Generic Name: Amandatine

Brand Name: Symmtrel

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

> anticholinergic > The effect of > use to treat > Known > nausea, dizziness > patients with a history of
antiparkinsonian amantadine Parkinson's hypersensitivity to (lightheadedness) and epilepsy or other seizure
drugs hydrochloride on syndrome and in amantadine insomnia disorders should be carefully
various aspects of the short-term > depression, anxiety and monitored while taking this
catecholamine management of irritability, hallucinations, drug
metabolism in the drug-induced confusion, anorexia, dry > may cause visual
rat brain has been extrapyramidal mouth, constipation, ataxia, disturbances and affect
investigated symptoms livedo reticularis, peripheral mental alertness and
> edema, orthostatic coordination
DOSAGE hypotension, headache, > People should not operate
somnolence, nervousness, dangerous machinery or
> 100 mg daily to as dream abnormality, agitation, motor vehicles while taking
little as 200 mg dry nose, diarrhea and fatigue. this drug
every seven days > CHF, psychosis, urinary
retention, dyspnea, skin rash,
vomiting, weakness, slurred
speech, euphoria, confusion,
thinking abnormality,
amnesia, hyperkinesia,
hypertension, decreased
libido, and visual disturbance,
including punctuate
subepithelial or other corneal
opacity, corneal edema,
decreased visual acuity,
sensitivity to light, and optic
nerve palsy.
Generic Name: Albendazole

Brand Name: Nifedipine

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

> Calcium channel- >Inhibits the > Angina pectoris > Contraindicated > CNS: Dizziness, light- > History: Allergy to nifedipine;
blocker movement of due to coronary with allergy to headedness, headache, pregnancy; lactation
> Antianginal calcium ions across artery spasm nifedipine asthenia, fatigue, > Physical: Skin lesions, color,
> Antihypertensive the membranes of (Prinzmetal's variant > Use cautiously with nervousness, sleep edema; orientation, reflexes; P,
cardiac and arterial angina) lactation, pregnancy disturbances, blurred BP, baseline ECG, peripheral
muscle cells; > Orphan drug use: vision perfusion, auscultation; R,
inhibition of Treatment of > CV: Peripheral edema, adventitious sounds; liver
transmembrane interstitial cystitis angina, hypotension, evaluation, normal GI output; liver
calcium flow results > SR preparation arrhythmias, AV block, function tests
in the depression of only: Treatment of asystole >WARNING: Monitor patient
impulse formation hypertension > Dermatologic: carefully (BP, cardiac rhythm, and
in specialized Flushing, rash, output) while drug is being
cardiac pacemaker dermatitis, pruritus, adjusted to therapeutic dose; the
DOSAGE cells, in slowing of urticaria dosage may be increased more
the velocity of > GI: Nausea, diarrhea, rapidly in hospitalized patients
> single dose of 400 conduction of the constipation, cramps, under close supervision. Do not
mg, 600 mg, or 800 cardiac impulse, in flatulence, hepatic exceed 30 mg/dose increases
mg the depression of injury > Ensure that patients do not
myocardial > Other: Nasal chew or divide SR tablets
contractility, and in congestion, cough, > Taper dosage of beta-blockers
the dilation of fever, chills, shortness before nifedipine therapy
coronary arteries of breath, muscle > Protect drug from light and
and arterioles and cramps, joint stiffness, moisture
peripheral sexual difficulties > You may experience these side
arterioles; these effects: Nausea, vomiting (eat
effects lead to frequent small meals); dizziness,
decreased cardiac light-headedness, vertigo (avoid
work, decreased driving, operating dangerous
cardiac energy machinery; take special
consumption, and precautions to avoid falling);
increased delivery muscle cramps, joint stiffness,
of oxygen to sweating, sexual difficulties
myocardial cells. (reversible)
Generic Name: Lorazepam

Brand Name: Ativan

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

>Benzodiazepine,  >Exact mechanisms >Oral: Management > Use cautiously with > CNS: Transient, mild > History: Hypersensitivity to
Anxiolytic, Sedative- are not understood; of anxiety disorders impaired hepatic or drowsiness initially; benzodiazepines, propylene
hypnotic acts mainly or for short-term renal function sedation, depression, glycol, polyethylene glycol or
at subcortical levels relief of symptoms lethargy, apathy, fatigue, benzyl alcohol; psychoses; acute
of the CNS, leaving of anxiety or anxiety light-headedness, narrow-angle glaucoma; shock;
the cortex relatively associated with disorientation, anger, coma; acute alcoholic intoxication
unaffected. Main depression; hostility,episodes of with depression of vital signs;
sites of action may insomnia due to mania and pregnancy; lactation; impaired
DOSAGE be the limbic system anxiety of transient hypomania, restlessness, liver or renal function, debilitation
and reticular situational stress confusion, crying, > Physical: Skin color, lesions; T;
>0.05 mg/kg up to a formation; >Parenteral: delirium, headache, orientation, reflexes, affect,
maximum of 4 mg benzodiazepines pot Preanestheticmedic slurred ophthalmologic examination; P,
administered atleast entiate the effects ation in adults speech, dysarthria, BP; R, adventitious sounds; liver
2 hr before of GABA, an toproduce sedation, stupor, rigidity, evaluation, abdominal
operative procedure inhibitory relieve anxiety, and tremor, dystonia, vertigo, examination, bowel sounds,
neurotransmitter; a decrease recall of euphoria, nervousness, normal output; CBC, LFTs, renal
nxiolytic effects events related to difficulty concentrating, function tests
occur at doses well surgery; treatment vivid dreams, > Sublingual administration has
below those needed of status epilepticus psychomotor more rapid absorption than PO,
to cause sedation retardation, extrapyrami and bioavailability compares to IM
and ataxia. dal symptoms;  mild use.
paradoxical excitatory > Do not administer intra-
reactions during first 2 arterially; arteriospasm or
wk of treatment gangrene may result
> CV: Bradycardia, > Do not administer intra-
tachycardia,  CV collapse, arterially; arteriospasm or
hypertension and gangrene may result
hypotension, > Do not use solutions that are
palpitations, edema discolored or contain a
> EENT: Visual and precipitate. Protect drug from
auditory light, and refrigerate oral solution.
disturbances, diplopia, ny > WARNING: Keep equipment to
stagmus, depressed maintain a patent airway readily
hearing, nasal congestion available when drug is given IV
> GI: Constipation,
diarrhea, dry mouth,
salivation,  nausea,
anorexia, vomiting,
difficulty in swallowing,
gastric disorders, hepatic
dysfunction
> GU: Incontinence,
urinary retention,
changes in libido,
menstrual irregularities
> Other: Hiccups, fever,
diaphoresis, paresthesias
, muscular
disturbances, gynecomas
tia.  Drug dependence
with withdrawal
syndrome when drug is
discontinued; more
common with abrupt
discontinuation of higher
dosage used for > 4 mo
Generic Name: Disulfiram

Brand Name: Abstensil

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

> Antialcoholic > Produces > used to support the > Severe myocardial > Optic neuritis, > Not drinking or using any
irreversible inhibition treatment of chronic disease or coronary peripheral neuritis, alcohol-containing products or
of the enzyme alcoholism by occlusion; diabetes polyneuritis medications while taking this
responsible for producing an acute mellitus; hepatic cirrhosis > a transient mild medication and for 14 days
oxidation of the sensitivity to alcohol or insufficiency; drowsiness, fatigue, after discontinuing this
ethanol metabolite hypothyroidism; epilepsy; impotence, medication
acetaldehyde. The cerebral damage; chronic headache, acneiform > Checking all liquid
DOSAGE resultant and acute nephritis; eruptions, allergic medications for presence of
accumulation of psychoses; and dermatitis, or a alcohol
> A maximum of 500 acetaldehyde may be hypersensitivity to metallic or garlic-like > Caution if drowsiness occurs
mg daily in a single responsible for most disulfiram or other aftertaste may be > Checking with physician
dose should be of the signs and thiuram derivatives used experienced during before using other CNS
given for 1 to 2 symptoms occurring in the manufacture of the first 2 weeks of depressants
weeks after ethanol items such as pesticides or therapy > patient should be made fully
ingestion in vulcanized rubber. > Hepatotoxicity has aware of the nature of this
disulfiram-treated been observed in a medicine and the disulfiram-
patients. The few patients. alcohol reaction and its
hypotensive consequences
response may be due > Disulfiram should not be
to inhibition of administered until the patient
norepinephrine has abstained from alcohol for
synthesis by the at least 12 hours and the blood
major disulfiram alcohol level is zero
metabolite
diethyldithiocarbama
te.

Generic Name: Morphine Sulfate

Brand Name: Epidural

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

> Opioid agonist > acts as agonist at > Relief of > with hypersensitivity > CNS: Light- > History: Hypersensitivity to
analgesic specific opioid moderate to severe headedness, dizziness, opioids; diarrhea caused by
to opioids; diarrhea
receptors in the acute and chronic sedation, euphoria, poisoning; labor or delivery of a
caused by poisoning
CNS to pain dysphoria, delirium, premature infant; biliary tract
produce analgesia, > Preoperative until toxins are insomnia, agitation, surgery or surgical anastomosis;
euphoria, sedation; medication to eliminated; during anxiety, fear, head
the receptors sedate and allay labor or delivery of a hallucinations, injury and increased intracranial
mediating these apprehension, premature infant (may disorientation, pressure; acute asthma, COPD, cor
DOSAGE effects are thought facilitate induction cross immature drowsiness, pulmonale,
to of lethargy, impaired preexisting respiratory depression;
blood–brain barrier
> be the same as anesthesia, and mental and physical acute abdominal conditions, CV
more readily); after
those mediating reduce anesthetic performance, coma, disease,
the effects of dosage biliary tract surgery or mood changes, supraventricular tachycardias,
endogenous > Analgesic adjunct following surgical weakness, headache, myxedema, seizure disorders, acute
opioids during anesthesia anastomosis; tremor, seizures, alcoholism,
(enkephalins, pregnancy; labor miosis, visual delirium tremens, cerebral
endorphins) (respiratory disturbances, arteriosclerosis, ulcerative colitis,
depression in suppression of fever,
cough reflex kyphoscoliosis, Addison's disease,
neonate; may prolong
> CV:Facial flushing, prostatic hypertrophy, urethral
labor). peripheral circulatory stricture, recent
collapse, tachycardia, GI or GU surgery, toxic psychosis,
bradycardia, renal or hepatic dysfunction;
arrhythmia, pregnancy;
palpitations, chest wall lactation
rigidity, hypertension, > Caution patient not to chew or
hypotension, crush controlled-release
orthostatic preparations
hypotension, syncope > Dilute and administer slowly IV to
> GI: Nausea, vomiting, minimize likelihood of adverse
dry mouth, anorexia, effects.
constipation, biliary >Tell patient to lie down during IV
tract spasm; administration
increased colonic > Keep opioid antagonist and
motility in patients facilities for assisted or controlled
with chronic ulcerative respiration readily
colitis available during IV administration
> Reassure patients that they are
unlikely to become addicted; most
patients who
receive opioids for medical reasons
do not develop dependence
syndromes
> Take this drug exactly as
prescribed. Avoid alcohol,
antihistamines, sedatives,
tranquilizers, over-the-counter
drugs
Generic Name: Acetaminophen

Brand Name: Tyenol

CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NURSING CONSIDERATION

> central nervous >effect may be >temporary relief pain >hypersensitivity > low fever with > Monitor for S&S of: hepatotoxicity,
system agent; reduced by long- and discomfort from reaction nausea, stomach pain, even with moderate acetaminophen
nonnarcotic term use or large headache,fever,cold and loss of appetite doses, especially in individuals with
analgesic, doses of or flu,minor muscular > dark urine, clay- poor nutrition or who have ingested
antipyretic barbiturate aches,menstrual colored stools alcohol over prolonged periods;
drugs,Carbamazep cramps,toothache > jaundice (yellowing poisoning, usually from accidental
hine of the skin or eyes) ingestion or suicide attempts;
,Phenytoin potential abuse from psychological
>may also dependence (withdrawal has been
increase the associated with restless and excited
DOSAGE chances for liver responses).
toxicity if taken > Do not take other medications
>300 to 650 mg, 4 to with (e.g., cold preparations) containing
6 times per day Acetaminophen acetaminophen without medical
advice; overdosing and chronic use
can cause liver damage and other
toxic effects
> Do not self-medicate adults for
pain more than 10 d (5 d in children)
without consulting a physician
> Do not use this medication
without medical direction for: fever
persisting longer than 3 d, fever over
39.5° C (103° F), or recurrent fever