perindopril
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Generic Name Brand Name Specific
Classification
Dosage Route Side Effects Nursing
Intervention
Topiramate Topamax Oral Ataxia, impairedconcentration,
confusion, dizziness,fatigue,paresthesia,
drowsiness anddifficulties with
memory or cognition.Agitation, emotional
lability (with behavioural
disturbances) anddepression may occur.
Other reported adverseeffects include
abdominal pain,anorexia, asthenia,
diplopia, leucopenia,nausea, nystagmus,
psychomotor retardation, speech
disorder, altered taste,visula disturbances
and weight loss.
y Assess patient¶s blood pressure before therapy
and monitor regularly before
dose to verifyadequate
control. Monitor
also for hypotension.
y Assess allergicreaction: rash,
fever, pruritusand urticaria.
Discontinuedrug if
antihistaminesfail to control
hypersensitivityreaction.
y Assess renalfunction beforetherapy and
monitor periodically
thereafter; polyuria,
oliguria andfrequency.
y Monitor for possible drug
induced adverseeffects: CNS:dizziness,
Tr
ci
po
dr
pc
d
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headache.
Fatigue, painCV: peripheral
edema,hypotension,
chest pain,flushing.
y Monitor for congestive heartfailure: edema,
dyspnea, ralesand vein
distension.y Assess patient
and family¶s
knowledge of drug therapy.
y Instruct the patient to takedrug on empty
stomach.y Encourage
patient change
position/riseslowly to sitting
or standing position to
minimize
orthostatichypotension.
y Tell patient andfamily members
to monitor andreport fever,
mouth sores,
sores throat,cough and signsand symptoms
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of infection.