Atorvastatin - Med Card PDF

Preview

Summary

Med Card...

Description

ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Atorvastatin 23 MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Therapeutic Class: Antihyperlipidemic / Pharmacologic Class: HMG-CoA reductase inhibitor, statin

CATEGORY CLASS ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action - Decrease manufacture of LDL and VLDL cholesterol - Lowers triglycerides in some clients - Increased manufacture of HDL - Promotion of vasodilation, decrease in plaque site inflammation, thromboembolism, and risk of atrial fibrillation

Therapeutic Use -

Primary hypercholesterolemia Prevention of coronary events Protection against MI and stroke Increase levels of HDL Prevention in clients who have normal LDL

Complications - Hepatotoxicity: Evidenced by increase in aspartate trasaminase - Myopathy: Evidenced by muscle aches, pain, and tenderness -

Medication Administration Oral - May be given at any time of day

Contraindications/Precautions - Hypersensitivity - Active liver disease - Lactation - Use of gemfubrozil or azole antifungals

Interactions - Fibrates and ezetimibe oncrease the risk of myopathy and liver and kidney injury - Medications that supresses CYP3A4, along with HIV protease inhibitors, amiodarone, and cyclosporine can increase levels of some statins when taken concurrently - Grapefuit juice supresess CYP3A4 and can increase levels of statins

Evaluation of Medication Effectiveness Lowered levels of LDL and VLDL cholesterol and elevated HDL

ACTIVE LEARNING TEMPLATES

Nursing Interventions - Evaluate serum cholesterol & triglyceride levels before & during therapy - May be administered any time of day without regard to food - Monitor CL levels; stop if CK levels is >10 times the upper limit - Limit grapefruit juice intake - Can cause fetal harm

Client Education - Take medication as directed at the same time each day - Report unexpected muscle pain, tenderness, or weakness - Avoid taking OTC medications or natural/herbal products without consulting prescriber...