VALSARTAN
To receive automatic updates of Nursing News, Nursing Care Plans, Case Studies and the November 2008 Nursing Board Exam Result: click Subscribe to NursingCrib.com by Email or via RSS. If you have other topics to discuss, make a post on our Nursing Crib Forum. Thanks for visiting and enjoy your stay!

(val-sar’tan)
Diovan
Classifications: cardiovascular agent; angiotensin ii-receptor (type at1) antagonist; antihypertensive
Prototype: Losartan
Pregnancy Category: C (first trimester); D (second and third trimesters)
NURSING IMPLICATIONS
Assessment & Drug Effects
- Monitor BP periodically; take trough readings, just prior to the next scheduled dose, when possible.
- Lab tests: Monitor liver function tests, BUN and creatinine, serum potassium, and CBC with differential, periodically.
Patient & Family Education
- Inform physician immediately if you become pregnant.
- Note: Maximum pressure lowering effect is usually evident between 2 and 4 wk after initiation of therapy.
- Notify physician of episodes of dizziness, especially those that occur when making position changes.
- Do not breast feed while taking this drug.
Other Nursing Articles you may want to look at:
- PIPERACILLIN SODIUM (pi-per’a-sill-in) Pipracil Classifications: antiinfective; beta-lactam antibiotic; antipseudomonal penicillin Prototype: Mezlocillin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Obtain history of hypersensitivity to penicillins, cephalosporins, or other drugs prior to administration. Lab tests: C&S prior to first dose of the drug; start drug pending results. Periodic CBC
- MEROPENEM (mer-o’pe-nem) Merrem Classifications: antiinfective; carbapenem antibiotic Prototype: Imipenem Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Lab tests: Perform C&S tests prior to therapy. Monitor periodically liver and kidney function. Determine history of hypersensitivity reactions to other beta-lactams, cephalosporins, penicillins, or other drugs. Discontinue drug and
- METFORMIN (met-for’min) Fortamet, Glucophage, Glucophage XR, Riomet Classifications: hormones & synthetic substitutes; antidiabetic agent; biguanides Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Lab tests: Obtain baseline and periodic kidney and liver function tests; drug contraindicated in the presence of renal or hepatic insufficiency. Monitor blood
- NORFLOXACIN (nor-flox’a-sin) Chibroxin, Noroxin Classifications: antiinfective; quinolone antibiotic Prototype: Ciprofloxacin Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Collect urine specimens for testing before initiating antibiotic. Lab tests: Periodic WBC with differential, liver enzymes, and alkaline phosphatase, especially with prolonged use. Report to the physician if
- ESOMEPRAZOLE MAGNESIUM (e-so-me’pra-zole) Nexium Classifications: gastrointestinal agent; proton pump inhibitor Prototype: Omeprazole Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients. Monitor phenytoin levels with concurrent use. Monitor INR/PT with concurrent



Leave a Reply