Date Ordered 02/16/2012

Medication Vastarel MR (Trimetazidi ne) 35 mg/tab, bid

Action Physiologic Action: Acts by directly counteracting all the major metabolic disorders occurring within the ischemic cell. Pharmacologic Action: Anti-angina

Indication Acute anginal attack.

Nursing Considerations Check for doctors order. Monitor Blood pressure and pulse rate before and after giving the medication. Notify prescribing signs of heart failure such as swelling of hands and feet or SOB

Date Ordered 02/16/2012

Medication Calcium Carbonate 500 mg, tid

Action Physiologic Action: Calcium Carbonate can neutralize gastric acid rapidly and effectively, Pharmacologic Action: Antacid

Indication Hypocalcemi a; Hyperacidity

Nursing Considerations Give the medication 1 to 1 after meals. Dont give patients foods containing oxalic acid, phytic acid, and phosphorus because inter action may interfere with calcium absorption. Observe for signs and symptoms of hyperkalemia

Date Ordered 02/16/2012

Medication Clopidogrel (Plavix) 75 mg, od

Action Physiologic Action: Inhibits platelet aggregation by blocking ADP receptors on platelets, preventing clumping of platelets. Pharmacologic Action: Anticoagulants; Antiplatelets & Fibrinolytics (Thrombolytics)

Indication Treatment of patients at risk for ischemic eventshistory if MI., ischemic stroke, peripheral artery disease. Treatment of patients with acute coronary syndrome.

Nursing Considerations Assess for symptoms of stroke, MI during treatment. Monitor liver function studies: AST, ALT, bilirubin, creatinine if patient is on longtreatment Monitor blood studies: CBC, Hgb, Hct, cholesterol if the patient is on longtherapy; thrombocytopenia ad neutropenia may occur.

Date Ordered 02/16/2012

Medication Arixtra 25 mg, OD

Action Physiologic Action: It is an antithrombotic drug that selectively binds to antithrombin III (AT III); thus potentiating the neutralization of Factor Xa. Nutralization of Factor Xa disrupts the blood coagulation cascade, which inhibits thrombin formation and thrombus development Pharmacologic Action: Anti-thrombotic

Indication Deep venous thrombosis, acute, in conjunction with warfarin sodium; Acute ST segment elevation MI

Nursing Considerations Check for an adverse effect of rash on the injection site; fever and anemia (bleeding)

Date Ordered 02/16/2012

Medication

Action

Indication Treatment of GI disorders

Nursing Considerations Monitor Vital signs. HR is a sensitive indicator of patients response to atropine. Be alert to changes in quality, rate, and rhythm of HR and respiration and to changes in BP and temperature. Monitor I & O,

Atropine So4 Physiologic Action: Antagonizes the muscarine- like activity of acetylcholine and other choline esters. Pharmacologic Action: Anti- cholinergic

especially in older adults and patients who have had surgery (drug may contribute to urinary retention). Palpate lower abdomen for distention. Have patient void before giving atropine.

Date Ordered 02/16/2012

Medication Terbutaline 5 mg q4

Action Physiologic Action: In low doses, acts relatively at betaadrenergic receptors to cause bronchodilation. At higher doses, beta selectively is lost and the drug acts at beta receptors to cause typical sympathomimetic cardiac effects Pharmacologic Action: Anti asthmatic, broncho dilator

Indication Prophylaxis and treatment of bronchial asthma

Nursing Considerations Use minimal doses for minimal periods of time, drug tolerance can occur with prolonged use. Keep a betablocker, such as atenolol readily available in case cardiac dysrrythmias occur.