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13 - Nervous
Nervous System Med
Brand | Generic | Classifications | IFU | MOA |
---|---|---|---|---|
Levophed | norepinephrine | Adrenergics | 1) Restore heart rhythm during cardiac arrest (2) Increase blood pressure during shock (3) Constrict capillaries if patient is bleeding (4) Dilate bronchioles of asthmatics (5) Dilate pupils for eye procedures | Adrenergic agonists that mimic the neurotransmitters of the sympathetic nervous system. Stimulate bodily functions. |
Tenormin | atenolol | Adrenergic blockers | (1) Slow heart rate and relax blood vessels (2) Treat cardiac arrhythmias (3) High blood pressure,(4) Migraine headaches, (5) Chest pain | Blocks the action of adrenergic neurotransmitters epinephrine & norepinephrine. |
Aricept | donezepril | Cholinergics | (1) Counteracts nerve gas and pesticide poisoning (2) Cardiac arrest (3) Bradycardia | Cholinergic agonists that mimic the neurotransmitters of the parasympathetic nervous system. Relax bodily functions. |
Atropen | atropine | Anticholinergics | Prior to anesthesia to dry saliva, pre-op relaxation, regulate heart rate while under anesthesia | Inhibit parasympathetic nervous system & promote “fight or flight” symptoms. Dry secretions |
Tylenol | acetaminophen | Analgesics | Mild to moderate pain, fever, NO anti-inflammatory effects | Inhibiting the synthesis prostaglandins, which help to transmit pain signals and induce fever |
Aspirin | salicylic acid | Salicylates | Relieve mild-to-moderate pain, Reduce inflammation and fever | Decreases the production of prostaglandins and thromboxanes by inactivating cyclooxygenase (COX). Cyclooxygenase is required for the production of prostaglandin and thromboxane. Without COX, prostaglandin and thromboxane are unable to send pain signals a |
Advil | ibuprofen | Non-Steroidal Anti-inflammatory Drugs | Relieve mild-to-moderate pain, Reduce inflammation and fever | : Inhibit prostaglandin (PG) synthesis in tissues. This prevents pain receptors from triggering the inflammatory process. |
morphine | morphine | Narcotic analgesics“Opioids” | Relieves moderate to severe pain. Chronic pain. Cough suppression, N/V. | Mimic the action of naturally occurring opioids in the body (i.e., endorphins). They bind to receptor sites and decrease the amount pain signals received by the CNS = decreased pain sensation. |
Xanax | alprazolam | Benzodiazepines (Anxiolytics) | Anxiety & Restlessness | Produces a calming effect that ranges from mild sedation to coma by enhancing the effects of neurotransmitter GABA (calming chemical) in the brain. |
Ambien | zolpidem | Non-Narcotic Benzodiazepine/ Sedative-Hypnotics | Insomnia, Anxiety | Attaches to receptors in the brain called GABA-A receptors. This causes the release of neurotransmitter GABA. GABA is a natural nerve-calming chemical. Reduces time it takes to fall asleep, and person wakes less often. |
Dilantin | phenytoin | Antiseizure Medications | Seizures | Delays the movement of sodium or calcium from crossing neural membranes, which slows the activity of neurons and calms cells = suppresses the CNS |
Nembutal | pentobarbital | Barbiturates | : Insomnia, Seizures, Anesthesia (short-term procedures) | Depresses the sensory cortex in the brain which decreases motor activity, altering cellular function and producing drowsiness, sedation and hypnosis. Controlled Substance with a high potential for abuse. |
Ritalin | methylphenidate | CNS Stimulants | Attention Deficit Disorder (ADD), Attention Deficit and Hyperactivity Disorder (ADHD) | Block the receptors involved in the reuptake of neurotransmitters dopamine. This leaves more of the chemical available for continued use by the brain. |
Eldepryl | selegiline | Monoamine oxidase inhibitors(MOAIs) | Depression | Reduces monoamine oxidase, an enzyme that breaks down neurotransmitters serotonin, dopamine and norepinephrine. This leaves more of these chemicals available for use by the brain. |
Elavil | amitriptyline | Tricyclic Antidepressants (TCAs) | Depression | Block the receptors involved in the reuptake of neurotransmitters serotonin and norepinephrine. This leaves more of these chemicals available for continued use by the brain. |
Prozac | fluoxetine | Selective Serotonin reuptake inhibitors (SSRIs) | Depression | Block the receptors involved in the reuptake of neurotransmitters serotonin. This leaves more of the chemical available for continued use by the brain. |
Lithobid/ lithium citrate | lithium carbonate/nitrate | Lithium / Antipsychotic | Bipolar disorder | Works throughout the CNS to decrease norepinephrine release and increase serotonin production. |
Thorazine | chlorpromazine | Antipsychotics | Schizophrenia, Psychosis- Hallucinations, Paranoia, Delusions, Bizarre thoughts and behaviors | Blocks excessive dopamine in the area of the brain that controls emotions. Reduces symptoms but does not cure or stop progression of condition. |
Requip | ropinirole | Ansti-Parkinson Agents | Parkinson’s Disease | Keeps neurotransmitters dopamine and acetylcholine in the synaptic gap longer by preventing reuptake. Neurons that produce dopamine die; muscle movements become disorganized Lack of dopamine and increase in acetylcholine causes tremors, slow movement, r |
Xylocaine | lidocaine | Local Anesthetics | Prevent the transmission of localized pain signals during short-term procedures (stitches, dental work, labor/delivery) | Decrease neuronal membrane permeability to Na+ ions. This causes an imbalance in electrical charges and stops the conduction of electrical impulses through the neuron. |
Diprivan | propofol | General anesthetics | Prevents the transmission of pain signals, induces amnesia and unconsciousness during traumatic and/or complex surgical procedures. | In combination with benzodiazepines or barbiturates, all PNS function is depressed. Results in a controlled unconscious state, lower BP, O2 levels, pulse, respiratory rate. |