INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name 150-300mg PO Hypertensive - once daily
irbesartan Avapro Antihypertensive 75mg PO diuretics, volume depleted, hemodialyzed/once daily
300mg PO Type 2 diabetics/once daily

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
3-14 hr within 2 hr 24 hr
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Management of hypertension. Treatment of type 2
diabetic nephropathy in patients with type 2 diabetes and
hypertension.
Lowering of blood pressure
Slowed progression of diabetic nephropathy.
Decreased hospitalization in patients with CHF
Decreased risk of stroke
Contraindications/warnings/interactions Hypersensitivity, Pregnancy,
Use cautiously in: CHF, volume- or salt-depleted patients receiving high doses
of diuretics. Black patients. Impaired renal function due to primanr renal
disease or CHF. Obstructive biliary disorders or hepatic impairment.
Patients with childbearing potential.
Common side effects dizziness, fatigue, headache, hypotension, diarrhea,
drug-induced hepatitis
Renal Failure

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
NSAIDS, other antihypertensives and diuretics. Digoxin,
potassium-sparing diuretics or potassium supplements.
lithium
Vital Signs
Nursing Process - Assessment
(Pre-administration assessment)
Blood pressure (sitting, standing, lying), pulse,
angioedema, daily weight, peripheral edema,
auscultate lungs for rales/crackles.
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
diet, discontinue smoking, moderation of alcohol, regular exercise, stress
management. Monitor blood pressure. Avoid sudden changes in position.
Women - if childbearing age to use contraception and notify physician if
pregnancy is suspected or planned. Consult physician if taking OTC's (herbal
cough, cold, or allergy remedies or other medications.
Assessment Evaluation
Why would you hold or not give Check after giving
this med? Decrease in BP w/o appearance of excessive
hypotension SE's. Slowed progression of diabetic
volume depletion nephropathy.
Decreased hospitalizations in patients with
CHF
Reduced risk of stroke.