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      <title>DRUG STUDY by Alyssa Faith Cayanan</title>
      <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb</link>
      <description>ASPIRIN AND ATENOLOL</description>
      <language>en-us</language>
      <pubDate>2021-09-17 08:43:04 UTC</pubDate>
      <lastBuildDate>2025-05-10 15:05:52 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
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      <item>
         <title>DRUG INFORMATION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748187506</link>
         <description><![CDATA[<div><strong>1. GENERIC NAME: </strong>Aspirin (Acetylsalicyclic acid)<strong><br>2. BRAND NAME: </strong>Easprin, Ecotrin, Aspen, Aspilets/Aspilets-EC, Asthromed, Bayer Aspirin, Cortal 500, Tromcor</div><div><strong>3. STOCK DOSAGE</strong></div><ul><li>Gum (chewable): 227mg</li><li>Tablets (chewable): 81mg</li><li>Enteric-coated Tablets: 81mg, 162mg, 325mg, 500mg, 650mg, 975mg</li><li>Tablets (film-coated): 325mg, 500mg</li><li>Sustained-Release Tablets: 650mg, 800mg</li><li>Suppositories: 120mg, 200mg, 300mg, 600mg</li></ul><div>4.&nbsp;<strong>CLASSIFICATION</strong></div><ul><li>Pharmacologic Class: Nonsteroidal anti-inflammatory drug (NSAID)</li><li>Therapeutic Class: Nonopioid analgesic, antipyretic, antiplatelet drug</li><li>Chemical Class: Salicylate</li><li>Pregnancy Risk Category: C (with full dose in third trimester: D)</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:34:35 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748187506</guid>
      </item>
      <item>
         <title>MECHANISM OF ACTION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748188716</link>
         <description><![CDATA[<div>The medication inhibits the formation of prostaglandins, which reduces pain and inflammation. The mechanism of fever reduction is unknown, but it could be linked to a decrease in endogenous pyrogens in the hypothalamus as a result of prostaglandin inhibition. By decreasing the formation of prostacyclin and thromboxane A2, the medication causes an antiplatelet effect.</div><ul><li><strong>Anti-inflammatory action:</strong> Inhibits prostaglandin synthesis. Involved in enhancing antigen removal and in reducing the spread of inflammation</li><li><strong>Analgesic action:</strong> Principally peripheral with limited action in the CNS, possibly on the hypothalamus; results in relief of mild to moderate pain</li><li><strong>Antipyretic&nbsp; action:</strong>&nbsp; Lowers&nbsp; body&nbsp; temperature&nbsp; in&nbsp; fever&nbsp; by&nbsp; indirectly&nbsp; causing centrally mediated peripheral vasodilation and sweating</li><li><strong>Antiplatelet&nbsp; action:</strong>&nbsp; High&nbsp; serum&nbsp; salicylate&nbsp; concentrations&nbsp; can&nbsp; impair&nbsp; hepatic synthesis of blood coagulation factors VII, IX, and X, possibly by inhibiting action of vitamin K</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:35:25 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748188716</guid>
      </item>
      <item>
         <title>INDICATION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748189589</link>
         <description><![CDATA[<div>Relieves&nbsp; pain&nbsp; of&nbsp; low&nbsp; to&nbsp; moderate&nbsp; intensity; for&nbsp; various&nbsp; inflammatory&nbsp; conditions&nbsp; (acute rheumatic fever, systemic lupus, rheumatoid arthritis, osteoarthritis, bursitis, and calcific tendonitis); reduces fever (selected febrile conditions); reduces recurrence of temporary blockage of blood to the brain (Transient Ischemic Attack) and heart attack (Myocardial Infarction); and is used for Kawasaki disease and thromboembolic disorders</div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:35:58 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748189589</guid>
      </item>
      <item>
         <title>CONTRAINDICATIONS</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748192601</link>
         <description><![CDATA[<h1><br></h1><div>•&nbsp; &nbsp; &nbsp; &nbsp;Hypersensitivity to salicylates, other NSAIDs, or tartrazine</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Renal impairment</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Severe hepatic impairment</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Hemorrhagic states or blood coagulation defects</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Vitamin K deficiency caused by dehydration&nbsp;</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Pregnancy (doses &gt;100mg daily during 3rd trimester)</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Lactation</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Hemorrhagic Disease</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Concomitant use with other NSAIDs and methotrexate</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Concurrent anticoagulant use</div><div>•&nbsp; &nbsp; &nbsp; &nbsp;Use with extreme caution, if at all, in: hepatic disorders, anemia, asthma, gastritis, Hodgkin’s disease, heart failure or other conditions in which high sodium content is harmful (buffered aspirin), patients receiving other salicylates or NSAIDs concurrently, elderly patients, and in children and adolescents</div><div><br></div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:37:47 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748192601</guid>
      </item>
      <item>
         <title>SIDE EFFECTS/ADVERSE REACTIONS</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748194250</link>
         <description><![CDATA[<div><br></div><ul><li><strong>Blood&nbsp; and&nbsp; lymphatic&nbsp; system:&nbsp; </strong>Anemia, Hypoprothrombinaemia, Thrombocytopenia</li><li><strong>Gastrointestinal:</strong> Dyspepsia, Gastric irritation, Nausea, Vomiting&nbsp;</li><li><strong>Nervous system: </strong>Dizziness, confusion&nbsp;</li><li><strong>Respiratory,&nbsp; thoracic,&nbsp; and&nbsp; mediastinal&nbsp; disorders:&nbsp; </strong>Asthma,&nbsp; Bronchospasm, Dyspnea, Rhinitis&nbsp;</li><li><strong>Skin and subcutaneous tissue disorders: </strong>Rash urticaria&nbsp;</li><li><strong>Potentially Fatal: </strong>Paroxysmal bronchospasm and dyspnea, Coma, Cardiovascular&nbsp; collapse,&nbsp; Respiratory&nbsp; failure,&nbsp; Severe&nbsp; hypoglycemia,&nbsp; Reye’s Syndrome (Rarely),&nbsp; Hypersensitivity&nbsp; reactions&nbsp; (e.g.,&nbsp; stevens&nbsp; Johnson&nbsp; syndrome, angioedema), Gastrointestinal bleeding and perforation</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:38:39 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748194250</guid>
      </item>
      <item>
         <title>NURSING RESPONSIBILITIES</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748195354</link>
         <description><![CDATA[<ul><li>Instruct patient to take aspirin with food or after meals because it may cause GI upset if taken on an empty stomach</li><li>Instruct patient to stop taking aspirin and notify prescriber if any symptoms of stomach or intestinal bleeding occur such as passage of black, bloody, or tarry stools or if patient is coughing up blood or vomit (coffee ground like)</li><li>Tell&nbsp; patient&nbsp; to&nbsp; consult&nbsp; prescriber&nbsp; before&nbsp; taking&nbsp; aspirin&nbsp; with&nbsp; any&nbsp; prescription&nbsp; drug&nbsp; for blood disorder, diabetes, gout, or arthritis</li><li>Advise the patient to avoid alcohol ingestion as much as possible because GI bleeding may occur</li><li>Advise&nbsp; parents&nbsp; not&nbsp; to&nbsp; give&nbsp; aspirin&nbsp; to&nbsp; a&nbsp; child&nbsp; or&nbsp; adolescent&nbsp; with&nbsp; chickenpox&nbsp; or&nbsp; flu symptoms because of risk of Reye’s syndrome, and consult for an alternative drug</li><li>Advise adult patient not to take ibuprofen while taking a low-dose aspirin (may reduce the cardioprotective and strong preventive effects)</li><li>Triple check the label and prescription because overdose may lead to acute poisoning</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:39:11 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748195354</guid>
      </item>
      <item>
         <title>DRUG INFORMATION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748206737</link>
         <description><![CDATA[<div><strong>1. GENERIC NAME: </strong>Atenolol<strong><br>2. BRAND NAME: </strong>Antipressan, Atenix, Novo-Atenol, Tenormin&nbsp;</div><div><strong>3. STOCK DOSAGE</strong></div><ul><li>Tablets: 25mg, 50mg, 100mg&nbsp;</li><li>Vial: 5mg/10mL</li></ul><div>4. <strong>CLASSIFICATION</strong></div><ul><li>Pharmacologic Class: Beta-adrenergic blocker </li><li>Therapeutic Class: Antianginal, anti- hypertensive</li><li>Pregnancy Risk Category: D&nbsp;</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:45:51 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748206737</guid>
      </item>
      <item>
         <title>MECHANISM OF ACTION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748209595</link>
         <description><![CDATA[<h1>The drug reduces cardiac output, peripheral resistance, and myocardial oxygen consumption by blocking beta1-adrenergic (myocardial) receptors. It also inhibits renin secretion without altering beta2-adrenergic receptors (pulmonary, vascular, and uterine receptors). The therapeutic effect is it increases systemic blood pressure and coronary blood flow.</h1><div><br></div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:47:39 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748209595</guid>
      </item>
      <item>
         <title>INDICATION</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748210297</link>
         <description><![CDATA[<div><br>For hypertension, angina pectoris, and acute myocardial infarction</div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:48:05 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748210297</guid>
      </item>
      <item>
         <title>CONTRAINDICATIONS</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748210771</link>
         <description><![CDATA[<div><br></div><ul><li>Cardiogenic shock</li><li>Sinus bradycardia</li><li>Greater than first-degree heart block</li><li>Heart failure (unless secondary to a tachyarrhythmia treatable with beta-adrenergic blockers)</li><li>Pulmonary edema</li><li>Pregnancy</li><li>Hypersensitivity&nbsp; to&nbsp; atenolol</li><li>Use cautiously in patients with renal failure, hepatic impairment, pulmonary disease, diabetes mellitus, thyrotoxicosis, pregnant or breastfeeding patients, and children</li></ul><div><br></div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:48:23 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748210771</guid>
      </item>
      <item>
         <title>SIDE EFFECTS/ADVERSE REACTIONS</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748212407</link>
         <description><![CDATA[<ul><li><strong>CNS: </strong>fatigue, lethargy, vertigo, drowsiness, dizziness, depression, disorientation, short-term memory loss</li><li><strong>CV: </strong>hypertension, intermittent claudication, cold arms and legs, orthostatic hypotension, bradycardia, arrhythmias, heart failure, cardiogenic shock, myocardial reinfarction</li><li><strong>EENT: </strong>blurred vision, dry eyes, eye irritation, conjunctivitis, stuffy nose, rhinitis, pharyngitis, laryngospasm</li><li><strong>GI: </strong>nausea, vomiting, diarrhea, constipation, gastric pain, flatulence, anorexia, ischemic colitis, retroperitoneal fibrosis, acute pancreatitis, mesenteric arterial thrombosis</li><li><strong>GU: </strong>impotence, decreased libido, dysuria, nocturia, Peyronie’s disease, renal failure</li><li><strong>Hematologic</strong>: agranulocytosis</li><li><strong>Hepatic</strong>: hepatomegaly</li><li><strong>Metabolic: </strong>hypoglycemia<br><strong>Musculoskeletal: </strong>muscle cramps, back and joint pain</li><li><strong>Respiratory: </strong>dyspnea, wheezing, respiratory distress, bronchospasm, bronchial obstruction, pulmonary emboli</li><li><strong>Other: </strong>decreased exercise tolerance, allergic reaction, fever, development of antinuclear antibodies, hypersensitivity reaction </li><li><strong>Adverse reactions:</strong>&nbsp; Overdose may&nbsp; produce profound&nbsp; bradycardia,&nbsp; hypotension. Abrupt withdrawal may result in diaphoresis, palpitations, headache, tremors. May precipitate&nbsp; HF,&nbsp; MI&nbsp; in&nbsp; pts&nbsp; with cardiac&nbsp; disease;&nbsp; peripheral&nbsp; ischemia&nbsp; in&nbsp; pts&nbsp; with existing&nbsp; peripheral&nbsp; vascular&nbsp; disease.&nbsp; Hypoglycemia&nbsp; may&nbsp; occur&nbsp; in&nbsp; previously controlled diabetes. Thrombocytopenia (unusual bruising, bleeding) occurs rarely.</li></ul>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:49:26 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748212407</guid>
      </item>
      <item>
         <title>NURSING RESPONSIBILITIES</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748213935</link>
         <description><![CDATA[<ul><li>Watch for signs and symptoms of hypersensitivity reaction</li><li>Monitor vital signs(especially blood pressure), ECG, and exercise tolerance</li><li>Check closely for hypotension in hemodialysis patients</li><li>Check and verify the medication to be administered. The medication label should&nbsp; be&nbsp; checked&nbsp; three&nbsp; times&nbsp; and&nbsp; prepare&nbsp; the&nbsp; correct&nbsp; dosage&nbsp; of&nbsp; the medication without contaminating it</li><li>Introduce&nbsp; self&nbsp; and&nbsp; verify&nbsp; the&nbsp; client’s&nbsp; identity&nbsp; by&nbsp; asking&nbsp; their&nbsp; name&nbsp; and checking&nbsp; their&nbsp; ID&nbsp; band&nbsp; and&nbsp; educate&nbsp; the&nbsp; client&nbsp; about&nbsp; the&nbsp; therapeutic purpose, possible side effects/adverse effects of the medication</li><li>Ask for a history of hypersensitivity to atenolol</li><li>If&nbsp; the&nbsp; patient&nbsp; has&nbsp; angina&nbsp; pectoris,&nbsp; record&nbsp; onset,&nbsp; quality&nbsp; (sharp,&nbsp; dull, squeezing),&nbsp; radiation,&nbsp; location,&nbsp; intensity,&nbsp; duration&nbsp; of&nbsp; anginal&nbsp; pain, precipitating factors (exertion, emotional stress)</li><li>Make position changes slowly and in stages, particularly from lying to standing position to avoid hypotensive effect</li><li>Monitor blood glucose level regularly if patient is diabetic; drug may mask signs and symptoms of hypoglycemia</li><li>Document the client’s response to medication</li><li><strong>PATIENT TEACHING:</strong></li><li>Instruct patient to immediately report signs and symptoms of allergic response, breathing problems, and chest pain</li><li>Instruct&nbsp; the&nbsp; client&nbsp; to&nbsp; adhere&nbsp; rigidly&nbsp; to&nbsp; dose&nbsp; regimen&nbsp; and&nbsp; to&nbsp; not&nbsp; abruptly&nbsp; discontinue the medication. Sudden discontinuation of drug can exacerbate angina and precipitate tachycardia or MI in patients with coronary artery disease</li><li>Advise patient to take drug at same time every day.</li><li>Inform patient that he may experience serious reactions if he stops taking drug suddenly. Advise him to consult prescriber before discontinuing</li><li>Caution patient to avoid driving and other hazardous activities until he knows how drug affects concentration and alertness.&nbsp;</li><li>Tell the patient that drug may cause a temporary blood pressure decrease if he stands or sits up suddenly. Instruct him to rise slowly and carefully</li><li>Instruct the client to restrict alcohol intake because it can increase the blood pressure lowering effect of the medication</li><li>Inform women that drug shouldn’t be taken during pregnancy. Urge them to report planned or suspected pregnancy</li><li>Tell men that drug may cause erectile dysfunction. Advise them to discuss this issue with the prescriber</li><li>As appropriate, review all other significant and life-threatening adverse reactions and interactions, especially those related to the drugs, tests, and behaviors mentioned above<br><br></li></ul><div><br></div>]]></description>
         <enclosure url="" />
         <pubDate>2021-09-17 08:50:29 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748213935</guid>
      </item>
      <item>
         <title>ASPIRIN</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748216356</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-09-17 08:52:06 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748216356</guid>
      </item>
      <item>
         <title>ATENOLOL</title>
         <author>cayananalyssafaith</author>
         <link>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748216619</link>
         <description><![CDATA[]]></description>
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         <pubDate>2021-09-17 08:52:18 UTC</pubDate>
         <guid>https://padlet.com/cayananalyssafaith/4y89ebrpzhwkvqgb/wish/1748216619</guid>
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