click below
click below
Normal Size Small Size show me how
ccc chap.. 2 drugs
chap. 2drugs
| generic name | trade name | dosage/routes | action | side effects | nursing assessments |
|---|---|---|---|---|---|
| Midazolam | Versed | 3-5 mg IM | sedative, hypnotic, anti-anxiety | nausea, vomiting, respiratory depression, | *Inj site fro redness, pain, swelling *degree of amnesia in geriatric pt *apnea, respiratory depression that may be increased in geriatric pt |
| Diazepam | Valium | 5-20 mg PO | anti-anxiety anticonvulsant skeletal muscle relaxant central acting | dizziness, drowsiness, orthostatic hypotension, tachycardia, blurred vision, respiratory depression | *degree of anxiety *For muscle spasms, pain relief *B/P, pulse, respiration rate, if systolic B/P drops 20mm HG, hold product, notify MD, |
| Lorazepam | Ativan | 1-4 mg IM or IV | sedative hypnotic anti-anxiety | dizziness,drowsiness, orthostatic hypotension, blurred vision, tachycardia, | *B/P, pulse, respiration rate, if systolic B/P drops 20mm HG, hold product, notify MD *assess for therapeutic response |
| Morphine | Morphine | 5-15 mg IM,IV | Opioid analgesic | bradycardia, constipation | bowels status, assess respiration, allergic reaction: rash urticaria CNS changes |
| Meperidine | Demerol | 50-150 mg IM,IV | Opioid analgesic | Bradycardia, drowsiness, dizziness, headache, confusion | assess respiration, bowel status, CNS changes allergic reactions: rash, urticaria |
| Fantanyl citrate | Sublimaze | 50 mcg/mL IM or slow IV | Opioid analgesic | Bradycardia, nausea, vomiting, constipation | CNS changes allergic reactions: rash, urticaria, assess respiration |
| Cimetidine | Tagamet | 300 mg IV,IM,PO | H2 receptors antagonists decreases acid secretion | headache, diarrhea, | Gastric pH it should be maintain 5 or more, also epigastric pain and duration, |
| Ranitidine | Zantac | 50 mg IV,IM,PO | H2 receptors antagonists decreases acid secretion | headache, diarrhea, constipation | asses mental status, gastric pH(>5 and should be maintain) |
| Famotidine | Pepcid | 20 mg IV | H2 receptors antagonists decreases acid secretion | headache, constipation, dizziness | for epigastric pain, abdominal pain, occult blood in the emesis,stools |
| Metoclopramide | Reglan | 10 mg IV | antiemetic | diarrhea, constipation,vomiting, headache | assess for mental status: anxiety,depression Gi complaints: nausea vomiting,anorexia,constipation |
| Droperidol | Inapsine | 2.5-10 mg IM | sedative, hypnotic | tachycardia, hypotension, chills | assess VS q10min when IV administration |
| Ondansetron HCL | Zofran | 4 mg IV | antiemetic(prevents nausea) | headache, dizziness, drowsiness, diarrhea, constipation | for absence of nausea, vomiting during chemotherapy |
| Atropine sulfate | Atropine sulfate | 0.4-0.6 mg IM,IV | antidysrhythmic | headache, constipation, nausea, vomiting | assess I&O, assess bowels sounds(constipation) |
| glycopyrrolate | Robinul | 0.1-0.3 mg IM,IV | anticholinergic | dryness of mouth, constipation | asses mental status and CNS I&O retention commonly causes decreased urinary output |
| Cefazolin Sodium | Ancef | 500 mg/50 mL vial | antibiotic | nausea vomiting diarrhea | *determine Pt history of allergies *if dosing continues, space drug evenly around the clock *advise Pt to complete therapy *If large dose is given or treatment is prolonged monitor Pt for superinfection (abdominal pain, moderate to severe diarrhea, sev |
| cefotaxime sodium | claforan | 1g 30-90 min IM,IV preoperative | antibiotic | nausea vomiting diarrhea | *determine Pt history of allergies *if dosing continues, space drug evenly around the clock *advise Pt to complete therapy *If large dose is given or treatment is prolonged monitor Pt for superinfection (abdominal pain, moderate to severe diarrhea, |
| ceftriaxone | Rocephin | 1g 0.5-2hr IM,IV preoperative | antibiotic | nausea vomiting diarrhea | *determine Pt history of allergies *if dosing continues, space drug evenly around the clock *advise Pt to complete therapy *If large dose is given or treatment is prolonged monitor Pt for superinfection (abdominal pain, moderate to severe diarrhea, sev |
| Methylprednisolone | depo-medrol solu-medrol | adults: 40-250 mg IV q 4-6 hr | decreases inflammation | insomnia,GI irritation,sodium fluid retention | determine if Pt hypersensitivity to drug |
| Ketorolac | Toradol | 50 mg/mL IM 30mg/mL IV push over at least 15 sec | decrease intensity of pain | urinary retention, swelling or rapid gain weight, headache | assess the duration location onset & type of pain Pt is having, assess pt for therapeutic response |
| enoxaparin sodium | lovenox | 30mg/0.3mL to 150mg/mL in per-filled syringes | anticoagulant | hemorrhage, diarrhea, rash, fever | asses pt gums for erythema, tell Pt not to take aspirin or OTC drugs that are similar |
| heparin sodium | heparin | 10 units/mL to 15,000 units/mL | anticoagulant | hemorrhage, diarrhea, rash, fever | asses pt gums for erythema, tell Pt not to take aspirin or OTC drugs that are similar |
| warfarin sodium | coumadin | 1-10 mg oral tab | anticoagulant | hemorrhage, diarrhea, rash, fever | asses pt gums for erythema, tell Pt not to take aspirin or OTC drugs that are similar |