Amlodipine: A Case Study

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Amlodipine (Norvasc): This drug blocks calcium from entering the muscles in your arteries and in your heart. Calcium helps muscles contract, so by blocking this it helps the muscles of your arteries relax allowing them to open up more. Having more space reduces resistance of blood flow making it easier for the blood to flow. It also relaxes the arteries that go to your heart reducing resistance, increasing the blood flow to your heart. Having less resistance then reduces your blood pressure which decreases your risk for having a heart attack or other complications (79 drug guide).

Hydrochlorothiazide (HCTZ): The kidney makes urine by filtering the blood. This drug prevents sodium filtered out of the blood into the kidney from reentering the
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What information does Mr. Stoddard need to have about these two drugs that will prevent possible ADR’s and he can safely begin this regimen? Provide 3 priority patient education topics for each medication and what information you would include for each topic.

Amlodipine (Norvasc):
• Postural hypotension (drug guide 79): I would teach the patient that they should take this medication at night before bed to reduce to effects of postural hypotension. By taking it at night they have less of a risk of falling since they will be asleep after taking it. I would also inform them that they need to take their time between position changes to prevent the effects of postural hypotension.
• peripheral or facial edema (drug guide 79): I would educate the patient that they can reduce peripheral edema in their legs and feet by rising them when siting or laying to increase venous return. They could also exercise their legs by doing leg pumps which increases venous return and can reduce edema. I would also inform them to report significant swelling of the face or extremities to their provider (drug guide 79).
• Fatigue (drug guide 79): I would educate the patient that this medication can cause fatigue, and by taking it at night before bed can help control their

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