logo

Drug Information Summary

   

Added on  2020-04-01

47 Pages6837 Words43 Views
 | 
 | 
 | 
Running head: DRUG CARD
Drug card
Name of the Student
Name of the University
Author note
Drug Information Summary_1

1DRUG CARD
Name of Drug: Atenolol
Normal Dosage and Route: 50 mg; range 100 to 200 mg/day- once daily; Route: PO Peak: 2-4
hours; Duration: 24 hours
Generic Name: Tenormin
Classification: antianginals/antihypertensive (therapeutic)/beta-blockers (pharmacologic)
Action: Blocks the stimulation of beta-andrenergic receptors (myocardial), however, do not
affect the vascular, pulmonary, uterine beta2-receptor sites. The therapeutic effects include
decrease in heart rate and blood pressure. There is decrease in frequency of angina pectoris
attacks and MI prevention.
Uses: It is used in the management of angina pectoris, hypertension and MI prevention where it
decreases the frequency of these episodes. It also decreases the heart rate, blood pressure by
blocking the stimulation of beta2 myocardial adrenergic receptors.
Contradictions:
Pulmonary edema
Uncompensated heart failure
Heart block or Brachycardia
Cardiogenic shock
Adverse Effects:
Weakness, fatigue, depression, anxiety, nervousness, changes in mental status in CNS
Drug Information Summary_2

2DRUG CARD
Stuffy nose and blurred vision in EENT
Heart failure, bradycardia, hypotension, pulmonary edema and peripheral constriction in
CV
Wheezing, bronchospasm in respiratory system
Nursing implications/Considerations:
Monitoring of ECG, BP, pulse, dosage adjustment during periodic therapy
Monitoring of input, output ratios, daily weights,
Routine monitoring for HF like weight, dyspnea, jugular venous distention, peripheral
edema.
Patient/Family Teaching:
Advise to look for wheezing, difficulty in breathing, slow pulse, light-headedness,
dizziness, depression, fever, rash, sore throat, bruising, unusual breathing
Name of Drug: Ativan
Normal Dosage and Route: 1 to 10 mg- 2 to 3 times daily; Route: PO, IM, IV with peaks 1-6
hours, 1-2 hours, 15-20 minutes respectively Duration: 8 to 12 hours
Generic Name: LORazepam
Classification: antianxiety agents, anesthetic adjuncts and sedative/hypnotics as therapeutic and
benzodiazepines as pharmacologic agents
Drug Information Summary_3

3DRUG CARD
Action: It depresses the CNS by potentiating GABA being an inhibitory neurotransmitter. As
therapeutic, decreases seizure, anxiety and sedation.
Uses:
Therapeutic agent-depressing of inhibitory neurotransmitter GABA, and decreases anxiety,
seizures and sedation.
Contradictions:
Hypersensitivity, sleep apnea, sever hypotension, angle- closure glaucoma, uncontrolled
severe pain, seizures
Hypothermia
Comatose patients with pre-existing depression
Cross sensitivity with benzodiazepines
Adverse Effects:
Lethargy, drowsiness, dizziness, slurred speech, headache, mental depression, confusion
Blurred vision
Reparatory depression
Hypotension, brachycardia
Nursing implications/Considerations:
Regular assessment of continued need for treatment
Drug Information Summary_4

4DRUG CARD
Assessment of manifestations and degree of anxiety, mental status
Assessment of duration, location, frequency and characteristic of seizure
Assessment of hepatic, renal and hematologic functioning
Patient/Family Teaching:
No skipping of medications, take according to dosage, minimize dose to avoid
withdrawal symptoms, methods to reduce anxiety, avoid activities that require alertness
Name of Drug: Calcium
Normal Dosage and Route: 1 gm containing 400 gm elemental calcium Route: PO, IV Peak:
PO unknown, IV immediate Duration: PO unknown, IV- 0.5-2 hours
Generic Name: Calcium carbonate
Classification: electrolyte and mineral supplements or replacements
Action: It is essential for skeletal, muscular and nervous system, maintenance of capillary
permeability and cell membrane, activation of transmission of nerve impulses, skeletal, cardiac
and smooth muscle contraction, blood coagulation, bone growth
Uses: It is the replacement for calcium deficiency, hyperphosphatemia control in end-renal stage
without aluminium absorption promotion as therapeutics. It prevents and treats hypocalcemia,
heartburn or acid indigetioon relief, hyperphospahtemia treatment and useful in calcium
deficiency.
Drug Information Summary_5

5DRUG CARD
Contradictions:
Renal calculi, hypercalcemia, ventricular fibrillation, severe respiratory insufficiency, cardiac
and renal disease
Adverse Effects: tingling, headache, bracycardia, nausea, constipation, hypercalciuria, calculi
Nursing implications/Considerations: Assessment of hypocalcemia symptoms, monitoring of
patients on digitalis glycosides or signs of toxicity, assessment of indigestion, heartburn,, bowel
movement, toxicity or overdose symptoms like nausea, vomiting, bradycardia, constipation
Patient/Family Teaching:
Instructing patients not to consume enteric-coated tablets, avoid foods containing oxalic
acid like cereals, brans, spinach, no missing of dose, prevent constipation by consuming bulk in
diet, fluid intake, maintain adequate vitamin D in diet, exercise limitations if any
Name of Drug: Carbamazepine
Normal Dosage and Route: 200 mg or 100 mg twice daily or four times daily respectively
Route: PO, PO-ER, Peak: 4 to 5 hours, 2-3-12 hours Duration: 6-12 hours, 12 hours
Generic Name: Carbatrol, Equetro, Epitol
Classification: mood stabilizers, anticonvulsants as therapeutic
Drug Information Summary_6

6DRUG CARD
Action: It decreases the CNS synaptic transmission, affect sodium channels in neurons, decrease
mania, pain relief in trigeminal neuralgia
Uses: It is used in preventing seizures, relief pain and decrease synaptic transmission by
affecting sodium channels in CNS neurons, decrease mania and acts as anitconvulsants
Contradictions: Bone marrow suppression, hypersensitivity, hepatic or cardiac disease, renal
failure
Adverse Effects: ataxia, suicidal thoughts, sedation, psychosis, fatigue, drowsiness, blurred
vision, hepatitis, urinary retention, nail shedding, hyponatremia, eosinophilia, multi-organ
hypersensitivity reactions
Nursing implications/Considerations:
Monitoring of skin change conditions, toxic epidermal necrolysis, Steven-Johnson
Syndrome, screening of patients for serious skin reactions
Patient/Family Teaching:
Instruct patients for skin rash, behavioural changes, mouth ulcers, sore throat, jaundice,
dark urine, look for thoughts of dying or suicide, aggressiveness, unusual mood change or
violent or angry behaviour.
Drug Information Summary_7

7DRUG CARD
Name of Drug: Celexa
Normal Dosage and Route: 20 mg to 40 mg-once daily; Route: PO; Peak and Duration:
unknown
Generic Name: Citalopram
Classification: Antidepressants (therapeutic)
Selective serotonin reuptake inhibitors (SSRIs)
Action: It selectively inhibits the serotonin reuptake in CNS and has antidepressant therapeutic
action
Uses: antidepressant action and selective inhibition of CNS serotonin uptake
Contradictions: hypersensitivity, hypokalemia, bradycardia, c oncurernt pimozide use,
hypomagnesemia, recent myocardial infarction, congenital long QT syndrome
Adverse Effects: suicidal thoughts, malignant syndrome, neuroleptic, confusion, apathy,
weakness agitation, insomnia, cough, anorexia, weight loss, rash, sweating
Nursing implications/Considerations:
Monitoring of mood changes, suicidal tendencies, assessment for sexual dysfunction,
serotonin syndrome assessment like agitation, autonomic instability, neuromuscular aberrations,
GI symptoms especially in SNRIs, SSRIs
Patient/Family Teaching:
Drug Information Summary_8

End of preview

Want to access all the pages? Upload your documents or become a member.