GENERIC BRAND NAME MECHANISM OF INDICATIONS CONTRA- SIDE HOW DOSAGE & NURSING

NAME CLASSIFICATION ACTION INDICATIONS EFFECTS SUPPLIED FREQUENCY RESPONSIBLITY

HYOSCINE BUSCOPA Antispasmodic Contraindicated in CNS: ½ ampule/PRN BEFORE
BUTYLBR N, Hyoscine -relief of smooth patients with angle- dizziness,
OMIDE scopolamine Butylbromide muscle spasm of closure glaucoma, headache,  Check v/s
↓ the gastrointestinal
butylbromid obstructive restlessness,
Inhibits and genitourinary 
e uropathy, asthma, disorientation,
systems
muscarinic COPD, myasthenia irritability,
actions of gravis, paralytic fever
acetylcholine in ileus, intestinal
the ANS atony, & unstable GI:
↓ CV. constipation,
Affecting neural dry mouth,
pathway nausea, >Be alert for
↓ vomiting adverse reactions
Relieves and drug
spasticity, nausea CV: interactions.
and vomitting; palpitations,
reduces tachycardia, >Encourage pt. to
secretions; and flushing void
blocks cardiac
vagal reflexes. EENT: dilated >Monitor BP for
pupils, blurred possible
↓ vision, hypotension.
photophobia,
Promotes >Monitor cervical
dysphagia
cervical effacement and
effacement dilatation
GU: urinary
hesitancy,
urinary
retention

Skin: rash,
dryness
GENERIC BRAND CLASSIFICATION MECHANISM OF INDICATIONS CONTRA- HOW DOSAGE & NURSING
NAME NAME ACTION INDICATIONS SIDE EFFECTS SUPPLIED FREQUENCY RESPONSIBLITY

Oxytocin Pitocin Oxytocic drug Acts on smooth Hypersensitivity to Mother: Injection: Before:
(Pictopin, muscle of the drug. Significant CV: 10 units/ml - Assess patient’s
Syntocinon) uterus to cephalopelvic Cardiac condition
stimulate disproportion; arrhythmia, -Perform hand
contractions: unfavorable fetal hypertensive washing
response depends positions or episodes -Verify
on the uterine presentations that physician’s order
threshold of are undeliverable GI: -Prepare
excitability. It is without conversion N&V, medication
selective for the prior to delivery. abdominal
uterus, especially pain, cramping During :
toward the end of -Identify patient
pregnancy, CNS: -Assess client in
during labor, and headache, semi-fowler’s
immediately dizziness position
following -Assess in
delivery. GU: administering the
Oxytocin Pelvic medication to the
stimulates hematoma, patient
rhythmic post-partum -Position client in
contractions of hemorrhage comfortable
the uterus, position
increases the Fetus:
frequency of CV: After:
existing Bradycardia, -Document
contractions and arrythmias administration on
raises the tone of medication
uterine CNS: -Assess patient 30-
musculature. Permanent 60 minutes after
CNS or brain administration and
(Spratto, et al; damage, document the
2008: 1181) neonatal patient’s response
seizures to medication

GI:
Peptic ulcer,
GI bleeding,
nausea,
diarrhea,
constipation,
abdominal
pain, anorexia,
vomiting,
stomatitis

CNS:
Headache

CV:
Peripheral
edema, fluid
retention
 GENERIC BRAND NAME MECHANISM OF INDICATIONS CONTRA- SIDE HOW DOSAGE & NURSING
NAME CLASSIFICATION ACTION INDICATIONS EFFECTS SUPPLIED FREQUENCY RESPONSIBLITY
Calcium Contraindicated in Use all calcium
Gluconate Electrolytes and Replaces calcium Hypocalcemic cancer patients CNS: tingling product with
replacement and maintain emergency with bone sensations,
extreme caution in
calcium level. metastases and in sense of
solutions digitalized patients
Hypocalcemic those with oppression or
tetany ventricular heat waves and patients with
fibrillation, with I.V. sarcoidosis
Dietary hypercalcemia, CV:
supplement hypophosphatemia, bradycardia, Double check that
or renal calculi arrhythmias you are giving the
GI:constipatio correct form of
n irritation, calcium
chalky taste,
hemorrhage
GU:polyuria,
renal calculi
METABOLI
C:
hypercalcemia
SKIN: local
reactions
GENERIC BRAND CLASSIFICATION MECHANISM OF INDICATIONS CONTRA- HOW DOSAGE & NURSING
NAME NAME ACTION INDICATIONS SIDE EFFECTS SUPPLIED FREQUENCY RESPONSIBLITY

Methylergon Methergine Indication: > contraindicated Cardiovascular Ampules >Be alert for
ovine ↓ Prevention and in patients : hypertension, adverse reactions
maleate Stimulates treatment of hypersensitive to temporary and drug
(Methergine, uterine smooth postpartum and methylergonovine chest pain, interactions.
Methylergob muscles postabortion or any component palpitation
asine ↓ hemorrhage of the formulation. >This drug should
Methylergob producing caused by uterine CNS:Hallucina be used extremely
revin sustained atony or >ergot alkaloids are tions, carefully because
Methylergon contractions subinvolution contraindicated dizziness, of it's potent
ovine) ↓ with potent seizure, vasoconstrictor
thereby shortens inhibitors of headache action. I.V. use
the third stage of CYP3A4 (includes may induce
labor protease inhibitors, Gastrointestina sudden
azole antifungals, l: Nausea, hypertension and
and some vomiting, cerebrovascular
macrolide diarrhea, foul accidents. As a last
antibiotics); taste resort, give I.V.
slowly over
>hypertension; Local: several minutes
toxemia of Thrombophleb and monitor blood
pregnancy (PIH) itis pressure closely.

Otic: Tinnitus >Monitor Uterine

Contractions
Renal:
Hematuria

Respiratory:
Dyspnea, nasal
congestion
GENERIC BRAND CLASSIFICATION MECHANISM OF INDICATIONS CONTRA- HOW DOSAGE & NURSING
NAME NAME ACTION INDICATIONS SIDE EFFECTS SUPPLIED FREQUENCY RESPONSIBLITY

Hydralazine Apresoline Hydralazine Pre-eclampsia / Contraindicated to CNS: 5 mg/dose then Assess blood
↓ eclampsia pt.s hypersensitive peripheral 5-10 mg every pressure before
Directly relaxes to the drug and any neuritis, 20-30 minutes starting therapy
arteriolar smooth of its component headache, as needed and regularly
muscle and in those with dizziness thereafter.
↓ coronary artery
Vasodilaion disease or mitral CV: orthostatic >Instruct client to
↓ valvular rheumatic hypotension, take oral form
Lowers Blood heart disease. tachycardia, with meals.
Pressure arrythmias,
Use cautiously in angina, >Inform client that
patients with palpitations. orthostatic
suspected cardiac hypotension can
disease, CVA, or GI: n/v, be minimized by
severe renal diarrhea, rising slowly and
impairment, and in anorexia not changing
those taking other position suddenly.
antihytensives Hematologic:
neutropenia, >Tell pt. not to
leukopenia, abruptly stop
agranulocytope taking drug, but to
nia call prescriber if
adverse reaction
Metabolic: occurs.
weight gain,
sodium >Tell client to
retention limit sodium
intake.

Skin: rash