Drug Name Mode of Action Indications Side Effects Nursing Interventions Generic Name

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DRUG NAME MODE OF INDICATIONS CONTRAINDICATI SIDE EFFECTS NURSING

ACTION ONS INTERVENTIONS


Generic Blocks the hypertension : Serum potassium CNS: Dizziness,
● Monitor BP
name : effects of (alone, or with 5.5 mEq/ L; Type 2 fatigue
periodically
Eplerenone aldosterone other agents). LV diabetes with GI: abdominal liver
during therapy.
by attaching systolic microalbuminuria function tests,
● Monitor
to dysfunction and (for patients with abdominal pain,
prescription
mineralocorti evidence of HF HTN;qrisk of diarrhea. GU:
refills to
Brand name : coid post-MI hyperkalemia); albuminuria. Endo:
determine
Inspra receptors. Serum creatinine 2 abnormal vaginal
adherence.
Therapeutic mg/dL in males or bleeding,
● Instruct patient
Effects: 1.8 mg/dL in gynecomastia.
to take
Therapeutic Lowering of females (for F and E:
medication as
class: BP. patients with HTN); HYPERKALEMIA.
directed at the
Antihypertensiv Improves CCr 30 mL/min (for Metab:
same time each
es survival in all patients); CCr hypercholesterolemi
day, even if
patients with 50 mL/min (for a,
feeling well. ●
Pharmacologic evidence of patients with HTN); hypertriglyceridemia
Encourage
class : HF post-MI Concurrent use of . Misc: flu-like
patient to comply
Aldosterone potassium symptoms
with additional
antagonist supplements or
interventions for
potassium-sparing
hypertension
diuretics (for
(weight
patients with HTN);
reduction,
Actual dose , Concurrent use of
discontinuation
Timing : strong inhibitors of
of smoking,
50 mg twice the CYP3A4
moderation of
daily, PO enzyme system
alcohol
(ketoconazole,
consumption,
itraconazole,
regular exercise,
nefazodone,
stress
clarithromycin,
management).
ritonavir, or
Medication
nelfinavir)
controls, but
does not cure,
hypertension. ●
Instruct patient
and family on
correct
technique for
monitoring BP.
Advise them to
monitor BP at
least weekly,
and notify health
care
professional of
significant
changes.
● Inform patient
not to use
potassium
supplements,
salt substitutes
containing
potassium, or
other Rx, OTC,
or herbal
products without
consulting health
care
professional.
● May cause
dizziness.
Caution patient
to avoid driving
or other activities
requiring
alertness until
response to
medication is
known.
Advise patient to
notify health
care
professional if
dizziness,
diarrhea,
vomiting, rapid
or irregular
heartbeat, lower
extremity
edema, or
difficulty
breathing occur.
● Advise patient
to inform health
care
professional of
treatment
regimen prior to
treatment or
surgery.
● Advise patient
to notify health
care
professional if
pregnancy is
planned or
suspected.
Advise patient to
avoid breast
feeding during
therapy.
● Emphasize the
importance of
follow-up exams
to check serum
potassium.

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