DRUG THERAPEUTIC RECORD

Brand Name Drug Classification INDICATIONS ADVERSE EFFECTS NURSING RESPONSIBILITIES

General:
Loop Diuretic
Lasix  Oral, IV; edema
associated with heart Muscle cramps, weakness, Before:
Pregnancy Category / failure, cirrhosis, renal unusual tiredness,  Check doctor’s order
Generic Name disease, hypertension  Assess allergy to furosemide,
Pregnancy / Lactation confusion, severe
 Iv: acute pulmonary dizziness, fainting,
sulfonamides, tartrazine
Furosemide edema  Do not mix parenteral solution
drowsiness, unusual dry with ph below 3.5
Route of Patient’s Actual
indication: mouth/thirst, nausea,  Do not expose to light, whihci
Administration & Pregnancy category: C may discolour tablets or
Furosemide is given to vomiting, fast/irregular
Dose Lactation: Drug excreted solution
patient to treat acute heartbeat.
injectable solution into breast milk; use with  Educate the patient about the
caution; may inhibit pulmonary congestion purpose and importance of the
and hypertension drug
 10mg/mL lactation
Contraindication / During:
Precaution / Side Effects  Check the patency of the IV
oral solution site and IV line
Interactions
 Give early in the day so that
Mechanism of Action Contraindicated with increased urination will not
 10mg/mL
allergy to furosemide, disturb sleep
 8mg/mL
Inhibits reabsorption of sulphomides; allergy to  Administer the right dose at
tartrazine; anuria; the right time
sodium and chloride from  Measure and record weight to
Frequency the proximal and distal severe renal failure; monitor fluid changes
tubules and ascending hepatic coma;
PO (Adults): 20–80 limb of the loop of Henle, pregnancy; lactation After:
mg/day as a single dose Dizziness,  Monitor blood glucose levels
leading to a sodium-rich
Precation: Use lightheadedness, headache,  Arrange to monitor serum
initially, may repeat in 6–8 dieresis
electrolytes, hydration, liver
hr; may ↑ dose by 20–40 cautiously with SLE or blurred vision may and renal function
mg every 6–8 hr until Onset: 5 min gout, diabetes mellitus occur as your body adjusts  Arrange for potassium-rich
desired response. Peak: 30 min to the medication diet or supplement potassium
as needed
Maintenance doses may Duration: 2 hrs
 Report loss or gain of more
be given once or twice Metabolism: hepatic 30- than 1.5 kg in a day, swelling
daily (doses up to 2.5 60min in your ankles or fingers,
g/day have been used in Distribution: crosses unusual bleeding or bruising
patients with HF or renal placenta; enters breast  Document and record
disease). milk
Excretion: feces, urine

Reference: Davis's Drug Guide for Nurses Sixteenth Edition

 DRUG THERAPEUTIC RECORD

Brand Name Drug Classification INDICATIONS ADVERSE EFFECTS NURSING RESPONSIBILITIES

Pharmacologic: Beta1- General: hypertension Before:
selective adrenergic along with other drugs  Check doctor’s order
Tropolol XL blocker esp diuretics. Prevention  Review medication
Therapeutic: of reinfarction of MI record
Antihypertensive patients who are  Record VS, esp. BP and
Pregnancy Category / hemodynamically stable HR
Generic Name or within 3-10 days of the  Note for dizziness,
Pregnancy / Lactation
acute MI fatigue, and dyspnea.
Metoprolol  Determine
Patient’s actual hypersensitivity
Route of indication: Metropolol is During:
Administration & Pregnancy category: C given to patient for the  Introduce self to client
Dose treatment of pregnancy-  Confirm client’s identity
Usual Adult Dose for induced hypertension  Read drug label
Hypertension: Contraindication /  Inform drug’s therapeutic
Precaution / Side Effects effect
Metoprolol Tartrate Interactions  Inform for side effect
Immediate Release Mechanism of Action Drug hypersensitivity, After:
Tablets: sinus bradycardia,  Evaluate therapeutic
Initial dose: 100 mg orally Beta blockers, also known greater than firs-degree response
per day in single or as beta-adrenergic
heart block, cardiogenic  Watch for adverse effects
divided doses blocking agents, are
shock, or overt cardiac  Tell patient to inform
medications that reduce
failure when used to prescriber if shortness of
Maintenance dose: 100 to your blood pressure. Beta treat hypertension or breath occurs.
450 mg orally per day. blockers work by blocking
angina. When used to  Inform patient that use of
the effects of the hormone
treat MI, metropolol isn’t advised
Metoprolol Succinate epinephrine, also known
contraindicated in in breastfeeding women
Extended Release Tablets: as adrenaline. Beta patients with heart rate  Document and record
Initial dose: 25 to 100 mg blockers cause your heart of less than 45 bmp, findings.
orally once a day to beat more slowly and
greater than first
with less force, which
degree heart block,
Maintenance dose: 100 to lowers blood pressure. systolic blood pressure
400 mg orally once a day. less than 100 mm Hg,
or moderate to severe
 Frequency

Once daily cardiac failure.

Precautions: Patient’s
with heart failure,
diabetes, respiratory or
hepatic disease

Reference: Davis's Drug Guide for Nurses Sixteenth Edition