St.

Paul University Philippines

Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
Bachelor of Science in Nursing Level 4
Second Semester, AY. 2021– 2022
Drug Study
Complete the table below:

Name of Dosage/ Frequency Mechanism of Indication Contraindication Adverse Effect Nursing

Drug Action Responsibilities
Atropine Bradycardia/ Blocks used to treat the  Generally, is Most common adverse effects Assess:
Bradydysrhythmia: acetylcholine at symptoms of low contraindicated in are related to the drug's  I&O
 Adult- IV bolus parasympathetic heart rate patients antimuscarinic properties:  Bowel
0.5-1 mg, q3-5 neuroeffector (bradycardia), reduce with glaucoma,  xerostomia, blurred sounds(constipati
min sites. salivation and pyloric stenosis or vision, photophobia, on)
 Child- IV BOL bronchial secretions prostatic tachycardia, flushing,  Respiratory status
0.01-0.03 mg/kg before surgery or as hypertrophy, and hot skin.  Increased
up to 0.4 mg, may an antidote for except in doses intraocular
repeat q4-6 hours. overdose of ordinarily used for *At-risk populations pressure, blurred
Minimum dose of cholinergic drugs or preanesthetic (most notably, the vision, nausea,
0.1 mg to avoid mushroom poisoning medication. elderly) vomiting
paradoxical and insecticide  Constipation, difficulty  Cardiac rate
reaction poisoning. with urination, and  Allergic reaction
Organophosphate anhidrosis can occur.  Administer:
poisoning: Rare cases - Increased bulk,
 Adult & Child-  delirium or coma may water in diet if
IM/IV 2mg every occur. constipation
hour until occurs
muscarinic Hypersensitivity reactions may - Provide sugarless
symptoms occur and are usually limited to hard candy, gum,
disappear a skin rash that could progress frequent rinsing
Presurgery: to exfoliation of the mouth for
 Adult- SC/IM/IV dryness
0.4- 0.6 mg before
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
Bachelor of Science in Nursing Level 4
Second Semester, AY. 2021– 2022
anesthesia Teach pt./fam.:
 Child- SC 0.1-0.4 Not to:
mg 30 min before - perform strenuous
surgery activity under
high temp.
- operate
machinery if
drowsiness occurs
- take OTC
products without
prescription
Treatment of overdose:
O2, artificial bentilation
Dopamine- circulatory
depression
Diazepam/Thiopotential-
convulsions
Naloxone Opioid-induced Competes with Used for respiratory Hypersensitivity and CNS: Drowsiness, nervousness Assess:
respiratory depression: opioids at opiate depression induced by respiratory depression CV: Rapid pulse, increased  Withdrawal
 Adult- IV/SC/IM receptor site opioids, pentazocine, systolic BP (high doses), symptoms
0.4-2 mg repeat q2- propoxyphene; ventricular tachycardia, (cramping,
3min if needed refractory circulatory fibrillation hypertension,
 Child- IV/SC/IM shock, asphyxia GI: nausea, vomiting anxiety,
0.5-2µg/kg as neonatorum RESP: Hyperpnea vomiting)
small frequent  VS q 3-5 min
Post-operative  ABG
respiratory depression:  Cardiac status
 Adult- IV 0.1-0.2  Respiratory
mg q2-3 min prn
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
Bachelor of Science in Nursing Level 4
Second Semester, AY. 2021– 2022
 Child- IV/IM/SC dysfunction
0.01 mg/kg q2-3  Pain (before and
min prn after
Asphyxia neonatorum: administration
 Neonate- IV 0.01 Patient & Family
mg/kg given into Education:
umbilical vein after  Report
delivery may postoperative
repeat q2-3 min x 3 pain that emerges
doses after
administration of
this drug to
physician.