perindopril

2
 Generic Name Brand Name Specific Classification Dosage Route Side Effects Nursing Intervention Reason why you give this to your patient Topiramate Topamax Oral Ataxia, impaired concentration, confusion, dizziness, fatigue,paresthesia, drowsiness and difficul ties with memory or cognition. Agitation, emotional lability (with  behavioural disturbances) and depression may occur. Other reported adverse effects 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 verify adequate control. Monitor also for hypotension. y Assess allergic reaction: rash, fever, pruritus and urticaria. Discontinue drug if antihistamines fail to control hypersensitivity reaction. y Assess renal function before therapy and monitor  periodically thereafter;  polyuria, oliguria and frequency. y Monitor for  possible drug induced adverse effects: CNS: dizziness, To prevent stroke recurrence in combination with indapamide in  patients with a history of cerebrovascular disease.Reduction of risk of CV events in  patients with stable coronary artery disease.

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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

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dr

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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.