Norvasc

NURS 2516 Clinical Medications Worksheets Generic Name amlodipine

Trade Name Norvasc

Classification

Dose

Route

Time/frequency

antihypertensives

Peak

Onset

10 mg PO Q AM Duration For IV meds, compatibility with IV drips and /or solutions

6-9 hrs

Unknown

24 Hours

Mechanism of action and indications (Why med ordered) Systemic vasodilation resulting in decreased blood pressure For this patient Hypertension

N/A Normal Dosage Range: 5-10 mg once daily Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Blood pressure <90 mmHg Use cautiously in Geriatric patients and patients with a history of CHF

Common side effects CNS: headache, dizziness, fatigue CV: peripheral edema, angina, bradycardia, hypotension, palpitations, GI: gingival hyperplasia, nausea, Derm: flushing,

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Additive hypotension may occur when used concurrently with other antihypertensives , nitrates.

Lab value alterations caused by medicine Total serum calcium concentrations are not affected by calcium channel blockers

Be sure to teach the patient the following about this medication Caution patient to change positions slowly to minimize orthostatic hypotension

Nursing Process- Assessment (Pre-administration assessment) Monitor blood pressure and pulse before therapy, during dose titration, and periodically during 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)

Assessment Why would you hold or not give this med? Blood Pressure less than 90 mm Hg Systolic

Evaluation Check after giving Decrease in blood pressure,