Question

Identify the therapeutic class, drug form, use, action, adverse reaction, contraindication use and nursing care and teaching for the following drugs;

10. Dexamethasome

11.Dinoprostone (Cervidil)

12. Ephedrine

13. Erythromycin Ointment

14. Hydralazine

15. Labetalol (Trandate)

16. Lidocaine (Xylocaine)

17. Insulin

18. Magnesium Sulfate

Answer 1

S.No	Drug name	Classification	Drug form	Adverse reactions	Action	Indication	Contraindication	Nursing care	Patient teaching
10	Dexamethasone	Anti-inflammatory	Tablet, injection, suspension	Fluid retention, trouble sleeping, bruising, dizziness	Act as a glucocorticoid agonist	Endocrine, dermatological, allergic, hematologic diseases.	Herpes simplex infection, intestinal infection	Assess for signs and symptoms check vital signs	Take with food or milk. Educate about low sodium, low salt, high protein diet.
11	Dinoprostone(cervidil)	Cervical ripening agent	Suppository 20mg Gel 0.5mg	Cervical laceration, DIC, myocardial infarction, uterine rupture.	Act on uterus and produces cervical dilatation.	Dilatation of cervix for the expulsion of uterine products.	Incomplete abortion, labor, pregnancy.	Check for cervical dilatation.	Explain the medication action.
12.	Ephedrine	Benzenoids	Generic form Tab 8mg, 25mg.	Nervousness, loss of appetite, vertigo, palpitations, vomiting, painful urination.	Acts on the adrenergic receptor system and distinguishes adrenaline from non-adrenaline.	Stimulant, suppressant, a decongestant used with anesthesia	Cardiac diseases, glaucoma, high blood pressure	Check for BP Assess the cardiac rhythm	Avoid use in breastfeeding.
14	Hydralazine	Benzodiazepines	Tab 10mg, 25mg, 50mg	Headache, nausea, vomiting, dizziness, diarrhea.	Reduces blood pressure by peripheral vasodilation and relaxation of smooth muscles.	Hypertension secondary to CHF, eclampsia	stroke, low blood pressure, heart disease.	Monitor BP and pulse regularly. Monitor CBC and electrolytes.	Encourage for low sodium weight reduction diet.
15	Labetalol(Trandate)	Antihypertensive Beta-Blockers	Tab 100mg,200mg,300mg. Inj. 5mg/mL	Dizziness, headache, stomach upset, stuffy nose	It acts by blocking alpha 1 adrenergic receptors.	Treatment of hypertension	Heart failure, asthma, bronchitis, emphysema.	Assess the vital signs.	Check BP periodically.
16.	Lidocaine(Xylocaine)	Anesthetic	Inj. 10mg/mL, 20mg/mL	hypotension, erythema, itching, confusion, dizziness	Stabilizes the neuronal membrane and prevents transmission of signals	Used as a local anesthetic agent	Allergic to the agent, children	Check for allergies. Do not expose to overheat.	Do not apply to broken skin. Educate about the side effects
17	Insulin	Antidiabetic	Available in various form rapid acting, short-acting, and intermediate acting.	Low blood sugar, hunger, dizziness, nervousness, rapid breathing, fainting.	It binds to a glycoprotein receptor on the cells.	Control of blood sugar	Low blood sugar	Check blood sugar before administration Asses for symptoms of hypoglycemia	Educate about the self-administration of medication. Explain about signs of hypoglycemia.