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Drug names and uses

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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.  
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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  
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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  
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Terbutaline     Adrenergic agonist - non-catecholamine,   Bronchodilator, delay of preterm labor.   Tachycardia, arrhythmia, tremors, hypertension.          
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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  
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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  
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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  
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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  
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Created by: SherahW
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