Class notes
NUR 2005 Atorvastatin ATI Template
- Course
- NUR 2005
- Institution
- Laboure College
This is a comprehensive and detailed ATI Medication template on;Atorvastatin for Nur 2005.
[Show more]
Content preview
ACTIVE LEARNING TEMPLATE: MedicationKaitlyn Ranieri
STUDENT NAME _____________________________________
Atorvastatin (Lipitor)
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Antilipidemic
Statins / HMG-CoA reductase inhibitor
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
Inhibits HMG-CoA reductase enzyme, which Adjunct in primary hypercholesterolemia (types Ia, Ib),
dysbetalipoproteinemia, elevated triglyceride levels;
reduces cholesterol synthesis, prevention of cardiovascular disease by reduction of heart risk
high doses lead to plaque regression in those with mildly elevated cholesterol
Complications Medication Administration
CNS: Headache, asthenia, Lou Gehrig’s disease (ALS) • Adult: PO 10-20 mg daily, usual range
EENT: Lens opacities GI: Abdominal cramps, constipation, diarrhea, heartburn, nausea, dyspepsia, flatus,
liver dysfunction, pancreatitis, increased serum transaminase 10-80 mg, dosage adjustments may be
GU: Impotence made in 2-4 wk intervals, max 80 mg/day;
INTEG: Rash, pruritus, alopecia, photosensitivity (rare) patients requiring .45% ↓ in LDL may be
MISC: Hypersensitivity
MS: Myalgia, rhabdomyolysis, arthralgia started at 40 mg daily
RESP: Pharyngitis, sinusitis • Forms: Tabs 10, 20, 40, 80 mg
• Administer total daily dose at any time of
day
• Store in cool environment in airtight, light
resistant container
Contraindications/Precautions
CI: Pregnancy X, breastfeeding, hypersensitivity, active
liver disease Nursing Interventions
P: Past liver disease, alcoholism, severe acute infections,
• Hypercholesterolemia: assess nutrition: fat, protein,
trauma, severe metabolic disorders, electrolyte imbalance carbohydrates; Nutritional analysis by dietitian before
Tx; Assess for muscle pain, tenderness; obtain CPK if
these occur, discontinue; monitor triglycerides,&
cholesterol at baseline and throughout Tx; if ↑LDL &
VLDL, discontinue • Monitor (1) bowel pattern daily;
diarrhea may be a problem (2) liver function studies
q1-2mo during first 1½ yr of treatment; AST, ALT,
Interactions liver function tests may ↑ (3) renal studies in pts w/
compromised renal system: BUN, I&O ratio, creatinine
RX: Clofibrate, cycloSPORINE, erythromycin, gemfibrozil, niacin: ↑risk of • Assess eyes via ophthalmic exam 1 mo after Tx
rhabdomyolysis; Colestipol: ↓ action of atorvastatin. Antifungals (azole): begins, annually
possible rhabdomyolysis. Contraceptives (oral): ↑ levels. Digoxin: ↑ action of
digoxin; Erythromycin: ↑ levels of atorvastatin, Warfarin: ↑ action of warfarin
HERB: St. John’s wort: ↓effect. FOOD: Grapefruit juice: possible toxicity; Oat
bran may ↓ effectiveness
Client Education
• Compliance: needed for positive results, not to
double doses • ↓Risk factors: high-fat diet, smoking,
alcohol consumption, absence of exercise • Notify
Evaluation of Medication Effectiveness prescriber if GI symptoms of diarrhea, abdominal or
epigastric pain, nausea, vomiting; chills, fever, sore
throat; muscle pain, weakness occur • Tx will take
↓ cholesterol levels and LDLs, ↑ HDLs several years • Blood work and eye exam necessary
during treatment • Do not take if pregnant
(pregnancy X) or breastfeeding • Stay out of the
Improved HDL:LDL ratio sun, use protective clothing, or use sunscreen to
prevent photosensitivity (rare)
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now