Module 2

Task 3 solution

Drug study #1

DRUG NAME ACTION INDICATIONS CONTRAINDICATION ADVERSE REACTION INTERACTIONS NURSING

RESPONSIBILITY
Generic Name: Binds to opiate Supplement to Significant respiratory Asthenia fentanyl, butorphanol. Use caution with
Fentanyl receptor in CNS general depression Either increases effects increased ICP, head
altering anesthesia, Confusion of the other by trauma, adrenal
Brand Name: perception of continuous IV Acute or severe pharmacodynamic insufficiency
Sublimaze pain, producing infusion for bronchial asthma in an Constipation synergism. Avoid or
CNS depression. purpose of unmonitored setting or Use Alternative Drug. Avoid use with
Class: analgesia. in the absence of Dry mouth Coadministration with MAOIs.
Opioid analgesic resuscitative other CNS depressants,
equipment. Nausea such as skeletal muscle May cause apnea,
relaxants, may cause laryngospasm,
Dosage/Route/Freq Hypersensitivity to drug Somnolence respiratory depression, decreased respiration,
: 2mg IV q2h or components of the hypotension, profound bradycardia,
formulation. Sweating sedation, coma, and/or hypotension.
death. Consider dose
Within 2 weeks of Vomiting reduction of either or Do not sonsume
monoamine oxidase both agents to avoid grapefruit while
inhibitor use. Abdominal pain serious adverse effects. taking this
Monitor for medication.
Know or suspected GI Anorexia hypotension,
obstruction, including respiratory depression, Monitor
paralytic ileus. Anxiety and profound sedation. hemodynamics during
administration.
Apnea
Assess patient pain
scale frequently.
 Drug study #2

DRUG NAME ACTION INDICATIONS CONTRAINDICATION ADVERSE REACTION INTERACTIONS NURSING

RESPONSIBILITY
Generic Name: Inhibits Treatment of LRIT Hypersensitivity to CNS: Headache, dizziness, Increased Assess patient for
Ceftriaxone bacterial cell (e.g. bronchitis, cephalosporins and lethargy neprotoxocity with signs and
wall pneumonia, penicillins, lidocaine aminoglycosides symptoms of
Brand Name: synthesis, bronchopneumonia or any other local GI: Nausea, vomiting, diarrhea, infection before
Rocephin rendering , emphysema, lung anaesthetic product anorexia, Pseudomembranous Increase bleeding and during the
cell wall abscess), skin and of the amide type. colitis effects with oral treatment
Class: osmotically soft tissue anticoagulants
Antimicrobial and unstable, infections. Pre- HEMATOLOGIC:
antiparasitic leading to operative bone marrow depression – dec. Disulfiram-like Obtain C&S
cell death prophylaxis to WBC, platelets, Hct reactions may occur if before beginning
Dosage/Route/Freq reduce chance of alcohol is taken. drug therapy to
: post-operative LOCAL: identify if correct
1-gram IV q8h surgical infections. pain, inflammation of IV Site treatment has
been initiated.
OTHER:
superinfections, disulfiram-like
reaction with alcohol. Report signs such
as petechiae,
ecchymotic areas,
epistaxis or other
forms of
unexplained
bleeding

Monitor
hematologic,
electrolytes, renal
and hepatic
function