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    Norvasc Drug Card

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    Sheri490
    This document provides information on the medication amlodipine (Norvasc), including its classification as an antihypertensive calcium channel blocker, dosing, mechanisms of action for treating hypertension and angina, nursing implications such as monitoring blood pressure and side effects, and contraindications like hypersensitivity or blood pressure below 90 mm Hg. The summary also outlines teaching points for patients taking this medication regarding dosage changes, monitoring pulse and blood pressure, and signs of potential issues that should be reported to a healthcare provider.

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    Norvasc Drug Card

    Uploaded by

    Sheri490
    5K views1 page
    This document provides information on the medication amlodipine (Norvasc), including its classification as an antihypertensive calcium channel blocker, dosing, mechanisms of action for treating hypertension and angina, nursing implications such as monitoring blood pressure and side effects, and contraindications like hypersensitivity or blood pressure below 90 mm Hg. The summary also outlines teaching points for patients taking this medication regarding dosage changes, monitoring pulse and blood pressure, and signs of potential issues that should be reported to a healthcare provider.

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    Norvasc drug card

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    This document provides information on the medication amlodipine (Norvasc), including its classification as an antihypertensive calcium channel blocker, dosing, mechanisms of action for treating hypertension and angina, nursing implications such as monitoring blood pressure and side effects, and contraindications like hypersensitivity or blood pressure below 90 mm Hg. The summary also outlines teaching points for patients taking this medication regarding dosage changes, monitoring pulse and blood pressure, and signs of potential issues that should be reported to a healthcare provider.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    5K views1 page

    Norvasc Drug Card

    Uploaded by

    Sheri490
    This document provides information on the medication amlodipine (Norvasc), including its classification as an antihypertensive calcium channel blocker, dosing, mechanisms of action for treating hypertension and angina, nursing implications such as monitoring blood pressure and side effects, and contraindications like hypersensitivity or blood pressure below 90 mm Hg. The summary also outlines teaching points for patients taking this medication regarding dosage changes, monitoring pulse and blood pressure, and signs of potential issues that should be reported to a healthcare provider.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    NURS 1566 Clinical Form 3: Clinical Medications Worksheets

    (You will need to make additional copies of these forms)

    Generic Name Trade Name Classification Dose Route Time/frequency


    amlodipine Norvasc Antihypertensive, 2.5 mg PO Q Day
    calcium channel
    blocker
    Peak Onset Duration Normal dosage range
    6-9 hrs Unknown 24 hrs Initiate therapy at 2.5 mg/day, increase as required/tolerated (up to 10
    mg/day).

    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
    Hypertension N/A

    Mechanism of action and indications Nursing Implications (what to focus on)


    (Why med ordered) Contraindications/warnings/interactions
    Inhibits the transport of calcium into myocardial and vascular Hypersensitivity, blood pressure < 90 mm Hg. Use cautiously in:
    smooth muscle cells, resulting in inhibition of excitation- Severe hepatic impairment (dosage reduction recommended), geriatric
    contraction coupling and subsequent contraction. Systemic patients (dosage reduction recommended; increased risk of
    vasodilation resulting in decreased blood pressure. Coronary hypotension), aortic stenosis, history of CHF.
    vasodilation resulting in decreased frequency and severity of Common side effects
    attacks of angina. Headache, peripheral edema.
    Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
    (ask patient specifically) Total serum calcium concentrations are not affected by calcium
    Additive hypotension may occur when used concurrently with channel blockers.
    other antihypertensives (Prinivil, Coreg) or acute ingestion of Be sure to teach the patient the following about this medication
    alcohol. Do not double doses. May need to be discontinued gradually. Instruct
    patient on correct technique for monitoring pulse. Instruct patient to
    contact health care professional if heart rate is <50 bpm. Caution
    patient to change positions slowly to minimize orthostatic hypotension.
    May cause drowsiness or dizziness. Advise patient to avoid driving or
    other activities requiring alertness until response to the medication is
    known. Instruct patient on importance of maintaining good dental
    hygiene and seeing dentist frequently for teeth cleaning to prevent
    tenderness, bleeding, and gingival hyperplasia (gum enlargement).
    Advise patient to notify health care professional if irregular heartbeats,
    dyspnea, swelling of hands and feet, pronounced dizziness, nausea,
    constipation, or hypotension occurs or if headache is severe or
    persistent. Advise patient to take blood pressure weekly and to report
    significant changes to health care professional.
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration assessment) Why would you hold or not give this med? Check after giving
    Monitor blood pressure and pulse before therapy, Blood pressure < 90 mm Hg or heart rate < 50 Decrease in blood pressure.
    during dose titration, and periodically during bpm.
    therapy. Monitor ECG periodically during
    prolonged therapy. Monitor intake and output
    ratios and daily weight. Assess for signs of CHF
    (peripheral edema, rales/crackles, dyspnea, weight
    gain, jugular venous distention).

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