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Note: Any up-dates are to be completed in different color ink.

k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME DOSE, ROUTE, TIMES EFFECTS PREGANCY
GENERIC/TRADE INDICATION/ ACTION DOSGE FOOD/DRUG SIDE EFFECTS FETUS AND/OR NURSING CONSIDERATIONS
CLASSIFICATION RANGE INTERACTIONS NEONATE
(PHARM) AND (include therapeutic
PREGNANCY dose calculation)
CATEGORY
Available in a wide array of MI Adult 4.3mg/kg Solution compatibilities Twitching Hypersensitivity to Hx of amide-type local
Antiarrhythmic-local preparation intend for local may be repeated after D5W, D5/09,NaCL, convulsions, amidetype local anesthetic/tocainide hypersensitivity,.
anesthetic anesthesia. Treatment of 60-90m D5/0.45% NaCL, D5/LR, respiratory anesthetics, Stokes- Cardiac output, decreased. Pain, acute,
(Lidocaine) acute ventricular IV Initial bolus dose LR, 0.9%, NaCI, 0.45% depression/arrest, Adams syndrome, Tissue perfusion, ineffective.
arrhythmias occurring 50-100mg May be NaCI drowsiness, Wolf-Parkinson-White Administer IM injection into deltoid
Preg. Cat. B during MI/cardiac surgical repeated in 5m. Do Use with dizziness, syndrome, severe muscle , IV dilute according to mfg
procedures, Local not exceed 200- succinylcholine, other sensation of SA/AV intra-ventricular directions, bolus dose (over 60),
Mosby’s Drug Nsg anesthetic. Anti arrhythmic 300mg over 1 hr. surgical muscle heat/cold, block. Use requires followed by infusion drip, use infusion
Card 159 effect due to depression of Usual maintenance relaxants may increase numbness, constant ECG –control device, cardiac monitoring do
ventricular automaticity, infusion rate 1-4/m neuromuscular disorientation, monitoring . Use with not give with epinephrine,
depolarization, drug has no IV Pediatric blockage. Use with hypotension, caution in presence of preservative, do not administer
effect on atrial arrhythmias, Suggested bolus dose other antiarrhythmics bradycardia, (can CHF, decrease cardiac discolored/ precipitated solutions, do
local anesthetic effect due to 0.-1mg.kg Usual increase effects. Use induce cardiac output, elderly patients not use solution with preservatives for
reversible blocking of nerve maintenance infusion with B blockers, arrest/CV digitalis toxicity with spinal anesthesia, do not add to blood
conduction by undetermined rate 10-50mcg/kg/m cimetidine increase collapse) blurred AV lockage, decrease product infusions, discard solutions
mechanism.. lidocaine serum levels. vision, tinnitus, dosage or D/C with without preservatives after use, Have
vomiting Exacerbation of emergency support equipment
arrhythmias. available. Topical (PO) have pt swish
in mouth, abstain form food for 60m.
Monitor VS, BP, Respiratory status,
auscultate lungs, signs of neurotoxic
effects (confusion, hallucinations,
behavioral changes) Notify physician
D/C. Serum levels of toxicity,
therapeutic blood levels 1.505mg/ml.
Maintain safety precautions
(convulsions, respiratory depression,
hypotension , anesthesia) .

PHARM

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