Patient Medication Profile

Patient Medication Profile 11 November 2009 U.L.M 64 y/o Allergies: Adhesive Tape & IVP Dye Medication

Normal dose range.

as ordered:

Safe dose?

Action of drug

name/class/dose

1. Therapeutic effects

1. Adverse reaction /

expected

side effects possible

2. Why is patient

2. Patient teaching

receiving med?

3. Patient’s response to med

Fluoxetine/Antidepressants/20mg

20-80mg daily

daily.

Selectively inhibits the

Anti depressant action

reuptake of serotonin in

and decreased

the CNS.

behaviors associated with panic disorders

Yes

and bulimia.

Anxiety, drowsiness, weight loss. Patient should change position slowly to minimize dizziness. An increase in well being.

Depression Diltiazem/Antianginal,

Up to 360mg daily

Inhibits transport of

Systemic vasodilation

Abnormal dreams,

Antiarrhythmics,

calcium into myocardial

resulting in decreased

confusion, nervousness

Antihypertensives/180mg daily

& vascular smooth

blood pressure.

Yes

muscle cells, resulting in

drink large amounts of

inhibition of excitation – contraction coupling and

Patient should not

Hypertension

grapefruit juice.

subsequent contraction.

Decrease in blood pressure.

Aspirin/Antipyretics, Nonopioid

80-325mg daily

Analgesics/Salicylates/81mg daily

Decreases platelet

Decreased incidence of

aggregation.

transient ischemic attacks and MI.

Yes

Tinnitus, dyspepsia Patient should avoid effervescent tablets or buffered aspirin preparations. Prevention of ischemic attacks.

Bisacodyl/Laxatives,Stimulant

10mg daily

Stimulates peristalsis.

Laxatives/10mg daily

Evacuation of the colon

Abdominal cramps,

(bowel movement)

diarrhea, rectal burning.

Yes Constipation

Patient should increase fruit & fiber intake and fluid intake. Patient having soft, formed bowel movement.

Potassium Chloride/Mineral &

To maintain balance,

Replacement and

Confusion,

Electrolyte

isotonicity, and

prevention of

restlessness, weakness.

replacements/Supplements/40mEq

electrophysiologic

deficiency.

twice a day

40-100mEq a day

Yes

balance of the cell.

Patient should not chew tablets to avoid GI

Hypokalemia

irritation.

Correction of serum potassium depletion. Gabapentin/Angalgesic adjuncts,

300mg up to 800mg a

Mechanism of action is

Decreased incidence of

Depression, confusion,

Anticonvulsants, Mood

day

unknown, however; it

seizures and post

drowsiness.

stabilizers/600mg four times a

may affect transport of

herpetic pain.

day

amino acids and Yes

antacids within two

stabilize neuronal membrane.

Patient should not take

Chronic pain

hours of taking Gabapentin. Decreased intensity of pain.

Aluminum Hydroxide/Antiulcer

5-30mL 3 to 6 times a

Binds phosphate in the

Lowering of serum

Indigestion and

agents/Hypophosphametics/30mL

day

GI tract and neutralizes

phosphate levels and

constipation.

gastric acid and

healing of ulcers and

inactivates pepsin.

decreased pain

every hour/prn

associated with ulcers

Yes

and gastric hyperacidity.

Patient should check food labels for sodium content. A decrease in GI pain and irritation.

Gastric ulcers Nitroglycerin/Antianginals/0.4mg

0.3-0.6mg every 5

Increases coronary

Reduction of blood

Dizziness,

prn every 5 minutes

minutes for 15

blood flow by dilating

pressure and increased

apprehension,

minutes

coronary arteries and

cardiac output.

abdominal pain.

improving collateral flow to ischemic regions.

Patient should immediately call the

Yes

Hypertension and Fem

doctor if blurred vision

Bypass.

or dry mouth occurs. An increase in activity tolerance.

Morphine Sulfate/Opioid

30mg every three to

Depresses pain impulse

analgesics, Opioid agonists/15mg

four hours

transmission at the

every four hours/prn

Decreased pain.

Bradycardia, confusion.

spinal cord level by interacting with opioid Yes

receptors.

Drowsiness,

Stage III Pressure Ulcer, skin grafts, chronic pain

Tell patient that drowsiness, dizziness, and confusion are common side effects. Decreased Pain

Simvastatin/Antilipidemic/20mg

5 to 80mg once a day

at bedtime

Inhibits HMG-CoA

Decrease in cholesterol

Headache, constipation,

reductase enzyme which

levels.

diarrhea.

reduces cholesterol Yes

Patient to lower risk

synthesis; this enzyme is needed for cholesterol production.

Hypertension

factors i.e. high fat diet and smoking. A decrease in cholesterol levels and improved ration with HDL’s.