Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
P. 1
Emergency Drugs

Emergency Drugs

Views: 2,493|Likes:
Published by jumyran

More info:

Published by: jumyran on Sep 14, 2009
Copyright:Attribution Non-commercial


Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less





EMERGENCY DRUGS: A drug study.1) AMINOPHYLLINEBrand Names: Phil Pharmawealth/Atlantic Aminophylline amp Theofil ampClassification: Antiasthmatic & COPD PreparationsDosage: Initial: 225-450 mg twice daily, increased if needed. IV Acute severebronchospasm. Loading dose: 5 mg/kg (ideal body wt). Maintenance: 0.5 mg/kg/hr.Rate should not exceed 25 mg/min.Indication: PO Chronic bronchospasm as hydrateAction: Increases the level of cAMP resulting in bronchodilationAdverse Reactions: Nausea, vomiting, abdominal pain, diarrhea, headache,insomnia, dizziness, anxiety, restlessness; tremor, palpitations. Potentially Fatal:Convulsions, cardiac arrhythmias, hypotension and sudden death after too rapid IVinjection.Nursing Measures:
Administer to pregnant patients only when clearly needed - neonataltachycardia, jitteriness, and withdrawal apnea observed when mothersreceived xanthines up until delivery.
Caution patient not to chew or crush enteric-coated timed-release forms.
Give immediate-release, liquid dosage forms with food if GI effects occur.
Do not give timed-release forms with food; these should be given on anempty stomach 1 hr before or 2 hr after meals.
Maintain adequate hydration.
Monitor results of serum theophylline levels carefully, and arrange forreduced dosage if serum levels exceed therapeutic range of 10-20 mcg/mL.
 Take serum samples to determine peak theophylline concentration drawn 15–30 min after an IV loading dose.
Monitor for clinical signs of adverse effects, particularly if serum theophyllinelevels are not available.
Ensure that diazepam is readily available to treat seizures.
 Take this drug exactly as prescribed; if a timed-release product is prescribed,take this drug on an empty stomach, 1 hr before or 2 hr after meals.
Do not to chew or crush timed-release preparations.
Administer rectal solution or suppositories after emptying the rectum.
It may be necessary to take this drug around the clock for adequate controlof asthma attacks.
Avoid excessive intake of coffee, tea, cocoa, cola beverages, chocolate.
Smoking cigarettes or other tobacco products impacts the drug'seffectiveness. Try not to smoke. Notify the care provider if smoking habitschange while taking this drug.
Frequent blood tests may be necessary to monitor the effect of this drug andto ensure safe and effective dosage; keep all appointments for blood testsand other monitoring.
 These side effects may occur: Nausea, loss of appetite (taking this drug withfood may help if taking the immediate-release or liquid dosage forms);difficulty sleeping, depression, emotional lability (reversible).
Report nausea, vomiting, severe GI pain, restlessness, seizures, irregularheartbeat2) AMIODARONE HYDROCHLORIDEBrand Names: Anoion tab Cordarone Cordarone inj Sandoz Amiodarone HCl tabClassification: Cardiac DrugsDosage: PO Initial: 200 mg 3 times/day for 1 wk, reduce to 200 mg twice daily for afurther wk. Maintenance: 200 mg/day or lowest effective dose. IV Initial: 5 mg/kginfusion via central venous catheter. Max: 1.2 g/24 hr.Indication: Ventricular and supraventricular arrhythmias.Action: Blocks potassium chloride leading to prolongation of action potentialduration.Adverse Reactions: Blue-grey discoloration of skin, photosensitivity, peripheralneuropathy, paraesthesia, myopathy, ataxia, tremor, nausea, vomiting, metallictaste, hypothyroidism, hyperthyroidism, alopecia, sleep disturbances, cornealmicrodeposits, hot flushes, sweating. Heart block, bradycardia, sinus arrest,hepatotoxicity, heart failure. Potentially Fatal: Pulmonary toxicity includingpulmonary fibrosis and interstitial pneumonitis, hepatotoxicity, thyrotoxicity.
Ventricular arrhythmias, pulmonary alveolitis, exacerbation of arrhythmias and rareserious liver injury. Generally in patients with high doses and having preexistingabnormalities of diffusion capacity.Nursing Measures:
Monitor cardiac rhythm continuously.
Monitor for an extended period when dosage adjustments are made.
Monitor for safe and effective serum levels (0.5–2.5 mcg/mL).
Doses of digoxin, quinidine, procainamide, phenytoin, and warfarin may needto be reduced one-third to one-half when amiodarone is started.
Give drug with meals to decrease GI problems.
Arrange for ophthalmologic exams; reevaluate at any sign of opticneuropathy.
Arrange for periodic chest x-ray to evaluate pulmonary status (every 3–6mo).
Arrange for regular periodic blood tests for liver enzymes, thyroid hormonelevels.
Drug dosage will be changed in relation to response of arrhythmias; you willneed to be hospitalized during initiation of drug therapy; you will be closelymonitored when dosage is changed.
Have regular medical follow-up, monitoring of cardiac rhythm, chest x-ray,eye exam, blood tests.
 These side effects may occur: Changes in vision (halos, dry eyes, sensitivityto light; wear sunglasses, monitor light exposure); nausea, vomiting, loss of appetite (take with meals; eat small, frequent meals); sensitivity to the sun(use a sunscreen or protective clothing when outdoors); constipation (alaxative may be ordered); tremors, twitching, dizziness, loss of coordination(do not drive, operate dangerous machinery, or undertake tasks that requirecoordination until drug effects stabilize and your body adjusts to it).
Report unusual bleeding or bruising; fever, chills; intolerance to heat or cold;shortness of breath, difficulty breathing, cough; swelling of ankles or fingers;palpitations; difficulty with vision.3) ATROPINE SULFATE

Activity (127)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
scribd01010101 liked this
Alice Madid liked this
Nhin Baquiran Emperador liked this
Lhyn A. Quinatadcan liked this
ramanrajesh83 liked this
Tintin Ponciano liked this
Marco de la Cuesta liked this
ЯicaЯdo Bautista liked this

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->