Drug Classification Indication Contraindication Nursing Considerations

Generic Name: Psychostimulant  Citicoline increases Patients with  Citicoline may be

Citicoline Neurotonics and cerebral blood flow hypertonia of the taken with or
nootropics and oxygen parasympathetic without food. Take it
Brand Name: consumption of the nervous system. with or between
Cyline, Nicholin, brain and improves meals.
Somazine cerebral  Contact the
circulation. physician
 Citicoline improves immediately if
memory. allergic reaction such
 Citicoline might as hives, rash, or
also decrease brain itching, swelling in
tissue damage your face or hands,
when the brain is mouth or throat,
injured. chest tightness or
trouble breathing are
experienced.
 Citicoline therapy
should be started
within 24 hours of a
stroke.
Generic Name: Anti-  Reduction of Inhaled mannitol  Lab tests: Monitor
Mannitol inflammatory, intracranial has the possibility closely serum and
diuretic and pressure and the to cause urine electrolytes
Brand Name: osmotic agent treatment of bronchospasm and kidney function
Aridol, cerebral edema. and hemoptysis; during therapy.
Bronchitol,  Prevents swelling the occurrence of  Measure I&O
Cystosol, and inflammation either should lead accurately and
Osmitrol, Sag-M in the brain. to record to achieve
discontinuation of proper fluid balance.
inhaled mannitol.  Monitor vital signs
closely. Report
significant changes in
BP and signs of CHF.
 Be alert to the
possibility that a
rebound increase in
ICP sometimes
occurs about 12 h
after drug
administration.
Generic Name: Anti-  Reduce swelling It is  Increase dosage
Dexamethasone inflammatory after brain contraindicated if when patient is
and hemorrhage and patients have subject to stress.
Brand Name: corticosteroids improve the systemic fungal  Observe for signs of
Baycadron, chances of patient infections, adverse reaction
Ciprodex, recovery. hypersensitivity (aneurysm).
Decadron, to  Monitor BP 2-3 times
Taperdex 12 dexamethasone daily.
Day Taper or cerebral
malaria.
Generic Name: NSAIDs  Antipyretic, It is  Assess pain and other
Ketorolac analgesic and anti- contraindicated variables (range of
inflammatory. to patients with motion, muscle
Brand Name:  Used to treat active peptic strength) to document
Acular, Acuvail, moderately severe ulcer disease, whether this drug is
Omidria, pain after surgery. recent successful in helping
Readysharp  Blocks the gastrointestinal manage the patient's
Anesthetics production of bleedings or pain and decreasing
Plus Ketorolac, prostaglandins perforation. impairments.
Sprix, Toradol, (causes pain, fever  Assess signs of
Toronova Suik and paresthesia, including
inflammation). numbness and tingling.
Perform objective tests,
including
electroneuromyography
and sensory testing to
document any drug-
related neuropathic
changes.
 Assess symptoms of
bronchospasm and
asthma, including
wheezing, coughing,
dyspnea, and tightness
in chest. Perform
pulmonary function
tests to quantify
suspected changes in
ventilation and
respiration
Generic Name: HMG-CoA  Reduce Atorvastatin is  Determine the goal of
Atorvastatin reductase perihematomal contraindicated therapy in starting
inhibitors cell death and in patients with atorvastatin
Brand Name: (statins) improve recovery atorvastatin  Monitor serum lipid
Caduet, Lipitor, after brain hypersensitivity. levels regularly
Lypqozet hemorrhage. It should be used  Evaluate the patient’s
with caution in response to
patients who atorvastatin
consume  For muscle pain,
substantial administer pain
quantities of medications as ordered
alcohol  Implement fall and
(alcoholism) safety precautions as
and/or have a atorvastatin may affect
history of liver concentration,
disease. alertness, and vision
 Immediately report EKG
changes, yellowish
discoloration to the
skin, muscle weakness,
or unusual bleeding
 Administer at bedtime.
Generic Name: Calcium  Reduce oxidative It is  Monitor patient
Amlodipine Channel stress in all areas of contraindicated in carefully (BP, cardiac
Blockers the brain and patients with rhythm, and output)
Brand Name: decrease blood known while adjusting drug
Amlobenz, Azor, pressure. hypersensitivity to therapeutic dose;
Caduet,  Reduces stroke in to amlodipine or use special caution if
Consensi, hypertensive its dosage form patient has CHF.
Dafiro, Exforge, patients components. In
Exforge Hct,  Lowers blood addition,
Katerzia, Lotrel, pressure by amlodipine is
Norliqva, relaxing the blood relatively
Norvasc, vessels . contraindicated in
Prestalia,  Controls chest pain patients with
Tribenzor by increasing the cardiogenic
supply of blood to shock, severe
the heart. aortic stenosis,
unstable angina,
severe
hypotension,
heart failure, and
hepatic
impairment.
Generic Name: ARB  Used to treat high It is  Monitor BP carefully
Telmisartan + (Angiotensin blood pressure contraindicated after initial dose; and
HCTZ Receptor (hypertension). to patients who periodically
Blockers) and  Relaxes blood are hypertensive thereafter.
Brand Name: Thiazide vessels so blood to any  Lab tests: Periodic
Micardis HCT can flow more component of Hgb, creatinine
easily. this product; clearance, liver
 These medications patients with enzymes.
are used together anuria and for co- 
when 1 drug alone administration
is not controlling with aliskiren in
your blood patients with
pressure. diabetes
Generic Name: Proton Pump  Reducing the It cannot reduce  Assess dizziness that
Omeprazole Inhibitors morbidity of stress- 1-month might affect gait,
related UGI mortality or the balance, and other
Brand Name: bleeding in length of ICU functional activities.
Losec, patients with ICH stay. It is  Instruct patient to
Omeclamox, without increasing contraindicated in report bothersome
Omesec, the risk of patients with a or prolong side-
Previdolrx nosocomial history of effect including skin
Analgesic Pak, pneumonia. hypersensitivity problem or GI
Prilosec, Talicia, to the drug. effects.
Yosprala,
Zegerid
Generic Name: Non-  Used to treat IT is  Monitor for
Carvedilol Cardioselective hypertension. contraindicated drowsiness or
Beta Blockers  Relaxes smooth to patients who dizziness.
Brand Name: muscles in have asthma,  Caution patients to
Coreg and vasculature, bronchitis, avoid driving or
Coreg CR leading to reduced emphysema, other activities that
peripheral vascular severe liver require alertness
resistance and an disease, or a until response to the
overall reduction in serious heart drug is known.
blood pressure. condition such as  Advise patient to
heart block, "sick change positions
sinus syndrome," slowly to minimize
or slow heart rate orthostatic
(unless you have hypotension.
a pacemaker).
Generic Name: Calcium  Management of It is  Close monitoring of
Nicardipine Channel patient with contraindicated blood pressure and
Blockers chronic stable to patients with heart rate.
Brand Name: angina and for the hypersensitivity  Close monitoring
Cardene treatment of to it, advance when administered
hypertension. aortic stenosis in patients with
 Inhibits influx of and heart failure. impaired hepatic
extra cellular Caution in function.
calcium across the patients with liver  Monitor for signs of
myocardial and impairment. venous thrombosis,
vascular smooth phlebitis, local
muscle. irritations, swelling,
 Increases oxygen and intravasation.
delivery to the
myocardial tissue
and decreases
systemic blood
pressure.
Generic Name: Analgesic and  A mild analgesic It is  Check that the
Paracetamol Antipyretic and antipyretic, contraindicated patient is not taking
drugs and is to patients with any other medication
Band Name: recommended for caloric containing
Dymadon, the treatment of undernutrition, paracetamol.
Lemsip, most painful and acute liver failure,  Monitor for
Panadol, febrile conditions, shock and overdosing.
Panamax, for example, acetaminophen  Evaluate therapeutic
Tylenol headache including overdoes. response.
migraine,
toothache,
neuralgia.
Generic Name: Osmotic  Draws water from It is  Assess patient for
Lactulose laxatives the rest of the contraindicated abdominal
body into your to patients with distention, presence
Brand Name: bowel to soften diabetes, of bowel sounds, and
Duphalac, fecal waste and appendicitis, normal pattern of
Constulose, make it easier to blockage of the bowel function.
Enulose, pass. stomach,
Generlac, galactosemia