Generic / Brand General Action name
Omeprazole Omepron 40 mg Tab OD
Proton Pump Inhibitor
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To prevent gastric irritation due to the medication given
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/18/09 11/18/09 11/23/09
There was no s/sx manifest during, after the medication has been given
Nursing Responsibilities: 1. Teel patient to swallow tablets or capsules whole and not to open, crush, or chew them. 2. Instruct patient to take drug 30 minutes before meals.
Generic / Brand General Action name
Citicoline Na Zynapse 500 mg 1cap q 8
Central Nervous System Drugs
Nursing Responsibilities:
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms Cerebrovascular disorder including stroke
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/18/09 11/18/09
The client does not manifest any side effects like diarrhea and stomach pain
Generic / Brand General Action name
Amlodipine Besylate
Antihypertensive
Norvasc 5mg 1 Tab Nursing Responsibilities:
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To decrease the BP of 190/90
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client’s BP was decrease to 140/90
Generic / Brand General Action name
Clonidine HCL
Antihypertensive
Catapres 150 mcg Tab OD Nursing Responsibilities:
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To decrease the BP of >160/90
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client’s BP was decrease to 140/90
Generic / Brand General Action name
Lactulose
Laxative
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms Treatment for constipation
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client’s bowel movement becomes positive
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms Treatment for constipation
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client’s bowel movement becomes positive
Duphalac 15cc if (-) BM for 24hrs Nursing Responsibilities:
Generic / Brand General Action name
Lactulose
Laxative
Duphalac 15cc if (-) BM for 24hrs Nursing Responsibilities:
Generic / Brand General Action name
Digoxin
Anti- anginal Drugs
Lanoxin 0.25 mg 1 Tab
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To prevent the cardiac failure accompanied by atrial fibrillation
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client does not manifest any s/sx of heart failure
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To control of hyperglycemia of 423 mg/dl
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client blood sugar decrease into 243 mg/dl
Nursing Responsibilities:
Generic / Brand General Action name
Neutral Human Insulin
Insulins
Humulin R Nursing Responsibilities:
Generic / Brand General Action name
Acetylcysteine
Cough and Cold remedies
Fluimucil 6hmg Tab dissolved 50 ml q 12
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To reduce the viscosity of mucus secretions
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client mucus was able to drain via suction
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms For the pt. with increase blood pressure of 190/90
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/20/09 11/20/09
The client BP was decreased into 140/90
Nursing Responsibilities:
Generic / Brand General Action name
Furosemide
Diuretics
Lasix 40 mg/ 5ml Nursing Responsibilities:
Generic / Brand General Action name
Pioglitazone HCL
Oral Diabetic Agents
Prialta 30 mg Tab OD
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms To improve glycemic control of blood sugar of 317 mg/dl
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/21/09 11/21/09
The client blood sugar decrease into 295 mg/dl
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms For the reduction of thrombotic event documented by stroke
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/21/09 11/21/09
The client manifest hypertensive episodes as the medication side effects
Nursing Responsibilities:
Generic / Brand General Action name
Clopidogrel Bisulfate
AntiThrombotics
Plavix 75 mg Tab OD Nursing Responsibilities:
Generic / Brand General Action name
Spironolactone
Diuretics
Aldactone 25 mg 1 Tab OD for breakfast Nursing Responsibilities
Indication or Purpose why medication is given for the particular disease condition or sign and symptoms For the pt. with increase blood pressure of 160/80
Date ordered Date Started Date Changed
Client’s response to the medication with actual side effects
11/22/09 11/22/09
The client BP was decrease into 140/90