David, Melissa D.

Generic Classification Indication Contraindication Action Nrsg. ResponsibilitiesIsosorbide dinitrate

Brand name:Isoket

Anti-anginals Acute angina attacks Contraindicated to patients with cardiogenic shock, circulatory collapse, severe hypotension, marked anemia, head trauma, cerebral hemorrhage, severe hypovolemia

It relaxes the vascular smooth muscle and consequent dilatation of peripheral arteries and veins.

Instructed the patient to take without regard to meals. Absorption is faster on empty stomach.

Monitor blood pressure and intensity and duration of drug response

Magnesium sulfate

Anticonvulsant IV or IM: preeclampsia or eclampsia

Contraindicated with allergy to magnesium products; heart block, myocardial damage; fecal impaction, intestinal and biliary tract obstruction

Prevents or controls seizures by blocking neuromuscular transmission; attracts and retains water in the intestinal lumen and distends bowel to promote mass movement and relieve constipation

Monitor patients closely during and following infusions. Observe orthostatic precautions

Metoclopramide Antiemetic

GI stimulant

Relief of symptoms of acute and recurrent diabetic gastroparesis

Short-term therapy for adults with symptomatic GERD who fail to respond to conventional therapy

Allergy to metoclopramideGI hemorrhage- Mechanical obstruction or perforationPheochromocytomaEpilepsy

Stimulates motility of upper GI tract without stimulating gastric, billiary, or pancreatic secretions; appears to sensitize tissues to action of acetylcholine; relaxes pyloric sphincter

Monitor BP carefully during IV administration.- Monitor for extrapyramidal reactions, and consult physician if they occur

Nicardipine Anti-anginals Chronic stable angina Advanced aortic stenosis

Inhibits calcium ion from entering the "slow channels" or select voltage-sensitive areas of vascular smooth muscle and myocardium during depolarization, producing a relaxation of coronary vascular smooth muscle and coronary vasodilation

Do not crush or chew sustained release forms; swallow whole.>Take with nonfatty food. Avoidcaffeine and alcohol