Drug Study Yuji Hahaha

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• Drug Study No.

DRUG NAME DRUG MODE OF ACTION DRUG EFFECTS NURSING RESPONSIBILITIES


CLASSIFICATION

Generic Therapeutic: Through its action on alpha-1 receptors, epinephrine induces Side Effects: -Verify correct rate of IV injection
Name: increased vascular smooth muscle contraction, pupillary with a physician
Anti-asthmatic dilator muscle contraction, and intestinal sphincter muscle Headache, sweating,
Epinephrine contraction. It works by relaxing the muscles in the airways nausea and vomiting, -Monitor BP, pulse, respirations,
Bronchodilators weakness and urinary output and observe
and tightening the blood vessels
Vasopressors patients after administration

Brand Indications:
Name: Temporary relief of bronchospasm, acute asthmatic attack,
Adrenin mucosal congestion, hypersensitivity and anaphylactic Adverse Effects:
reactions, syncope due to heart block or carotid sinus
Pharmacologic:
hypersensitivity, and to restore cardiac rhythm in cardiac Cardiac:
Adrenergic arrest. Hypertension,
Dose: tachycardia, angina
5 amp+ 45cc Neurological:
D5W=50 Contraindications: restlessness, tremors
-Patients with known hypersensitivity to sympathomimetic Respiratory:
amines Pulmonary edema
Frequency:
-It should not be used together with anesthetic agents such as Skin: Necrosis from
5cc/hr
cyclopropane or halothane as these may sensitize the heart to vasoconstriction
arrhythmic action of sympathomimetic drugs.

Route:
IV
• Drug Study No. 2

DRUG DRUG MODE OF ACTION DRUG NURSING RESPONSIBILITIES


NAME CLASSIFICATION EFFECTS

Generic Therapeutic: Ceftriaxone is a type of antibiotic called a cephalosporin, only Side Effects: -Verify correct IV concentration
Name: given by injection. It works by interfering with the formation of and rate of infusion with a
Anti-Infective bacterial cell walls. Ceftriaxone impairs the bonds that hold the -Rash physician.
Ceftriaxone bacterial cell wall together, which allows holes to appear in the cell -Diarrhea -Check for fever if diarrhea
walls. This kills off the bacteria causing the infection.
Pharmacologic: -Hypersensitivity occurs
reactions -Advise significant other to report
Third-generation
Brand cephalosporins signs of bleeding and to report
Name: loose stools or diarrhea promptly
Indications:
Rocephin -Observe signs of adverse
-Susceptible bacterial infections of the lower respiratory tract, skin Adverse reactions
and skin structure, bone and joint, acute otitis media, UTIs, reactions:
septicemia, pelvic inflammatory disease (PID), intra abdominal
Dose: infections, meningitis, uncomplicated gonorrhea. -Hemolytic
Anemia
400mg
-Pancreatitis
Contraindications:
Frequency: -Hyperbilirubinemia in premature neonates. -Concomitant calcium-
containing IV solutions or products in neonates. -Ceftriaxone
Every 12 hrs
solutions containing lidocaine for IV administration.

Route:
IV
● Drug Study No. 3

DRUG NAME DRUG MODE OF ACTION DRUG EFFECTS NURSING RESPONSIBILITIES


CLASSIFICATION

Generic Therapeutic: The exact mechanism of action of metronidazole has not Side Effects: -Monitor Iv injection site for pain,
Name: been fully established, however, it is possible that an swelling, and irritation.
Anti-infective, intermediate in the reduction of metronidazole which is Nausea, vomiting,
Metronidazole Antiprotozoals only made by anaerobic bacteria and protozoa. drowsiness, fatigue, -Monitor signs of disulfiram -like
diarrhea, reaction . Signs including difficulty of
constipation breathing, nausea and vomiting,
tachycardia, thirst, palpitations.
Metronidazole is an antibiotic that is used to treat a wide
Brand Name: variety of infections. It works by stopping the growth of - Instruct significant others to report
certain bacteria and parasites. This antibiotic treats only Adverse Effects: signs of leukopenia, including fever,
Flagyl Pharmacologic: certain bacterial and parasitic infections. It will not work for CNS: Confusion, sore throat, and infection.
viral infections (such as common cold, flu). restlessness, ataxia,
Nitroimidazole
derivatives seizures,
Dose:
100mg
Indications:
-Acute infection with susceptible anaerobic bacteria
Frequency:
-Acute intestinal amebiasis Urogenital:
Every 12 hrs -Amoebic liver abscess Polyuria, dysuria,
-Trichomoniasis (acute and partners of patients with acute incontinence, pyuria
infection)
Route:
IV Contraindications:
-History of hypersensitivity to metronidazole or other
nitroimidazole derivatives
• Drug Study No. 4

DRUG NAME DRUG MODE OF ACTION DRUG EFFECTS NURSING RESPONSIBILITIES


CLASSIFICATION

Generic Therapeutic: Dobutamine is used as a pharmacological agent and has Side Effects: -Assess HR, ECG, and heart sounds.
Name: both ionotropic and chronotropic effects depending on the
Inotropic dose. Dobutamine's ionotropic effect increases Headache, nausea, -Report any rhythm disturbances
Dobutamine contractility, leading to decreased end-systolic volume vomiting, headache symptoms of increased arrhythmias,
and, therefore, increased stroke volume. The increase in including palpitations, chest
stroke volume leads to an augmentation of the cardiac discomfort, shortness of breath,
Brand output of the heart. fainting, and fatigue/weakness.
Name: -Monitor input and output ratio and
Adverse Effects:
Dobutrex Pharmacologic: pattern.
Therapeutic Effects: Increased cardiac output without CV: Increased heart
Adrenergic rate and BP, -Monitor therapeutic effectiveness
significantly increased heart rate.
premature
Dose: ventricular beats,
1 amp in palpitation, anginal
45cc pain.
D5W=50ml Indications:
Short-term management of heart failure caused

Frequency: by depressed contractility from organic heart disease or


surgical procedures.
1.2 cc/hr

Contraindications:
Route:
-History of hypersensitivity
IV
-Ventricular tachycardia
-Unstable Angina
Drug Study No. 5

DRUG NAME DRUG MODE OF ACTION DRUG EFFECTS NURSING RESPONSIBILITIES


CLASSIFICATION

Generic Therapeutic: Indirectly interferes with blood clotting by depressing Side Effects: - Obtain medication history prior to
Name: hepatic synthesis of vitamin K-dependent coagulation start of therapy.
Cardiovascular (Factors: II, VII, IX, and X.) Nausea, Vomiting, - Monitor vital signs before and after
Warfarin
abdominal cramps, drug administration.
diarrhea. - Assess for signs signifying blood
Brand Adverse Effects: loss.
Name:
Overdosage:
Pharmacologic:
Coumadin, Internal and
Jantoven Anticoagulant external bleeding,
skin necrosis,
Dose: paralytic ileum.

2.5mg 1
tablet Indications:

Used to treat venous thromboembolism, pulmonary


embolism, thromboembolism with atrial fibrillation,
thromboembolism with cardiac valve replacement.
Contraindications:
Route:
Oral Severe hepatic or renal disease. Hemorrhagic tendencies,
vitamin C or K.
DRUG STUDY
Submitted By:
Yuji Tazu BSN3-NCA3

Submitted To:

Clinical Instructor: Demzi Menzi, RN

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