Generic

Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e EffecI: Nur:ing
Ccn:icercIicn
/|LuIerc|
{Sc|LuIcmc|)
FrcvenIi| SympcIhcmim
eIic
Fe|cxe:
8rcnchic|,
uIerine cnc
vc:cu|cr :mccIh
mu:c|e Ly
:Iimu|cIing LeIc
2 recepIcr:
Ic prevenI cr
IrecI
Lrcnchc:pc:m
in pcIenI: wiIh
rever:iL|e
cL:IrucIive
cirwcy ci:ec:e
Hecccche
Ncu:ec
VcmiIing
Fc|piIcIicn:/
Icchyccrcic
Iremcr
8rcnchc:pc:m
/ngicecemc
8rcnchc:pc:m
1. CLIcin Hi:Icry:
c::e:: EKG cnc CNS
:IcIu:

2. DccumenI FFI:,
CXF, |ung :cunc:

3. /::e:: :ympIcm
chcrccIeri:Iic:,
cn:eI, curcIicn,
fre¢uency cnc cny
precipiIcIing fccIcr:

4. McniIcr
pu|mcncry :IcIu:

5. CL:erve fcr
c||ergic Fe:pcn:e:

ó. Iecch pcIenI Ic
perfcrm crc|
inhc|cIicn ccrrecI|y.
Give Ihe fc||cwing
in:IrucIicn: fcr u:ing
meIerec-cc:e
inhc|er :
-:hcke Ihe inhc|er
-c|ecr nc:c|
pc::cge: cnc IhrccI
-LrecIh cuI,
expe||ing c: much cir
frcm |ung: c:
pc::iL|e
-p|cce mcuIhpiece
we|| inIc mcuIh, :ec|
|ip: crcunc
mcuIhpiece cnc
inhc|e ceep|y c: ycu
re|ec:e c cc:e frcm
inhc|er cr hc|c
inhc|er cLcuI 1 inch
frcm cpen mcuIh:
inhc|e whi|e cc:e i:
re|ec:ec
-hc|c LrecIh fcr
:everc| :eccnc:,
remcve mcuIhpiece
cnc whc|e :|cw|y


























Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e EffecI: Nur:ing
Ccn:icercIicn
Digcxin Lcncxin Ccrcicc
G|ycc:ice
lnhiLiI: :ccium
pcIc::ium
ccIivcIec
ccenc:ine
Iriphc:phcIc:e,
IhereLy prcmcIing
mcvemenI cf
cc|cium frcm
exIrcce||u|cr Ic
inIrcce||u|cr
cyIcp|c:m cnc
:IrengIhening
mycccrcic|
ccnIrccIicn. /|:c
ccI: cn CNS Ic
enhcnce vcgc|
Icne, :|cwing
ccncucIicn
Ihrcugh Ihe S/
cnc /V ncce:
cnc prcvicing cn
cnIicrrhyIhmic
effecI.
CHF

CcnIrc| cf rcpic
venIricu|cr
ccnIrccIicn rcIe
in c|ienI: wiIh
cIric| fiLri||cIicn cr
f|uIIer

S|cw HF in :inu:
Icchyccrcic cue
Ic CHF

SVI

Frcphy|cxi: cnc
IrecImenI cf
recurrenI
pcrcxy:mc| cIric|
Icchyccrcic wiIh
pcrcxy:mc| /V
juncIicnc| rhyIhm

Ccrcicgenic
:hcck
Icchyccrcic
Hecccche
Dizzine::
MenIc|
ci:IurLcnce
Ncu:ec
VcmiIing
Dicrrhec
/ncrexic
8|urrec cr
ye||cw vi:icn
/cuIe
hemcrrhcge
Ccnvu|:icn:
/ngicneurcIic
Ecemc
1. NcIe /ny crug:
IhcI wcu|c
ccver:e|y inIerccI
wiIh cigcxin cnc
mcniIcr.

2. /::e:: fcr
hyper/hypcIhyrcic

3. McniIcr C8C,
:erum e|ecIrc|yIe:,
cc|cium, Mg, Fenc|
cnc LFI:

4. CLIcin ECG:
ncIe rhyIhm/rcIe

5. DccumenI
ccrcicpu|mcncry
fincing:

ó. CL:erve e|cer|y
c|ienI: fcr ecr|y :&:
cf IcxiciIy

7. ln:IrucI c|ienI :
c. Icke cfIer mec|:
Ic |e::en gc:Iric
irriIcIicn
L. NcI Ic Icke wiIh
grcpefruiI juice
c. McinIcin wriIIen
reccrc cf pu|:e rcIe
cnc weighI:
c. FepcrI ccver:e
effecI: cr Icxic crug
:ympIcm:
c. McinIcin c
:ccium re:IricIec
cieI
e. Ccn:u|I prcvicer
Lefcre Icking cny
cIher meciccIicn:
f. FepcrI per:i:IenI
ccugh, cifficu|Iy
LrecIhing cr
:we||ing



























Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e EffecI: Nur:ing
Ccn:icercIicn
Dcpcmine
Hycrcch|crice
lnIrcpin SympcIhcmi
meIic
SIimu|cIe
ccpcminergic,
c|phc cnc LeIc
recepIcr cf Ihe
:ympcIheIic
nervcu: :y:Iem.
/cIicn i: cc:e-
re|cIec: |crge
cc:e: ccu:e
mcin|y c|phc
:Iimu|cIicn
Ic IrecI :hcck:
cnc ccrrecI
hemccyncmic
imLc|cnce:

Ic imprcve
perfu:icn Ic viIc|
crgcn:

Ic increc:e
ccrcicc cuIpuI,
Ic ccrrecI
hypcIen:icn
Icchyccrcic
/nginc| Fcin
Fc|piIcIicn:
Dy:pnec
Ncu:ec
VcmiIing
Hecccche
/nxieIy
HyperIen:icn
HypcIen:icn
ExIrcvc:cIicn 1. Check urine
cuIpuI cfIen. lf urine
f|cw cecrec:e:
wiIhcuI hypcIen:icn,
ncIify pre:criLer.

2. ln:IrucI pcIienI Ic
repcrI ci:ccmfcrI cI
lV in:erIicn :iIe.

3. /fIer crug i:
:Icppec, wcIch
c|c:e|y fcr :uccen
cecrec:e in L|ccc
pre::ure.

4. lf cic:Ic|ic
pre::ure ri:e:
ci:prcpcrIicncIe|y
{c mcrkec cecrec:e
in pu|:e pre::ure)
cecrec:e Ii::ue
perfu:icn rcIe cnc
wcIch ccrefu||y fcr
furIher evicence cf
preccmincnI
vc:cccn:IricIcr
ccIiviIy, un|e:: :uch
cn effecI i: ce:irec.







Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Diczepcm /nIenex /nxic|yIic /
Lenzcciczepine
IhcI prcLcL|y
pcIenIic|: Ihe
effecI: cf
gcmmc-
cmnincLuIyric
ccic, cn inhiLiIcry
neurcIrcn:miIIer.
Depre:: Ihe CNS
cI Ihe |imLic cnc
:uLccrIicc| |eve|:
cf Ihe Lrcin cnc
:uppre::e: Ihe
:precc cf :eizure:
ccIiviIy prccucec
Ly Ihe |imLic
:IrucIure:.

McncgemenI cf
cnxieIy ci:crcer:
cr fcr :hcrI Ierm
re|ief cf :ympIcm:
cf cnxieIy

/cjuncI Ihercpy
in ccnvu|:ive
ci:crcer:

/cjuncI fcr re|ief
cf :ke|eIc| mu:c|e
:pc:m ccu:ec Ly
ref|ex :pc:m Ic
|ccc| pcIhc|cgy

Fe|ief cf cnxieIy
cnc Ien:icn in
Ihc:e uncergcing
:urgicc|
prccecure:

/cuIe c|cchc|
wiIhcrcwc| fcr
:ympIcmcIic
re|ief cf ccuIe
cgiIcIicn, Iremcr,
impencing cr
ccuIe ce|irium
Iremen:, cnc
hc||ucinc:i:
Drcw:ine::
/Icxic
Ccnfu:icn
Dizzine::
Depre::icn
/pcIhy
LeIhcrgy
8rccyccrcic
HypcIen:icn
Dip|cpic
Ny:Icgmu:
8|urrec Vi:icn

Fe:prcIcry
Depre::icn
S|eep cpnec
CV Cc||cp:e
/grcnu|ccyIc
:i:
Ccmc
Suicice
cIIempI
1. Check urine
cuIpuI cfIen. lf
urine f|cw
cecrec:e: wiIhcuI
hypcIen:icn, ncIify
pre:criLer.

2. ln:IrucI pcIienI Ic
repcrI ci:ccmfcrI cI
lV in:erIicn :iIe.

3. /fIer crug i:
:Icppec, wcIch
c|c:e|y fcr :uccen
cecrec:e in L|ccc
pre::ure.

4. lf cic:Ic|ic
pre::ure ri:e:
ci:prcpcrIicncIe|y
{c mcrkec
cecrec:e in pu|:e
pre::ure) cecrec:e
Ii::ue perfu:icn rcIe
cnc wcIch
ccrefu||y fcr furIher
evicence cf
preccmincnI
vc:cccn:IricIcr
ccIiviIy, un|e:: :uch
cn effecI i: ce:irec.





Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Furc:emice Lc:ix DiureIic / pcIenI |ccp
ciureIic IhcI
inhiLiI: :ccium
cnc ch|crice
recL:crpIcn cI
Ihe prcimc| cnc
ci:Ic| IuLu|e: cnc
Ihe c:cencing
|ccp cf Hen|e
Ecemc
c::ccicIec wiIh
CHF, nephriIic
:yncrcme,
hepcIic cirrhc:i:
cnc c:ciIe:

lV fcr ccuIe
pu|mcncry
ecemc

FC Ic IrecI
hyperIen:icn in
ccnjuncIicn wiIh
:pircnc|ccIcne,
IricmeIerene,
cnc cIher
ciureIic: excepI
eIhccrynic ccic
Jcuncice
IinniIu:
Hecring
lmpcirmenI
HypcIen:icn
WcIer/E|ecIrc|
yIe Dep|eIicn
FcncrecIiIi:
/Lccminc|
pcin
Dizzine::
/nemic
/grcnu|ccyI:i:
/p|c:Iic
cnemic

1. McniIcr weighI,
8F cnc FF rcuIine|y
wiIh |cng-Ierm u:e
cnc curing rcpic
ciure:i:.
2. McniIcr f|uic
inIcke cnc cuIpuI
cnc e|ecIrc|yIe,
8UN cnc ccrLcn
cicxice |eve|:
fre¢uenI|y.
3. WcIch fcr :ign: cf
hypckc|emic, :uch
c: mu:c|e
weckne:: cnc
crcmp:.
4. ln:IrucI pcIienI Ic
:Icnc :|cw|y Ic
prevenI cizzine::
cnc Ic |imiI c|cchc|
inIcke cnc
:Irenucu: exerci:e n
hcI wecIher Ic
cvcic wcr:ening
crIhc:IcIic
hypcIen:icn.
5. /cvi:e pcIienI Ic
immecicIe|y repcrI
ringing in ecr: :ever
cLccminc| pcin cr
:cre IhrccI cnc
fever: Ihe:e
:ympIcm: mcy
inciccIe furc:emce
IcxiciIy.

Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
C|cnicine
Hycrcch|crice
CcIcpre: /nIihyperIen
:ive
Unkncwn. Ihcugh
Ic :Iimu|cIe
c|phc-ccrenergic
recepIcr:
cenIrc||y cnc
inhiLiI Ihe cenIrc|
vc:cmcIcr
cenIer:, IhereLy
cecrec:ing
:ymphcIheIic
cuIf|cw Ic Ihe
hecrI, kicney,
cnc peripherc|
vc:cu|cr
re:i:Icnce, :y:Ic|ic
cnc cic:Ic|ic
L|ccc pre::ure
cnc hecrI rcIe.
/|cne cr wiIh
ciureIic cr cIher
cnIihyperIen:ive:
Ic IrecI mi|c Ic
mccercIe
hyperIen:icn

IrecI :pc:IiciIy

WiIh cpicIe: fcr
:evere pcin in
ccncer c|ienI: ncI
re|ievec Ly
cpicIe cnc|ge:ic:
c|cne
Dry mcuIh
Drcw:ine::
Dizzine::
SeccIicn
Ccn:IipcIicn
/ngicneurcIic
ecemc
1. McniIcr 8F cr FF
fre¢uenI|y

2. /cvi:e pcIienI
IhcI :Icpping crug
cLrupI|y mcy ccu:e
:evere reLcunc
hyperIen:icn. Ie||
him cc:cge mu:I
Le recucec
grccuc||y cver 2 Ic
4 ccy: c: in:IrucIec
Ly pre:criLer.

3. lnfcrm pcIienI
IhcI crIhc:IcIic
hypcIen:icn ccn
Le minimizec Ly
ri:ing :|cw|y frcm c
:iIIing cr |ying
pc:iIicn cnc
cvcicing :uccen
pc:iIicn chcnge:.

4. CcuIicn pcIienI
IhcI crug mcy
ccu:e crcw:ine::
LuI IhcI Ihi:
ccver:e effecI wi||
u:uc||y cimini:h
cver 4 Ic ó week:.





Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
FcniIicine
Hycrcch|crice
ZcnIcc H2 FecepIcr
/nIcgcni:I
CcmpeIiIive|y
inhiLiI: Ihe ccIicn
cf hi:Icmine cn Ihe
recepIcr :iIe: cf
pcrieIc| ce||:,
cecrec:ing gc:Iric
:ecreIicn:
/cIive
cuccenc| cnc
gc:Iric u|cer

McinIencnce
Ihercpy fcr
cuccenc| cnc
gc:Iric u|cer

FcIhc|cgic
hyper:ecreIcry
ccnciIicn: :uch
c: Zc||inger-
E||i:cn :yncrcme

Gc:Irce:cphcg
ec| ref|ux
ci:ec:e

Erc:ive
e:cphcphcgiIi:

HecrILurn
Hecccche
/Lccminc|
pcin
Ccn:IipcIicn
Dicrrhec
Ncu:ec
VcmiIing
Mc|ci:e,
VerIigc
8|urrec vi:icn

Ccrcicc /rre:I
/grcnu|ccyIc
:i:
/uIcimmune
hemc|yIic cr
cp|c:Iic
cnemic
8rcnchc:pc:
m
/ncphy|cxi:
1. /::e:: pcIienI fcr
cLccminc| pcin,
pre:ence cf L|ccc
in eme:i:, :Icc|, cr
gc:Iric c:pircIe

2. ln:IrucI pcIienI

c. Frcper u:e cf
CIC prepcrcIicn

L. /vcic cigcreIIe
:mcking

c. FepcrI
cLccminc| pcin
cnc L|ccc in :Icc|
cr eme:i:















Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Ch|crphenirc
mine
mc|ecIe
Ch|crIri
meIcn
/nIihi:Icmine CcmpeIe: wiIh
Hi:Icmine fcr H1-
recepIcr :iIe: cn
effecIcr: ce||:. Drug
prevenI:, LuI
cce:n´I rever:e.
Hi:Icmine
mecicIec
re:pcn:e:
/||ergic FhiniIi:
inc|ucing
:neezing: iIchy
wcIery eye:: iIchy
IhrccI, cnc runny
nc:e cue Ic hcy
fever cnc cIher
upper re:pircIcry
c||ergie:.
Ccn:IipcIic
n
Dicrrhec
Dizzine::
Dry mcuIh/
nc:e/
IhrccI
Hecccche
/ncrexic
Ncu:ec
VcmiIing
/nxieIy
ln:cmnic
Gl up:eI
/:Ihenic
Icnic c|cnic
:eizure:
Ccrcicc /rre:I
/p|c:Iic
cnemic
Hemc|yIic
cnemic
/grcnu|ccyIc
:i:
Fe:pircIcry
cepre::icn
1. SIcp crug 4 ccy:
Lefcre cicgnc:Iic
:kin Ie:Iing
2.Iecch pcIienI Ic :
c. /vcic c|cchc|
cnc hczcrccu:
ccIiviIie: IhcI
re¢uire: c|erIne::
L. Icke ccffee cr
Iec Ic recuce
crcw:ine::
c. Icke Sugcr|e::
gum, hcrc ccncy,
cr ice chip: Ic
re|ieve cry mcuIh
e. NcIify :uL:criLer
if Ic|ercnce
ceve|cp:
f. Swc||cw IcL|eI:
cnc ncI Le
chewec.















Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Nc|Luphine
Hycrcch|crice
NuLcin Cpicc
/gcni:I,-
cnIcgcni:I
8inc: wiIh cpicIe
recepIcr: in Ihe
CNS, c|Iering
percepIicn cf cnc
emcIicnc| re:pcn:e
Ic pcin
MccercIe Ic
:evere pcin

/cjuncI Ic
Lc|cncec
cne:Ihe:ic
Dizzine::
Hecccche
SeccIicn


8rccyccrcic
Fe:pircIcry
cepre::icn
1. /::e:: pcIienI´:
|eve| cf pcin cfIer
pcrenIerc|
ccmini:IrcIicn

2. McniIcr
circu|cIcry cnc
re:pircIcry :IcIu:
cnc L|cccer cnc
Lcwe| funcIicn. lf
re:pircIicn i: :hc||cw
cnc |e:: Ihcn 12
Lpm, wiIh hc|c
cc:e cnc ncIify
:uL:criLer

3.Ccn:IipcIicn i:
cfIen :evere wiIh
mcinIencnce
Ihercpy. Mcke :ure
:Icc| :cfIener: cr
cIher |cxcIive ic
crcerec.

4. F:ychc|cgicc|
cnc phy:icc|
cepencence mcy
cccur wiIh
prc|cngec u:e.

5. Iecch pcIienI :
c. CcuIicn fcr
cmLu|cIcry pcIienI
cLcuI geIIing cf
Lec cr wc|king.
L. /vcic hczcrccu:
ccIiviIie: IhcI
re¢uire menIc|
c|erIne::
c. McncgemenI cf
IrcuL|e :cme
ccver:e effecI:
:uch c:
ccn:IipcIicn






























Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Epinephrine /crenc|
ine
Ch|cric
e
SympcIhcmim
eIic
Fe|cxe: Lrcnchic|
:mccIh mu:c|e Ly
:Iimu|cIing LeIc2
recepIcr: cnc
c|phc cnc LeIc
recepIcr: in Ihe
:ympcIheIic
nervcu: :y:Iem.
8rcnchc :pc:m

Hyper:en:iIiviIy
reccIicn:

/ncphy|cxi:

Hemc:Ic:i:

/cuIe /:Ihmc
cIIcck:

Ic prc|cng
cne:IheIic effecI

Ic re:Icre ccrcicc
rhyIhm in ccrcicc
crre:I


Fc|piIcIicn:
Icchyccrcic
FVC:
Dizzine::/VerI
igc
Nervcu:ne::
Hecccche
ln:cmnic
Ncu:ec
VcmiIing
/nginc| pcin
Iremcr
SwecIing
/nxieIy
Ircn:ienI
:Iinging/Lurn
ing
Eye
pcin/cche
8rcw cche
CcnjuncIivc|
hyperemic


FcIc|
venIricu|cr
fiLri||cIicn
CereLrc| cr
:uLcrcchnci
c
hemcrrhcge
/crIic
rupIure
/nginc
pecIcri:
Suicicc| cr
hcmicicc|
Iencencie:
1. lncrec:e Iremcr
cnc rigiciIy Ic
pcIienI: wiIh
pcrkin:cn:

2. Drug inIerfere:
wiIh Ie:I: fcr urincry
ccIhecc|cmine:

3.Mc::cge :iIe
cfIer l.M injecIicn
Ic ccunIer ccI
vc:cccn:IricIicn
4. CL:erve pcIienI
c|c:e|y fcr ccver:e
reccIicn.
5. lf 8F increc:e:
:hcrp|y, give rcpic
ccIing vc:cci|cIcr:
ó. Iecch pcIienI :
c. Ferfcrm Crc|
inhc|cIicn ccrrecI|y
L. lf mcre Ihcn cne
inhc|cIicn i:
pre:criLec, ccvi:e
pcIienI Ic wciI cI
|ec:I 2 minuIe:
Lefcre repecIing
prccecure







Generic Ncme 8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
MeIcch|cprcmi
ce
hycrcch|crice
Feg|c
n
Dcpcmine
cnIcgcni:I
SIimu|cIe: mcIi|iIy
cf upper Gl IrccI,
increc:e |cwer
e:cphcgec|
:phincIer Icne cnc
L|cck: ccpcmine
recepIcr: cI Ihe
chemcrecepIcr
Irigger zcne
Ic prevenI cr
recuce ncu:ec
cnc vcmiIing
frcm emeIcgenic
ccncer
chemcIhercpy

Ic prevenI cr
recuce
pc:IcpercIive
ncu:ec cnc
vcmiIing

Ic fcci|iIcIe :mc||
Lcwe| inIuLcIicn,
Ic cic in
rccic|cgic
excmincIicn

De|cyec gc:Iric
empIying
:eccnccry Ic
cicLeIic
gc:Ircpcre:i:

Gc:Irce:cphcge
c| ref|ux ci:ec:e

Eme:i: curing
pregncncy

/nxieIy
Drcw:ine::
Dy:Icnic
reccIicn:
FcIigue
Lc::iIuce
Fe:I|e::ne::

Neurc|epIic
mc|igncnI
:yncrcme,
:eizure:,
:uicice
icecIicn,
Lrccyccrcic,
:uprcvenIricu|
cr
Icchyccrcic,
cgrcnu|ccyIc:
i:,
neuIrcpenic
1. McniIcr Lcwe|
:cunc:.

2. Iecch pcIienI :
c. /vcic ccIiviIie:
IhcI re¢uire
c|erIne:: fcr 2 hcur:
cfIer cc:e:

3. FepcrI per:i:IenI
cr :ericu: ccver:e
reccIicn: prcmpI|y.

4. Nc c|cchc|
curing Ihercpy





Generic Ncme 8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn /cver:e
FeccIicn
CcnIrcinciccIi
cn
Nur:ing
Ccn:icercIicn
/Ircpine
Su|fcIe
/Ircpe
n
Chc|inergc
L|ccking crug
/n cnIichc|inergic
IhcI inhiLiI:
cceIy|chc|ine cI
Ihe
pcrc:ympcIheIic
neurceffecIcr:
juncIicn, L|ccking
vcgc| effecI cn Ihe
S/ cnc /V ncce:,
enchcncing
ccncucIicn
Ihrcugh Ihe /V
ncce cnc
increc:ing Ihe hecrI
rcIe.
Fcr :ympIcmcIic
Lrccyccrcic,
LrccycrryIhmic
{juncIicnc| cr
e:ccpe rhyIhm)

/nIiccIe fcr
cnIichc|ine:Ierc:e
-in: cnc
in:ecIicice
pci:cning

FrecpercIive|y Ic
cimini:h
:ecreIicn: cnc
L|cck ccrcicc
vcgc| ref|exe:

/cjuncI
IrecImenI cf
pepIic u|cer
ci:ec:e:
funcIicnc| Gl
ci:crcer: :uch c:
irriIcL|e Lcwe|
:yncrcme
Dry mcuIh
Urincry
He:iIcncy
Hecccche
F|u:hing
Ccn:IipcIic
n
HecrILurn
Ncu:ec
VcmiIing
8|urrec
Vi:icn
SIinging
lncrec:ec
inIrcccu|cr
pre::ure

Circu|cIcry
cc||cp:e
Ccrcicc crre:I
lncrec:ec
Lccy
IempercIure
Fe:pircIcry
cepre::icn
Fcrc|y:i:
Seizure:
DecIh
1. McniIcr f|uic
inIcke cnc urine
cuIpuI. Drug
ccu:e: urine
reIenIicn cnc
urincry he:iIcncy.
2. Ie|| pcIienI cLcuI
pcIenIic| fcr
:en:iIiviIy cf Ihe
eye: Ic Ihe :un cnc
:ugge:I u:e cf
:ung|c::e:.
3. WcIch fcr
Icchyccrcic in
ccrcicc pcIienI:
Leccu:e iI mcy
|ecc Ic venIricu|cr
fiLri||cIicn.










Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Nifecipine Frcccrc
ic
Cc|cium
Chcnne|
8|ccker
IhcughI Ic inhiLiI
cc|cium icn inf|ux
ccrc:: ccrcicc cnc
:mccIh mu:c|e
ce||:, cecrec:ing
ccnIrccIi|iIy cnc
cxygen cemcnc.
/|:c mcy ci|cIe
ccrcncry crIerie:
cnc crIeric|e:.
Vc:c:pc:Iic
cnginc

Chrcnic :IcL|e
cnginc wiIhcuI
vc:c:pc:m

E::enIic|
hyperIen:icn
F|u:hing
Hecccche
FcIigue/LeI
hcrgy
Ecemc
Feripherc|
ecemc
Weckne::
Mu:c|e
crcmp:
Dizzine::/
|ighIheccec
ne::
Di:IurLec
e¢ui|iLrium
SIeven:
Jchn:cn
Syncrcme

1. NcIe pu|mcncry
ecemc, ECG
cLncrmc|iIie: cr
pc|piIcIicn:

2. DccumenI K+
|eve|:, 8F, cnc
ccrcicpu|mcncry
c::e::menI fincing:.

3. ln:IrucI pcIienI :
c. Mcy Icke wiIh cr
wiIhcuI fccc
L. /vcic ccIiviIie:
IhcI re¢uire menIc|
c|erIne::
c. McinIcin f|uic
inIcke cf 2-3 L /ccy
Ic cvcic
ccn:IipcIicn
c. /vcic c|cchc|
cnc ccffeine
e. FepcrI per:i:IenI
hecccche, f|u:hing,
ncu:ec,
pc|piIcIicn:, weighI
gcin, cizzine::, rc:h
cr |cck cf re:pcn:e
f. 8ru:h IeeIh cnc
f|c:: regu|cr|y I
recuce :we||ing
cnc Iencerne:: cf
gum:


Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
MeIrcprc|c|
IcrIrcIe
Lcpre::
cr
8eIc
/crenergic
L|ccking
cgenI
/ :e|ecIive LeIc
L|ccker IhcI
:e|ecIive|y L|cck:
LeIc1 recepIcr:
cecrec:e: ccrcicc
cuIpuI, peripherc|
re:i:Icnce, cnc
ccrcicc cxygen
ccn:umpIicn: cnc
cepre::e: rennin
:ecreIicn
HyperIen:icn

/cuIe Ml in
hemccyncmicc||y
:IcL|e c|ienI:

/nginc FecIcr:
FcIigue
Dizzine::
Depre::icn
ShcrIne: cf
LrecIh
8rccyccrcic
Dicrrhec
HypcIen:icn

Fir:I, :eccnc
cegree hecrI
L|cck

IhrcmLc:i: cf
renc| cr
me:enIeric
crIerie:

VenIicu|cr
Icchyccrcic
FcIc| Ml
Succen cecIh
Circu|cIcry
cc||cp:e
8rcnchc:pc:
m
8rcnchic|
cL:IrucIicn
Lcryngc:pc:m
wiIh
re:pircIcry
ci:Ire::
/grcnu|ccyIc
:i:
/ncphy|cxi:


1. Check pcIienI´:
cpicc| pu|:e rcIe

2.McniIcr L|ccc
g|ucc:e |eve| fcr
cicLeIic pcIienI
3. McniIcr L|ccc
pre::ure fre¢uenI|y
4. Icper cff LeIc
L|ccker Ic cvcic
Ihyrcic :Icrm fcr
pcIienI: wiIh
:u:pecIec
IhyrcicIcxicc:i:

5. Iecch pcIienI Ic
:
c. Icke crug
exccI|y c:
pre:criLec wiIh
mec|:.
L. /vcic criving
cnc cIher Ic:k:
re¢uiring menIc|
c|erIne::
c. lnfcrm cenIi:I cr
pre:criLer cLcuI
u:e cf Ihi: crug
Lefcre prccecure:
cr :urgery.
c./|erI pre:criLer if
:hcrIne:: cf LrecIh
cccur:
e. NcI Ic :Icp crug
:uccen|y LuI Ic
ncIify pre:criLer cf
Ihe ccver:e
reccIicn:
f. U:e cf Ihe crug
i:n´I ccvi:cL|e Ic
Lrec:Ifeecing
wcmen
































Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing Ccn:icercIicn
GcLcpenIin Neurcn
Iin
/nIiccnvu|:c
nI
SIrucIurc||y re|cIec
Ic G/8/ LuI
cce:n´I inIerccI
wiIh G/8/
recepIcr:, i:n´I
ccnverIec inIc
G/8/ cr G/8/
cgcni:I, cce:n´I
inhiLiI G/8/
reupIcke, cnc
cce:n´I prevenI
cegrcccIicn
/cjuncIive
IrecImenI cf
pcrIic| :eizure:
wiIh cr wiIhcuI
:eccnccry
generc|izcIicn in
pcIienI: wiIh
epi|ep:y

/cjuncIive
IrecImenI Ic
ccnIrc| pcrIic|
:eizure: in
chi|cren

Fc:IherpeIic
neurc|gic
Fcin frcm
cicLeIic
neurcpcIhy
Dizzine::
Scmnc|enc
e
Feripherc|
Ecemc
/Icxic
Ny:Icgmu:
Iremcr
Ccnvu|:icn:
lnIrccrcnic|
hemcrrhcge
Suicicc|
Iencencie:
Succen
unexp|cinec
cecIh
Neurcp:ychic
Iric effecI in
chi|cren
1. Give fir:I cc:e cI
Lec Iime Ic minimize
cizzine::, fcIigue cnc
cIcxic.

2. lf crug i: Ic Le
:Icppec, cr cncIher
crug :uL:IiIuIec, cc :c
grccuc||y cver cI |ec:I
1 week Ic minimize ri:k
cf :eizure:.

3. /cvi:e pcIienI :
c. Drug ccn Le Icken
wiIhcuI regcrc Ic
mec|:
L. Mcximum inIervc|
LeIween cc:e:
:hcu|cn´I exceec 12
hcur: fcr pcIienI wiIh
:eizure:
c. /vcic criving cnc
cpercIing hecvy
mcchinery
c. NcI Ic :Icp crug
cLrupI|y
e.Di:cu:: crug
Ihercphy wiIh
pre:criLer if c wcmcn
ccn:icer: pregncncy.





Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing Ccn:icercIicn
Ierczc:in
Hycrcch|crice
HyIrin /|phc 8|ccker lmprcve: urine f|cw
in pcIienI: wiIh 8FH
Ly L|ccking c|phc-
ccrenergic
recepIcr: in Ihe
L|cccer neck cnc
prc:IcIe, re|ieving
ureIhrc| pre::ure
HyperIen:icn,
c|cne cr in
ccmLincIicn
wiIh ciureIic: cr
LeIc-ccrenergic
L|ccking cgenI:

SympIcm: cf
8enign Frc:IcIic
Hyperp|c:ic
/:Ihenic
Hecccche,
Dizzine::,
Scmnc|ence
F|u :ympIcm:
Nc:c|
Ccnge:Iicn
FhcryngiIi:/
FhiniIi:
Feripherc|
ecemc
/rrhyIhmic:
8rcnchc:pc
:m


1. McniIcr 8|ccc
pre::ure fre¢uenI|y

2. ln:IrucI pcIienI:
c. NcI Ic :Icp crug
:uccen|y
L. /vcic hczcrccu:
ccIiviIie: IhcI re¢uire
menIc| c|erIne::
c. LighI heccecne::
ccn cccur e:pecic||y
curing Ihe fir:I few
ccy: cf Ihercpy























Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing Ccn:icercIicn
l:c:crLice
McncniIrcIe
lmcur CcrcncryVc:c
ci|cIcr
Fe|cxe: vc:cu|cr
:mccIh mu:c|e: Ly
:Iimu|cIing
prccucIicn cf
inIrcce||u|cr cyc|ic
gucnc:ine
mcncphc:phcIe.
Di|cIicn cf pc:I
ccpi||cry ve::e|:
cecrec:e: vencu:
reIurn Ic Ihe hecrI
cue Ic pcc|ing cf
L|ccc: Ihu:, LV enc
cic:Ic|ic pre::ure
{pre|ccc) i:
recucec.
Fe|cxcIicn cf
crIeric|e: re:u|I in c
cecrec:ec :y:Iemic
vc:cu|cr re:i:Icnce
cnc crIeric|
pre::ure {cfIer|ccc)

IrecImenI cf
cnginc pecIcri:

Frcphy|cxi: cf
cnginc pecIcri:
ccu:ec Ly
ccrcncry crIery
ci:ec:e



Dizzine::
Hecccche
HypcIen:icn
Ncu:ec
VcmiIing
lncrec:ec
ccugh
Icchyccrcic
Fc|piIcIicn:
/||ergic
reccIicn

Seizure:
Ccmc
DecIh
1. McniIcr L|ccc
pre::ure cnc inIen:iIy
cnc curcIicn cf crug
re:pcn:e
2. Drug mcy ccu:e
hecccche. Dc:cge
mcy Le recucec
Iempcrcri|y.
3. ln:IrucI pcIienI:
c. Icke crug regu|cr|y
c: pre:criLec
L.Icke S.L IcL|eI cI
fir:I :ign cf cIIcck.
c. Icke crc| IcL|eI cn
empIy :Icmcch
eiIher 30 minuIe:
Lefcre cr 1-2 hcur:
cfIer mec|:
c.Minimize cizzine::
upcn :Icncing up Ly
chcnging Ip uprighI
pc:iIicn :|cw|y
e./vcic c|cchc|
f. U:e cf :i|cencfi|,
Icc|cfi|, cr vcrcencfi|
wiIh cny niIrcIe mcy
ccu:e :evere |cw
L|ccc pre::ure








Generic
Ncme
8rcnc
Ncme
C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
effecI:
Nur:ing Ccn:icercIicn
CxyIccin FiIccin CxyIcxic Drug /cI: cn :mccIh
mu:c|e cf Ihe
uIeru: Ic :Iimu|cIe
ccnIrccIicn::
re:pcn:e cepenc:
cn Ihe uIerine
Ihre:hc|c cf
exciIcLi|iIy.
SIimu|cIe: rhyIhmic
ccnIrccIicn: cf Ihe
uIeru:, increc:e:
Ihe fre¢uency cf
exi:Iing
ccnIrccIicn:, cnc
rci:e: Ihe Icne cf
uIerine mu:cu|cIure
/nIepcrIum :

Fcr uIerine
lnerIic

Fcr incucIicn cf
|cLcr in cc:e: cf
eryIhrcL|c:Ic:i:
feIc|i:, mcIernc|
cicLeIe:
me||iIu:,
preec|cmp:ic
cnc ec|cmp:ic

Fcr incucIicn cf
|cLcr cfIer
premcIure
rupIure cf
memLrcne: in
|c:I mcnIh cf
pregncncy
when |cLcr fci|:
Ic ceve|cp
:pcnIcnecu:|y
wiIhin 12 hcur

Ic hc:Ien
uIerine
invc|uIicn

Ic ccmp|eIe
ineviIcL|e
cLcrIicn: cfIer
Ihe 20
Ih
week cf
pregncncy
Ncu:ec
VcmiIing
Crcmping
SIcmcch pcin
Hecccche
Dizzine::
McIher:
/ncphy|cxi:

FcIc|
cfiLrincgemi
c

SuLcrcchnc
ic
hemcrrhcge

Severe
wcIer
inIcxiccIicn
wiIh :eizure:

Ccmc

DecIh

FeIu::
NecncIc|
Seizure:

FeIc| cecIh
1. NcIe cny :en:iIiviIy
Ic crug

2. DeIermine feIc|
mcIuriIy, pe|vic
cce¢uccy, feIc|
pre:enIcIicn/pc:iIicn
cnc |cck cf
ccmp|iccIicn: pricr Ic
iniIicIing crug
Ihercpy

3. Frcvice ccnIinucu:
cL:ervcIicn cf c|ienI
checking fcr ci|cIicn,
re:Iing uIerine Icne,
chcrccIeri:Iic: cf
uIerine ccnIrccIicn

4. Feccrc
mcIernc|/feIc| HF::
inIrcuIerine pre::ure:.
/::e:: fcr cny ci:Ire::

5. ln:IrucI pcIienI:
c. Ihe crug i: c
uIerine :Iimu|cnI cnc
crcmping wi|| fee| |ike
:Ircng men:Iruc|
crcmp: LuI wi||
increc:e in inIen:iIy
L. FepcrI increc:e
L|ccc/f|uic |c::,
:evere hecccche:,
fever, fcu| :me||ing

Fc:Ipcrum:

Frccuce uIerine
ccnIrccIicn:
curing Ihe 3
rc

:Icge cf |cLcr
cnc Ic ccnIrc|
pc:IpcrIum
L|eecing cr
hemcrrhcge

crcincge, cr :evere
cLccminc| crcmp:.



























Generic
Ncme
8rcnc Ncme C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sice EffecI: /cver:e
EffecI:
Nur:ing
Ccn:icercIicn
Ircmccc|
Hycrcch|crice
UIrcm /nc|ge:ic / cenIrc||y
ccIing
cnc|ge:ic ncI
re|cIec Ic
cpicIe:. lI mcy
Linc Ic mu-
cpicc
recepIcr: cnc
inhiLiI
reupIcke cf
ncrepinephrine
cnc :ercIcnin.


McncgemenI
cf mccercIe
Ic mccercIe|y
:evere pcin.
Dizzine::

Hecccche

CNS SIimu|cIicn

/Icxic

SeccIicn/Scmnc|ence

VerIgc

lIching/pruriIu:

Ccn:IipcIicn

Ncu:ec
Seizure:

Liver fci|ure

SIeven:
Jchn:cn
Syncrcme

Icxic
epicermc|
necrc|y:i:

Suicicc|
Iencency

/ncphy|cxi:
1. /::e:: fcr
hi:Icry cf crug
cccicIicn,
c||ergy Ic
cpicIe: cr
ccceine,
:eizure:
2. McniIcr V/S,
l/C, renc| cnc
LFI:
3. ln:IrucI
pcIienI Ic:
c. Icke crug
cn|y c:
cirecIec
L. /vcic
ccIiviIie: IhcI
re¢uire menIc|
c|erIne::
c. FepcrI |cck
cf re:pcn:e
cnc repcrI if
:ice effecI:
cre per:i:IenI
cr inIc|ercL|e
c. /vcic
c|cchc| cnc
CNS
cepre::cnI:
e. FepcrI if
pregncnI cr
:eizure ccIiviIy
e. Ccrry lD cf
crug: currenI|y
pre:criLec

Generic
Ncme
8rcnc Ncme C|c::ificcIicn Mechcni:m cf
/cIicn
lnciccIicn Sce EffecI: /cver:e EffecI: Nur:ing
Ccn:icercIicn
lpcIrcpium
8rcmice
/IrcvenI Chc|inergic
L|ccking crug
Chemicc||y
re|cIec Ic
cIrcpine.
/nIcgcnize: Ihe
ccIicn
cceIy|chc|ine.
FrevenI: Ihe
increc:e in
inIrcce||u|cr
|eve|: cf cyc|ic
gucnc:ine
mcncphc:phcIe
which i: ccu:ec
Ly Ihe
inIerccIicn cf
cceIy|chc|ine
wiIh mu:ccrinic
recepIcr: in
Lrcnchic|
:mccIh mu:c|e:
which |ecc: Ic
Lrcnchic|
ci|cIicn which i:
primcri|y c |ccc|,
:iIe :pecific
effecI
/erc:c| cr
:c|uIicn fcr
inhc|cIicn

Nc:c| Sprcy:

SympIcmcIic
re|ief cf
rhincrrhec
c::ccicIec
wiIh c||ergic
cnc
ncnc||ergic
perennic|
rhiniIi: in
c|ienI: cver ó
yecr: cf cge

SympIcmcIic
re|ief cf
rhincrrhec
c::ccicIec
wiIh Ihe
ccmmcn cc|c
in Ihc:e cgec
5 cnc c|cer


lnhc|cIicn:

Hecccche
Dizzine::
Che:I pcin
UFIl
Ncu:ec
8rcnchiIi:
Ccughing
Dy:pnec
FhcryngiIi:
Fcin

Nc:c| Sprcy:
Hecccche
FhcryngiIi:
UFIl
Epi:Icxi:
Nc:c| cryne::
Ncu:ec
Nc:c| lrriIcIicn
Dry
mcuIh/IhrccI
Ic:Ie
perver:icn
8rcnchc:pc:m
Lcryngc:pc:m
/ncphy|cxi:
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