:: Sindhu's Medical News ::

NewsNews
:: greetings! :: bloghome |Dr. Sanjay Gupta Web Site | Sindhu's Medical News ::

My Inspiration

  • CNN

  • Dr. Gupta

  • Dr. Gupta 2

  • Prettyboy Bachelors

  • 2004 Election

  • Nashville News

  • George P. Bush

  • Prince Ali

  • Prettyboys

  • Hooked Fish

  • Royal Men

  • Talk of Men

  • People Talk Blog

  • New Hot Men Blog

  • News In Spainsh

  • Small World

  • Royal Men

  • 1Angry Dwarf & 200Solemn Faces

  • R U GAY?

  • Favorite Presidential Candidate

  • Favorite News Men

  • Strange Politics

  • Prettyboys

  • Prettyboy Bachelors

  • Boys I Like

  • Gett'in Silly With CNN Men

  • The Men of CNN Comic Page

  • CNN FUNNY

  • Beautiful CNN Men

  • Infohunks

  • Guava's Great Fun Page

  • Sindhu's Medical News

  • Hooked Fish

  • Kennedys, Shrivers, & Lawford Men

  • Bobby Shriver&Family

  • Nashville Famous Folks Page

  • A Walk Though Nashville 1

  • A Walk Though Nashville 2

  • Famous Nashville Folks Page 1
  • Famous Nashville Folks Page 2
  • Famous Nashville Folks Page 3
  • Famous Nashville Folks Page 4
  • Martin's Music Arts Page

  • Dr. Sanjay Gupta Web Site

  • Kris Osborn Web Site

  • Ash-har Quraishi Web Site

  • Bill Hemmer Web Site

  • John King Web Site

  • Tucker Carlson Web Site

  • Anderson Cooper Web Site

  • Thomas Roberts Web Site

  • Wolf Blitzer Web Site

  • Jack Cafferty Web Site

  • Leon Harris Web Site

  • Larry King Web Site

  • Richard Quest Web Site

  • John Vause Web Site

  • Dan Abrams Tiny Hiney diary links

  • News Prettyboys Mindsay

  • Keith Brekhus for Office

  • Unofficial Blog For Bush

  • Unofficial Blog For Dean

  • 2004 Election Debate Blog

  • 2004 Election Debate Blog Part 2

  • Election 2004

  • 2004 Election Comment Website

  • Official Blog For Kerry

  • Official Blog for Dean

  • Ann's Favorite Links

  • Ann's Real Estate Site

  • Go Sign My Guestbook

  • Site Meter

    This page is powered by Blogger. Isn't yours?

  • [::..archive..::]
    07/20/2003 - 07/27/2003 07/27/2003 - 08/03/2003 08/03/2003 - 08/10/2003 08/10/2003 - 08/17/2003 08/24/2003 - 08/31/2003 08/31/2003 - 09/07/2003 09/07/2003 - 09/14/2003 09/14/2003 - 09/21/2003 09/21/2003 - 09/28/2003 11/09/2003 - 11/16/2003 03/21/2004 - 03/28/2004
    [::..recommended..::]
    Sindhu's News: 2,636
    Give In To Grey [>]
    deadatseven [>]
    lyrics depot [>]

    :: Wednesday, September 17, 2003 ::

    thiazide diuretics

    bendroflumethiazide (naturetin) htttp://www.drugdigest.org/DD/DVH/Uses/0,3915,6343%7CNadolol+and+Bendroflumethiazide,00.html

    benzthiazide (exna) http://www.usadrug.com/IMCAccess/ConsDrugs/Benzthiazidecd.shtml

    chlorothiazide (diuril) http://www.merck.com/product/usa/pi_circulars/d/diuril/diuril_orlsus_pi.pdf

    hydrochlorothiazide (hydrodiuril) http://www.drugdigest.org/DD/DVH/Uses/0,3915,325%7CHydroDIURIL,00.html

    hydroflumethiazide (saluron, diucardin) http://www.pharmacynetworkgroup.com/d/diucardin-description.htm

    methyclothiazide (aquatensen, enduron) http://www.drugdigest.org/DD/DVH/Uses/0,3915,435%7CAquatensen,00.html

    polythiazide (renese) http://www.pharmacynetworkgroup.com/d/renese-description.htm


    thiazide like diuretics

    chlorthalidone (hygroton, thalitone) http://www.pharmacynetworkgroup.com/i/hygroton-indications-dosage.htm

    indapamide (lozol) http://www.pharmacynetworkgroup.com/d/lozol-description.htm

    metolazone (zaroxolyn) http://www.drugdigest.org/DD/DVH/Uses/0,3915,445%7CZaroxolyn,00.html

    quinethazone (mykrox, hydromox) http://www.usadrug.com/IMCAccess/ConsDrugs/Quinethazonecd.shtml


    description

    increased sodium and water excretion by inhibiting sodium reabsorption in the distal tubule of the kidney.

    used for hypertension and peripheral edema.
    used in clients with normal renal function
    not effective for immediate diuresis
    contraindicated in renal failure
    used with caution in the client taking lithium because lithium toxicity can occur
    used in caution in the client taking digoxin, corticosteroids, and hypoglycemic medications

    side effects

    hypercalcemia, hyperglycemia, hyperuricemia
    hypokalemia, hyponatremia
    hypovolemia
    hypotension
    headaches
    nausea, vomiting
    constipation
    rashes
    photosensitivity
    blood dyscrasias


    implementation

    monitor vital signs
    monitor weight
    monitor urine output
    monitor electrolytes, glucose, calcium and uric acid levels
    check peripheral extremities for edema
    instruct the client to take medication in the morning to avoid nocturia and sleep interruption
    instruct the client how to record the BP
    instruct the client to eat foods rich in potassium
    instruc the client on how to take potassium supplements if prescribed
    instruct the client to take medication with food to avoid GI upset
    instruct the client to change positions slowly to prevent orthostatic hypotension
    instruct the client to use sunscreen when in direct sunlight
    instruct the client with diabetes mellitus to have the blood glucose checked periodically.

    :: Sindhu's Medical News @ 8:07 PM [+]

    ...
    :: Tuesday, September 16, 2003 ::
    loop diuretics

    furosemide (lasix) http://www.aventis-us.com/PIs/lasix_TXT.html#

    bumetanide (bumex) http://www.rocheusa.com/products/bumex/pi.pdf

    torsemide (demadex) http://www.rocheusa.com/products/demadex/pi.pdf

    ethacrynic acid (edecrin) http://www.merck.com/product/usa/pi_circulars/e/edecrin/edecrin_pi.pdf


    description

    inhibit sodium and chloride reabsorption from the loop of henle and the distal tubule
    they have little effect on the blood glucose; however, they cause marked depletion of water and electrolytes, increased uric acid levels, and cause the excretion of calcium
    are more potent than the thiazide diuretics causing rapid diuresis thus decreasing vascular fluid volume, decreasing cardiac output and blood pressure.
    used for hypertension, edema associated with CHF, hypercalcemia, and renal disease,
    used with caution in the client taking digoxin and lithium
    used with caution in the client taking aminoglycosides, anticoagulants, corticosteroids, and amphoterecin B

    side effects

    hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia
    hypochloremia
    thrombocytopenia
    hyperuricemia
    orthostatic hypotension
    skin disturbances
    ototoxicity and deafness
    thiamine deficiency
    dehydration


    implementation

    monitor vital signs
    monitor weight
    monitor urine output
    monitor electrolytes, calcium, magnesium, and uric acid levels
    check the peripheral extremities for edema
    monitor for signs of digoxin and lithium toxicity if the client is on these medications
    instruct the client to take the medicaiton in the morning to prevent nocturia and sleep disruption
    instruct the client on how to record the BP
    instruct the client to eat foods rich in potassium
    instruct the client to take potassium supplements as prescribed
    instruct the client to take medication with food to prevent GI upset
    instruct the client to change positions slowly to prevent orthostatic hypotension



    :: Sindhu's Medical News @ 6:43 PM [+]

    ...
    osmotic diuretics

    mannitol (osmitrol) http://www.drugs.com/xq/cfm/pageID_0/brand_Mannitol/qx/index.htm

    urea (ureaphil) http://www.drugs.com/xq/cfm/pageID_0/htm_001673/type_pros/bn_Ureaphil/micrpro_medex/qx/index.htm


    description

    increase osmotic pressure of the glomerular filterate, inhibiting reabsorption of water and electrolytes.
    used for oliguria and to prevent renal failure
    used to decrease intracranial pressure
    used to decrease intraocular pressure in narrow angle glaucoma.
    mannitol is used with chemotherapy to induce diuresis

    side effects

    fluid and electrolyte imbalances
    pulmonary edema from the rapid shifts of fluid
    nausea and vomiting
    tachycardia from rapid fluid loss
    hyponatremia and dehdyration


    implementation

    monitor vital signs
    monitor weight
    monitor urine output
    monitor electrolyte levels
    monitor lung and heart sounds for pulmonary edema
    monitor for signs of dehydration
    monitor neurological status
    assess for signs of decreasing intracranial pressure if appropriate
    change the client's position slowly to prevent orthostatic hypotension



    :: Sindhu's Medical News @ 4:46 PM [+]

    ...
    carbonic anyhydrase inhibitors

    acetazolamide (diamox) http://www.wyeth.com/content/ShowLabeling.asp?id=96

    dichlorphenamide (daranide) http://www.drugdigest.org/DD/DVH/Interactions/0,10923,550569%7CDaranide,00.html

    methazolamide (neptazane) http://www.wyeth.com/content/ShowLabeling.asp?id=120


    description

    block the action of the carbonic enzyme anyhydrase needed to maintain acid-base balance.
    inhibition of this enzyme, carbonic anyhydrase, cause increased sodium, potassium, and bicarbonate excretion
    metabolic acidosis can occur with prolonged use
    used to decrease intraocular pressure in open angle (chronic) glaucoma, to produce diuresis, and produce epilepsy
    used to treat metabolic alkalosis
    contraindicated in narrow angle or acute glaucoma.

    side effects

    hyperglycemia, hyperuricemia, hypercalcemia
    hypokalemia
    anorexia, nausea, vomiting
    orthostatic hypotension
    renal calculi
    hemolytic anemia.


    implementation

    monitor vital signs
    monitor weight
    monitor urine output
    monitor electrolytes, glucose, calcium and uric acid levels
    monitor mental status
    instruct the client to monitor for signs of renal calculi



    :: Sindhu's Medical News @ 3:41 PM [+]

    ...
    potassium sparing diuretics

    spironolactone (aldactone) http://www.pfizer.com/download/uspi_aldactone.pdf

    amiloride (midamor) http://www.merck.com/product/usa/pi_circulars/m/midamor/midamor_pi.pdf

    triamterene (dyrenium) http://www.pharmacynetworkgroup.com/d/dyrenium-description.htm

    amiloride hydrochloride and hydrochlorothiazide (moduretic) http://www.merck.com/product/usa/pi_circulars/m/moduretic/moduretic_pi.pdf

    spironolactone and hydrochlorothiazide (aldactazide) http://www.pharmacynetworkgroup.com/d/aldactazide-description.htm


    description

    act on the distal tubule to promote sodium and water excretion and potassium retention
    used for edema and hypertension; to increase urine output; to treat fluid retention and overload associated with CHF, hepatic cirrhosis, or nephrotic syndrome; and for diuretic induced hypokalemia.
    contraindicated in severe kidney or hepatic disease or in severe hyperkalemia
    used with caution in the client with diabetes mellitus
    used with caution in the client taking antihypertensives and lithium.
    used with caution in the client taking angiotensin converting enzyme inhibitors, because hyperkalemia can result
    used with caution in the client taking potassium supplements


    side effects

    hyperkalemia
    nausea, vomiting, diarrhea
    rash
    dizziness
    headache
    dry mouth
    photosensitivity
    anemia
    thrombocytopenia


    implementation

    monitor vital signs
    monitor urine output
    monitor for signs and symptoms of hyperkalemia such as nausea, diarrhea, abdominal cramps, tachycardia followed by bradycardia, peaked narrow T wave on the electrocardiogram (ECG) or oliguria
    monitor for a potassium level greater than 5.1 mEq/L which indicates hyperkalemia
    instruct the client to avoid foods high in potassium
    instruct teh client to avoid exposure to direct sun-light
    instruct the client to monitor for signs of hyperkalemia
    instruct the client to avoid salt substitutes because they contain potassium
    instruct the client to take with or after meals to decrease GI irritation


    :: Sindhu's Medical News @ 10:19 AM [+]

    ...
    peripherally acting alpha-adrenergic blockers

    doxazosin mesylate (cardura) http://www.pfizer.com/download/uspi_cardura.pdf

    prazosin (minipress) http://www.pharmacynetworkgroup.com/i/minipress-indications-dosage.htm

    terazosin (hytrin) http://www.rxabbott.com/pdf/hytrin.PDF

    guanadrel (hylorel) http://www.drugdigest.org/DD/DVH/Uses/0,3915,551674%7CHylorel,00.html

    guanethidine (ismelin) http://www.pharmacynetworkgroup.com/i/ismelin-indications-dosage.htm

    reserpin (serpasil) http://www.drugdigest.org/DD/DVH/HowToTake/0,3919,591%7CSerpasil,00.html

    phenoxybenzamine (dibenzyline) http://www.drugdigest.org/DD/DVH/Uses/0,3915,538%7CDibenzyline,00.html

    phentolamine mesylate (regitine) http://www.pharmacynetworkgroup.com/d/regitine-description.htm

    tolazoline (priscoline) http://www.drugs.com/xq/cfm/pageID_0/htm_001658/type_pros/bn_Priscoline/micrpro_medex/qx/index.htm#citec00165809


    description

    decrease sympathetic vasoconstriction by reducing the effects of norepinephrine at peripheral nerve endings, resulting in vasodilation and decreased BP.
    used to maintain renal blood flow
    used to treat hypertension.

    side effects

    orthostatic hypotension
    reflex tachycardia
    sodium and water retention
    GI disturbances
    nasuea
    vomiting
    edema
    weight gain
    serpasil can cause depression, GI irritation, and impotence
    .

    implementation

    monitor vital signs
    monitor for fluid retention and edema
    instruct the client to change positions slowly to prevent orthostatic hypotension
    instruct teh client how to monitor the BP
    instruct the client to monitor for edema
    instruct the client to decrease salt intake
    instruct the client to avoid over the counter medications


    :: Sindhu's Medical News @ 9:50 AM [+]

    ...
    :: Monday, September 15, 2003 ::
    peripherally acting sympatholytics (adrenergic blockers)

    clonidine (catapres) http://www.rxlist.com/cgi/generic/clonidin.htm

    methyldopa (aldomet) http://www.pharmacynetworkgroup.com/i/aldomet-indications-dosage-1.htm

    guanabenz (wytensin) http://www.drugdigest.org/DD/DVH/Uses/0,3915,307%7CWytensin,00.html


    side effects

    sodium and water retention
    drowsiness, dizziness
    dry mouth
    bradycardia
    edema
    impotence
    hypotension
    depression


    implementation

    monitor vital signs
    instruct the client not to discontinue medications, because abrupt withdrawal can cause severe rebound hypertension
    monitor liver function tests.

    :: Sindhu's Medical News @ 6:10 PM [+]

    ...
    angiotensin converting enzyme inhibitors

    benazepril (lotensin) http://www.benazepril.com

    captopril (capoten) http://www.pharmacynetworkgroup.com/d/capoten-description.htm

    enalapril (vasotec) http://www.rxlist.com/cgi/generic/enalap.htm

    fosinopril (monopril) http://www.pharmacynetworkgroup.com/d/monopril-description.htm

    lisinopril (prinivil, zestril) http://www.lisinopril.com/

    moexipril (univasc) http://www.healthsquare.com/newrx/uni1469.htm

    quinapril (accupril) http://www.accupril.com/

    ramipirl (altace) http://www.altace.com/index_flash.asp

    trandolapril (mavik) http://www.drugdigest.org/DD/DVH/Uses/0,3915,676%7CMavik,00.html


    description

    prevent peripheral vasoconstriction by blocking conversion of angiotensin I to angiotensin II
    used to treat hypertension
    avoid use with potassium supplements and potassium-sparing diuretics.

    side effects

    nausea, vomiting, diarrhea
    persistent cough
    hypotension
    hyperkalemia
    tachycardia
    headache
    dizziness, fatigue
    insomnia
    hypoglycemic reaction in the client to with diabetes mellitus
    bruising, petechiae, bleeding
    diminished taste


    implementation

    monitor vital signs
    monitor protein, albumin, blood urea nitrogen, creatinine, blood cells, and potassium levels
    monitor for hypoglycemic reactions in the client with diabetes mellitus
    instruct the client to take captopril 20 minutes to 1 hour before a meal
    monitor for bruising, petechiae, or bleeding with captopril
    instruct the client not to discontinue medications becaues rebound hypertension can occur.
    instruct the client not to take over the counter medications
    instruct the client how to take the BP
    instruct the client that if dizziness occurs and persists, to notify the physician
    inform the client that the taste of food may be diminished during the first month of therapy.



    :: Sindhu's Medical News @ 5:51 PM [+]

    ...
    antianginal medications

    isosorbide mononitrate (imdur, monoket) http://www.rxlist.com/cgi/generic/isomono.htm

    isosorbide dinitrate ( iso-bid, isordil, isotrate, sorbitrate) http://www.drugdigest.org/DD/DVH/Uses/0,3915,550140%7CIsosorbide+Dinitrate,00.html

    nitroglycerin (nitrostat, nitrogard, nitrong) http://www.nitroglycerin.com

    nitroglycerin ointment (nitro-bid, nitrong, nitrodisc, nitro-dur) http://www.drugdigest.org/DD/DVH/Uses/0,3915,492%7CNitroglycerin+Ointment,00.html

    pentaerythritol tetranitrate (pentylan duotrate, peritrate) http://www.clevelandclinic.org/heartcenter/pub/medications/search/default.asp?med_id=128&


    description

    produces vasodilation
    decrease preload and afterload, and reduce mycardial oxygen consumption
    contraindicated in the client with marked hypotension, increased intracranial pressure,or severe anemia.
    used in caution with severe renal or hepatic disease.
    avoid abrupt withdrawal of long acting preparations to prevent the rebound effect of severe pain from myocardial ischemia.

    side effects

    headache
    orthostatic hypotension
    dizziness, weakness
    faintness
    nausea, vomiting
    flushing or pallor
    confusion
    rash
    dry mouth
    reflex tachycardia
    paradoxical bradycardia


    sublingual medications

    monitor for vital signs
    offer sips of water before giving, because dryness may inhibit medication absorption
    instruct the client to place under the tongue and leave until fully dissolved
    instruct the client not to swallow the medication
    instruct the client to take one tablet for pain, and repeat every 5 minutes for a total of three doses.
    instruct the client to seek medical help immediately if pain is not relieved in 15 minutes fter the three doses
    inform the client that a stinging or biting sensation may indicate that the tablet is fresh
    instruct the cleint to store the medication in a dark, tightly closed bottle.
    instruct the client to check the expiration date on the medication bottle, because expiration can occur within 6 months of obtaining the medication.
    instruct the client to take acetaminophen for a headache.

    translingual medications

    instruct the client to direct spray above oral mucosa
    instruct the client to avoid inhaling the spray

    sustained release medicatoins

    instruct teh client to swallow and not to chew or crush the medication.

    transmucosal-buccal medications

    instruct the client to place between the upper lip and gum or in the buccal area between the cheek and gum.
    inform the client that the medication will adhere to the oral mucosa and slowly dissolve

    transdermal patch

    instruct teh client to apply the patch to a hairless area, using a new patch and a differnt site each day.
    as prescribed, instruct the client to remove the patch after 12 to 14 hours, allowing for 10 to 12 "patch free hours" each day to prevent tolerance
    do not apply the patch on the chest in the area of defibrillator-cardioverter paddle placemtn, because skin burns can result.

    topical ointments

    instruct the client to remove the ointment on the skin from the previous dose.
    instruct the client to squeeze a ribbon of ointment of teh prescribed lenght onto the applicator paper.
    instruct the client to spread the ointment over a 6 x 6 inch area, using the chest, back, abdomen, upper arm, or anterior thigh (avoiding hairy areas), and cover with a plastic wrap.
    instruct the client to rotate sites and to avoid touching the ointment when applying
    do not apply teh ointment on the chest in the area of defibrillator-cardioverter paddle placement, because skin burns can result.



    :: Sindhu's Medical News @ 5:02 PM [+]

    ...
    :: Sunday, September 14, 2003 ::
    beta-adrenergic blockers

    acebutolol (sectral) http://www.medicinenet.com/acebutolol/article.htm

    atenolol (tenormin) http://drs.yahoo.com/S=2766679/K=tenormin/v=2/SID=w/l=WS1/R=1/H=0/*-http://www.astrazeneca-us.com/cgi-bin/az_pi.cgi?product=tenormin&country=us

    betaxolol (betoptic) http://www.medicinenet.com/betaxolol/article.htm

    bisoprolol fumarate (zebeta) http://www.drugdigest.org/DD/DVH/Uses/0,3915,80%7CZebeta,00.html

    carteolol (cartrol) http://www.drugdigest.org/DD/DVH/Uses/0,3915,105%7CCartrol,00.html

    carvedilol (coreg) http://www.coreg.com/?a=86

    esmolol (brevibloc) http://www.pharmacynetworkgroup.com/i/brevibloc-indications-dosage.htm

    labetalol (normodyne, trandate, vescal) http://www.drugdigest.org/DD/DVH/Uses/0,3915,366%7CNormodyne,00.html

    levobunolol (betagan) http://www.pharmacynetworkgroup.com/i/betagan-indications-dosage.htm

    metipranolol (optipranolol) http://www.pharmacynetworkgroup.com/i/optipranolol-indications-dosage.htm

    metoprolol (lopressor, toprol XL) http://www.metoprolol.com/

    nadolol (corgard) http://www.pharmacynetworkgroup.com/d/corgard-description.htm

    penbutolol (levotol) http://www.drugdigest.org/DD/DVH/SideEffects/0,3917,726%7CPenbutolol,00.html

    pindolol (visken) http://www.drugdigest.org/DD/DVH/Uses/0,3915,546%7CVisken,00.html

    propranolol (inderal) http://www.wyeth.com/content/ShowLabeling.asp?id=106

    sotalol (betapace) http://www.betapaceaf.com/hcp/prod_info/betapacepi.htm

    timolol (blocadren, timoptic) http://www.timolol.com/


    description

    inhibit response to beta-adrenergic stimulation, thus decreasing cardiac output
    block the release of the catecholamines epinephrine and norepinephrine, thus decreasing the heart rate and blood pressure.
    decrease the workload of the heart and decrease oxygen demands
    used for angina, dysrhythmias, hypertension, migraine headaches, prevention of MI and glaucoma.
    contraindicated in the client with asthma, bradycardia, CHF, severe renal or hepatic disease, hyperthyroidism, and CVA.
    used in caution in the client with diabetes mellitus, because it may mask symptoms of hypoglycemia
    used in caution in the client on antihypertensives.

    side effects

    bradycardia
    bronchospasm
    hypotension
    fatigue
    weakness
    nausea, vomiting
    dizziness
    hyperglycemia
    agranulocytosis
    behavioral or psychotic response
    depression
    nightmares


    implementation

    monitor vital signs
    hold the medication if the pulse or BP is not within the prescribed parameters
    monitor for signs of CHF
    assess for respiratory distress and for signs of wheezing and dyspnea
    instruct the cleint to report dizziness, lightheadedness, or nasal congestion
    insturct the client not to stop taking the medication because rebound hypertension, rebound tachycardia or an anginal attack can occur.
    advise teh client on insulin that early signs of hypoglycemia, such as tachycardia, and nervousness can be masked by the beta blocker
    instruct the client on insulin to monitor the blood glucose level
    instruct the client to take a pulse and BP
    instruct the client to change positions slowly to prevent orthostatic hypotension
    instruct teh client to avoid over the counter cold medications and decongestants

    :: Sindhu's Medical News @ 4:49 PM [+]

    ...
    calcium channel blockers

    amlodipine (norvasc) http://www.norvasc.com

    bepridil (bepadin, vascor) http://www.ortho-mcneil.com/products/pi/pdfs/vascor.pdf

    diltiazem (cardizem, cardizem SR) http://www.cardizem.com/

    felodipine (plendil) http://www.astrazeneca-us.com/pi/plendil.pdf

    isradipine (dynaCircc) http://www.pharmacynetworkgroup.com/d/dynacirc-description.htm

    nicardipine (cardene) http://www.rocheusa.com/products/cardene/pi.pdf

    nifedipine (procardia, procardia XL, Adalat CC) http://www.pfizer.com/download/uspi_procardia.pdf

    nisoldipine (sular) http://www.pharmacynetworkgroup.com/sular-side-effects.htm

    verapamil (calan, isoptin) http://www.rxlist.com/cgi/generic/verapsr.htm


    description

    decrease cardiac contractility (negative inotropic effect by releasing smooth muscle) and the workload of the heart, thus decreasing the need for oxygen
    promote vasodilation of the coronary and peripheral vessels
    used for angina, dysrhythmias or hypertension
    used in caution in the client with CHF, bradycardia or AV block

    side effects

    bradycardia
    hypotension
    reflex tachycardia as a result of hypotension
    dizziness
    fatigue
    peripheral edema
    constipation
    flushig of the skin
    changes in liver and kidney function


    implementation

    monitor vital signs
    monitor for signs of CHF
    monitor liver enzyme levels
    monitor kidney funciton tests
    instruct the client not to discontinue the medication
    instruct the client how to take a pulse
    instruct teh client to notify the physician if a dizziness or fainting occurs
    instruct the client not to crush or chew sustained release tablets

    :: Sindhu's Medical News @ 3:54 PM [+]

    ...

    This page is powered by Blogger. Isn't yours?