AMBOY, Raiza Bonela A.

BSN 4-A
Brand Name/ Chemical Name and Classification EPINEPHRINE Sympathomimetic

October 01, 2011

DRUG STUDY
Indication > Cardiac arrest, anaphylactic reaction, bronchospasm, open-angle glaucoma Contraindication > Cardiac arrhythmias Side Effects > Tachycardia, HTC, vasoconstriction, nervousness, anxiety, trembling, decrease renal blood flow Nursing Responsibilities > Assess sulphite sensitivity > Assess cardiopulmonary function > Continuously monitor ECG, BP and pulse until desired effect achieved > Monitor VS every 2-5 minutes until stabilized, once stable, monitor BP every 1530 mins. > Note any symptoms of shock (cyanosis, cold clammy skin, and loss of consciousness) > Must not be added to any existing IV solution > Check for any history of glaucoma before ophthalmic administration may precipitate acute crisis > Obtain VS and ECG monitoring > Monitor CV status during IV therapy

ATROPINE SULFATE Anti-cholinergic

> Reduces secretions and intestinal motility, and is used in the treatment of smooth muscle spasm, preanesthetic to control salivation and bronchial secretions > Restore cardiac rate and atrial pressure during anesthesia when vagal stimulation > Antidote for toxicity in cholinergic drugs (pilocarpine) > life-threatening ventricular arrhythmias (ventricular fibrillation, unstable ventricular tachycardia)

> infants less than 3 mos. of age, adhesions between the iris and the lens, geriatric patients and others where underdiagnosed glaucoma or excessive pressure in the eye present,

> Blurred vision, stinging, increased IOP, contact dermatitis, irritation, photophobia, eczematoid dermatitis, conjunctivitis and edema

CORDARONE (AMIODARONE HCl) Class III Anti-arrhythmic

> cardiogenic shock, marked sinus bradycardia due to severe sinus node dysfunction, 2nd or 3rd degree AV block, lactation

> lung edema, cough and progressive dyspnea, worsening of arrhythmias, paroxysmal ventricular tachycardia, symptomatic

> Correct K or Mg deficiencies before initiation of therapy > Must be given with meals > Note if patient is taking any other anti-arrhythmic drugs

NICARDIPINE > hypertensive emergencies Calcium Channel Blocker or urgencies, peri-op and post-op HTN, hypertensive states of NPO patients

> MI, pts who do not have complete hemostasis following intracranial hemorrhage, increased ICP during acute phase of a stroke > Geriatric, lactation

bradycardia, sinus arrest, SA node dysfunction, fatigue, ataxia, insomnia, headache, nausea and vomiting, papilledema, eye discomfort, photophobia, blurred vision > peripheral edema, headache, tachycardia, palpitations, localized thrombophlebitis and hypotension

> Assess quality of respiration and breath sounds; note cardiac status, ECG and CV findings > Assess vision before therapy > Monitor VS regularly > Note CHF and if beta blockers prescribed, monitor closely > Monitor ECG, liver and renal function tests > Monitor closely pts BP and pulse rate > Monitor BP regularly > Give initial dose at bedtime and daily dose I the morning > Assess prostate gland, PSA level and BPH score > Carefully observe initial dosing to prevent severe hypotension > Administer 1h prior to mealtime > Assess for stomach pain, its frequency and characteristics > Advise to avoid use of alcohol, aspirin-containing and caffeine-containing products > Assess abdomen for bowel sounds > Advise to avoid alcohol and any other CNS depressants > Monitor for symptoms of extrapyramidal syndrome

HYTRIN (TERAZOSIN HCl) Alpha-1- adrenergic blocking drug, anti-hypertensive

> hypertension, symptoms of BPH

> dizziness, nasal congestion, drowsiness, nausea peripheral edema, asthenia, postural hypotension, anxiety

ZANTAC (RANITIDNE) Anti-histamine, H-2 receptor blocker

> short-term and maintenance treatment of duodenal ulcer, ZollingerEllison syndrome and systemic mastocytosis, gastric ulcers, GERD, erosive esophagitis > nausea and vomiting due to GI disorders after surgery and cancer chemotherapy, GI motility disorders, GERD, nonulcer dyspepsia, gastric ulcer

> Liver cirrhosis, impaired renal or hepatic function

> Nausea and vomiting, abdominal pain, dizziness, headache, malaise, insomnia, fatigue, bradycardia or tachycardia, vasculitis, thrombocytopenia, hepatotoxicity, athralgia > restlessness, drowsiness, headache, diarrhea, extrapyramidal syndrome, galactorrhea, bowel disturbancrs, HTN, hypotension, bradycardia, amenorrhea

METOCLOPRAMIDE Gastrointestinal Stimulant

> GI hemorrhage, obstruction or perforation, epilepsy, pheochromocytoma, history of seizures, peptic ulcer

Ronald Hertz Q. Alvarez

BSN 4-A

DRUG STUDY
Brand Name/ Chemical Name and Classification SUS-PHRINE (EPINEPHRINE) Bronchodilator, Adrenergic

Indication Cardiac arrest, anaphylactic reaction, bronchospasm, open-angle glaucoma

Contraindication Cardiac arrhythmias

Side Effects Tachycardia, HTC, vasoconstriction, nervousness, anxiety, trembling, decrease renal blood flow

Nursing Responsibilities > Continuously monitor ECG, BP and pulse until desired effect achieved > Note any symptoms of shock (cyanosis, cold clammy skin, and loss of consciousness) > Obtain VS and ECG monitoring > Monitor CV status during IV therapy

ATROPINE SULFATE Anti-cholinergic

Reduces secretions and intestinal motility, and is used in the treatment of smooth muscle spasm in conditions like renal and biliary colic, bronchospasm Cardiac arrhythmias, supraventricular arrhythmias and junctional arrhythmias Hypertensive emergencies or urgencies, peri-op and postop HTN, hypertensive states of NPO patients

Prostatic enlargement or hypertrophy

Dry mouth with difficulty in swallowing, thirst

CORDARONE (AMIODARONE HCl) Anti-arrhythmic CARDOPINE (Nicardipine) Calcium Channel blocker

Av or SA block, sinus bradycardia, sick sinus syndrome MI, pts who do not have complete hemostasis following intracranial hemorrhage, increased ICP during acute phase of a stroke Hypersensitivity

Reversible corneal microdeposits, papilledema, eye discomfort, photophobia, blurred vision Peripheral edema, headache, tachycardia, palpitations, localized thrombophlebitis and hypotension

HYTRIN (TERAZOSIN HCl) Anti-hypertensive

Hypertension

Dizziness, nasal congestion, drowsiness, nausea peripheral edema, asthenia, postural hypotension, anxiety

> Must be given with meals > Assess vision before therapy > Monitor VS regularly > Note CHF and if beta blockers prescribed, monitor closely > Monitor ECG, liver and renal function tests > Monitor closely pts BP and pulse rate > Carefully observe initial dosing to prevent severe hypotension > Monitor BP regularly

ZANTAC (RANITIDINE) Antacid

Gastric ulcers, GERD, erosive esophagitis, duodenal ulcer

Several renal impairment

Occasionally reversible hepatitis, nausea and vomiting, abdominal pain

> Administer 1h prior to mealtime > Assess for stomach pain, its frequency and characteristics > Assess abdomen for bowel sounds > Advise to avoid alcohol and any other CNS depressants

METOCLOPRAMIDE Gastrointestinal Stimulant

Nausea and vomiting due to GI disorders after surgery and cancer chemotherapy, GI motility disorders, GERD, non-ulcer dyspepsia, gastric ulcer

GI hemorrhage, obstruction or perforation, epilepsy, pheochromocytoma, history of seizures, peptic ulcer

Restlessness, drowsiness, headache, diarrhea, galactorrhea, bowel disturbancrs, HTN, hypotension, bradycardia, amenorrhea