CebU INSTITUTe Of TECHnoLOGy – UNIvERSIty

COLLEGE OF NURSING

DRUG STUDY

Name of Student: Hanniel C.Montecalbo Level 3 Section N2 Rating:

Name of Drug Classification Mechanism of Indications and Side Effects Nursing Responsibilities
Action Contraindications (Before, During and After Responsibilities)
Indication: Before:
Telmisartan interferes with the Used alone or in combination  Changes in vision
binding of angiotensin II to the with other classes of  Check the doctor’s order
Generic Name:  dizziness,
Antihypertensive angiotensin II AT1-receptor by antihypertensives for the lightheadedness, or  Observe the 5 rights of drug
binding reversibly and selectively treatment of hypertension. Also fainting administration
Telmisartan and
to the receptors in vascular used in the treatment of 
smooth muscle and the adrenal diabetic nephropathy in
fast heartbeat  Assess for another contraindication
Hydrochlorothiazide  large hives
gland. As angiotensin II is a hypertensive patients with type
vasoconstrictor, which also 2 diabetes mellitus, as well as  painful urination or
changes in urinary During:
Trade/Brand Name: stimulates the synthesis and the treatment of congestive
release of aldosterone, blockage heart failure (only in patients frequency  Instruct patient to take drug
Micardis Plus of its effects results in decreases who cannot tolerate ACE  swelling in the hands, exactly as prescribed
in systemic vascular resistance. inhibitors). lower legs, and feet
 Teach patient about diet, exercise,
Patient’s Dose: Telmisartan does not inhibit the
angiotensin converting enzyme, Contraindication: and weight control
other hormone receptors, or ion Hypersensitivity to telmisartan  Tell patient to immediately report
80mg channels. Studies also suggest or any other component of this unexplained muscle pain,
that telmisartan is a partial product. Coadministration with
Minimum Dose: agonist of PPARγ, which is an aliskiren in patients with tenderness or weakness, especially
established target for antidiabetic diabetes. if accompanied by malaise or fever.
40mg drugs. This suggests that  Instruct patient to take drug at
telmisartan can improve
carbohydrate and lipid least 2 hours before taking
Maximum
metabolism, as well as control aluminum or magnesium containing
insulin resistance without causing antacids.
Dose:120mg the side effects that are
associated with full PPARγ
activators. After:
 Educate the patient about the
possible side effects.
 Report severe dizziness, depression
and headache.
 Do proper documentation
Scoring System (20 points per drug)
Name of Drug – 2 points
Classification – 1 point
MOA – 3 points
Indications and Contraindications – 2 points
Side Effects – 2 points
Nursing Responsibilities – 9 points
References – 1 point