Drug Study
Drug Study
Drug Study
nursing actions
Side Effects
Adverse Drug CNS: disorientation, restlessness, irritability, dizziness, drowsiness, headache
Reactions CV: Palpitations, tachycardia, paradoxical bradycardia
EENT: dilated pupils, blurred vision, photophobia, increased intraocular pressure, difficulty swallowing
GI: constipation, dry mouth, nausea, vomiting, epigastric distress
GU: Urinary hesitancy, urine retention
Skin: Rash, flushing, dryness
Other: Bronchial plugging, fever, depressed respirations
Nursing Actions Considerations:
- Some patients become temporarily excited or disoriented. symptoms disappear when sedative effect is complete.
Raise side rails as precaution.
- In therapeutic doses, scopolamine may produce amnesia, drowsiness, and euphoria. These effects are desirable
when used as adjunct to anesthesia. May need to reorient patient.
- Warn patient to avoid activities requiring alertness until CNS effects of the drug are known.
Advise patients to report signs of urinary hesitancy or urine retention.
- Tolerance may develop when given over a long period of time.
- Many of the adverse reactions (such as dry mouth, constipation) are expected extension of the drug’s
pharmacologic activity.
- To determine m2for dosage calculation in children, use a nomogram.
2. Calcium Gluconate -
Generic Name Calcium gluconate
Brand Name
General Action Replaces calcium and maintains calcium level.
Dose Hypocalcemia
Indication/use Adults: 7-14 mEq elemental calcium I.V. May give as a 10% calcium chloride solution.
Children: 0.136 to 0.252 mEq elemental calcium/kg I.V.
Adjunctive treatment of magnesium intoxication
Adults: Initially, 7 mEq I.V. Base subsequent doses on patient’s response
During exchange transfusions
Adults: 1.35 mEq I.V. with each 100 mL citrated blood
Neonates: 0.45 mEq I.V. after each 100 mL citrated blood
Hyperphosphatemia
Adults: Initially 2 capsules or tablets or 10 mL oral solution calcium P.O. t.i.d. with meals. Titrate dose every
2 to 3 weeks until an acceptable serum phosphorus level is reached and watch for hypercalcemia. Most
dialysis patiets need 3-4 capsules or tablets or 15-20 mL oral solution with each meal.
Dietary supplement
Adult: 500 mg to 2 g P.O. daily
Hyperkalemia with secondary cardiac toxicity
Adults: 2.25 to 14 mEq I.V. Repeat dose after 1 to 2 minutes, if needed.
Contraindication Contraindicated in cancer patients with bone metastases and in those with ventricular fibrillation,
hypercalcemia, hypophosphatemia, or renal calculi
Side Effects
Adverse Drug Reactions CNS: tingling sensations, sense of oppression or heat waves with I.V. use, syncope with rapid I.V. use.
CV: bradycardia, arrhythmias, cardiac arrest with rapis I.V. use, mild drop in BP, vasodilation
GI. constipation, irritation, chalky taste, hemorrhage, nausea, vomiting, thirst, abdominal pain
GU: polyuria, renal calculi
Metabolic: hypercalcemia
Skin: Local reactions, including burning, necrosis, tissue sloughing, cellulitis, soft-tissue calcification with I.M. use
Nursing Actions
3. Carboprost - 958
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
4. Diazepam
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
5. Lidocaine
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
6. Magnesium SO4
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
7. Methergine - 960
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
8. Nubain - 292
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions
9. Oxytocin
Generic Name
Brand Name
General Action
Dose
Indication/use
Contraindication
Side Effects
Adverse Drug Reactions
Nursing Actions