Drugs Classification Action Indication Adverse Effect Nursing Responsibilities

Verapamil Antianginal Inhibits the Angina Dizziness, Monitor BP very carefully

hydrochloride Antiarrhythmi movement of pectoris duty vertigo, Monitor cardiac rhythm
(Verelan) c calcium ions across to coronary sleepiness, regularly
Antihypertensi the membranes of artery spasm headache, Protect IV solution from
ve cardiac and arterial effort- peripheral light
Calcium muscle cells results associated edema, Advise patient to take this
Channel in the depression of angina hypotension, drug in the morning with
Blocker impulse formation in Chronic nausea, food
specialized stable constipation, Advise patient to report
pacemaker cells. angina muscle fatigue irregular heart beat,
essential shortness of breath,
hypertension swelling of hands and
Ranitidine feet, dizziness, nausea
Hydrochloride Active and constipation
(Zantac) Inhibits the basal duodenal
histamine 2 gastric acid secretion ulcer Advise patient to take this
antagonist and gastric acid GERD Headache, drug with meals and at
secretion that Erosive malaise, bedtime
stimulated by food, esophagitis dizziness, rash, Advise patient to have
insulin, histamine, heartburn, constipation, medical follow-up care to
gastrin and acid diarrhea, evaluate the response
pentagastrin indigestion nausea, Advise patient to report
Nicardipine vomiting, sore throat, fever, unusual
Hydrochloride abdominal pain bruising or bleeding, tarry
stools, confusion, severe
antianginal chronic headache
antihypertensi Inhibits the stable
ve movement of angina: use Monitor BP very carefully
calcium calcium ions across alone or with Dizziness, Monitor cardiac rhythm
channel the membranes of beta lightheadedness, regularly
blocker cardiac and arterial blockers headache, Advise patient to have a
muscle cells results managemen peripheral frequent meals if GU
in the depression of t of essential edema, upset occurs
impulse formation in hypertension bradycardia, Advise patient to report
 specialized flushing, nausea irregular heart beat,
pacemaker cells. shortness of breath,
Decreased cardiac swelling of hands and
energy consumption, feet, dizziness and
and increased constipation
delivery of oxygen to
myocardial cells

Drugs Classification Action Indication Adverse Effect Nursing Responsibilities

Metocloprami antiemetic Stimulates motility Acute and Restlessness, monitor BP during IV
de dopaminergic of upper GI tract recurrent drowsiness, administration
(Reglan) blocker without stimulating diabetic fatigue, nausea Monitor for extra
GI stimulant gastric, biliary or gastroparesi and diarrhea pyramidal reaction
pancreatic secretion s Advise patient not to use
prevention alcohol, serious sedation
of nausea will occur
and vomiting Advise patient to report
involuntary movement of
face, eyes, severe
depression and severe
diarrhea
adrenal
Hydrocortison cortical Enters target cells replacement Vertigo, Advise patient to take
e Valerate steroid and binds to therapy in headache, this drug exactly as
corticosteroid cytoplasmic adrenal hypotension, prescribed
(short- acting) receptors; initiates cortical shock, fragile Take with meals if GI
glucocorticoid many complex insufficiency skin, upset occurs
hormone reactions that are hypercalcem amenorrhea, Advise patiemt not to
responsible for its ia associated irregular veruse, joint after intra-
anti- inflammatory with cancer menses, pepctic articular injections, even
rheumatoid ulcer, muscle if pain is gone
arthritis weakness
Drugs Classification Action Indication Side Effects/ Nursing Responsibilities
Adverse Effect
Diphenhydra antihistamine Blocks the effects of perennial Side Effects: Administer with food if GI
mine cough histamine at H1- and Diarrhea or upset occurs
hydrochloride suppressant receptor sites, has seasonal constipation, dry Advise patient to avoid
(Benadryl) anti- motion- atropine- like, anti- allergic mouth alcohol, serious sedation
sickness pruritic and sedative rhinitis will occur
20-50mg q 4- drugs effects nighttime Adverese Effect: Advise patient to report
6hr PO not sleep aid Drowsiness, difficulty in breathing,
exceed suppression sedation, hallucinations, tremors
300mg/24hr of cough due dizziness, and loss of coordination
to colds and restlessness,
allergy epigastric
distress,
Thickening of
bronchial
secretions

alpha- Increases cardiac Obtain history of

Dopamine adrenergic output, low cardiac patients
hydrochloride agonist blood pressure, output Side Effetcs: underlying condition
2- beta1 renal hypotension Headache, before
5mcg/kg/min selective perfusion (in low correction of vasoconstriction therapy
IV adrenergic doses). hemodynami , Monitor urine flow,
agonist c imbalances nausea, cardiac output, BP
present in vomiting, closely during infusion
the shock dyspnea
syndrome
due to MI Adverse Effects:
Anxiety,
tachycardia,
angina pain,
azotemia
 Drugs Classification Action Indication Side Effects/ Nursing Responsibilities
Adverse Effect

Epinephrine alpha- Relaxes bronchial Brochospasm Side Effects: Do not exceed

(Adrenalin) adrenergic smooth s, Dizziness, recommended dosage
agonist muscles, causes hypersensitiv drowsiness, Briskly massage site or
0.1 to 0.5 ml anti cardiac ity fatigue, IM injection to hasten
of asthmatic stimulation, relieves reactions, apprehension, drug action.
1:1,000 bronchodilato allergic signs and anaphylaxis. anxiety, fast Discard solution if
subcutaneous r symptoms, helps Hemostasis heart rate reddish brown and after
ly nasal stop Acute expiration date.
or IM decongestant local bleeding, and asthma Adverse Effects: Advise patient to report
decreases pain attacks. Restlessness, chest pain, dizziness,
sensation Restoring headache, N/V, insomnia, weakness,
cardiac pallor, HPN tremors or irregular heart
rhythm in resulting in beat
cardiac intracranial
arrest. hemorrhage

Do not expose to light

Furosemide Side Effects: Measure and record
(Lasix) Loop Diuretics Edema jaundice, weight to monitor fluid
Inhibits the associated tinnitus, changes
reabsorption of with HF, hearing Advise patient to report
Initial: 2080
sodium and chloride renal disease impairment, loss or gain of more than
mg/day as a
in the proximal and Acute hypotension, 3pounds in 1 day,
single dose.
distal pulmonary water/electrolyt swelling in ankles or
For resistant
tubules as well as edema e fingers, dizziness,
cases, dosage
can be the hypertension depletion, fatigue, muscle
ascending loop of pancreatitis, weakness
increased by
20 Henle; this results in abdominal pain,
40 mg q 68 the dizziness,
hr until excretion of sodium, anemia
desired chloride, and, to a
diuretic lesser Adverse Effects:
response is degree, potassium Orthostatic
attained. and hypotension,
Maximum bicarbonate ion. weakness,
daily dose thrombophlebiti
should not s
exceed 600
mg

Drugs Classification Action Indication Side Effects/ Nursing Responsibilities

Adverse Effect

Terbutaline anti acts relatively prophylaxis Side effects: do not exceed

sulfate asthmatic selectively at beta2- and Weakness, recommending dose
(Brethine) bronchodilato adrenergic receptors treatment of dizziness, advise patient to report
r to cause bronchial inability to sleep, chestpain, dizziness,
0.25mg tocolytic drug bronchodilation and asthma N/V tremors or irregular
subcutaneous relax the pregnant to prevent heart beat, failure to
ly into lateral uterus preterm Adverse Effects: respond to usual dosage
deltoid area labor Restlessness,
apprehension,
cardiac
arrhythmias,
palpitation,
respiratory
difficulties, pallor

Hydralazine Monitor patient for

hydrochloride antihypertens Acts directly on severe orthostatic
ive vascular smooth essential Side effects: hypertension, which is
 vasodilator muscle to cause hypertension Dizziness, most marked in the
(peripheral) vasodilation, after load weakness, GI morning and in hot
primarily arteriolar, treatment in upset weather and with
decreasing HF alcohol or exercise
peripheral Adverse Effects: Do not exceed on
resistance; Headache, recommended dose
maintains or palpitations, Advise patient to report
increase renal and tachycardia persistent or severe
cerebral blood flow A/N/V fever, constipation;
chills, nasal unexplained fever or
congestion malaise, muscle or joint
aching, chest pain, rash

Drugs Classification Action Indication Side Effects/ Nursing Responsibilities

Adverse Effect

Isosorbide antianginal Relaxes vascular Treatment Side effects: Place the sublingual
Dinitrates nitrate smooth muscle with and Dizziness, tablet under the tongue.
(Isoket) vasodilator a resultant decrease prevention of lightheadedness, Advise patient not to
in venous return and angina headache, chew
decrease in arterial pectoris flushing of back Advise patient to report
BP which reduces and face blurred vision, persistent
left ventricular or severe headache
workload and Adverse effects:
decreases Vertigo,
myocardial oxygen tachycardia,
consumption hypotension,
syncope,
 collapse,
Tramadol analgesic orthostatic
Hydrocholride ( centrally hypotension, Advise the patient to
(Ultram) acting) Binds to mu-opioid Relief of nausea limit the use or being
receptors and moderate to dependent on opioids.
50-100mg PO inhibits the reuptake severe pain Side effects: Advise patient to report
q 4-6hr. of norepinephrine Dizziness, severe nausea,
and serotonin; drowsiness, dizziness, severe
causes many effects impaired visual constipation
similar to the acuity, nausea
opioids but does not
have respiratory Adverse effects:
depressant effects Headache,
sedation,
hypotension,
sweating,
vomiting, dry
mouth

Drugs Classification Action Indication Side Effects/ Nursing Responsibilities

Adverse Effect

Phenytoin antiarrhytmic Has anti epileptic Control Side Effects:

(Dilantin) antiepileptic activity without grand mal
causing general CNS and
depression; psychomotor
stabilizes neuronal seizure
membranes and control
prevents status
hyperexcitability epilepticus
caused by excessive
stimulation