4853L MEDICATION WORKSHEET
Brand Name Apresoline
Generic Name hydralazine
Dose 25-100mg/day
Administration Route Oral, IM, IV
Classification Antihypertensive
Action Vasodilator
Reason Pt. Receiving Lowers BP in
hypertensive patients and
decreases afterload in
patients with heart failure
Contraindications Caution use in patients
with cardiovascular,
cerebrovascular disease,
and hepatic impairment
MAJOR Adverse Side Tachycardia
Effects Angina
Drug-induced lupus
syndrome
Nursing Responsibilities Monitor BP and HR
and Implications frequently.
Monitor CBC,
electrolytes, and ANA
titer prior to dose.
IM and IV should only
be given when oral
option is not available.
Tylenol Lopressor Diprivan
Acetaminophen metoprolol Propofol
80-650mg 25-200mg 20-40mg
Oral Oral IV
Antipyretic Antianginals, General anesthetic
Nonopioid analgesic antihypertensives
Inhibits the synthesis of Blocking beta receptors Short-actin hypnotic that
prostaglandins that which stops the release produces an amnesia
serves as mediator of of adrenaline and effect
pain and fever. noradrenaline
Treat fever and mild pain High blood pressure, Initiation and
Angina pectoris, Heart maintenance of
failure, Afib, and MI monitored anesthesia
prevention care. Sedation during
intubation
Active liver disease or Bradycardia, cardiogenic Allergic to egg or
severe hepatic shock, heart block, soybeans. Severe liver
impairment kidney/ liver disease. and kidney function
Hepatic failure Slow/irregular heart rate, Bradycardia,
Overdose chest pain, hypotension,
Renal failure bronchospasm, vomiting/aspiration, pain
Pancytopenia wheezing, decreased at IV site, involuntary
libido, drug induced muscle movement, apnea
hepatitis, and low or high
blood sugar
Monitor for signs of Monitor BP, EKG, and Monitor respirations,
hepatoxicity including pulse. heartrate, EKG, and
N/V, jaundice, malaise, Monitor I&Os and daily blood pressures.
and unusual bruising. weights. Look for signs of
Monitor pain level. Look for symptoms of respiratory distress such
Monitor for signs of heart failure. as cyanosis, confusion,
leukopenia such as fever, Monitor labs such as and dyspnea,
sore throat, and other BUN, potassium’s, Monitor for
signs of infections. glucose levels, AST, and oversedation.
Monitor for signs of ALT.
renal failure such as
decreased output,
increased BP, and fluid
retention.
Brand Name levophed Cardizem Toradol Nitrostat

Generic Name Norepinephrine Diltiazem Ketorolac Nitroglycerin

Dose 8-12mcg/min PO 30-240mg PO: 10-20 mg SL: 0.6mg tablets q

IV 0.25mg/kg Nasal: 15.75 mg/spray 5mins for symptoms
IM: 15-60mg 2.5-9mg Q 12 hours
IV15-30mg
Administration Route IV PO, IV PO, IM, IV, intranasal Sublingual, PO, IV

Classification Beta adrenergic Antihypertensive, Nonopioid analgesic Antianginal

antiarrhythmics,
antianginal
Action Increases cardiac output Inhibits calcium from Decreases pain by Increases coronary blood
and heart rate and being transferred into inhibiting prostaglandin flow by dilating coronary
decrease renal perfusion myocardial cells which arteries.
lowers excitability
Reason Pt. Receiving Hypotension, cardiac Hypertension, angina Short term management Management of angina
arrest, septic shock pectoris, STV, Afib of pain pectoris. Treatment of
MI or HF

Contraindications Peripheral vascular 2nd or 3rd degree AV Sensitivity to NSAIDS, Hypersensitivity,

thrombosis except for block, hypotension, MI, preoperative, hx of increased cranial
lifesaving procedures, Pulmonary congestion peptic ulcer disease, pressure, severe anemia,
caution with MAOI. cerebrovascular cardiac tamponade,
bleeding, HF, uncorrected hypovolemia
coagulation disorders
MAJOR Adverse Side Hypertension, Arrhythmias, stevens- HF, MI, stroke, edema, Hypotension,
Effects arrhythmias, dyspnea, Johnson syndrome, heart dermatitis, steven- tachycardia, blurred
restlessness, urinary failure, Johnson’s syndrome, GI vison, dizziness,
retention, metabolic bleeds, renal/hepatic headache
acidosis, phlebitis at IV injury
site.

Nursing Responsibilities Monitor BP and apical Monitor BP before and Monitor pain level, liver Instruct patient to take as
and Implications heart rate. Monitor for during therapy. and renal function test. directed.
signs of kidney failure. Monitor I&O and EKGs Asses for rash indicated Monitor BP, EKG, HR,
Assess for dizziness that Look for signs of heart steven-Johnson’s and level of
may affect gait and failure. syndrome consciousness.
balance. Assess IV site. Asses for rash indicated Don’t use with
steven-Johnson’s methadone
syndrome
Brand Name Ativan Protonix Benadryl Indernal

Generic Name Lorazepam Pantoprazole diphenhydramine propranolol

Dose IV/IM: 4mg 40- 240mg daily <400mg daily 80-320mg daily
PO: 1-3mg
Administration Route IV, IM, PO PO, IV PO, IM, IV PO, IV

Classification Antianxiety Proton pump inhibitor antihistamine Antianginal

sedative Antiarrhythmics
Antihypertensive
Action Depresses the CNS Binds to an enzyme in Antagonizes the effects Blocks beta 1 and beta 2
the presence of acidic of histamine. Significant receptors
gastric pH, preventing CNS depressant and
transport of hydrogen anticholinergic effects
ions into gastric lumen
Reason Pt. Receiving Anxiety disorder, status GERD, tx of H. pylori, Relief of allergies, Management of HTN,
epilepticus, preanesthetic prevent complications Parkinson’s, dystonic angina, arrhythmias,
from intubation reactions, mild sedation. cardiomyopathy, prevent
or manage MI. can also
be used for PTSD
Contraindications Sensitivity to Benzos, Using drug for more than Hypersensitivity, Uncompensated HF,
angle-closure glaucoma, 3 years, children, while lactation, acute asthma cardiogenic shock,
hypotension, sleep apnea breast feeding. attacks, angle closure bradycardia, asthma,
glaucoma, prostatic hypotensive
hyperplasia
MAJOR Adverse Side Bradycardia, Hyperglycemia, Blurred vision, dry Arrhythmias,
Effects hypotension, apnea, hypomagnesemia, mouth, constipation, bradycardia, heart
cardiac arrest, blurred Diarrhea, abdominal drowsiness, CNS failure, pulmonary
vision, drowsiness, dizzy pain, bone fracture, depression edema, steven Johnson’s
hypersensitivity, syndrome, erectile
angioedema, nephritis dysfunction, fatigue,
weakness

Nursing Responsibilities Assess for risk of Assess stool for signs of Do not take with other Frequent BP and HR
and Implications addiction. bleeding cns depressants or monitoring.
Continuous assessment Assess AST, ALT, BUN alcohol Educate on risk of abrupt
for need to continue Monitor magnesium Monitor for allergic skin withdrawal of med.
therapy levels. reactions IV therapy must have
Assess psychosocial Monitor bowel function Monitor sedation level continuous EKG
behaviors Avoid using with Avoid mixing with other monitoring
NSAIDS OTC medication Monitor I&O
containing same Assess for rash
ingredients Monitor BUN and
glucose levels
Brand Name Decadron Amidate Avinza, duramorph Zosyn

Generic Name Dexamethasone Etomidate Morphine Piperacillin

Dose <40 mg daily 0.2-0.6mg/kg PO 30 mg Q 4 hours 4.5g Q 6 hours

IV 0.1mg/kg
<5mg/day
Administration Route PO, IM, IV, topical IV PO, IM, IV, epidural IV, PO

Classification Steroid Anesthetics Opioid Anti-infective

Nonbarbiturates

Action Suppress inflammation Hypnotic CNS Binds to opiate receptors Binds to bacterial cell
and the normal immune depressants in the CNS and alters wall membrane causing
response perception of pain. cell death. `

Reason Pt. Receiving Variety of chronic Induction of general Severe pain, pulmonary Appendicitis, peritonitis,
diseases including anesthesia. edema, MI skin infections,
inflammatory, allergic, Supplemental anesthesia gynecologic infection,
hematologic, endocrine, with other agents for pneumonias.
autoimmune, short procedures such as
dermatologic, cerebral intubation
edema.
Contraindications Most active and Prolonged infusion. Significant respiratory Hypersensitive to any
untreated infections, Patients undergoing depression, acute or penicillin.
epidural use, lactation sever stress severe bronchial asthma, Renal impairment
paralytic ileus Seizures disorders
MAJOR Adverse Side HTN, hypotension, Arrhythmias, Hypotension, Steven Johnson’s, C-diff,
Effects adrenal insufficiency, hypertension, bradycardia, diarrhea, nephritis, pain
decreased wound hypotension, apnea, constipation, blurred at site, phlebitis
healing, weight gain, laryngospasm, vision, confusion,
hyperglycemia, immune hypoventilation, postop sedation, respiratory
suppressant, nausea/vomiting depression.
thromboembolism,
peptic ulceration

Nursing Responsibilities Monitor adrenal Assess respiratory status. Continuously assess Assess status of infection
and Implications function, BO, blood Pulse, BP continuously. level of pain and before and after therapy,
sugar, I&O Assess level of sedation consciousness. observe for anaphylaxis
Assess level of and consciousness. Monitor for medication reactions. Monitor bowel
consciousness and other dependences. functions. Assess IV site.
signs of cerebral edema. Instruct patient on how Monitor CBCs, AST,
Monitor WBC levels often they can receive ALT, BUN,
medication.
Monitor for signs of
respiratory depression

IV Firvanq, Vancocin Teflaro Ativan Zemuron

Generic Name Vancomycin Ceftaroline Lorazepam Rocuronium

Dose <4 mg per day 600mg Q 12 hours 0.05mg/kg 0.6-1.2mg/kg

4mg Q 10-15 min
(status epilepticus)
Administration Route IV, PO IV PO, IM, IV IV

Classification Anti-infective Anti-infective Antianxiety Neuromuscular blocking

Sedative/hypnotics agent/ paralysis
Benzo
Action Binds to bacterial cell Binds to bacterial cell Depresses the CNS by Prevents neuromuscular
wall, resulting in cell wall, resulting in cell working with GABA and transmission by blocking
death. death. inhibiting the effect of
neurotransmitter acetylcholine at the
myoneural junction
Reason Pt. Receiving Treatment of potentially Acute bacterial skin Anxiety disorders, status Skeletal muscle paralysis
life-threatening infections, community- epilepticus, preanesthetic and facilitation of
infections such as acquired pneumonia. to produce sedation intubation.
endocarditis,
osteomyelitis,
pneumonia
Contraindications Hypersensitivity, Hypersensitivity to Comatose or pre-existing Hypersensitivity,
Renal impairment, cephalosporins, renal CNS depression, dehydration, electrolyte
intestinal obstruction impairments, uncontrolled severe pain, abnormality,
angle-closure glaucoma, hyperthermia, shock,
sleep apnea, severe significant renal
hypotension. Use caution impairment
in renal and hepatic
failure
MAJOR Adverse Side Red man syndrome, Rash, C-diff, Bradycardia, Rash, bronchospasm,
Effects Steven Johnson’s encephalopathy, seizures, hypotension, apnea, anaphylaxis
syndrome, ototoxicity, hypersensitivity. cardia arrest, rash,
nephrotoxicity, phlebitis, blurred vision, dizziness,
drowsiness, lethargy,
respiratory depression

Nursing Responsibilities Assess infection status Assess infection status Instruct patient to take Asses respiratory status
and Implications before and after start of before and after start of medication exactly as continuously throughout
therapy. Monitor IV site. therapy. Monitor IV site. prescribed and explain therapy.
Monitor BP. Monitor Monitor for signs of potential abuse risks. Check neuromuscular
I&O. Watch for growth anaphylaxis symptoms. Monitor drowsiness. response.
of superinfection. Monitor bowel functions. Avoid taking with Monitor EKG, HR, and
Monitor labs such as alcohol or other CNS BP.
BUN, CBC, albumin. depressants. Ensure to patient that
Assess for any vision or Monitor RR, HR, BP. communication abilities
skin changes will return as the
medication wears offs.