Читать книгу Medicine Management Skills for Nurses - Claire Boyd - Страница 43

A form of low blood pressure that happens when you stand up from sitting or lying down. Symptoms include dizziness, fainting (syncope), confusion, or blurred vision.

Patients being admitted to hospital from the community, on any of these ‘high risk drugs’ should be reviewed by a Doctor or Pharmacist and all staff should be made aware of this risk factor. Table 1.2 shows some of these drugs to be made aware of.

Table 1.2 Drugs which may contribute to falls.

Drug class	Indications	Examples of drugs
Antipsychotics	Psychosis delirium	Haloperidol, Promazine, Trifluoperazine, Quetiapine, Olanzapine, Prochlorperazine. Risperidone
Antidepressants	Mood	Amitriptyline, Trazodone, Fluoxetine, Citalopram. Paroxetine, Sertraline
Hypnotics (sedatives)	Insomnia	Zopiclone, Zolpidem
Benzodiazepines Hypnotics (sedatives)	Insomnia, agitation	Diazepam, Lorazepam, Temazepam, Nitrazepam
Anti‐hypertensives	High blood pressure	Ramipril, Lisinopril, Perindopril, Valsartan, Hydralazine, Bisoprolol, Atenolol, Propranolol
Antidiabetics	Diabetes	Glibenclamide, Glipizide, Metformin, Sitagliptin
Opiates	Pain	Codeine, Tramadol, Morphine, Fentanyl, Buprenorphine, Oxycodone
Diuretics	Heart failure, fluid overload, hypertension	Bendroflumethiazide, Furosemide, Bumetanide, Amiloride
Nitrates	Cardiovascular disease	Isosorbide mononitrate, Glyceryltrinitrate (GTN) Nicorandil
Parkinson's Medication	Parkinson's disease	Co‐Beneldopa, Co‐Careldopa, Selegline Hydrochloride, Pramipexole
Non‐steroidal anti‐inflammatory drug (NSAIDS)	Pain, inflammation	Ibuprofen, Naproxen, Diclofenac
Antimuscarinics (anticholinergics)	These are mentioned in other classes, e.g. for urinary incontinence	Procyclidine, Oxybutynin, Tolterodine, Amitriptyline
Aminoglycosides	Infection	Vancomycin, Gentamicin
Antihistamines	Allergies, itch	Chlorphenamine, Hydralazine, Cetirizine