Closely monitor blood pressure every 15 minutes initially, then adjust frequency based on patient response and stability. Target a gradual reduction in blood pressure, avoiding precipitous drops.
Heart rate should be assessed concurrently with blood pressure. Bradycardia is a potential adverse effect; be prepared to adjust amlodipine infusion rate or administer atropine if needed.
Electrocardiograms (ECGs) are recommended at baseline and periodically thereafter, particularly in patients with pre-existing cardiac conditions. Look for changes in heart rhythm or conduction abnormalities.
Observe for signs of Hypotension, such as dizziness, lightheadedness, or syncope. Adjust the infusion rate or temporarily stop the infusion if these symptoms appear. Consider fluid resuscitation if necessary.
Assess for Peripheral edema, particularly in the lower extremities. This is a common side effect of amlodipine. Regularly check for fluid retention.
Monitor Renal function through serum creatinine and blood urea nitrogen (BUN) levels, especially in patients with impaired renal function. Amlodipine can affect kidney function.
Document all observations and interventions meticulously. This detailed record aids in managing potential complications and optimizing treatment.
