Patient Medication Profile

11 November 2009

U.L.M 64 y/o

Allergies: Adhesive Tape & IVP Dye

Medication Normal dose range. Action of drug 1. Therapeutic effects 1. Adverse reaction /
expected side effects possible
as ordered: Safe dose?
2. Why is patient 2. Patient teaching
name/class/dose
receiving med?
3. Patient’s response to
med

Fluoxetine/Antidepressants/20mg
daily.
20-80mg daily Selectively inhibits the Anti depressant action Anxiety, drowsiness,
reuptake of serotonin in and decreased weight loss.
the CNS. behaviors associated Patient should change
position slowly to
Yes with panic disorders
minimize dizziness.
and bulimia.
An increase in well
being.

Depression

Diltiazem/Antianginal, Up to 360mg daily Inhibits transport of Systemic vasodilation Abnormal dreams,

Antiarrhythmics, calcium into myocardial resulting in decreased confusion, nervousness
Antihypertensives/180mg daily & vascular smooth blood pressure.
Patient should not
Yes muscle cells, resulting in
drink large amounts of
inhibition of excitation –
grapefruit juice.
contraction coupling and Hypertension
 subsequent contraction. Decrease in blood
pressure.

Aspirin/Antipyretics, Nonopioid
Analgesics/Salicylates/81mg daily
80-325mg daily Decreases platelet Decreased incidence of Tinnitus, dyspepsia
aggregation. transient ischemic
Patient should avoid
attacks and MI.
effervescent tablets
Yes
or buffered aspirin
preparations.

Prevention of ischemic
attacks.

Bisacodyl/Laxatives,Stimulant 10mg daily Stimulates peristalsis. Evacuation of the colon Abdominal cramps,
Laxatives/10mg daily (bowel movement) diarrhea, rectal
burning.

Yes
Patient should increase
Constipation
fruit & fiber intake and
fluid intake.

Patient having soft,

formed bowel
movement.

Potassium Chloride/Mineral & 40-100mEq a day To maintain balance, Replacement and Confusion,
Electrolyte isotonicity, and prevention of restlessness, weakness.
replacements/Supplements/40mEq electrophysiologic deficiency.
Patient should not chew
twice a day Yes balance of the cell.
tablets to avoid GI
irritation.
Hypokalemia
 Correction of serum
potassium depletion.

Gabapentin/Angalgesic adjuncts, 300mg up to 800mg a Mechanism of action is Decreased incidence of Depression, confusion,
Anticonvulsants, Mood day unknown, however; it seizures and post drowsiness.
stabilizers/600mg four times a may affect transport of herpetic pain.
Patient should not take
day amino acids and
antacids within two
Yes stabilize neuronal
hours of taking
membrane. Chronic pain
Gabapentin.

Decreased intensity of
pain.

Aluminum Hydroxide/Antiulcer 5-30mL 3 to 6 times a Binds phosphate in the Lowering of serum Indigestion and
agents/Hypophosphametics/30mL day GI tract and neutralizes phosphate levels and constipation.
every hour/prn gastric acid and healing of ulcers and
Patient should check
inactivates pepsin. decreased pain
food labels for sodium
Yes associated with ulcers
content.
and gastric
hyperacidity. A decrease in GI pain
and irritation.

Gastric ulcers

Nitroglycerin/Antianginals/0.4mg 0.3-0.6mg every 5 Increases coronary Reduction of blood Dizziness,

prn every 5 minutes
minutes for 15 blood flow by dilating pressure and increased apprehension,
minutes coronary arteries and cardiac output. abdominal pain.
improving collateral flow
Patient should
to ischemic regions.
immediately call the

Morphine Sulfate/Opioid
analgesics, Opioid agonists/15mg
every four hours/prn
Simvastatin/Antilipidemic/20mg
at bedtime
Yes Hypertension and Fem doctor if blurred vision
Bypass. or dry mouth occurs.
An increase in activity
tolerance.
30mg every three to Depresses pain impulse Decreased pain. Drowsiness,
four hours transmission at the Bradycardia, confusion.
spinal cord level by
Tell patient that
interacting with opioid Stage III Pressure
drowsiness, dizziness,
Yes receptors. Ulcer, skin grafts,
and confusion are
chronic pain
common side effects.
Decreased Pain
5 to 80mg once a day Inhibits HMG-CoA Decrease in cholesterol Headache, constipation,
reductase enzyme which levels. diarrhea.
reduces cholesterol
Patient to lower risk
Yes synthesis; this enzyme
factors i.e. high fat
is needed for Hypertension
diet and smoking.
cholesterol production.
A decrease in
cholesterol levels and
improved ration with
HDL’s.