Question

Identify the (a) therapeutic class, (b) drug form, (c) use, (d) action, (e) adverse reaction, (f) contraindication use a...

Identify the (a) therapeutic class, (b) drug form, (c) use, (d) action, (e) adverse reaction, (f) contraindication use and (g) nursing care and (h) teaching for the following drugs;

Methotrexate

epidural anesthesia

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Answer #1
Methotrexate Epidural anesthesia
Therapeutic class Antimetabolite Anesthesia
Drug form available as solid and liquid form as liquid
Use
  • To treat cancer
  • Rheumatoid arthritis
  • Psoriasis
  • Cutaneous T cell lymphoma

To reduce or relieve pain

Surgeries

Action the medication acts by slowing the process of cell growth and multiplication the drugs acts by inhibiting the nerve conduction of pain stimuli at the site usually below the spinal cord and control pain
Adverse reaction

nausea,vomiting ,diarrhea, anorexia,bleeding, alopecia,decreased platelets ,red skin,fever,fatigue

Hypotension, bradypnea, headache, itching skin, tinnitus,urinary proble
Contraindication
  • Pregnancy
  • Any allergic or hypersensitivity to the drug
  • Allergy
  • Any active bleeding
Nursing care
  • Monitor the patient for side effects
  • Provide psychological support
  • Provide adequate diet to prevent fatigue
  • Monitor platelets and basic counts as per order
  • Monitor vital signs
  • Observe for side effects
  • Severe low blood pressure
  • Raised level of intracranial pressure
Teaching
  • Encourage to report any side effects immediately
  • Do not discontinue or over dose as it could be fatal
  • Keep out of reach of children
  • Store in cool and dry place
  • Inform the patient in the usage if it is self administering epidural anesthesia
  • Monitor vital
  • Encourage to report any side effects
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