Name: Raul Gibran Gonzalez Cartagena
Date: 6/13/22
Course / Term: NUR3219 CMII / Summer 2022
Medications Card 5 of 12
Medication:
Classification:
Action:
(Generic & Brand name – client specific): Amlodipine & Norvasc
(Functional & Chemical): Antihypertensive; Calcium channel blocker
Inhibits calcium ion influx into vascular smooth muscle myocardium
Therapeutic Outcome:
Uses:
Contraindication:
Precautions:
Decreased B/P in hypertension
(Indication for Use – client specific): Hypertension
hypersensitivity to drug/class/components
(Client-specific – consider client’s past & present medical history, ADLs, lifestyle, etc.):
caution in elderly pts, caution if hepatic impairment, caution: severe CAD, and caution: severe
aortic stenosis
(Include dosage ranges – client specific): PO 10mg/day
TAB: 2.5 mg, 5 mg, 10 mg
Take with or without meals
(Most common & serious): peripheral edema, palpitations, fatigue, dizziness, nausea, flushing,
eczematous eruptions (chronic use in elderly pts), angina exacerbation, MI, Hypotension,
hepatitis, hypersensitivity rxn, and erythema multiforme
(Client-specific – consider other meds & supplement taken, alcohol use, etc.) CYP3A4 substrate
CYP3A4 inhibitor, weak
antihypertensive agent
binds to cation exchange resin/polymer
(Absorption, Distribution, Metabolism, Excretion, Half-life):
Metabolism: liver extensively; CYP450: 3A4 substrate
Route / Dosage:
Availability:
Administration:
Adverse Effects:
Interactions:
Pharmacokinetics:
Excretion: urine 59-62% (5-10% unchanged), bile/feces 20-25%; Half-life: 30-50h, 56h
(hepatic impairment)
Distribution: widely distributed in the body
Absorption: well absorbed with peak blood levels between 6-12 hours post dose.
Nursing Considerations:
Client Education:
(E.g. What to assess or monitor, clinical alerts, what to evaluate?): Monitor blood pressure
before administering medication. Assess heart rate, ECG, and heart sounds, especially during
exercise (See Appendices G, H). Report any rhythm disturbances or symptoms of increased
arrhythmias, including palpitations, chest pain, shortness of breath, fainting, and
fatigue/weakness
(Client & family teaching education): Amlodipine is a calcium channel blocker that dilates
(widens) blood vessels and improves blood flow.
Amlodipine is used to treat chest pain (angina) and other conditions caused by coronary artery
disease.
Amlodipine is also used to treat high blood pressure (hypertension) in adults and children at
least 6 years old. Lowering blood pressure may lower your risk of a stroke or heart attack.
References:
Amlodipine may also be used for purposes not listed in this medication guide
(List down all sources cited, APA format):
Classes. Norvasc Entire Monograph - Epocrates Web. (n.d.). Retrieved June 10, 2022, from
https://online.epocrates.com/drugs/105310/Norvasc/Monograph
Instructor Signature: ______________________________
* Medication card is developed on the two (2) medications prescribed to your assigned patient. This is submitted weekly.