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68c Ph 2 Exam 5

Drug list

Benadryl (diphenhydrAMINE) action •Decreased symptoms of histamine excess •Relief of acute dystonic reactions. •Prevention of motion sickness. •Suppression of cough
Benadryl (diphenhydrAMINE) side effects CNS: drowsy, dizzy, headache, EENT: blurred vision, tinnitus CV: hypotension, palpitations GI: anorexia, dry mouth, constipation, nausea GU: dysuria, frequency, retention Derm: photosensitivity Resp: tightness, thickened bronchial secretions, wheezing
Benadryl (diphenhydrAMINE) nursing interventions Caution parents to avoid OTC cough and cold products while breast feeding or to children <4 yr. Can cause excitation in children; ↑ risk of CNS depression with other antihistamines, alcohol, opioid analgesics, and sedative/hypnotics
Sudafed (pseudoephedrine) action •Reduction of nasal congestion, hyperemia, and swelling in nasal passages •Produces vasoconstriction in the respiratory tract mucosa (alpha-adrenergic stimulation) and possibly bronchodilation (beta2-adrenergic stimulation).
Sudafed (pseudoephedrine) side effects CNS: SEIZURES, anxiety, dizziness, drowsiness, excitability, fear, hallucinations, headache, insomnia, weakness Resp: respiratory difficulty CV: CV COLLAPSE, palpitations, hypertension, tachycardia GI: anorexia, dry mouth GU: dysuria Misc: diaphoresis
Sudafed (pseudoephedrine) nursing interventions admin at least 2 hr before bedtime to minimize insomnia; Ext Release tablets and capsules swallowed whole; Monitor pulse + BP before beginning and periodically during therapy; fluid intake of 1500–2000 mL/day to decrease viscosity of secretions.
Beconase (beclomethasone) action Potent, locally acting anti-inflammatory and immune modifier. •Decrease in symptoms of allergic or nonallergic rhinitis. •Prevention of recurrence of nasal polyps.
Beconase (beclomethasone) side effects CNS: dizziness, headache EENT: epistaxis, nasal irritation, nasal stuffiness, rhinorrhea, sneezing, tearing eyes GI: nausea Endo: adrenal suppression (increased dose, long-term therapy only), ↓ growth (children)
Beconase (beclomethasone) nursing interventions •Monitor degree of nasal stuffiness, amount and color of nasal discharge, and frequency of sneezing.
Atrovent (ipratropium) action •Inhaln: Bronchodilation without systemic anticholinergic effects. •Intranasal: Decreased rhinorrhea
Atrovent (ipratropium) side effects CNS: dizziness, headache, nervousness EENT: blurred vision, sore throatnasal only: epistaxis, nasal dryness/irritation Resp: bronchospasm, cough CV: hypotension, palpitations GI: GI irritation, nausea Derm: rash
Atrovent (ipratropium) nursing interventions ◦Advise patient that rinsing mouth after using inhaler, good oral hygiene, and sugarless gum or candy may minimize dry mouth. Health care professional should be notified if stomatitis occurs or if dry mouth persists for more than 2 wk.
Rifampin (Rifadin) action Bactericidal action against susceptible organisms. Spectrum: Broad spectrum notable for activity against:•Mycobacterium spp., •Staphylococcus aureus, •H. influenzae, •Legionella pneumophila, •Neisseria meningitidis.
Rifampin (Rifadin) side effects CNS: confusion, fatigue, headache, weakness Derm: rash, pruritus EENT: red discolor of tears GI: abdl pain, diarrhea, flatulence, heartburn, N&V, ↑ liver enzymes, red discolor of saliva GU: red discolor of urine Hemat: hemolytic anemia, thrombocytopenia
Rifampin (Rifadin) nursing interventions Evaluate renal function, CBC, and urinalysis periodically and during therapy.
Guaifenesin action Reduces viscosity of tenacious secretions by increasing respiratory tract fluid.
Guaifenesin side effects CNS: dizziness, headache GI: nausea, diarrhea, stomach pain, vomiting Derm: rash, urticaria
Guaifenesin nursing interventions ER tabs and caps taken whole; Instruct patient to cough effectively. Patient should sit upright and take several deep breaths before attempting to cough; admin with water
Epinephrine action •Bronchodilation. •Maintenance of heart rate and BP. •Localization/prolongation of local/spinal anesthetic
Epinephrine side effects CNS: nervousness, restlessness, tremor, headache, insomnia Resp: PARADOXICAL BRONCHOSPASM (EXCESSIVE USE OF INHALERS) CV: angina, arrhythmias, hypertension, tachycardia GI: nausea, vomiting Endo: hyperglycemia
Epinephrine nursing interventions Symptoms of overdose include persistent agitation, chest pain or discomfort, decreased BP, dizziness, hyperglycemia, hypokalemia, seizures, tachyarrhythmias, persistent trembling, and vomiting.
Created by: sydcpepper