Question

• The Instructor will assign ten      (10) drug cards per week, in specific areas. Each card will be worth 1      point. You will not receive the points for the cards if they are not submitted      within the week when due.
• Cards must be handwritten,      legible, and on ruled index cards.
• All information required on the      card must be completed or you will not receive the point for the card.
• The following information must      be on the Drug Card for Each Drug:
  • Generic and Trade /Brand Names       ( American Only )
  • Classifications:
    • Therapeutic
    • Pharmacological
  • Indications/Uses
  • Contraindications
  • Adverse reactions by all       systems
  • Safe dosage range
  • 3 nursing implications
  • Action

Afrin

Dopamine

Midodrine

Geodon

Seroquel

Zyprexia

Celexa

Remeron

epinephrine

Cymbalta

Answer 1

• Generic name:
• Trade /Brand Names       ( American Only )
• Classifications:
  • Therapeutic
  • Pharmacological
• Indications/Uses
• Contraindications
• Adverse reactions by all       systems
• Safe dosage range
• 3 nursing implications
• Action

Afrin:

• Generic name: Oxymetazoline
• Trade /Brand Names       ( American Only ): OcuClear,Drixine
• Classifications:
  • Therapeutic: Nasal decongestant
  • Pharmacological: Alpha-1 adrenergic receptor agonist
• Indications/Uses: Nasal congestion associated with allergies,hey fever,sinus irritation and common cold
• Contraindications: high blood pressure, coronary artery disease, enlarged prostate, hardening of the arteries due to plaque buildup
• Adverse reactions by all       systems: Dryness, irritation, sneezing,watery eyes
• Safe dosage range: 0.05% w/v as nasal spray
• 3 nursing implications: 1.No interaction with alcohol, 2.Unsafe to use during pregnancy. 3.Safe to use during breastfeeding.
• Action: Act on alpha adrenergic receptors in the arterioles of nasal tissue. Constriction of blood vessels in the nose lead to drainage and decongestion of the nasal cavity

Dopamine

• Generic name: Dopamine
• Trade /Brand Names       ( American Only ): Intropin,Revimine, Dopastat
• Classifications:
  • Therapeutic: Neurotransmitter,hormone
  • Pharmacological:Sympathomimetic agonist
• Indications/Uses:Heart failure and low blood pressure.
• Contraindications: Pheochromocytoma, ventricular fibrillation, tachyarrhythmia
• Adverse reactions by all       systems: Headache, flushing, palpitation, increased heart rate
• Safe dosage range:200 mg injection to 400 mg/ml injection
• 3 nursing implications: 1.Unsafe to use during pregnancy 2.Safe to use during breastfeeding 3.
• Action: Act on receptors in the kidney , gut, brain and heart to relax the blood vessels.Increased urine production in kidneys.

Midodrine

• Generic name: Midodrine
• Trade /Brand Names       ( American Only ): ProAmatine, Orvaten, Bramox, Gutron
• Classifications:
  • Therapeutic: Antihypotensive
  • Pharmacological: Alpha adrenergic agonist
• Indications/Uses: Low blood pressure
• Contraindications: Heart disease, Urinary retention, Thyrotoxicosis., Renal disease
• Adverse reactions by all       systems: Headache, Nausea, Heartburn, Difficulty in urination
• Safe dosage range: 2.5 mg- 5 mg
• 3 nursing implications: 1.Unsafe during pregnancy 2.Unsafe during breastfeeding
• Action:Activate specific receptors on blood vessels to cause vasoconstriction

Geodon

• Generic name:Ziprasidone
• Trade /Brand Names       ( American Only ): Geodon, Azona, Zipra
• Classifications:
  • Therapeutic: Antipsychotic
  • Pharmacological:
• Indications/Uses:Treatment of Schizophrenia, Bipolar syndrome
• Contraindications: Diabetes, Breast cancer
• Adverse reactions by all       systems: Sleepiness, headache, Nausea, Vomiting, Dizziness, Weakness, Dystonia, Abnormal vision
• Safe dosage range: 20 mg - 80 mg
• 3 nursing implications: 1.Unsafe to consume with alcohol 2.Unsafe to use during pregnancy 3.Unsafe during lactation
• Action: By modulating the action of certain chemical messengers in the brain that affect thoughts.

Seroquel

• Generic name: Quetiapine
• Trade /Brand Names       ( American Only ): Temprolide, Seroquel
• Classifications:
  • Therapeutic: Atypical antipsychotic
  • Pharmacological
• Indications/Uses: Treatment of Schizophrenia and mania
• Contraindications: Diabetes, Breast cancer
• Adverse reactions by all       systems: Akathisia (Inability to stay still), Decreased Hb in blood, Sleepiness, Headache, Parkinsonism, Increased fat in the blood
• Safe dosage range: 25 mg - 400 mg
• 3 nursing implications:1.Unsafe to consume with alcohol 2.Unsafe to use during pregnancy 3.Unsafe during lactation
• Action:By modulating the action of certain chemical messengers in the brain that affect thoughts.

Zyprexia

• Generic name: Olanzapine
• Trade /Brand Names       ( American Only ): Oleanz, Olimelt, Oliza, Tolaz, Olan
• Classifications:
  • Therapeutic: Atypical antipsychotic
  • Pharmacological
• Indications/Uses: Treatment of Schizophrenia and mania
• Contraindications: Diabetes, Breast cancer
• Adverse reactions by all       systems: Sleepiness, weight gain, Orthostatic hypotension, Dryness of mouth, Dizziness
• Safe dosage range: 2.5 mg - 20 mg
• 3 nursing implications: 1.Unsafe to consume with alcohol 2.Unsafe to use during pregnancy 3.Unsafe during lactation
• Action: Affecting the levels of dopamine and serotonin to improve mood, behaviour and thoughts.

Celexa

• Generic name: Citalopram
• Trade /Brand Names       ( American Only ): Cipramil,
• Classifications:
  • Therapeutic: Antidepressant
  • Pharmacological:Selective serotonin reuptake inhibitor(SSRIs)
• Indications/Uses: Treatment of depression
• Contraindications: Low levels of Na+, Mg2+ in the blood, Increased risk of bleeding
• Adverse reactions by all       systems: Erectile dysfunction, Insomnia, Low sexual desire,Nausea, Restlessness
• Safe dosage range: 10 mg - 500 mg
• 3 nursing implications:1.Unsafe to consume with alcohol 2.Unsafe to use during pregnancy 3.Unsafe during lactation
• Action: By enhancing the levels of mood enhancing neurotransmitters called serotonin in the brain.This improves the energy and feeling of well being

Remeron

• Generic name:Mirtazapine
• Trade /Brand Names       ( American Only ): Remeron, Mirtaz, Mirnite, Mirtakem, Mirtazac
• Classifications:
  • Therapeutic: Antideppressant
  • Pharmacological: SSRIs
• Indications/Uses: Treatment of depression
• Contraindications: High cholesterol in blood, Dehydration
• Adverse reactions by all       systems: Sleepiness, Dryness in mouth, Increased appetite
• Safe dosage range: 7.5 mg - 45 mg
• 3 nursing implications:1.Unsafe to consume with alcohol 2.Unsafe to use during pregnancy 3.Unsafe during lactation
• Action:By enhancing the levels of mood enhancing neurotransmitters called serotonin in the brain.This improves the energy and feeling of well being

epinephrine

• Generic name: Epinephrine
• Trade /Brand Names       ( American Only ):Epitrate, Themicaine, Vasocon, Dianora, Adrelin
• Classifications:
  • Therapeutic: Hormone
  • Pharmacologic: Alpha and beta adrenergic agonist
• Indications/Uses: Tretment of anaphylaxis, asthma, cardiac arrest, Superficial bleeding, used in local anesthesia for localized vasoconstriction
• Contraindications: Hypersensitivity to sympathomimetic amines, Diabetes, Overactive thyroid gland, Closed angle glaucoma, Angina, Heart attack
• Adverse reactions by all       systems: Burning sensation, Stinging sensation, Erythema, Itching of skin Pale skin
• Safe dosage range: 0.005 mg - 1 mg
• 3 nursing implications: 1.Unsafe in pregnancy 2.Unsafe in breastfeeding
• Action: Causes vasoconstriction of local tissues thereby increase the time of action of local anesthetics, Relaxes the muscle of the lung and trachea to cause easy breathing

Cymbalta

• Generic name:Duloxetine
• Trade /Brand Names       ( American Only ): Doloplan, Naxdu, Dulex, Duloxit
• Classifications:
  • Therapeutic:Antidepressant
  • Pharmacological: Selective serotonin and norepinephrine reuptake inhibitor (SNRI)
• Indications/Uses: Treatment of depression, anxiety , Neuropathic pain
• Contraindications: Low amount of blood Na+, increased risk of bleeding, Alcoholism
• Adverse reactions by all       systems: Nausea, Headache, Vomiting, Dryness of mouth, Sleepiness, Dizziness
• Safe dosage range:20 mg - 60 mg
• 3 nursing implications:1.Unsafe in pregnancy 2.Unsafe in breastfeeding
• Action: Increasing the levels of chemical messengers , natural substances in the brain that help maintain mental balance and stop the movement of pain signals.