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Drug Study on ESRD Drugs

Drug Study on ESRD Drugs

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Published by Chester Manalo
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Published by: Chester Manalo on Apr 19, 2010
Copyright:Attribution Non-commercial

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12/19/2012

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DRUG STUDYDRUG NAME CLASSIFICATION MECHANISMOF ACTIONINDICATION/CONTRAINDICATIONSIDE EFFECTS NURSINGCONSIDERATIONSBRAND:
Docard
GENERIC:
Dopamine HCL
DOSAGE:
2 amp in D5W250cc @ 10mgtts/mintitrate byincrement of 3mgtts/ minSympathomimetic Exogenouslyadministered, it produces directstimulation of  beta-1 receptorsand variablestimulations.
Indications:
Correction of hemodynamic imbalances present in renal failure.
Contraindications:
Uncorrectedtachyarrythmias or ventricular fibrillation. Nausea, vomiting,tachycardia,anginal pain, palpitation,dysnea, headache,hypotension,hypertension,vasoconstriction,decrease urineoutput, dyspnea.1.]Monitor vitalsigns and ECGduring infusion. If BP drops30mmHg stopinfusion and reportto physician.2.]Assess for oxygenation and perfusion deficit:dyspnea, cyanosis,decrease BP, chest pain, dizziness.3.]Assess patient¶sGI complaints:nausea andvomiting.4.]Monitor BPclosely for suddendrop after drug isstopped.
 
 
DRUGNAMECLASSIFICATIONMECHANISM OFACTIONINDICATION/CONTRAINDICATIONSIDE EFFECTSNURSINGCONSIDERATIONSBRAND:GENERIC:
Sodium bicarbonate
DOSAGE:
650mg 1tabTIDAlkalinizing agent,Antacid, ElectrolyteIncreases plasma bicarbonate, whichexcess buffers H ionconcentration;reverses metabolicacidosis.
Indications:
Treatment of metabolicacidosis.
 Contraindications:
Edema, hypertension,severe kidneyinsufficiency,hypoventilation.Metabolic alkalosis(dizziness, cramps,thirst, anorexia, N& V, tetany,seizures).Paravenousadministration maylead to tissuenecrosis.1.]Assessrespiratory and pulse rate.2.]Monitor fluid balance.3.]Assess for thesymptoms of alkalosis.4.]Teach patientabout sodiumrestricted diet.
 
 
DRUGNAMECLASSIFICATIONMECHANISM OFACTIONINDICATION/CONTRAINDICATIONSIDE EFFECTSNURSINGCONSIDERATIONSBRAND:
Humulin R 
GENERIC:
Insulininjection(Regular insulin)
DOSAGE:
6 ³u´ IV nowInsulin product, anti-diabetic agentIncreases glucosetransport acrossmuscle and fat cellmembranes toreduce glucoselevel.
Indications:
Moderate to severediabetic ketoacidosis or hyperosmolar hyperglycemia regular insulin. Mild diabeticketoacidosis. Newlydiagnosed diabetes.
Contraindications:
Hypoglycemia.Hypersensitivity toinsulin.Hypoglycemia,insulinresistance, localand generalizedallergic reaction.1. ]Assess V/S.2. ]Use a tuberculin or insulin syringe for accuracy of measurement.3. ]Keep in coldlocation, preferably arefrigerator.4. Do not freeze.5. ]Observe closelyfor S&S of hyper- or hypoglycemia untildosage established.6.] Monitor BP, BS,LDL,cholesterol andHbA1c.

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