STUDENT NAME MEDICATION CATEGORY CLASS Charlotte Shady amlodipine calcium-channel blocker, antihypertensive REVIEW MODULE CHAPTER 43 PURPOSE OF MEDICATION Expected Pharmacological Action inhibits the transport of calcium into myocardial and vascular smooth muscle cells which inhibits contraction of the smooth muscle Complications Side Effects include: flushed skin, dizziness, headache, nausea, peripheral edema, constipation, fatigue, sexual dysfunction Therapeutic Use systemic vasodilation resulting in decreased blood pressure and coronary vasodilation to decrease frequency and severity of attacks of angina Medication Administration Orally Contraindications/Precautions Contraindicated in hypersensitivity, systolic BP<90 Use cautiously in patients with sever hepatic impairment, aortic stenosis, and a history of HF Nursing Interventions Monitor BP for therapeutic effectiveness Monitor BP with postural changes Monitor heart rate and for dose-related palpitations Interactions Ketoconazole, itraconazole, clarithromycin, additional hypotension if take concurrently with fentanyl, antihypertensives, nitrates, alcohol Client Education Evaluation of Medication Effectiveness Monitor BP for desired effect Decrease in frequency and severity of angina attacks indicates effectiveness ACTIVE LEARNING TEMPLATES -Teach pt how to correctly monitor their pulse -Advise patients use caution when changing positions and to move slowly -Emphasize the importance of practicing good dental hygiene -Advise patient to contact their physician if they experience: arrhythmias, dyspnea, swelling of the hands or feet, nausea, constipation or extreme dizziness THERAPEUTIC PROCEDURE A7