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Drug names
Drug names and uses
Generic name | Trade name | Class | Drug use | Side effects | Contraindications | Nursing implications | Drug interactions | Route |
---|---|---|---|---|---|---|---|---|
Epinephrine | Epi-pen | Adrenergic agonist - catecholamine alpha 1,2, beta 1, 2 | Anaphalaxis, control of superficial bleeding, delay of local anestheic absorption, management of cardiac arrest | Tachycardia, anginal pain | Hyperthyroidism, cardiac dysrhytmias, organic heart disease, hypertension. Caution with angina pectoris, diabetes. | Check solution strength to admin method. dispose if discolored due to oxydation. | MAOIs, Tricyclic antidepressants, general anesthetics. | Topical, inhalation, IV, IM, subQ, intracardiac, intraspinal. No oral. |
Dopamine | Adrenergic agonist - catecholamine, beta 1 | Shock, heart failure, acute renal failure. | Anginal pain, tachycardia, dsyrhythmias, necrosis (if iv line) | Tachydysrhythmias, ventricular fibrillation. Extreme caution: organic heart disease, hyperthyroidism, hypertension,MAOIs. Caution: angina pectoris. | Baseline data for cardiac, hemodynamic, renal status.Extravasation by IV line treated with phentolamine. | MAOIs, tricyclic antidepressants, general anesthesia. | IV | |
Dobutamine | Adrenergic agonist - catecholamine, beta 1 | Heart failure | Tachycardia, dysrhythmias | Great caution: organic heart disease, hyperthyroidism, tachydysrhythmias, hypertension, MAOIs. Caution angina pectoris. | Baseline data cardiac, renal, hemodynamic status. Dilute concentration. Monitor cardiac function. | MAOIs, tricyclic antidepressants, general anesthetics. | IV | |
Terbutaline | Adrenergic agonist - non-catecholamine, | Bronchodilator, delay of preterm labor. | Tachycardia, arrhythmia, tremors, hypertension. | |||||
Levodoa/carbidopa | Sinemet | Treatment of PD - bradykinesia, postural instability, tremor, rigidity. | Nausea, vomiting, dyskinesias, dysrhythmias, orthostatic hypotension, psychosis. | Malignant melanoma, MAOIs. Cautiuon: cardiac disease, psychiatric disorders. | Baseline motor symptoms. Take with food to avoid GI upset. Weeks to months for full benefit. | High protein, MAOIs, anticholinergics, first gen antipsychotic drugs. | Oral | |
Dopamine agonists | Apomorphine, Bromocriptine, Cabergoline, Pramipexole, Ropinirole | Improve ability to carry out ADLs. | Nausea, vomiting, orthostatic hypotension, dyskinesias, hallucinations, sleep attacks, fetal injury, impulsive control disorders. | Caution in elderly and psychiatric disorders. | Asses motor symptoms. | Oral except Apomorphine subQ | ||
Bethanechol | Urecholine | Muscarinic agonist - cholinergic | Non-obstructive urinary retention. GERD, paralytic ileus, gastric astony, post op abdominal destention with no blockage. | Hypotension, bradycardia, excessive salivation, increased gastric secretion, abdominal cramps, diarrhea. | Peptic ulcer disease, urinary tract obstruction, intestinal obstruction, coronary insufficiency, hypotension, asthma, hyperthyroidism. | Give 1 hr before meals or 2 hrs after to avoid nausea and vomiting. Treat overdose with atropine. | None of major concern. | Oral 10-50 mg 3-4 times a day |
Atropine | AtroPen | Muscarinic antagonist - anticholinergic | Pre-anesthetic med, treatment of bradycardia, biliary colic, intestinal hypertonicity, hypermotility, muscarinic agonist poisoning. | Dry mouth, blurred vision, photophobia, urinary retention, constipation, hyperthermia, tachycardia, asthma. | Glaucoma, intestinal atony, urinary tract obstruction, tachycardia. Caution with asthma. | Dry mouth may interfere with swallowing. Diffrentiate poisoning from psychosis! | Antihistamines, tricyclic antidepressants, phnothazines | PO, IV, IM, subQ |