Icu Drug Study

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COLLEGE OF ALLIED HEALTH SCIENCES

BS NURSING

DRUG STUDY FORM


GENERIC MECHANISM OF ADVERSE
BRAND NAME INDICATION DOSAGE NURSING CONSIDERATION
NAME ACTION REACTION

-Check Pulse and respiratory rate.


Adenosine is a
Adenosine Adenocard, In the study, medication that can facial flushing 6 mg/2ml bolus -Record ECG immediately after pushing
Adenoscan adenosine helps bring your heart back to over 1-3 seconds medication.
control heart rhythms a normal rhythm by difficulty breathing followed by 20 ml
slowing down fast heart -Prime a three-way tap with 0.9% sodium
by moving potassium NS Bolus
rate or converting to chest pain chloride flush and leave it connected.
out of heart cells and normal.
blocking calcium from heart attack -Attach a syringe to another port on a
entering, thereby Adenosine is indicated three-way tap.
if no conversion
slowing down for the treatment of lightheadedness
within 2-3mins -Administer by RAPID IV injection over 1 to
electrical signals in the paroxysmal
supraventricular dizziness give: 2 seconds.
heart.
tachycardia (PSVT),
- has 10-second including cases tingling in arms -Continuous cardiac -respiratory
associated with Wolff- monitoring. Observe closely for
half-life 12mg/4ml bolus
Parkinson-White numbness bronchospasm.
syndrome. It is also used over 1-3 seconds
This dual action
during myocardial nausea followed by 20 ml -Observe for signs of adverse effects and
stabilizes the cells, perfusion imaging and arrhythmias
NS Bolus
reduces their stress echocardiography low blood pressure -Ensure resuscitation equipment is
excitability, and slows to help diagnose heart available.
down the transmission conditions. (hypotension) -Unopened, stored at room temperature <
of electrical signals in 25°C. Do NOT refrigerate - may cause
the heart, ultimately irregular heartbeat crystallization.
helping to regulate
(palpitations)
heart rhythms.
burning sensation

heaviness in arms,
COLLEGE OF ALLIED HEALTH SCIENCES
BS NURSING

neck

and back pain

metallic taste

tightness in throat

pressure in groin

sweating

hyperventilation

Prepared by: Noted By:

________________________________ _________________________________
Name of Student Clinical Instructor

DRUG STUDY FORM


GENERIC NAME BRAND NAME MECHANISM OF ACTION INDICATION ADVERSE REACTION DOSAGE NURSING CONSIDERATION

-Identify the cause of nausea


- gastroesophage and vomiting.
Metoclopramide Gimoti, Reglan Metoclopramide has al reflux disease Injectable solution
● Unusual -Assess for any signs of
antiemetic effects by blocking (GERD)
dopamine and serotonin - diabetic muscle ● 5 mg/mL dehydration:poor skin turgor,
receptors in a part of the brain gastroparesis movements
- Chemotherapy- Syrup dry mucous membrane.
that triggers these sensations. (tardive
Induced Nausea -Assess for any allergy to
DRUG CLASS: It also enhances gut and Vomiting dyskinesia) ● 5 mg /5 metoclopramide.
movement by blocking - Small Bowel
antiemetic agent and dopamine receptors and Intubation/Radio -Shouldn’t take this drug with
COLLEGE OF ALLIED HEALTH SCIENCES
BS NURSING

dopamine D2 activating serotonin receptors, logic mL food. Take it 30 minutes before


● Muscle
antagonist leading to increased muscle Examination of
meals and at bedtime.
contractions in the digestive Upper GI Tract stiffness
Tablet
- Postoperative -Monitor patients for
tract. This improves the
Nausea & ● Depression involuntary movements of
movement of food from the ● 5 mg
Vomiting
stomach through the face, tongue, and extremities,
● 10 mg
intestines. By blocking ● Agitation
which may indicate tardive
dopamine, which usually Dispersible tablets dyskinesia or other
relaxes the gut muscles, ● Difficulty
metoclopramide increases breathing ● 5 mg extrapyramidal adverse
muscle tone and speeds up effects.
● 10 mg
digestion. ● Drowsiness

Half-life: 4 to 6 hours
COLLEGE OF ALLIED HEALTH SCIENCES
BS NURSING

Prepared by: Noted By:

________________________________ _________________________________
Name of Student Clinical Instructor

DRUG STUDY FORM


MECHANISM OF ADVERSE NURSING
GENERIC NAME BRAND NAME INDICATION DOSAGE
ACTION REACTION CONSIDERATION

To control and Hypersensitivity Assess respiratory status of


reactions patients.
Albuterol Airomir, Airsupra, relieves nasal prevent reversible metered-dose
Combivent, Proair, congestion and Tachycardia, aerosol or dry
(Salbutamol) Proventil, Ventolin reversible airway obstruction palpitations, chest powder inhaler: (90
bronchospasm by pain. Rarely, cardiac or 100 mcg): 1 or 2 Monitor patient’s oxygen
caused by asthma saturation.
relaxing the smooth arrythmias, myocardial inhalations every 4-6
muscles of the or chronic ischaemia. hours.
bronchioles.
DRUG CLASS: obstructive Assess patient for allergies
Bronchodilators, beta 2
pulmonary Nausea, vomiting, inhaler is 1 or 2 puffs
adrenergic
mouth and throat up to 4 times a day
disorder (COPD) irritation (inhalation). Educate the patient on
proper inhaler technique.
Via nebuliser: 2.5-5
relieve the symptoms of Weakness. mg up to 3-4 times
asthma or bronchospasm daily. Note changes in respiratory
status regularly.
Muscle cramps,
Bronchiolitis Tremor, headache, 50 mcg given via SC
dizziness, drowsiness,
COLLEGE OF ALLIED HEALTH SCIENCES
BS NURSING

For the prevention restlessness. or IM injection given asking a patient to increase


4 hourly, as required. fluid depends on the patient
of exercise-induced 's condition.

bronchospasm Pharyngitis, rhinitis,


pulmonary oedema tab: 2-4 mg 3-4
(parenteral). times daily Provide chest clapping or
chest physiotherapy after
Long-term control
nebulization.
agent for patients Peripheral
vasodilation, flushing.
with chronic or

persistent bronchospasm

Prepared by: Noted By:

________________________________ _________________________________
Name of Student Clinical Instructor

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