Name: HADJI WAHAB, NORJANA A. Sub/Sec: NSG124.

6 - P (OB WARD DUTY)

DRUG STUDY

NAME OF DRUG MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECTS OF NURSING RESPONSIBILITIES

ACTION THE DRUG
Brand Name: Cofactor of many enzymes  W or IM:  Contraindicated with allergy SLE: Syndrome joint-  Assess possibility for
Magnesium Sulfate systems involved in Pre-eclampsia or to magnesium products; swelling, fever reaction, interactions with other drugs
neurochemical transmission eclampsia heart block, myocardial anemia, agranulocytosis, or herbal products the
Classification: and muscular excitability;  To correct or damage; fecal impactein, hepatitis, patient may be taking
Anticonvulsant prevents or controls prevent intestinal and billary tract glomerulonephritis, acute especially anything that may
seizures by blocking hypomagnesemi obstruction. renal failure. impact blood pressure before
neuromuscular a in patients or  Do not give during 2 hours start treatment.
transmission; attracts and parenteral preceding delivery because of  Monitor patients closely
retains water in the nutrition. risk of magnesium toxicity to during and following
intestinal lumen and the neonate. infusions. Observe
distends bowel to promote orthostatic precautions.
mass movement and relieve
constipation.
Generic Name: Chemical effect:  Essential Contraindicated in patients CNS: dizziness, headache,  Give oral form of drug with
Hydralazine Unknown, As a direct- hypertension hypertensitive to the drug and its peripheral meals to increase absorption.
hydcloride acting vasodilator, it relaxes  To manage components and those with CV: arrhythmias, angina,  Inform patients that
arteriolar smooth muscle hypertensive coronary artery disease or palpitation, tachycardia orthostatic hypotension can
Brand Name: emergencies intravalvular rheumatic heart GI: anorexi, diarrhea, N & V. be minimized by rising slowly
Alphapress, Therapeutic effect: related to disease. METABOLIC: sodium and not changing position
Apresoline Lower blood pressure pregnancy (pre- Use cautiously in patients with retention, weight gain suddenly.
eclampsia) suspected cardiac disease, stroke, SKIN: rash  Tell patient not to abruptly
Classification:  To manage or severe renal impairment, and in stop taking the drug, but to
Antihypertensive severe heart those taking other anti- call physician if adverse
failure. hypertensive drugs. reactions occur.
Patients dose:  Tell patient to limit sodium
25mg tag intake.
Generic Name:  Depress the CNS,  Adjunct in the  Contraindicated with CNS:  obtain history of patient’s
Diazepam probably by management of hypersensitivity to Dizziness underlying condition before
potentiating GABA, an anxiety, benzodiazepines; psychoses, Drowsiness therapy, and reassess
Brand Name: inhibitory preoperative acute narrow-angle Lethargy regularly thereafter.
Valium neurotransmitter sedation and glaucoma, shock, coma, acute Hangover  Periodically monitor liver,
 Produces skeletal conscious alcoholic intoxication; Headache kidney and hematopoietic
Classification: muscle relaxation by sedation pregnancy and lactating depression function studies in patient
Antianxiety agents, inhibiting spinal  Provides light mother. EENT: receiving repeated or
anticonvulsants, polysynaptic afferent anesthesia and Blurred vision prolonged or prolonged
sedative/hypnotics, pathway anterograde RESP: therapy.
skeletal muscle  Has anticonvulsant amnesia Respiratory depression  Look for adverse reactions
relaxants properties due to  Treatment of CV: and drug interactions.
enhanced presynaptic status hypotension  Assess patient’s and family’s
Dose: inhibition. epilepticus/ GI: knowledge of drug therapy.
10mg  Therapeutic effects: uncontrolled Constipation
Relief of anxiety seizures Diarrhea
Sedation  Skeletal muscle Nausea
Amnesia relaxant Vomiting
Skeletal muscle relaxant  Management of DERM:
Decreased seizure activity the symptoms of rashes
alcohol LOCAL:
withdrawal Pain (IM)
Phlebitis (IV)
Venous thrombosis
MISC:
Physical & psychological
dependence, Tolerance
Generic Name:  Hypocalcemic  Contraindicated in cancer CNS: tingling sensation,  Use all calcium product with
Calcium gluconate emergency patients with bone sence of oppression or heat extreme caution in digitalized
 Hypocalcemic metastases and in those with waves with I.V. patients and patients with
Classification: tetany ventricular fibrillation, CV: bradycardia, sarcoidosis
Electrolytes and  Dietary hypercalcemia,hypophosphat arrhythmias  Double check that you are
replacement supplement emia, or renal calculi. GI: constipation irritation, giving the correct form of
solutions. chalky taste, hemorrhage calcium
Replaces calcium and GU: polyuria, renl calculi
maintain calcium METABOLIC: hypercalcemia
level. SKIN: local reaction