DRUG STUDY

NAME OF DRUG INDICATION CONTRAINDICATION MECHANISM OF SIDE NURSING

ACTION EFFECT/ADVERSE RESPONSIBILITIES
EFFECT
Generic Name Lidocaine HCl This drug is It’s mechanism of Side Effects  Obtain complete
Lidocaine Injection, is indicated contraindicated in action is to stabilize  Chest pain or health history
to decrease pain by patients with the neuronal discomfort including allergies,
Brand Name temporarily numbing hypersensitivity to other membrane by  Difficulty drug history and
Xylocaine the area. It also local anesthetics. inhibiting the ionic breathing/swallowing possible drug
Classification contains fluxes required for the  Rapid or slow heart interactions.
hydrocortisone, a initiation and beat
Therapeutic: corticosteroid that conduction of  Hives, itching, skin  Educate the patient
Analgesics reduces redness, impulses thereby rash regarding the side
itching, and swelling. effecting local  Sweating effects he may
Pharmacologic: anesthetic action. experience.
Local Anesthetic Adverse Effects
 CNS:  Tell patient to
Dosage lightheadedness, report adverse
2 mL nervousness, reactions such as,
apprehension, nervousness,
Route euphoria, confusion, confusion,
Intramuscular dizziness, drowsiness, bradycardia, vision
twitching, tremors, changes, nausea
and unconsciousness. and vomiting
 CV: Bradycardia, because toxicity
hypotension, and can occur.
cardiovascular
collapse (may lead to
cardiac arrest
 EENT: Blurred or
double vision, Tinnitus
 GI: Nausea, vomiting
 Respiratory:
Respiratory
depression and arrest
 Other: Sensation of
heat, cold or
numbness
 DRUG STUDY
NAME OF DRUG INDICATION CONTRAINDICATION MECHANISM OF SIDE NURSING
ACTION EFFECT/ADVERSE RESPONSIBILITIES
EFFECT
Generic Name Marcaine, is also Contraindicated in Bubivacaine binds to Side Effects  Obtain complete
Bupivacaine indicated to reduce patients with a known the intracellular  Abnormal heart health history
Hydrochloride pain by temporarily hypersensitivity to it or portion of voltage- rhythms including allergies,
numbing the affected to any local anesthetic gated sodium  Blurred vision drug history and
Brand Name area. agent of the amide-type channels on the  Chills or shivering possible drug
Marcaine or to other components axonal membrane.  Headache interactions.
of Marcaine solution. This prevents inward  Muscle weakness
Classification current of sodium ions  Educate the patient
Therapeutic:  Vomiting
without which there is regarding signs of
Analgesics  Weak or shallow
no depolarization of systemic toxicity,
breathing
the membrane and including
Pharmacologic: consequently no confusion,
Local Anesthetic Adverse Effects
initiation nor nervousness,
Dosage  CNS: Nervousness,
propagation of action tremor, headache,
6 mL unusual anxiety,
potentials. blurred or double
Route excitement, dizziness,
drowsiness, tremors, vision, nausea,
Intramuscular vomiting, slurred
convulsions,
unconsciousness speech, ringing in
ears, tremors,
 CV: Hypotension,
twitching, difficulty
Bradycardia,
breathing,
Hypertension, Cardiac
hypotension,
arrest, cardiac
severe dizziness or
arrythmia, tachycardia
fainting, and
 EENT: Pupillary
unusually slow
constriction; blurred or
heart rate.
double vision; tinnitus
 GI: Nausea, vomiting
 Tell the patient to
 GU: Urinary retention, report immediately
urinary incontinence to the physician if
 Immunologic: there are signs of
Allergic reaction systemic toxicity
 Respiratory: occurred.
Respiratory
depression