DRUG

GENERAL ACTION

SPECIFIC ACTION

INDICATIONS

CONTRAINDICATIONS

ADVERSE EFFECT

NURSING CONSIDERATIONS

DRUG

GENERAL ACTION

SPECIFIC ACTION

INDICATIONS

CONTRAINDICATIONS

ADVERSE EFFECT

NURSING CONSIDERATIONS

ASSESSMENT:

METOCLOPRAMIDE
( DISURVAN )

ANTIEMETIC

STIMULATES MOTILITY OF UPPER GI TRACT WITHOUT STIMULATING GASTRIC BILIARY OR PANCREATIC SECRETIONS. ACCELERATES GASTRIC EMPTYING & INTESTINAL TRANSIT.

TREATMENT OF NAUSEA AND VOMITING OF VARIETY OF ETIOLOGIES; GASTRIC ULCER

* ALLERGY TO CNS: METOCLOPRAMIDE RESTLESSNESS *GI HEMORRHAGE DROWSINESS *MECHANICAL OBSTRUCTION FATIGUE *EPILEPSY USE CAUTIOUSLY WITH: *DETECTED BREAST CANCER *LACTATION * PREGNANCY EPS AKATHISIA DIZZINESS ANXIETY CV: TRANSIENT HPN

Hx: ALLERGY TO METOCLOPRAMIDE ;GI HEMORRHAGE; MECHANICAL OBSTRUCTION; DEPRESSION EPILEPSY LACTATION BREAST CANCER PHYSICAL: REFLEXES, AFFECT, BOWEL SOUNDS, ORIENTATION

INTERVENTION
*MONITOR BP WHILE IV IS INTRODUCED *MONITOR EPS

GI: DIARRHEA *FLUID OVERLOAD NAUSEA *RENAL IMPAIRMENT

WARNING
*KEEP
DIPHENHYDRAMIDE

READY FOR EPS * HAVE PHENTOLAMINE READY FOR HPN CRISIS

TEACHING POINTS
* TAKE DRUG AS PRESCRIBED * DONT USE ALCOHOL, SLEEP REMEDIES, SEDATIVES SERIOUS SEDATION COULD OCCUR *MAY EXPERIENCE S/E: DIZZINESS, DROWSINESS, ANXIETY , DEPRESSION, INSOMNIA, DIARRHEA *REPORT VOLUNTARY MOVEMENT OF FACE, EYES, SEVERE DEPRESSION

DRUG

GENERAL ACTION

SPECIFIC ACTION

INDICATIONS

CONTRAINDICATIONS

ADVERSE EFFECT *HYPERSENSITIVIT Y TO TERBUTALINE *TACHYCARDIA *TACHYARRYTHMI A *DIGOXIN TOXICITY

NURSING CONSIDERATIONS

TERBUTALINE

SULFATE
(BRETHINE)

BRONCHODILATOR ACTS AT BETA 1 RECEPTORS TO CAUSE SYMPATHOMIMETI C CARDIAC EFFECTS

PROPHYLAXIS OF TREATMENT OF BRONCHIAL ASTHMA AND REVERSIBLE BRONCHOSPASM THAT MAY OCCUR WITH BRONCHITIS AND EMPHYSEMA IN PATIENTS 12 YR, PLD AND OLDER

CNS: *RESTLESSNESS *ANXIETY,APPREHE NSION,FEAR *INSOMNIA *TREMOR *DROWSINESS *HYPERKINESIA *VERTIGO *HEADACHE *SEIZURES CV *CARDIAC ARRYTHMIAS *PALPITATIONS *ANGINAL PAIN *CHANGES IN BP GI: *N/V *HEART BURN *UNUSUAL/ BAD TASTE IN MOUTH REPIRATORY *RESP. DIFFICULTY, COUGHING, BRONCHOSPASM OTHER: SWEATING,PALLOR, MUSCLE CRAMPS,FLUSHING

ASSESMENT:
Hx:
HYPERSENSITIVITY TO TERBUTALINE TACHYCARDIA TACHYARRYTHMIA DIGOXIN TOXICITY

CAUTIOUSLY WITH: CAUTIOUSLY WITH: *DIABETES, DIABETES, *CAD,Hx OF CVA, *COPD WHO HAVE DEVELOPED DEGENERATIVE DISEASE Hx OF SEI\ZURE HYPERTENSION
CAD,Hx OF CVA, COPD WHO HAVE DEVELOPED DEGENERATIVE DISEASE Hx OF SEIZURE HYPERTENSION PSYCHONEUROTIC INDIVIDUAL

PSYCHONEUROTIC INDIVIDUAL PHYSICAL: WT., SKIN,

COLOR,TURGOR,ORIE NTATION,REFLEXES,P, BP,R,BLOOD & URINE GLOCOSE, SERUM ELECTROLYTES, ECG

INTERVENTIONS
USE MINIMAL DOSES OF PERIODS OF TIME,DRUG TOLERANCE CAN OCCUR WITH PROLONGED USE WARNING KEEP A BETA BLOCKER SUCH AS ATENOLOL READILY AVAILABLE IN CASE OF CARDIAC ARRHYTHMIAS DON'T EXCEED RECOMMENDED DOSAGE

TEACHING POINTS
*DON'T EXCEED RECOMMENDED DOSAGE; ADVERSE EFFECTS OR LOSS OF EFFECTIVENESS *EXPERIENCE S/E: WEAKNESS, DIZZINESS,INABILITY TO SLEEP,N/V.FAST HR,ANXIETY *REPORT CHEST PAIN,INSOMNIA,DIZZI NESS,TREMOR,IRREGU LAR HEART BEAT

DRUG

GENERAL ACTION

SPECIFIC ACTION

INDICATIONS

CONTRAINDICATIONS

ADVERSE EFFECT CNS * BLURRED VISION, PHOTOPHOBIA, INCREASED IOP CV *PALIPITATIONS *TACHYCARDIA GI *DRY MOUTH, N/V *HEARTBURN * CONSTIPATION *GERD GU: URINARY HESITANCY AND RETENTION, IMPOTENCE

NURSING CONSIDERATIONS

ASESSMENT

DICYCLO MINE HCL

BENTYL

ANTICHOLINERGIC DIRECT GI SMOOTH TREATMENT OF MUSCLE FUNCTIONAL RELAXANT BOWEL BLOCKS THE EFFECT OF ACETYLCHOLINE AT MUSCARINIC CHOLINERGIC RECEPTORS THAT MEDIATE EDDECTS OF PARASYMPATHETIC POSTGANGLIONIC IMPULSES THUSMRELAXING GI TRACT.

*GLAUCOMA *STENOSING AND PEPTIC ULCER *PARALYTIC ILEUS *SEVERE ULCERATIVE COLITIS *BRONCHIAL ASTHMA *COPD *CARDIAC ARRYTHMIAS *TACHYCARDIA *MYASTHENIA GRAVIS *LACTATION *PREGNANCY USE CAUTIOUSLY WITH :

Hx:*GLAUCOMA *STENOSING AND PEPTIC ULCER *PARALYTIC ILEUS *SEVERE ULCERATIVE COLITIS *BRONCHIAL ASTHMA *COPD *CARDIAC ARRYTHMIAS *TACHYCARDIA *MYASTHENIA GRAVIS *LACTATION *PREGNANCY PHYSICAL BOWEL SOUNDS,ADVENTITIO US SOUNDS,IOP,P,BP,LFTS, SKIN COLOR, TURGOR INTERVENTIONS * ENSURE ADEQUATE HYDRATION * CONTROL EVIRONMENTAL TEMP. TO PREVENT FEVER *HAVE PATIENT VOID BEFORE DRUG DOSE * MONITOR LIGHTING TO MINIMIZE DISCOMFORT * DON'T GIVE IV

LOCAL: DOWN SYNDROME *IRRITATION OF IM BRAIN DAMAGE INJECTION HPN HYPERTHYROIDISM OTHER: * DECREASED SWEATING *SUPRESSION OF LACTATION

TEACHING POINTS: *TAKE DRUG AS PRESCRIBED *AVOID HOT ENVIRONMENTS *YOU MAY EXPERIENCE S/E * CONSTIPATION (ENSURE ADEQ. FLUID AN DIET) * DRY MOUTH( MOUTH CARE) *BLURRED VISION( WEAR SUNGLASSES) * DIFFICULTY IN URINATION (EMPTY BLADDER BEFORE TAKING THE DRUG) REPORT : FLUSHING,EYE PAIN DYSPNEA, TREMORS HALLUCINATIONS, TREMORS,DYSURIA, HEADACHE, SEVERE CONSTIPATION