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Theraputic/Pregnancy
N110 RX Trade/Theraputic Class/Pregnancy Risk
| Drug | Action |
|---|---|
| acetaminophen; B | nonopiod analgesic, antipyretic |
| acetylsalicylic acid; C (D in 3rd Trimester) | nonopioid analgesic, anytipyretic, anti-inflammatory, antiplatelet drug |
| diphenhydramine hydrochloride; B | antihistamine (H1 receptor antagonist), antiemetic, antivertigo agent, antitussive, sedative-hypnotic, antidyskinetic (anticholinergic) |
| guaifenesin (glyceryl guaiacolate); C | expectorant |
| ibuprofen; B | nonopioid analgesic, antipyretic, anti-inflammatory |
| magnesium hydroxide; NR | saline laxative |
| simethicone; C | antiflatulent |
| ranitidine hydrochloride; B | antiulcerative |
| docusate sodium; C | emollient laxative |
| furosemide; C | diuretic, antihypertensive |
| Nembutal | pentobarbital: a barbiturate; anticonvulsant, sedative-hypnotic |
| Seconal, Seconal Sodium | secobarbital sodium: sedative-hypnotic, anticonvulsant; drowsiness, lethargy, n/v, exacerbation of porphyria, RESPIRATORY DEPRESSION |
| Sedation | barbiturates (Nembutal, Seconal) |
| benzodiazepines(Valium, Versed) | Hypnotics/Tranquilizing agents |
| Opioids | Analgesic agents (morphine, demerol) |
| Anticholinergics | reduce respiratory tract secretions (atropine, Robinul) |
| XYLOCAINE | LIDOCAINE:anesthetic, local, topical ||local irritation (topical products; ie, erythema, edema) |
| Reversal | Narcan (naloxone) |
| Fentanyl (Sublimaze) ;Droperidol (Inapsine) | Neuroleptanalgesic |
| Ketamine | Dissociative agents |
| Droperidol or diazepam | eliminate psychic phenomena |
| Propoful (Diprivan) | probably the most common IV anesthetic used now; a white liquid that is a short-acting hypnotic and anesthetic; also produces amnesia |
| Propoful (Diprivan) | Produces unconsciousness, then supplemented by inhalation Powerful respiratory depression*Decreases buzzing, dizziness*Can cause skeletal muscular rigidity and respiratory impairment |
| Neuromuscular blockers | muscle relaxers |
| Neuromuscular blockers | Pavulon, succinylcholine (Anectine) |
| Succinylcholine | bradycardia and dysrhythmias (depolarizing) |
| Neuromuscular blockers | do not provide analgesia, but in effect, paralyze the muscles, ncluding muscles of respiration |
| Tagamet, Zantac | Histamine-2 receptor antagonist |
| Dantrolene sodium;sodium bicarbonate | skeletal muscle relaxant; given to relax the muscles and correct acidosis (esp. Malignant Hyperthermia) |
| heparin | HEPARIN SODIUM: anticoagulant*subcutaneous injections should be given in the abdominal fat layer* different site should be used for each subcutaneous injection to prevent the development of a massive hematoma |
| Lovenox | ENOXAPARIN SODIUM: anticoagulant *low molecular weight heparin *by sub-q injection||major hemorrhage *thrombocytopenia *atrial fibrillation, heart failure *pulmonary edema, pneumonia *LFT elevations ||erythema, hematoma, local irritation, pain |
| Plavix | CLOPIDOGREL HYDROGEN SULFATE: platelet aggregation inhibitor, inhibitor of adp-induced aggregation *Prophylaxis against thrombotic events in patients undergoing percutaneous coronary intervention *oral drug||thrombotic thrombocytopenic purpura *GI ulcer |
| Nebutal | pentobarbital: sedation yet may cause severe respiratory depression, laryngospasm, hypotension; an alkaline (ergo local pain reaction); don't mix with other drugs in syringe or in IV soln/Lines; hepatic/depression, suicidal contraindications |
| Valium | diazepam: relieves anxiety, promotes calmness and sleep; sedative-hynotic/skeletal muscle relaxant; monitor respirations every 5-15mins and before each repeated IV dose; Bradycardia*RESPIRATORY DEPRESSION, phlebitis at injection site |
| Versed | midazolam hydrochloride: preoperative sedative, drug for consious sedation; adjunct to general anesthesia || continuous monitoring of respiratory and cardiac function is required (ie, pulse oximetry); Causes AMNESIA! |
| DURAMORPH/MORPHINE SULFATE EXTRA-FORTE | MORPHINE SULFATE:Analgesia, following major surgery ||allergic reaction*confusion*histamine release*hypotension*respiratory depression; COUGH reflex respiratory ACIDOSIS; aspiration pneumonia;constipation, nausea, urinary retention, vomiting*dizziness |
| DEMEROL/MEPERIDINE | MEPERIDINE HYDROCHLORIDE:analgesic, anesthetic adjunct ||cardiac arrest, circulatory depression*hypotension (frequent), syncope*respiratory depression*seizures |
| heparin | when used for postoperative prophylaxis, administered the first dose 2 hours prior to surgery||adverse=hemorrhage *thrombocytopenia *elevations in SGOT and SGPT |
| KETALAR | ketamine hydrochloride: anesthetic adjunct *as sole anesthetic agent for diagnostic and surgical procedures that do not require skeletal muscle relaxation*induction prior to the administration of other general anesthetic agents*Analgesia/sedation |
| Ketamine | increased blood pressure (frequent), tachycardia (frequent) *muscle hyperactivity (frequent) *respiratory depression |
| NARCAN | NALOXONE HYDROCHLORIDE:opioid antagonist ||arrhythmias, hypertension, hypotension, ventricular fibrillation *hepatotoxicity *opiate withdrawal symptoms *pulmonary edema |
| PLAVIX | CLOPIDOGREL HYDROGEN SULFATE: minor bleeding*abdominal pain, constipation, diarrhea, dyspepsia , gastritis *hypercholesterolemia *chest pain |
| PERSANTINE | DIPYRIDAMOLE:platelet aggregation inhibitor *Thromboembolism prophylaxis (ORAL) |
| PAVULON | PANCURONIUM BROMIDE:neuromuscular blocker *Skeletal muscle relaxation; during surgery as an adjunct to general anesthesia and to facilitate endotracheal intubation or mechanical ventilation in the ICU ||salivation *hypertension *prolonged muscle weakness |
| ANECTINE | SUCCINYLCHOLINE CHLORIDE:neuromuscular blocker, depolarizing *Intubation, tracheal *Neuromuscular blockage in surgery or mechanical ventilation ||apnea, respiratory depression |
| Anectine (succinylcholine chloride) | prolonged muscle pain and stiffness *bradycardia (especially in children), cardiac arrhythmias (especially in children), tachycardia *hyperkalemia *malignant hyperthermia *prolonged muscle relaxation *cardiac arrest |
| INAPSINE | DROPERIDOL:antiemetic *Perioperative nausea and vomiting, second-line therapy ||QT interval prolongation *respiratory depression *torsades de pointes *hypotension *tachycardia *drowsiness *anxiety |
| SUBLIMAZE more potent (75-100 times) but shorter action than morphine | FENTANYL CITRATE:analgesic /anesthetic adjunct /opioid ||confusion, dizziness, sedation *constipation, dry mouth, nausea, vomiting *urinary retention |
| Hiccups | Can be very uncomfortable and interfere with rest and pain control Phenothiazine meds (including prochlorperazine (Compazine) and promethazine (Phenergan) are frequently ordered PRN |
| COMPAZINE | PROCHLORPERAZINE:antiemetic /antipsychotic /phenothiazine ||blurred vision, ocular changes, epithelial keratopathy, pigmentary retinopathy *constipation, decreased sweating, dry mouth, nasal congestion *dizziness, drowsiness *hypotension, orthostatic hypo |
Created by:
aimeeNC