1. Esomeprazole Nexium
Classification Therapeutic: antiulcer agents
Pharmacologic: proton-pump inhibitors Route/Dosage/Time 0630, PO: 40 mg once daily 60 min. AC Breakfast. Action: Diminished accumulation of acid in the gastric lumen with lessened gastroesophageal reflux. Healing of duodenal ulcers. NURSING CONSIDERATIONS: [pic]Assess patient routinely for epigastric or abdominal pain and frank or occult blood in the stool, emesis, or gastric aspirate
2. Multi-vitamin (Theragran) 1 TAB PO QD 0730 Purpose: To supply nutrients that is missing, or is not consumed in the diet. Action: Supplement a poor dietary intake of the relevant vitamins exists. Metabolized: liver Vita. A, D, E, & K (fat soluble) Vita. C and B complex (water soluble) Vita. Bs eliminated in urine. Nursing Considerations: Monitor interaction with other medications.
3. Folic Acid: (Vitamin B)
Classification: Therapeutic: antianemics Rout/Dosage/Time: PO 1mg Tab PO Daily at breakfast 0730 Action: It works by helping the body to produce red blood cells, white blood cells, and platelets. NURSING CONSIDERATIONS: Monitor client for weakness, fatigue, and dyspnea.
4. Lorazepam (Ativan)
Classification Therapeutic: analgesic adjuncts, antianxiety agents, sedative/hypnotics
Pharmacologic: benzodiazepines Route/Dosage/Time: PO Anxiety--2 mg Q 4hrs 0800, 1200, 1600, and 2000 ** Do not give if client is difficult to arouse. Action: Decreased anxiety NURSING CONSIDERATIONS: Conduct regular assessment of continued need for treatment.
5. Metoprolol Lopresor,
Classification Therapeutic: antianginals, antihypertensives Route/Dosage/Time: 100 mg/day 0900 Action Therapeutic Effects: Decreased blood pressure and heart rate. NURSING CONSIDERATIONS: [pic]Monitor blood pressure, ECG, and pulse frequently during dose adjustment and periodically during therapy
6. Thiamine vitamin B1