NUR2421C Medication PortfolioName: ___Rosali Gonzalez_________________ Date: __2/28/2021__________41.Generic NamenifedipineTrade NameAdalat, Nifedical XL, NifedTherapeutic Classification42. AntianginalPharmacological ClassificationCalcium channel blockers43.Indications and mechanism of actionThis medication is for management of hypertension, Angina pectoris, and vasopastic angina. It works by inhibiting calcium transport into the myocardial and vascular muscle cells. This will inhibit excitement andcause contraction.a.Safe dosage range (and route)10-180 mg/day PO. Doses greater than 120 mg are needed rarely.44.Adverse Effects (life threatening) and Common Side EffectsHeadache, weakness, nausea, dizziness, flushing, heartburn, muscle cramps, constipation, cough45. ContraindicationsContraindicated for patients with hypotension. In pregnancy this medication should be used when benefits outweigh the risk to the fetus. This medication is excreted in breastmilk. Breastfeeding is contraindication when on this drug therapy.46.Nursing administration guidelines:p.Nursing process – assessment (ex: lab values, VS)It is important to check blood sugar levels on diabetic patients while they’re on this drug therapy since thismedication has diabetogenic properties. Assess if patient has gingival hyperplasia and report immediately to provider.q.Nursing process – intervention (when to give, hold or not give, lab values, VS)Taper dosage instead of abruptly discontinuing medications. r.Nursing process – evaluation (after administration of medication)Positive outcomes would be when patients blood pressure remains within range when on medication therapy.47.Nursing implications and considerations - include Lab value alterations caused by medication, and drug incompatibility or interactions with foods and other drugs. Monitor patients vitals carefully. Watch patient for symptoms of hypotension. Ensure patient does not crush or chew medication. This medication interacts with beta blockers which will increase possibilities forpatient to develop CHF. This medication may also increase phenytoin toxicity. Melatonin may increase BP and HR.48.Patient / family teachingSwallow the tablet whole, do not crush or chew the tablet. Take medication on empty stomach. Dose may change if brand changes. Take only as described by doctor. Limit caffeine and avoid taking any alcohol. Instruct patient to report any irregular heartbeat, swelling of hands and feet dizziness and constipation.