Trade Name: Innovar Classification: General anesthetic, narcotic analgesic, neuroleptic analgesic

PHARMOCOLOGY DRUG CARDS

Use(s): Premedication, adjunct/maintenance of anesthesia, Action: Acts at subcortical levels to reduce motor activity. Contraindications: Hypersensitivity, <2 years old. Side Effects: aryngospasm, bronchospasm, respiratory arrest. Nursing implications: !/", #$, %&', (reatine, Paco2. After )st dose of narcotic reduce dosage.

Trade Name: Progesterone Classification: Progesterone, hormone Use(s): (ontraception, amenorrhea, P*", abnormal uterine bleeding. Action: Prevents pituitary release of gonadotrophins, +hich prevents follicular maturation. Contraindications: %reast/,eproductive (A, , cerebral bleeds. Side Effects: "tro-e, P., */, spontaneous A% Nursing implications: 0eight, %/P, #$, edema, mental status, hypercalcemia.

Trade Name: Estrogens Classification: .strogen, hormone Use(s): *enopause, inoperable breast (A, Prostate (A, osteoporosis Action: /nhibits release of pituitary gonadotrophins, inhibits ovulation and calcium use in bone. Contraindications: %reast/,eproductive (A Side Effects: "ei1ures, "tro-e, */ Nursing implications: Assess #$, A"$, A $, bilirubin.

Trade Name: Rocep

in 2ceftria3one4

Trade Name: !o"#c#cline Classification: Antiinfectives

Classification: %road5"pectrum antibiotic, 6rd generation cephalosporin Use(s): Gram5negative bacilli, less effective against gram positive Use(s): syphilis, (lap, gonorrhea, ric-ettsia Action: /nhibits bacterial cell +all synthesis Action: /nhibits protein synthesis Contraindications: to cephalosporins, <) month old, pregnancy, lactation. Side Effects: '/!/7, bleeding, proteinuria, lymphocytosis, super infection, headache, di11iness, rash Nursing implications: "ensitivity to P(' or other cephalosporins. Assess for diarrhea, and blood chemistry studies, assess for s/s of superifection such as thrush and yeast infection Contraindications: hypersensitivity to tetracycline, children <8 years old, pregnancy, lactation. Side Effects: #ever, neutropenia, angioedema, hepatoto3icity Nursing implications: Assess /9:, allergic ,3, %lood studies, "igns of infection.

Trade Name: Tetrac#cline Classification: %road5"pectrum anti5infective Use(s): "yphilis, clap, gonorrhea, ric-ettsia infections, acne, ophthalmic neonatorum Action: /nhibits protein synthesis Contraindications: hypersensitivity to tetracycline, children <8 years old, pregnancy, and lactation. Hypersensitivity to light Side Effects: #ever, HA, neutropenia, hemolytic anemia, angioedema. Nursing implications: "igns of anemia, Allergic reactions, '/!/7. "tore out of heat/light

Trade Name: Penicillin Classification: %road5"pectrum antiinfectives. Use(s): Gram ;/5 bacilli and cocci. Action: interferes +ith cell +all replication, producing inferior cell +alls. Contraindications: Hypersensitivity to P(', neonates. "ensitivity to cephalosporins Side Effects: anemia, increased bleeding time, :liguria, proteinuria, Hematuria, rash, uticaria, anaphyla3sis Nursing implications: /nfection, /9:, liver studies, blood studies, respiratory status.

Trade Name: Ac#clovir Classification: Antiviral Use(s): Herpes 1oster, herpes simple3, herpes genitalis Action: /nterferes +ith 7'A synthesis causing decreased viral replication. Contraindications: Side Effects: $remors, confusion, lethargy, convulsions, acute renal failure. Nursing implications: "igns of infection, /9: ratio, s-in eruptions, allergic ,eactions

Trade Name: Podop Classification: Antiviral

#llin

Use(s): Genital +art removal Action: un-no+n Contraindications: hypersensitivity< perianal or ** +arts. Side Effects: inflammation, burning Nursing implications= 'one noted.

Trade Name: $lag#l 2*etronida1ole H( 4 Classification: Antiinfectives Use(s): /ntestinal amoeba, bone / joint infections, lo+er respiratory infections. $richomonas vaginalis Action: 7irect acting amebicide Contraindications: , renal disease, pregnancy 2)st tri4, ('" disorders. Side Effects: Headache, di11iness, convulsions, %lurred vision, sore throat, dry mouth. Nursing implications: Assess for signs of infection. Assess stools, chec- vision, allergic reactions. Trade Name: Pepcid Classification: H25receptor antagonist. Use(s): 7uodenal ulcer, gastric ulcer, G.,7 Action: (ompetitively inhibits histamine, +hile pepsin stays at a stable level, inhibits gastric secretions Contraindications: Hypersensitivity Side Effects: $hrombocytopenia, sei1ure, bronchospasm, Nursing implications: %lood counts, bleeding

Trade Name: To%ram#cin Classification: Antiinfectives5Aminoglycoside Use(s): /nfections of pseudomonas, ..(oli, enterobacter, staphylococcus Action: /nterferes +ith protein synthesis, causing an inaccurate peptide se>uence resulting in death. Contraindications: "evere renal disease, hypersensitivity to aminoglycosides. Side Effects :liguria, hematuria, renal failure, ototo3icity, nephroto3icity, 9 leu-openia. Nursing implications: Assess +eight, /9:, blood studies, serum levels

Trade Name: Neom#cin Classification: Antiinfectives5Aminoglycoside Use(s): "evere systemic infections +ith pseudomonas, ..(oli, enterobacter, Proteus. Action: /nterferes +ith protein synthesis by binding to the 6?s subunit, causing an erroneous protein that causes death. Contraindications: %o+el obstruction, severe renal disease, hypersensitivity, infants, and children. Side Effects :liguria, hematuria, renal failure, ototo3icity, nephroto3icity, 9 leu-openia. Nursing implications: Assess 0eight, /9:, renal impairment, dehydration, blood studies, serum levels.

Trade&generic: Class=

'inacef

(cefuro"ime sodium)

Trade Name: Claforan Classification: %road5spectrum antibiotic5(ephalosporin Use(s): Gram 5 9 gram ; organisms Action: /nhibits cell +all synthesis, ma-ing cell +all unstable. Contraindications: hypersensitivity to cephalosporins, infants < ) month. Side Effects: '/!/7, anaphyla3is, Proteinuria, leu-openia. Nursing implications: Assess for sensitivity to P('/(ephalosporins, nephroto3icity, blood studies, and electrolytes.

Antibacterial Agents= 2nd gen. (ephalosporin

Route= /*, /!
Ind=

Gram ;/5 bacteria, including most staph, gp. A 9 % "trep, most strep, .. coli, meningitits. cell +all unstable.

Action: /nhibits bacterial cell +all synthesis, ma-ing the

Contra: Hypers, sei1ure disorders. S&E:

7i11iness, headache, fatigue, rash, nephroto3icity, renal failure. Assess for nephroto3icity, /9:, %lood serum studies 9 allergic reactions.

RN=

Trade Name: Ta(idime Classification: %road5spectrum antibiotic5(ephalosporin Use(s): Gram negative and gram positive organisms Action: /nhibits cell +all synthesis, ma-ing cell +all unstable. Contraindications: hypersensitivity to cephalosporins, infants < ) month. Side Effects: '/!/7, anaphyla3is, Proteinuria, leu-openia. Nursing implications: Assess for sensitivity to P('/(ephalosporins, nephroto3icity, blood studies, and electrolytes.

Trade Name: Er#t

rom#cin

Classification: %road5"pectrum Antiinfectives5*icrolide Use(s): )acterial infections* +egionaire,s disease* s#p ilisAction: %inds to P site of @?s ribosomal subunit, interfereing +/ protein synthesis. Contraindications: Hypersens., cisapride use, astemi1ole use, impaired liver function, impaired hearing. Side Effects: anaphyla3is, '/!, diarrhea, anore3ia, abd pain, abd cramps, pruritus, Nursing implications= observe for allergic reactions,

Trade Name: Ticar 2ticarcillin4 Classification: %road5spectrum Antiinfectives5Penicillin Use(s): Gram ;/5 cocci, Gram ;/5 bacilli. Action: /nterferes +ith cell +all replication, and causes unstable cell +alls to burst. Contraindications: Hypersensitivity to P(' Side Effects: Anemia, increased bleeding time, bone marro+ depression, '/!/7. Nursing implications: Assess, /9:, liver studies, blood studies, lethargy, coma, convulsions.

Trade Name: Ampicillin Classification: %road5"pectrum Antiinfectives5Penicillin Use(s): Gram ;/5 cocci, Gram ;/5 bacilli Action: /nterferes +ith cell +all replication 9 causes cell +alls to burst. Contraindications: Hypersensitivity to P(' Side Effects: ,ash, anemia, bone marro+ depression, coma, convulsions, and anaphyla3is. Nursing implications: Assess /9:, liver studies, blood studies, respiratory and vitals, as +ell as bo+el habits.

Trade Name: Cipro Classification: %road5"pectrum Antiinfectives Use(s): /nfections caused by susceptible organisms .. (oli, Proteus, staph. Action: /nterferes +ith conversion of 7'A fragments into higher molecular +eight ones. 7'A gyrase inhibitors. Contraindications: Hypersensitivity to >uinolones Side Effects: Headache, di11iness, restlessness, '/!/7. Nursing implications: Assess for ('" symptoms, /9: ratio, allergic reactions.

Trade Name: )actrim Classification: Antiinfectives5"ulfonamides Use(s): &$/, :titis media, and shigellosis Action: %acteriostatic agent that prevents bacterial gro+th by /nhibiting folic acid production. Contraindications: Hypersensitivity to sulfonamides, infants <2 months. Side Effects: '/!, diarrhea, joint pain, urticaria, convulsions, fever, renal failure, leu-openia. Nursing implications: Assess for allergic reactions, -idney functions, and allergic reactions, maintain ade>uate fluid ina-e

Trade Name: .ira(ole 2ribavirin4 Classification: Antiviral Agents5ribavirin Use(s): /nfants and young children +/ lo+er resp. infections caused %y ,"! 2respiratory syncytial virus4 Action: /nhibits viral ,'A and 7'A synthesis Contraindications: Pregnant or lactating, (:P7, asthma, ventilation, Side Effects: resp. function, vent. 7ependence, pneumothora3, apnea, cardiac arrest, H$', rash, conjunctivitis, erythema of eyelids. Nursing implications: *onitor= !", cardiac status, (%(. ,oute of administration is aerosol inhalation

Trade Name: Respigam Classification: /mmune serums Use(s): Prevention of serious lo+er respiratory tract infections caused by ,"! in children <2 years old, +ith bronchopulmonary dysplasia, or premature birth. Action: Higher titer of neutrali1ing antibody against ,"!. Contraindications: Hypersensitivity to this drug or other human immunoglobulin preparations. Side Effects: ,esp distress, hypo3ia, fever, H$', anaphyla3is Nursing implications: Assess vital signs, respiratory status, for signs of aseptic meningitis.

Trade Name: S#nagis Classification: monoclonal antibodies Use(s): Prevention of serious lo+er respiratory tract disease caused by ,"! in pediatric P$As. Action: A humani1ed monoclonal antibody that e3hibits neutrali1ing and fusion5inhibitory activity against ,"!. Contraindications: Hypersensitivity, adults, and cyanotic congenital heart disease. Side Effects: '/!/7, &,/, apnea, and rash site injection. Nursing implications: #or presence of ,"! infections.

Trade Name: antim#cotic

Agents (nystatin* clotrima1ole, micona1ole, fluconi1ole, etc.4

Classification: Antifungals Use(s): fungal infections= tinea pedis 2common4 to sporotrichosis 2rare4 Action: cell +all permeability."ome interfere +/ protein synthsis by binding to sterol.. Contraindications: Hypersens., Pregnant or actating Pts. Side Effects: 'ephroto3icity, hypo-alemia, chills, fever, '/!, muscle 9 joint pain, HA, anore3ia, abd. Pain. Nursing implications: *onitor #$As, do not administer +/ antacids.

Trade Name: Cota(#m Classification: 7igestant Use(s): .3ocrine pancreatic secretion insufficiency, cystic fibrosis, steatorrhea, and pancreatic en1yme deficiency. Action: Pancreatic en1yme needed for brea-ing do+n substances from the pancreas. Contraindications: Allergy to por-, chronic pancreatic disease. Side Effects: Anore3ia, '/!/7 Nursing implications: Assess for proper development, administer +ith meals, /9: ratio, 6 pAs. Trade Name: Pancreatin Classification: 7igestant Use(s): .3ocrine pancreatic secretion insufficiency, cystic fibrosis 2digestive aid4 Action: Pancreatic en1yme needed for brea-do+n of substances released from the pancreas. Contraindications: Hypersensitivity to por-, chronic pancreatic disease. Side Effects: Anore3ia, '/!/7, and rash, hypersensitivity, buccal soreness. Nursing implications: Assess /9:, for 6 PAs for allergy to por-.

Trade Name: Pancrease Classification: 7igestant Use(s): .3ocrine pancreatic secretion insufficiency, cystic fibrosis 2digestive aid4, and Pancreatic en1yme deficiency. Action: Pancreatic en1yme needed for brea-do+n of substances released from the pancreas. Contraindications: Allergy to por-, chronic pancreatic disease. Side Effects: '/!/7 Nursing implications: Assess for 6 PAs, por- sensitivity, appropriate height and +eight.

Trade Name: /ucom#st Classification: *ucolytic< antidote 5 acetaminophen Use(s): %ronchitis< pneumonia< (#< emphysema< diagnostic in lab tests. Action: 7ecreases viscosity of secretions by brea-ing disulfide lin-s of mucoproteins. Contraindications: Hypersensitivity< increased /(P, status asthmaticus. Side Effects: 7i11iness< dro+siness, nausea, vomiting, bronchospasm, hemoptysis. stomatitis Nursing implications: Assess cough, respiratory status, !".

Trade Name: $le"eril 2cycloben1aprine4 Classification: "-eletal muscle rela3ant, central acting. Use(s): Adjunct for relief of muscle spasm and pain in muscle injuries. Action: &n-no+n may be related to antidepressant effects. Contraindications: Acute recovery from an */, dysrhythmias, heart bloc-, (H#, hypersensitivity, child <)2 years, thyroid disease. Side Effects: 7i11iness, +ea-ness, dro+siness, and dysrhythmias. Nursing implications: Assess blood studies, #$As, .(G in epileptic PtAs., allergic ,3, ('" 7epression.

Trade Name: Pulmo(#me Classification: cystic fibrosis agent Use(s): *anagement of (ystic fibrosis Action: %rea-s do+n molecules of infected sputum, to help get the sputum out. Contraindications: Hypersensitivity Side Effects: Possible laryngitis, uticaria, rash, chest pain. Nursing implications: Assess respiratory function, %/P, pulse, lung sounds.

Trade Name: Cromol#n

2same as intal4
Trade Name: Ro%a"in Classification: "-eletal muscle rela3ant, central acting. Use(s): Adjunct for relief of spasms and pain in muscles, tetanus management. Action: 7epresses multisynaptic path+ays in the spinal cord, causing s-eletal muscle rela3ant. Contraindications: hypersensitivity, child <)2 yr., intermittent porphyria Side Effects: 7i11iness, +ea-ness, dro+siness, sei1ures, '/!, anaphyla3is. Nursing implications: Assess blood studies, liver function tests, .(G, allergic ,B, ('" depression.

Classification: Antiasthmatic Use(s): Preventive allergic rhinitis, asthma, and bronchial asthma, e3ercise induced asthma. Action: "tabili1es the membrane of the senthesti1ed cell, preventing the release of additional chemical mediators Contraindications: Hypersensitivity to this drug or lactose or status asthmaticus. Side Effects: Headache, di11iness, urinary fre>uency, dysuria, '/!, dry mouth, bitter taste. Nursing implications: Assess eosinophil count during treatment, respiratory status.

Trade Name: Prednisone Classification: (orticosteroid Use(s): "evere inflammation, immunosuppression, neoplasmAs, *", collagen disorders. Action: 7ecreases inflammation by suppression of migration of leu-ocytes and fibroblasts increases capillary permeability and lysosomal stabili1ation. Contraindications: Psychosis, hypersensitivity, amebiasis, fungal infections, child <2 years old, aids, $%. Side Effects: (irculatory collapse, thrombophlebitis, embolism, G/ hemorrhage. Nursing implications: Assess for '/!, 0eight, %P, /9:, infection, edema, mental status. .

Trade Name: .alium

(dia(epam)

Classification: Antian3iety, anti5convulsant, s-eletal muscle rela3ant Use(s): An3iety, acute .$:H +ithdra+al, adjunct in sei1ure disorders. /! +ith anesthesia for labor Action: Potentates the action of GA%A, especially in the limbic system. Contraindications: Hypersensitivity to ben1odia1epines, narro+ angle glaucoma, psychosis. Side Effects: 'eutropenia, respiratory depression, di11iness dro+siness, and orthostatic hypotension. Nursing implications: Assess %/P, an3iety, for sei1ure, for changes in mental status.

Trade Name: Indocin Classification: '"A/7 Use(s): ,heumatoid arthritis, gout, closure of patent ductus arteriosus in premature infants. Action: /nhibits prostaglandin synthesis, analgesic, anti5inflammatory, antipyretic. Contraindications: Hypersensitivity, asthma, severe renal disease, severe renal disease, and severe hepatic disease Side Effects: '/!/7, ulceration, and perforation, G/ bleeds, hematuria, :liguria. Nursing implications: Assess renal, blood and liver status, eye and ear problems, for confusion.

Trade Name: Tilade Classification: Antiasthmatic Use(s): "evere perennial bronchial asthma, prevention of e3ercise5 induced asthma. Not for treatment of acute asthma attacks. Action: "tabili1es the membrane of the sensiti1ed mast cell, preventing further release of chemical mediators after the initial response. Contraindications: Hypersensitivity to this drug or lactose, status asthmaticus. Side Effects: $hroat irritation, cough, nasal congestion, and rhinitis, burning eyes, '/!, bitter taste. Nursing implications: Assess pulmonary function test, respiratory status

Trade Name: Intal Classification: Antiasthmatic Use(s): Allergic rhinitis, severe perennial asthma, prevention of e3ercise induced bronchial asthma, asthma induced by pollutants. Action: "tabili1es the membrane of the sensiti1ed mast cell, preventing further release of chemical mediators. Contraindications: hypersensitivity to this drug or lactose, status asthmaticus Side Effects: Headache, di11iness, neuritis, urinary fre>uency, dysuria, nausea, vomiting. Nursing implications: Assess eosinophil, respiratory status.

Trade Name: Aspirin 2 acetylsalicylic acid A"A4 Classification: 'on5narcotic analgesic, nonsteroidal anti5inflammatory, antipyretic, antiplatelet Use(s): *ild to moderate pain or fever, prophyla3is of */, angina 9 ischemic stro-e Action: %loc-s pain impulses at the ('", antipyretic, decreases platelet aggregation, prolongs bleeding Contraindications: Hypersensitivity to A"A, yello+ C@, G/ bleed, (hildren <)2 years old, children +ith flu5li-e symptoms, peptic ulcer. Side Effects: convulsion, G/ bleed, hepatitis, and ,eyeAs syndrome, decreases hearing acuity, gastric irritation Nursing implications: Assess iver function, renal function, blood studies, /9: ratio. 7o not give +ith /buprofen, ta-e +ith food

Trade Name: Alupent Classification: %ronchodilator selective %2 agonist Use(s): %ronchial asthma, bronchial spasm. Action: ,ela3es bronchial smooth muscle by direct action on %2 Adrenergic receptors. Contraindications: Hypersensitivity to sympathomimetics, narro+ angle glaucoma. Side Effects: '/!, palpitations, tachycardia, tremors, nausea, nervousness, headache, and increased bronchospasm, cardiac arrest. Nursing implications: Assess respiratory function, for tolerance.

Trade Name=

Solu0Cortef

Classification: (orticosteroid Use(s): "evere inflammation, septic shoc-, adrenal insufficiency, ulcerative colitis, collagen disorders. Action: 7ecreases inflammation by suppression of leu-ocytes reverses capillary permeability. Contraindications: Psychosis, hypersensitivity, idiopathic thrombocytopenia, fungal infections, bronchial disease, children <2 years old, aids, $%. Side Effects: (irculatory collapse, thrombophlebitis, and embolism, thrombocytopenia, G/ hemorrhage. Nursing implications: Assess mental status, +eight, %/P, /9:, infection, edema, hypertension.

Trade Name: T

eop #lline

Trade Name: Proventil&.entolin Classification: Adrenergic %25agonist, sympathomimetic, bronchodilator Use(s): Prevention of e3ercise induced asthma, bronchospasm, bronchitis, emphysema, or other respiratory diseases. Action: (auses bronchodilation by interacting +ith %2 receptors, rela3es bronchial smooth muscle. Contraindications: Hypersensitivity to sympathomimetics, tachydysrhythmias, severe cardiac disease, and heart bloc-. Side Effects: Palpitations, tachycardia, tremors, nausea, nervousness, headache, and increased bronchospasm. Nursing implications: Assess the need for the drug, respiratory function, ability to self medicate, evidence of allergic ,eactions

Classification: "pasmolytic, bronchodilator Use(s): %ronchial asthma, broncho5spasm of (:P7, chronic bronchitis. Action: ,ela3es bronchial smooth muscle by bloc-ing phosphodiesterase. Contraindications: Hypersensitivity to 3anthine, tachydysrhythmias. Side Effects: (onvulsions, palpitations, tachycardia, tremors, nausea, nervousness, and headache,restlessness, irritability, insomnia, di11iness. Adverse ('" reactions often more severe in children Nursing implications: Assess $heophylline level, heart rate, respiratory status, for allergic reactions, monitor blood levels. /f dose missed call *7 before doubling.

Trade Name: Accutane 2isotretirion4 Classification: Antiacne agent Use(s): ,arely used for severe recalcitrant acne Action: &n-no+n Contraindications: hypersensitivity, inflamed s-in, pregnancy Side Effects: Pseudotumor cerebri, hyperostosis, hepatoto3icity, chelitis, dry s-in, s-in fragility, pruritus, dry mouth, depression. #etal abnormalities Nursing implications= caution if psychiatric disorder. Trade Name: )ret

ine 2terbutaline4

Classification: "elective %2 agonist< %ronchodilator Use(s): %ronchospasm, hyper-alemia, and premature labor. Action: ,ela3es bronchial smooth muscle by acting on %2 Adrenergic receptors that rela3 bronchial smooth muscle. Contraindications: Hypersensitivity to sympathomimetics, narro+ angle glaucoma, tachydysrhythmias. Side Effects: '/!, palpitations, tachycardia, tremors, nausea, nervousness, headache, and cardiac arrest. Nursing implications: Assess respiratory function, vitals, and tolerance to treatment, monitor #H$As, uterine activity

Trade Name: A(ulfidine 2sulfasala1ine4 Classification: Anti5inflammatory Use(s): &lcerative colitis, used for rheumatoid arthritis in ptAs +ho are unresponsive to or intolerant to '"A/7". Action: anti5inflammatory in connective tissue. A prodrug that delivers sulfapyridine and @5aminosalicylic acid to the colon. Contraindications: Hypersensitivity to sulfonamides or salicylates, pregnancy D term, child <2 years old, intestinal/urinary obstruction. Side Effects: Anaphyla3is, '/!/7, abdominal pain, hepatitis, convulsions, s-in and urine discoloration may occur Nursing implications: Assess -idney function studies, for blood dyscrasis, allergic reaction. Administer after meals

Trade Name: Aminop

#lline

Classification: "pasmolytic Use(s): %ronchial asthma, bronchial spasm, (heyne5"to-es respiration. +hee1ing Action: ,ela3es bronchial smooth muscle, and produces bronchodilation. Contraindications: Hypersensitivity to 3anthines, tachydysrhythmias Side Effects: '/!, palpitations, tachycardia, tremors, nausea, nervousness, headache, tachypnea. Nursing implications: Assess= $heophylline levels, respiratory status, allergic reactions.

Trade Name: Ni" 2permethrin4 Classification: Antiparasitic5Pediculicide Use(s): ice, tic-s, nits, flea nits Action: disrupts parasitic nerve cells. Contraindications: Hypersensitivity, Side Effects: %urning, pruritus, erythema, numbness, tingling. Nursing implications: Assess for signs of infection. /dentify sources of infection.

Trade Name:

12ell

2lindane4

Classification: "cabicide, pediculicide. Use(s): "cabies, ice, nits. Action: "timulates the nervous system of arthropods, causing sei1ures and death of organism. Contraindications: Hypersensitivity< premature neonate< ptAs +ith sei1ure disorders, inflammation of s-in, or brea-s in s-in. Side Effects: Pruritis, rash, irritation, contact dermatitis, aplastic anemia, sei1ures Nursing implications: Assess for organisms prior to/after treatment. /dentify sources of infection.

Trade Name: Norplant Classification: (ontraceptive system Use(s): Prevention of pregnancy for @ years. Action: Progestin that inhibits secretion of gonadotropins 9 prohibits follicular maturation. Contraindications: , pregnancy, and liver disease/tumors, breast carcinoma. Side Effects: di11iness, HA, nervousness, vaginitis. Nursing implications: Assess for jaundice, acne, and menstrual irregularities.

Trade Name: Urec

oline 2bethanechol4

Classification: (holinergic stimulant. Use(s): &rinary retention 2postoperative, postpartum4< neurogenic atony of the bladder +ith retention. Action: "timulates the muscarinc Ach receptors directly< mimics parasympathetic '" stimulation, stimulates G/ motility/*icturition. Contraindications: Hypersensitivity, severe %radycardia, asthma, hypotension, P&7, (A7, (:P7. Side Effects: ,ash, '/!/%loody diarrhea, (ardiac arrest, circulatory collapse, acute asthma, dyspnea, bronchoconstriction. Nursing implications: Assess vitals, /9:, Assess for abnormal H,/,hythm and respiratory issues 7/( if develop. Give on an empty stomach

Trade Name(s)

3#locaine

Classification: Anesthetics local Use(s):

Trade Name: !anocrine 2dana1ol4 Classification: androgen Use(s): endometriosis, fibrocystic breast disease, and prevention of heredity angioedema. Action: 7ecreases #"H, H +hich leads to amenorrhea / anovulation. Contraindications: "evere renal/cardiac/hepatic disease, , pregnancy. Side Effects: ,ash, acne, di11iness, mood change, cramps, %P Nursing implications: Assess E;, mental status, hypercalcemia, /9:.

'erve bloc- for pain

Action= /nhibits conduction of nerve impulses from sensory 'erves. Contraindications: Hypersensitivity, application to large areas Side Effects= ,ash, irritation, and sensiti1ation Nursing implications= Assess pain, assess for any infection,

evaluate response, redness, s+elling, pain.

Trade Name(s)

!uramorp

Trade Name(s)

Novocain

Classification: Anesthetics= :piate analgesic Use(s): "evere pain Action: 7epresses pain impulse transmission at the spinal cord level by

Classification: ocal anesthetic Use(s): "pinal, epidermal, periph. nerve bloc-, 9 perineum,

interacting +ith opioid receptorsContraindications: hypersensitivity, addiction, hemorrhage, bronchial asthma, increased intracranial pressure. Side Effects: 7ro+siness, di11iness, confusion, headache, sedation, euphoria, palpitations, bradycardia, change in %/P, n/v, rash, respiratory depression. Nursing implications: Assess= Pain %o+el status /9: !itals ('" ,espiratory depression Allergic reactions

lo+er e3tremities, infiltration. Action: (ompletes +/ (a; for sites in nerve membrane that controls 'a; transport across the cell membrane< decreases rise of depolari1ation phase of action potential. Contraindications: Hypersens., children )2, severe liver diseaseSide Effects: Palpatations, tachycardia, tremors, nausea, nervousness, 9 HA. Nursing implications: Assess: !", H#$ if used during labor, allergic reactions, rash urticaria, itching, as +ell as cardiac status. Administer: :nly clear drugs, only +ith resuscitative e>uipment nearby, only use drugs +/o preservatives for epidural or caudal anesthesia.

Trade Name(s)
Classification=

Nesacaine
ocal anesthetic

Trade Name(s)
Classification:

/arcaine
ocal anesthetic

Use(s): .pidural, peripheral bloc-, caudal anesthesia, 9

Use(s): .pidural, peripheral bloc-, caudal anesthesia, 9

infiltration bloc-Action: (ompetes +ith calcium for sites in the nerve membrane

/nfiltration, blocAction: %loc- nerve impulses at the point of contact in all -inds

that control sodium transport. $hus slo+ing the depolari1ation phase of the action potential.
Contraindications: Hypersensitivity, children <)2 years, severe

of nerves.
Contraindications: Hypersensitivity. Side Effects:

liver disease.
Side Effects: "ei1ures, loss of consciousness, myocardial

An3iety, di11iness, HA, restlessness, tremor, H$' palpitations, tachycardia, anginal pain.

Nursing implications: *onitor for cyanosis, angina

depression, arrest, dysrhythmias, status asthmaticus, respiratory arrest, anaphyla3is. Nursing implications: !", #H$As. oo- for allergic reactions.

Trade Name(s) Trade Name: .itamin

!emerol (meperidine

#droc loride)

1 2a>ua mephyton4

Classification: :piate analgesic. 'arcotic analgesic Use(s): Pain control Action: 7epresses pain impulse transmission at the spinal cord

Classification: !itamin E, #at5soluble vitamin Use(s): !itamin E malabsorption, to prevent hemorrhage, prevents hemorrhagic disease Action: 'eeded for ade>uate blood clotting, factors 2, F, G, )? Contraindications: Hypersensitivity, severe hepatic disease, last fe+ +ee-s of pregnancy. Side Effects: HA, brain damage, hemolytic anemia, hemoglobinuria 9 hyperbilirubinemia. Nursing implications: Assess for bleeding 2emesis, stools, urine4 (hecP$$, nutritional status 2is E inta-e ade>uateH4

level by interacting +ith opioid receptorsContraindications== Hypersensitivity, addiction. Side Effects: /ncreased /(P, sei1ures, respiratory depression,

dro+siness, di11iness, confusion, headache, sedation, 9 euphoria

Nursing implications: Assess pain, renal function, /9:,

constipation, allergic reaction, respiratory rate, in labor do not give if delivery is e3pected +ithin 25I hours

Trade Name(s):

Stadol (%utorp

anol) Trade Name(s):

Classification= 'arcotic analgesic, opiate analgesic Use(s): *oderate to severe pain. Action: 7ecreases pain impulse at the spinal cord level by

Nu%ain

Classification: :pioid analgesic

Use(s): *oderate to severe pain Action: 7epresses pain impulse transmission at the spinal cord level by interacting +ith opioid receptorsContraindications: Hypersensitivity and addiction. Side Effects: 7ro+siness, di11iness, confusion, HA, sedation, euphoria, '/!, anore3ia, constipation, and cramps. Nursing implications: /9:, ('" changes, di11iness, need for medication, allergic reactions-

interacting +ith opioid receptors.

Contraindications= Hypersensitivity, addiction, (H#, myocardial

infarction

7ro+siness, di11iness, headache, confusion, sedation, euphoria, n/v, anorexia, constipation, cramps. Respiratory depression, pulmonary HTN.
Side Effects: Nursing implications: Assess pain, decreased output, ('" changes,

allergic ,3 and respiratory dysfunction-

Trade Name(s):

Narcan

(nalo"one)

Trade Name: /orp

ine Sulfate

Classification: :pioid antagonist Use(s): ,everses narcotics, treat respiratory depression caused by narcotics and narcotic overdose Action: (ompetes +ith opioids at opiate receptor sites. Contraindications: Hypersensitivity Side Effects= 7ro+siness, nervousness, ,apid pulse, !5$ach,

Classification: :piate analgesic Use(s): "evere pain Action: 7epress pain impulse transmission at the spinal cord level by interacting +ith opioid receptors Contraindications: Hypersensitivity, addiction, hemorrhage, bronchial asthma, increase /(P. Side Effects: Nursing implications: Assess need for pain medication, respiratory depression, and allergic reactions. Antidote is 'arcan

!5#ib.
Nursing implications: 0ithdra+al symptoms, respiratory 9 cardiac

status, pain.

Trade Name: .ersed 2mida1olam4 Classification: "edative, hypnotic Use(s): Pre5op, general induction, sedation for procedures. Action: %inds to %en1odia1epine receptors, induces amnesia Contraindications: Hypersensitivity, shoc-, coma, .toh ingestion, acute narro+ angle glaucoma. Side Effects: Apnea, laryngospasm, bronchospasm, retrograde amnesia Nursing implications: injection site, vital signs, and signs of apnea

Trade Name: Su%lima(e Classification: 'arcotic analgesic Use(s): Pre5op, post5op, adjunct to general anesthetic Action: /nhibits ascending pain path+ays Contraindications: Hypersensitivity to opiates, myasthenia gravis Side Effects: %radycardia, arrest, respiratory depression, respiratory arrest. Nursing implications: !ital signs

Trade Name=

Er#t rom#cin op t almic ointment

Trade Name: Ac

Classification: Antibacterial Use(s): prevention of gonococal conjunctivitis and chiamydial conjunctivitis Action bacteriostatic or bacteriocidal based on concentration and target organism Contraindications: none Side Effects: chemical conjunctivitis Nursing implications: place J in. ribbon of ointment in the lo+er conjunctival sac +ithin ) hour of delivery

rom#cin op t almic ointment

Classification: Antibacterial Use(s): prevents neisseria gonorrhea, ophthalmic neonatorium Action bacteriostatic Contraindications: none Side Effects: chemical conjunctivitis Nursing implications: place J in. ribbon of ointment in the lo+er conjunctival sac +ithin ) hour of delivery

Trade Name: Toradol 2-etorolac4 Trade Name: 4epatitis

) .accine

Classification: 'onsteroidal anti5inflammatory/nonopioid analgesic. Use(s): *ild to moderate pain. Action: /nhibits prostaglandin synthesis, analgesic, anti5inflammatory Contraindications: Hypersensitivity, asthma, renal disease, P&7, lactation, (! bleed. Side Effects: Gi %leeds, perforation, 7ysuria, Hematuria Nursing implications: #or A"A sensitivity, pain characteristics, bleeding time, tinnitus.

Classification: /mmune Globulin Use(s): Prevention of Hepatitis % virus in e3posed patients Action: Provides passive immunity to Hepatitis % Contraindications: Hypersensitivity to immune globulins, coagulation disorders Side Effects: "oreness at injection site, angioedema, anaphyla3is Nursing implications: #or history of anaphyla3is to vaccines.

Trade&5eneric Name:

/otrin&Advil&I%uprofen

Classificationn: '"A/7 Use(s): #ever, dental pain, rheumatoid arthritis, musculos-eletal disorders Action: /nhibits prostaglandin synthesis, analgesic, and anti5 inflammatory, antipyretic. Contraindications: P&7, asthma, and severe renal/hepatic disease. Side Effects: '/!/7, di11iness, light5headedness, fatigue Nursing implications: #or pain, fever/temp, and for a history of contraindications.

Trade Name: c lorpropamide 2Glucamide4 )??5F@?mg/day Classification: :ral Hypoglycemic Agents5)st Generation "ulfonureas Use(s): Hyperglycemia, Adjunct to diet, e3ercise to glucose levels +/ *ild to mod.$ype 2 7*. Action: &n-., probably stimulates insulin release from the pancreas. peripheral sensitivity to insulin. Potentiates A7H. Contraindications: Hypersensitivity to sulfonylureas, juvenile or brittle diabetes, pregnancy, lactation, pregnancy. Side Effects: parasthesia, fatigue, di11iness, vertigo, malaise, HA, tinnitus, '/!, heartburn, epigastric distress, rash, urticaria. Nursing implications: caution +/ renal failure, elderly, malnourished, allergy to. *onitor "/" of hypoglycemia.

Trade Name: tol%utamide 2:rinase4 )??5),???mg/day Classification: :ral Hypoglycemic Agents5)st Generation "ulfonureas Use(s): Hyperglycemia, Adjunct to diet, e3ercise to glucose levels +/ *ild to mod.$ype 2 7*. Action: &n-., probably stimulates insulin release from the pancreas. peripheral sensitivity to insulin. Contraindications: Hypersens., sole agent for $ype ), pregnant or lactating, 7EA. Side Effects: Hypoglycemia, '/!, cholestasis, rash, pruritis, leu-openia, thrombocytopenia. Nursing implications: caution +/ renal failure, elderly, malnourished, allergy to. *onitor "/" of hypoglycemia.

Trade Name: aceto

e"amide

27ymelor4

Classification: :ral Hypoglycemic Agents5)st Generation "ulfonureas Use(s): Hyperglycemia, Adjunct to diet, e3ercise to glucose levels +/ *ild to mod.$ype 2 7*. Action: &n-., probably stimulates insulin release from the pancreas. peripheral sensitivity to insulin. Potentiates A7H. Contraindications: Hypersensitivity to sulfonylureas, juvenile or brittle diabetes, pregnancy, lactation. Side Effects: Hypoglycemia, '/!, cholestasis, rash, pruritis, leu-openia, thrombocytopenia. Nursing implications: caution +/ renal failure, elderly, malnourished, allergy to. *onitor "/" of hypoglycemia.

Trade Name: tola(amide 2$olinase4 Classification: :ral Hypoglycemic Agents5)st Generation "ulfonureas Use(s): Hyperglycemia, Adjunct to diet, e3ercise to glucose levels +/ *ild to mod.$ype 2 7*. Action: &n-., probably stimulates insulin release from the pancreas. peripheral sensitivity to insulin. Potentiates A7H. Contraindications: Hypersensitivity to sulfonylureas, juvenile or brittle diabetes, pregnancy, lactation, pregnancy Side Effects: Hypoglycemia, '/!, cholestasis, rash, pruritis, leu-openia, thrombocytopenia. Nursing implications: caution +/ renal failure, elderly, malnourished, allergy to. *onitor "/" of hypoglycemia.

Trade Name: glipi(ide 2Glucatrol4 Classification: :ral Hypoglycemic Agents52nd Generation "ulfonureas Use(s): "table adult onset 7* type //, '/77*. Action: (auses functioning pancreas cells to release insulin. Contraindications: Hypersensitivity to sulfonylureas, juvenile or brittle 7iabetes. Side Effects: '/!/7, headache, di11iness, hepatoto3icity, leu-openia, hemolytic anemia. Nursing implications: Assess for hypo/hyperglycemic reactions that can occur soon after a meal. Assess blood and urine glucose levels after treatment.

Trade Name: gl#%uride 27iabeta,*icronase4 Classification: :ral Hypoglycemic Agents52nd Generation "ulfonureas Use(s): "table adult onset 7* 2'/77*4 Action: (auses functioning %eta cells in the pancreas to release insulin. Contraindications: Hypersensitivity to sulfonylureas, juvenile or brittle 7iabetes Side Effects: Headache, +ea-ness, '/!/7, ,ash, Hypoglycemia Nursing implications: Assess for hypo/hyperglycemic reaction that can occur after meals.

Trade Name: Pioglita(one

#droc loride 2'7H4 2Actos4

Classification: :ral Hypoglycemic Agents5'.0 Use(s): "table adult onset 7* Action: insulin sensitivity by hepatic glucose metabolism Contraindications: Hypersensitivity to $hia1olidinedione, lactation, children, 7EA, Side Effects: Hypoglycemia, aggravated 7*, &,$/, Pharyngitis, HA, edema, H7 . Nursing implications: Assess for Hypo/hyperglycemic reactions, *onitor (%GAs, #$As, (%(. (aution +/ (H#.

Trade Name: metformin 2Glucophage4 Classification: :ral Hypoglycemic Agents5%iguanides Use(s): "table adult onset diabetes mellitus 2'/77*4 Action: /nhibits hepatic glucose production and increases sensitivity of insulin dependent cells. Contraindications: Hypersensitivity, hepatic, renal disease, alcoholism, cardiopulmonary disease, history of lactic acidosis. Side Effects: '/!/7, rash, headache, +ea-ness, di11iness. Nursing implications: Assess for hypo/hyperglycemic reaction, assess (%(, for lactic acidosis.

Trade Name:

insulin: +ispro & +ente & Regular& Semilente& NP4 & Ultralente &67087
Classification: /nsulins Use(s): 7* type / ,-etoacidosis in 7* type / 9 //, P$s. on $P' or G tube feeding. See p arm %oo9 for pea9* onset and duration times Action: blood sugar by facilitating the upta-e 9 metabolism if glucose by insulin dependent cells. Also inhibits hepatic glucose production 9 the brea-do+n of glycogen, protein 9 fat, +hile it promotes the formation of glycogen, protein 9 triglycerides. Contraindications: Hypersensitive to protamine, Hypoglycemia, 'P: status, Side Effects: Hypoglycemia, anaphyla3is, hepatoto3icity. Nursing implications: (%GAs 2fasting 9 during treatment4, rotate injection sites, *onitor signs of hypoglycemia. Pea- times as per pharm boo-, ,egular insulin acts >uic-ly. Humalog acts >uic-er than regular. ,egular can be administered /! and/or "K

Trade Name: rosiglita(one

maleate 2'7H4 2Avandia4

Trade Name: Estrogen&Progesterone (com%-) Classification: (ontraceptives Use(s): %irth (ontrol. Action: the release of #"H 9 H. Contraindications: Pregnancy, thrombophlebitis, thromboembolic disorders, estrogen dependent (A of the breast or reproductive organs. Side Effects: #luid retention, '/!, cramping, constipation, hyperpigmentation, H$', ris- of */, Nursing implications: *onitor for adverse reactions.

Classification: :ral Hypoglycemic Agents5'.0 Use(s): "table adult onset 7*, '/77*. Action: /mproves insulin resistance by hepatic glucose metabolism. Contraindications: Hypersensitivity to $hia1olidinediones Side Effects: Hypo/hyperglycemia, fatigue, Headache Nursing implications: Assess for hypo/hyperglycemic reactions, blood studies

Trade Name: glucagon Classification: :ral hyperglycemic agent 2occurs naturally in body also4 Use(s): "ever hypoglycemia, insulin antagonist Action: (onverts hepatic glycogen to glucose. Contraindications: hypoglycemia, Side Effects: Hypersens., Pt. 0/ pheochromocytoma, hyperglycemia, hypotension, '/!, urticaria, resp. distress. Nursing implications: *onitor (%GAs, !", "/" of hyperglycemia. /nitial dose is /* effect in @52? minutes. /! for severe hypoglycemia. 7estroyed by the G/ tract.

Trade Name: Progesterone Classification: Progesterone

onl#

Use(s): (ontraception, amenorrhea, P*", abnormal uterine bleeding. Action: /nhibits secretion of pituitary gonadotropins, +hich prevents follicular maturation. Contraindications: %reast (A, pregnancy, thrombolytic disorders. Side Effects: 7i11iness, HA, migraine, fatigue, depression, stro-e, embolism, */, spontaneous Abortion Nursing implications: Assess 0eight, %/P, /9:, edema, H$'.

Trade Name: !epo0Provera Classification: Antineoplastic, hormone Use(s): &terine bleeding, endometrial / renal cancer, and secondary amenorrhea Action: /nhibits secretion of pituitary gonadotropins, +hich prevents maturation and ovulation. Contraindications: %reast/reproductive (A, , pregnancy, thrombolytic disorders. Side Effects: "tro-e, P., */, '/!, spontaneous A%. Nursing implications: Assess 0eight, %/P, /9:, edema, H$'.

Trade Name: Ergotrate Classification: :3ytocic

/aleate

Use(s): Postpartum or postabortion hemorrhage Action: "timulates uterine contractions and vascular smooth muscle, decreases bleeding. Contraindications: Hypersensitivity to ergot medications, augmentation of labor, before delivery of placenta, threatened A% Side Effects: Headache, di11iness, fainting, H$', (hest pain, '/! Nursing implications: Assess for ergotism, vitals, and fundal tone.

Trade Name: Norplant 2@@G5@L?4

Trade Name:

RU:;< 2mifepristone4

Trade Name: Nupercainal

=intment

Classification: (ontraceptives !ose= L?? mg P: Use(s): .arly Pregnancy $ermination Action: /nhibits progesterone receptors. Contraindications: Hypersensitivity, ectopic preg., /&7 use, anticoagulants, cortico5steriods, chronic adrenal failure, bleeding disorder. Side Effects: /ncomplete abortion, hemorrhage fetal malformation, vag. %leeding, abd cramps, abd pain, '/!, HA, Nursing implications= *onitor for adverse reactions-

Classification: $opical anesthetics Use(s): *inor e3ternal irritation Action: /nhibits the conduction of nerve impulses from sensory nerves Contraindications: Hypersensitivity, large areas, ess than ) year old. Side Effects: ,ash, irritation, and sensiti1ation Nursing implications: Assess pain, do not use until infection is treated, remove any scales or crust before applying medication

Trade&generic: Class:
Ind:

/et ergine 2methylergonovine maleate4

:3ytocic, &terine *otility Agent= .rgot Al-aloid

Trade Name: Epifoam Classification: $opical Glucocorticoids Use(s): (ontact dermatitis Action: Antipruritic, anti5inflammatory Contraindications: Hypersensitivity, viral and fungal infections. Side Effects: Acne, atrophy, epidermal thinning, purpura, and striae. Nursing implications: Assess for a temperature, and for systemic absorption leading to a temperature.

$reatment of PPH or postabortion, uterine contractions, uterine

atont
Route= P:, /*, P, Action: "timulates uterine, vascular, smooth muscle, causing

contractions 9 bleeding

Contra: Hypersensitivity to ergot preparations, in labor,

before delivery of placenta, hypertension, P/7,.

S&E:

'/!, HA, di11iness, dyspnea, cramping, chest pain, hypertension 9 dysrhythmias monitor vitals, character 9 amt. of vag.bdg 9 +atch for hemorrhage.

RN:

Trade Name: S#ntocinon Classification: :3ytocic

Nasal Spra#

Trade Name: Colace Classification: a3ative, emollient Use(s): $o soften stools Action: /ncreases +ater and fat penetration in the intestine< allo+s for easier passage of the stool Contraindications: Hypersensitivity, obstruction, fecal impaction, and nausea/vomitingSide Effects: 'ausea, cramps, diarrhea, rash, bitter taste, throat irritation. Nursing implications: (auses of constipation, bleeding, '/!

Use(s): "timulation or induction of labor< missed or incomplete abortion< postpartum bleeding. Action: Acts directly on myofibrils, producing uterine contractions< stimulates mil- ejection by the breast. Contraindications: Hypersensitivity, serum to3icity, fetal distress, and hypertonic uterusSide Effects: convulsions, tetanic contractions. Hypo/Hyper5tension, %rady/tachy5cardia, abruptio placenta, decreased uterine blood flo+. Nursing implications: /9:, respiration, %/P and pulse 2+atch for hemorrhage4 ength of contractions.

Trade Name: Proctofoam Classification: $opical anesthetics Use(s): ,ectal pain and itching, post partum hemorrhoids Action: /nhibits conduction of nerve impulses Contraindications: Hypersensitivity, infants less than ) year of age. Side Effects: ,ash, irritation, and sensiti1ation. Nursing implications: Assess for pain and infection.

Trade Name: Surfa9 Classification: a3ative, emollient Use(s): $o soften stools Action: /ncreases +ater and fat penetration in the intestine< allo+s for easier passage of the stool Contraindications: Hypersensitivity, obstruction, fecal impaction, and nausea/vomitingSide Effects: 'ausea, cramps, diarrhea, rash, bitter taste, throat irritation. Nursing implications: (auses of constipation, bleeding, '/!.

Trade Name: 'antac Classification: H25histamine receptor antagonist

Trade Name:

Ru%ella .accine

Classification: !accines 9 to3oids Use(s): 7uodenal ulcer, H. Pylori, .,7 Use(s): ,ubella immuni1ation Action: /nhibits histamine sites, +hich ceases acid production Action: Promotes immunity by causing antibodies to be produced. Contraindications: Hypersensitivity Side Effects: HA, "leeplessness, confusion, hepatoto3icity. Nursing implications: /9:, %un, (reatine, mental status, G/ complaints. Contraindications: immunosuppressed, (A, blood dyscrasia, GG disorders, $%, do not get pregnant for 6 months Side Effects: HA, malaise, rash, pain, erythema, sore throat, Nursing implications: 0atch for anaphyla3is. Give "K

Trade Name(s): Trade Name: !ulcola" Classification: a3ative, stimulant Use(s): "hort term treatment of constipation, bo+el or rectal preparation for surgery/e3amination Action: Acts directly on the intestines by increasing motor activity Contraindications: Hypersensitivity, rectal problems, '/!, acute abdomen, obstruction Side Effects: muscle +ea-ness, '/!, cramps Nursing implications: Assess cause of constipation, monitor blood/urine/electrolytes if used often by the patient. Assess for cramping or rectal bleeding.
Class:

>utopar

( ritodrine)

$ocolytic, uterine rela3ant. *anagement of premature labor.

Ind:

Route: P:, /! Action: fre>uency 9 intensity of uterine contractions

by stimulating beta52 receptors in uterine smooth muscleContra: hypersens, eclampsia, H$', dysrhythmias, before

2?th +ee- of pregnancy, bronchial asthma.

S&E:

.rythema, rash, dyspnea, hyperventilation, glycosuria, lactic acidosis, hyperglycemia, Hypo-alemia, nervousness, tremors. *aternal 9 #H$, .EG, intensity 9 length of contractions, fluid inta-e.

RN:

Trade&generic: Trade Name: R

Pitocin

(o"#tocin) S#ntocinon

o5A/

Class:

:3ytocic

Classification: /mmuni1ing agent Use(s): Prevention of isoimmuni1ation in ,h negative +omen +ho are given ,h positive blood after abortions, miscarriages, and amniocentesis "uppress active antibiody response and formation of anti5,h274 in ,h negative clients e3posed to ,h positive blood, promotes destruction of ,h positive fetal cells Action: "uppress the immune response of non5sensiti1ed ,h cells, to sensiti1ed cells, , bloc-s maternal antibody prodction Contraindications: Previous immuni1ation +ith the drug Side Effects: /rritation at injection site, fever, lethargy, myalgia Nursing implications: #or allergic reactions,

Route: /*, /!, spray Ind: "timulates or induces labor< for missed or incomplete Abortion, PPH, preeclampsia, eclampsia, P,:*.

Action: Acts directly on myofibrils, producing uterine contractions< stimulates mil- ejection by the breast. Contra: Hypers., serum to3emia, fetal distress, hypert. uterus, PPH, G/ disturbance, diapheresis, HA, di11iness. S&E= RN= (onvulsions, tetanic contractions, abruptio placenta, uterine blood flo+ /9:, !", #H$As

Trade Name(s):

/agnesium Sulfate

Trade Name: //R

vaccine

Classification: .lectrolyte, anticonvulsant Use(s4= "mooth muscle rela3ant, inhibit or prevent pre5term labor ,uterine hyperstimulation, anticonvulsant Action: Contraindications: Side Effects= *uscle +ea-ness, flushing, s+eating, confusion,

Classification: vaccine Use(s): prevention of measles, mumps, and rubella Action: produces antibodies to measles, mumps and rubella Contraindications: Hypersensitivity, anemia, active infection, allergy to eggs/chic-ens, pregnancy, febrile illness. Side Effects: anaphyla3is, subacute sclerosing panencephalitis, and blindness associated +ith optic neuritis Nursing implications: 0atch for s-in reactions and anaphyla3is, bronchospasm, inability to breathe, must dilute +ith specific diluent that comes +ith the medication. /nstruct female patients not to get pregnant for 6 months

sedation, depressed refle3es, flaccidity, paralysis, hypothermia, nausea, vomiting, cramps, hypotension, heart bloc-, circulatory collapse.
Nursing implications: Assess for magnesium to3icity, cramping,

bleeding. /n P/H prevents sei1ures. (alcium gluconate is the antagonist.

Trade Name(s):

Prostaglandin
Gen./Trade Name: Vitamins A, D, E, K
Classification: fat soluble Use(s): A5night blindness, 75maintains (a 9 P homeostasis, .5antio3idant platelet aggregation, E5clotting factors. Action: (atalysts for biochemical and metabolic reactions. Contraindications: Side Effects: Anaphyla3is, '/!, fatigue, +ea-ness, HA. di11iness, lethargy. Nursing implications: monitor bilirubin, hypersensitivity, bleeding, P$ times.

Classification= hormone Use(s): $o maintain patent ductus arteriosus Action= ,ela3es the smooth muscle of the ductus arteriosus< this results in increased o2 content in the body Contraindications= hypersensitivity, respiratory distress syndrome. Side Effects: "epsis, peritonitis, apnea, bradycardia, +hee1ing, respiratory depression, 7/(, cerebral bleed, dysrhythmias Nursing implications: A%GAs, apnea, bradycardia

Trade Name: !PT

vaccine

Trade Name: Iron Classification: !itamin Use(s): $o prevent maternal deficiency. Action: ,eplaces iron stores needed for ,%( development Contraindications: Side Effects: '/!/7, constipation, blac- or red tarry stools, epigastric pain. Nursing implications: i>uid forms should be diluted to prevent discoloration of teeth.

Classification: !accine, to3oid Use(s): Prevention of diphtheria, tetanus, and pertussis. Action: Provides immunity by stimulating antibody/antito3in production. Contraindications: Hypersensitivity, active infection, immunosuppression, and febrile illness Side Effects: sei1ures, '/!, anaphyla3is, encephalopathy Nursing implications: for s-in reactions, inability to breath, bronchospasm.

Gen./Trade Name: ile salts (Bilron)

Classification: 7igestive agents Use(s): /nitiate bile flo+ from the liver. :nce used to treat pts. +/ biliary fistula 9 resection of the ileum. &sed infre>uently today. Action: %ile salts are converted to cholic acid 9 chenodeo3ycholic acid. $hey conjugate +/ glycerine 9 taurine to form bile acids. $hen the salts of the bile acids are secreted in the bile. Contraindications: Hepatic dysfunction, obstruction, '/!, abd. pain. Side Effects: Abd. cramping, diarrhea, ** resistance to acid, colic, H(l can damage tooth enamel RN implications: *onitor for abd pain, colic.

Trade Name: Reglan Classification: cholinergic Use(s): prevention of nausea and vomiting. Action: bloc-s dopamine in the chemoreceptor trigger 1one Contraindications: Hypersensitivity to this drug or procainamide, sei1ure disorders, breast cancer Side Effects: "edation, fatigue, restlessness, neutropenia, leu-openia. Nursing implications: *ental status, G/ complaints.

Trade Name: 'ofran 2ondansetron4

Vitamins !" (thiamine), !# (riboflavin), !$, (niacin), !% (pyridoxine), nicotinamide, & (ascorbic acid) Classification: 0ater "oluble Use(s): %) 5beriberi, %2 5s-in, eyes, %65pellagra, %L sei1ures, (5scurvy Action: (atalysts for biochemical and metabolic reactions. Contraindications: Side Effects: Generally +ater soluble vitamins are nonto3ic b/c e3cesses are e3creted in urine. Nursing implications: *onitor for "/" of allergic reactions to parenteral thiamine.

Classification: Antiemetic Use(s): Prevention of '/! Action: %loc-s serotonin Contraindications: Hypersensitivity Side Effects: 7iarrhea, di11iness, dro+siness, fatigue. Nursing implications: #or hypersensitivity

Trade Name: $olic

Acid

Trade Name: Atropine

Sulfate

Classification: !itamin Use(s): $o assist +ith a normal pregnancy. Action: Contraindications: Side Effects: Allergic bronchospasm, rash, Pruritis, .rythema, malaise. Nursing implications: A client trying to get pregnant should ta-e folic acid 65L months before conception.

Classification: Antidysrhythmic, anticholinergic, parasympatholytic Use(s): %radycardias, bloc-s vagal response, pre5surgery to decrease secretions, increase heart rate and dilate pupils Action: %loc-s A(H at parasympathetic receptors, decreases oral and respiratory secretions, muscarinic antagonist drug Contraindications: Hypersensitivity to belladonna al-aloids, tachycardia, G/ obstruction, closed angle glaucoma, paralytic ileus Side Effects: 7ry mouth, n/v tachycardia, blurred vision, decrease perspiration, constipation, urinary retention Nursing implications: /9:, .EG, respiratory status

Trade Name: Riopan Classification: Antacid Trade Name: Calcium Classification: .lectrolyte Contraindications: hypersensitivity to this drug or aluminum Use(s): $o manage hypocalcemia, to prevent deficits. Side Effects: (onstipation, diarrhea, hypermagnesemia Action: Contraindications: Hypercalcemia, renal calculi, dig to3icity, !5#ib. Side Effects: '/!, pain, constipation, dro+siness, muscle +ea-ness, HA. Nursing implications: Assess the need for (alcium inta-e. Nursing implications: G/ status, "erum *G;; evels if decreased liver function. Give after meals and atbedtime Use(s): Antacid, P&7, gastric ulcers, indigestion. Action: 'eutrali1es gastric acidity.

Trade Name: Antivert 2mecli1ine4 Classification: Antiemetic, antihistamine, anticholinergic Use(s): !ertigo, motion sic-ness Action: Acts by bloc-ing the chemoreceptor trigger 1one Contraindications: hypersensitivity to cycli1ines, shoc-. Side Effects: 7ro+siness, fatigue Nursing implications: !/", signs of to3icity Trade Name: Anectine Classification: 'euromuscular bloc-er Use(s): "-eletal muscle rela3ant Action: /nhibits transmission of nerve impulses Contraindications: Hypersensitivity, *alignant hypothermia, penetrating eye injuries. Side Effects: "inus arrest, dysrhythmias, prolonged apnea, bronchospasm. Nursing implications: .lectrolyte imbalances, /9: ratio, allergic reactions.

Trade Name: Inapsine Classification: neuroleptic Use(s): postoperatively for '/! Action: Acts on ('" at subcortical level, produces, tran>uili1ation, sleep, Antiemetic. Contraindications: Hypersensitivity, child <2 years old, pregnancy, lactation. Side Effects: aryngospasm, bronchospasm, $achycardia, hypotension. Nursing implications: !ital signs.

Trade Name: Tagamet Classification: H25histamine receptor antagonist Use(s): "hort term treatment of G.,7, duodenal and gastric ulcers Action: /nhibits histamine at the gastric acid site +hich inhibits secretion Contraindications: Hypersensitivity Side Effects: (onvulsions, paralytic ileus, jaundice, neutropenia, increased P$$. Nursing implications: Assess /9:, bun, (reatine, and a (%( +ith differential monthly.

Trade Name: 1#tril 2granisetron4 Classification: Antiemetic Use(s): Prevention of '/! Action: %loc-s serotonin Contraindications: hypersensitivity Side Effects: HA, an3iety, bronchospasm, leu-openia

Trade Name: Ro%inul 2glycopyrrolate4 Classification: (holinergic bloc-er, anticholinergic Use(s): decreases secretions before surgery, P&7, /rritable bo+el, reduces gastric secretions Action: /nhibits Ach in the autonomic nervous system Contraindications: Hypersensitivity, narro+ angle glaucoma, child <6 M.:., */. Side Effects: 7ry mouth, constipation.

Nursing implications: #or Hypersensitivity reactions Nursing implications: /9:, constipation, mental status.

Trade Name:

RI!

Classification: Use(s): Trade Name: 5elsolin Classification: Use(s): Action: Contraindications: Side Effects: Nursing implications: Action: Contraindications: Side Effects: Nursing implications:

Trade Name: Triple Trade Name: !Nase Classification: Use(s): Action: Contraindications: Side Effects: Nursing implications: Classification:

!#e

Use(s): Prevent infection of umbilical cord and promotes drying of the cord Action Contraindications: Side Effects: Nursing implications:

Trade Name: /ulti0.itamins Classification: !itamins

Trade Name: Silver Classification: Use(s):

nitrate Solution

Use(s): $o prevent birth defects Action: Action: Contraindications: Contraindications: Side Effects: Side Effects: Nursing implications: Nursing implications:

Trade Name: )icitra Classification:

Trade Name: !ermoplast Classification: :$( Use(s):

Use(s):

$reating metabolic acidosis and certain -idney problems 2eg, -idney stones4.
Action: Contraindications: Side Effects: 7iarrhea<

Action: Contraindications: Side Effects:

loose stools< nausea< upset

Nursing implications:

stomach< vomiting
Nursing implications:

Trade Name: Americain Spra# Classification: :$( Use(s): Action: Contraindications: Side Effects: Nursing implications:

Trade Name: /asse Classification: :$( Use(s): Action: Contraindications: Side Effects: Nursing implications:

Cream

Trade Name: Tuc9s Classification: Astringents5:$( Use(s): Action: Contraindications: Side Effects: Nursing implications:

Trade Name: ?itc

4a(el

Classification: Astringents5:$( Use(s): Action: Contraindications: Side Effects: Nursing implications: