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

1. AFRIN

• generic name;oxymeyazoline nasal
• brand name;afrin,ocuclear
• classifications;nasal decongestant
• indications;is for temporary relief of nasal congestion caused by allergies or common cold
• Contraindications (CI):Closed angle glaucoma,high blood pressure,coronary artery diseases,hardening of the arteries due to plaque.
• side effects; GI; nausea,
• Nervous system (NS);insomnia,tremor anxiety,
• ocular;eye irritation,dryness
• respiratory (RS);discomfort or irritation in the nose,mouth or throat or sneezing
• Doasge range;for adult; 2or 3 sprays in each nostrils not more than every 10 to 12 hours.paediatric dose.2 or 3 sparys in each nostrils
• 3 implications;wash hands carefully after using this medicine.anisocoria can develop if eyes are rubbed with contaminated fingers,rebound congestion may occur with excessive use.
• action; for relief of nasal decongestion.

2. Dopamine;

• Generic name;dopamine,
• brand name;intropin,revimine
• classifications;amine and autonomic nervous system agent
• indications;treat certain conditions like heart attack,trauma,surgery,kidney attack
• CI;patients with pheochromocytoma,and those with uncorrected cardiac arrhythmias including ventricular fibrillation,ventricular tachycardia etc.
• SE; Cardiovascular;ectopic beats,tachycardia,anginal pain,population,hypotension
• GI;nausea and vomiting
• NS;headache
• RS;dyspnea
• dermatology;gangrene
• local,necrosis
• Dosage range;adult dose; 2to 10mcg/kg/min IV by continuous infusion and maintenanceedose; 2 to 50 mcg/kg/min
• implications;monitor blood pressure,pulse and urinary output ,report if patient has decreased urinary output,ascedning tachycardia, and monitor therapeutic effectiveness
• action;normally occurng neurotransmitter and immediate precursor of eipnephrine

3.Midodrine;

• generic name;midodrine
• brand name;proamatine
• classifications;alpha -adrenergic agonists
• indications;who have symptoms of low bp,whose dailyactivities are severely affected by this conditon
• SE;skin- skin tingling,chills,goose bumps,GI-stomach pain,Genitourinary- frequent urination,trouble in urinating,NS;drowsiness
• CI;sever heart disease,acute renal disease,urinary retention,patients with severe supine hypotension.
• dosage;adult.2.5mg,5mg,10mg,
• implications;monitor regular supine and standing bp,stop if supine bp increaseexcessiely,monitor carfeull in patient switch diabetic.
• action;vasopressor/antihypotensive agent

4.Geodone;

• generic name;ziprasidone
• brand name;geodon
• classification;atypical atipsychotics
• indications;treatment of adults with maic or mixed episodes,is used as an adjunct to lithium or valporate for treatment of bipolar 1 disorder,treat schizophrenia
• CI:breast cancer,diabetes,excessive fa in the blood,dehydration,overweight,low potassium in the blood.
• SE;METABOLIC;increased appetite,dehydration,hypokalemia,hypergycemia
• NS; headache, extrapyridaml symptoms
• GI;constipation,dry mouth,nausea,
• RS;respiratory infection,increased cough,rhinitis.
• CV;chest pain,tachycardia
• skin; rashes
• dosage range;20 mg twice daily - 80 mg
• 3 implications;monitor for signs and symptoms of torsade de pointees,check fro unexplained rash,withhold the drug if any side effects develop
• action;change the effects of chemicals in the brain

5. Seroquel

• generic name;quetiapine
• brand name;seroquel
• classification;atypical antipsychotics
• indications;acute mania in bipolar 1 disorder,adjust to lithium or valporate,depressive disorders.
• CI;breats cancer, with low thyroid hormone level,diabetes, high prolactin level,excessive fa in the blood
• SE;trouble with movement,dizziness, weakness,sore throat,dry mouth
• implications;monitor the diabetes rate,reasses need for continued treatment,withhold the drug immediately if any signs and symptoms occur
• action;it change the effects of chemicals in the brain

6.zyprexia

• generic name;olanzapine
• brand name; Zyprexa,fluoxetine
• classification;antipsychotics
• indications; schizphrenia patients, bipolar disorder .
• CI;same as above two medicines
• SE;DIZZINES,WEIGHT GAN,HIGH CHOLESTROL,dry mouth,weakness
• implications;periodic blood glucose monitoring,monitor bp and HR periodically,monitor temperature especially under strenous exxcersies/