risk
antianginal.
Absorption of injury.
Dosage:
Onset: 30 mins to 1 - Encourage the patient to stay
5mg hydrated, as dehydration may
hour
worsen drowsiness.
Frequency: - Place the patient lying in bed and
Duration: 24 hours
Once a day use 2-3 pillows to mimic a semi-
Peak plasma time: Fowler’s position to facilitate
Between 6 to 12 hours comfort and circulation.
 post-dose. After
- If severe drowsiness persists or
Route: worsens, hold the next dose of
Oral When administered Amlodipine and notify the
orally, calcium healthcare provider immediately.
- Record all assessments,
channel blockers are
interventions, and the patient’s
absorbed quickly and 2. Changes response to the interventions and
almost in encourage the patient to have a
cardiac check-up.
completely. Because
conducti
of the first-pass
on Before
effect, however, the
- Check the patient's heart rate,
bioavailability of
blood pressure, and respiratory
these drugs is much rate. Amlodipine can cause
lower. Food hypotension and bradycardia, so
decreases close monitoring is critical.
amlodipine - Regularly auscultate heart sounds
absorption by 30%. for irregular rhythms or other
Calcium channel abnormalities.
blockers are highly
bound to plasma During
proteins. All calcium - Place the patient in bed and use
channel blockers are 2-3 pillows to mimic a semi-
metabolized rapidly Fowler's position to enhance
cardiac function and comfort.
and almost
- Stop or hold Amlodipine if
completely in the
significant changes in cardiac
liver and are conduction are noted (e.g., heart
primarily excreted in block or severe bradycardia), and
urine. notify the healthcare provider
immediately.

Half-life: 30–50 hrs After

- Educate the patient and family
about the signs and symptoms of
changes in cardiac conduction,
such as palpitations, chest pain,
3. Dyspnea dizziness, or syncope and advise
the patient to report any recurring
Source: symptoms immediately, especially
after resuming medications.
Sounders Nursing Drug
Handbook 2021. Before:
- Assess respiratory status, check
the respiratory rate, depth, effort,
‌ and pattern. - Auscultate lung
sounds for any abnormalities like
crackles or wheezing.
- Assess vital signs, such as blood
pressure, heart rate and oxygen
saturation as Amlodipine can
cause hypotension, which may also
lead to shortness of breath.

During:
-Stop further administration of
Amlodipine immediately and notify
the healthcare provider for further
instructions, especially if the
 dyspnea is severe or rapidly
worsening.
- Position the patient in a semi-
4. Unusual Fowler’s or high Fowler’s position
fatigue to maximize lung expansion and
ease breathing.
and
weaknes
After:
s. - Inform the patient about activity
limitations during episodes of
dyspnea.

Before:
- Assess the level of fatigue, Ask
the patient to describe the
severity, onset, and any associated
symptoms (e.g., dizziness,
weakness).
- Monitor vital signs, including
blood pressure and heart rate, as
Amlodipine can cause hypotension,
which may lead to fatigue.

During:
- If fatigue is significant or
worsening, withhold the next dose
of Amlodipine and notify the
healthcare provider.
- Use 2-3 pillows to keep the
 patient in a comfortable position
(semi-Fowler’s or Fowler’s) to
reduce any strain and promote
relaxation.
- Encourage small, frequent meals
rich in nutrients to support energy
levels and monitor hydration, as
dehydration can exacerbate
fatigue. Ensure the patient drinks
adequate fluids unless
contraindicated by their condition.
- Encourage the patient to take
rest periods throughout the day to
avoid overexertion.

After:
- Document the patient’s level of
fatigue, any associated symptoms,
interventions performed, and the
patient’s response to the
interventions.
Comments:

Submitted by: Checked/Evaluated by:

____________________________ _________________________________
Student’s Name and signature Clinical Instructor Name and signature