Zocor
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NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Simvastatin Zocor Peak Unknown
Onset Unknown
Classification Dose Route Time/frequency Lipid-lowering 80mg PO Q HS agent Duration Normal dosage range Unknown 5-80 mg/day in the evening
Why is your patient getting this medication Hypercholesterolemia
For IV meds, compatibility with IV drips and/or solutions N/A
Mechanism of action and indications Inhibit an enzyme, 3-hydroxy-3 methylglutarylcoenzyme A reductase, which is responsible for catalyzing an early step in the synthesis of cholesterol.
Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, acute hypotension, major surgery, trauma, severe metabolic disturbances, endocrine or electrolyte disorders. Common side effects Dizziness, headache, insomnia, weakness, rhinitis, bronchitis, Abdominal cramps, constipation, diarrhea, flatus, heartburn, altered taste, rashes, pruritus.
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Unknown
Nursing Process- Assessment (Pre-administration assessment) Obtain dietary history, ophthalmic exams are recommended before and yearly during therapy.
Lab value alterations caused by medicine Evaluate serum cholesterol and triglyceride levels before initiating after 4-6 wk of therapy, and periodically thereafter. If muscle tenderness develops monitor CPK levels. Be sure to teach the patient the following about this medication Take medication as directed & do not skip doses, or double up on missed doses. Avoid drinking more than 1 qt grapefruit juice during therapy. This medication should be used in conjunction with diet restrictions, exercise, and smoking cessation. Photosensitivity (rare). Assessment Evaluation Why would you hold or not give this med? Hypersensitivity reaction, muscle tenderness.
Check after giving Evaluate serum cholesterol and triglyceride level 4-6 weeks after the initiation of therapy, and periodically thereafter.
Onset Unknown
Classification Dose Route Time/frequency Lipid-lowering 80mg PO Q HS agent Duration Normal dosage range Unknown 5-80 mg/day in the evening
Why is your patient getting this medication Hypercholesterolemia
For IV meds, compatibility with IV drips and/or solutions N/A
Mechanism of action and indications Inhibit an enzyme, 3-hydroxy-3 methylglutarylcoenzyme A reductase, which is responsible for catalyzing an early step in the synthesis of cholesterol.
Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, acute hypotension, major surgery, trauma, severe metabolic disturbances, endocrine or electrolyte disorders. Common side effects Dizziness, headache, insomnia, weakness, rhinitis, bronchitis, Abdominal cramps, constipation, diarrhea, flatus, heartburn, altered taste, rashes, pruritus.
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Unknown
Nursing Process- Assessment (Pre-administration assessment) Obtain dietary history, ophthalmic exams are recommended before and yearly during therapy.
Lab value alterations caused by medicine Evaluate serum cholesterol and triglyceride levels before initiating after 4-6 wk of therapy, and periodically thereafter. If muscle tenderness develops monitor CPK levels. Be sure to teach the patient the following about this medication Take medication as directed & do not skip doses, or double up on missed doses. Avoid drinking more than 1 qt grapefruit juice during therapy. This medication should be used in conjunction with diet restrictions, exercise, and smoking cessation. Photosensitivity (rare). Assessment Evaluation Why would you hold or not give this med? Hypersensitivity reaction, muscle tenderness.
Check after giving Evaluate serum cholesterol and triglyceride level 4-6 weeks after the initiation of therapy, and periodically thereafter.
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