NAME OF DRUG

DOSAGE

CLASSIFICATIO N

ACTION

INDICATION

CONTRAINDICATIO N

ADVERSE EFFECTS SIDE EFFECTS

NURSING RESPONSIBILITIES Monitor EKG, BP, pulse, rhythm, continuously. Monitor serum lidocaine levels throughout theraphy; therapreutic range 1.5-5 mcg/ml Monitor intake and output. Do not mix the same syringe with amphoterin B orcefazolin Administer Lidocaine TIV. In case of circulatory depression have dopamine available

Generic Name: lidocane

1-1.5 mg/kg IVP or ETT (double dose if giving via ET tube), may repeat q 5-10 min.

Antiarrythmic and Anesthetic

Decrease cardiac excitability, cardiac contraction is delayed in the atrium and ventricle

Decrease cardiac excitability delayed in the atrium and ventricle

Contraindicated in patients hypersensitive to amide-type local anesthetics and those with Adams Stroke syndrome severe degrees of SA, AV, or intraventricular block in the absence of pacemaker

CNS: Confusion lethargy somnolence restlessness hallucinations seizure. nervousness stupor anxiety tremor CV: hypotension, bradychardia, new or worsened arrhythmias EENT: tinnitus, blurred or double vision. Respiratory: Respiratory depression and arrest.

Brand Name: Xylocain

max 3 mg/kg; If conversion successful start an infusion of 2-4 mg/min

headache. Fluid and electrolyte imbalance Review HR. Generic Name: furosemide 0. may repeat once at 2 mg/kg slow IVP over1-2mins. orthostatic hypotension. do not use drug Brand Name: Apo-Furosemide Furoside Lasix Lasix Speacial Novosemide Uritol . muscle spasm NURSING RESPONSIBILITIES Monitor serum glucose. Patients with allergies to sulfonamides may also be allergic to furosemide. In breast feeding woman. paresthesia. Use cautiously in patient with hepatic cirrhosis. Loop Diuretics inhibits sodium and chloride reabsorption at the proximal and distal tubules and the ascending loop of Henlen Edema associated with CHF Cirrhosis with ascites or renal dysfunction For hypertension or in combination with other antihypertensive medications ICP. Hypokalemia anemia. daily weight Undesirable effects. BP and electrolytes Elderly-Careful Take with or after meals and in AM I ncrease risk of orthosthatic hypotension. In pregnant woman use only if benefits outweighs the risk to the fetus. nephritic syndrome. hepatic cirrhosis Contraindicated to patients hypersensitive to drug or any of its components and in those with anuria.5-1 mg/kg slow IVP over 12 min. and electrolyte Diet for all except aldactone Intake and Output. thrombophlebiti abdominal pain.NAME OF DRUG DOSAGE CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECTS SIDE EFFECTS vertigo.

cardiac output. decrease perfusion rate and watch out carefully for further signs of vasoconstriction unless such action is desired. infusion. or ventricular fibrillation. If diastolic pressure rises disproportionately. GU: azotemia Respiratory sthma attacks. Contraindicated in patient with uncorrected tachyarrhythmias. and color and temperature of the limbs. to increase cardiac output.V. pulmonary artery wedge pressure. replace fluid replace fluid deficit first before giving meds. Blood is not a substitute for blood or fluid volume deficit. If . palpitations. diabetic endarteritis. Adults: 1 to 5 mcg/kg/minute Brand Name: Intropin. and in those taking MAO inhibitor. CVP. During infusion. and arterial embolism. increase by 1 to 4 mcg/kg/minute at 10 to 30- Stimulates dopaminergic and alpha and beta receptors of the sympathetic nervous system. improve perfusion of vital organs. If deficit occurs. GI: vomiting. Revimine by I. Use cautiously in patients with occlusive vascular disease. in pregnant woman. vasoconstriction. large doses can cause mainly alpha stimulation To treat shock and correct hemodnamic imbalances. with a history of sulfite sensitivity. Action is dose-related. widening of QRS complex. tachycardia. arrythmias bradycardia.NAME OF DRUG DOSAGE CLASSIFICATIO N ACTION INDICATION CONTRAINDICATIO N ADVERSE EFFECTS SIDE EFFECTS NURSING RESPONSIBILITIES Inotropic Generic Name: Dopamine HCl. Cv: anginal pain. frequently monitor ECG BP. Adjust dose to desired hemodynamic or renal response. Side Effects: CNS: headache GI: naus Observe for adverse reaction. tissue sloughing with extravasation. and to correct hypotension. pulse rate. Other: anaphylaxis. Check for urine output. hypotension. cold injuries. pheocromocytoma. hypertension. urine output.piloerection. conduction disturbances ectopic breasts. dyspnea Skin: necrosis.

notify physician. Acidosis decrease effectiveness of dopamine .urine flow is decrease without hypotension. Tamper dosage slowly to evaluate stability of blood pressure. After drug is stopped.

NAME OF DRUG DOSAGE CLASSIFICATIO N ACTION INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING .

Oral sodium bicarbonate is contraindicated in patients with acute ingestion of strong mineral acids. Citrocarbonate. patients taking diuretics known to produce hypochloremi alkalosis. hypernatremia. GI: Gastric distention. patients who are losing chlorides from vomiting or continuous GI suction. electrolyte Neutralizes gastric acid Decrease pepsin activity Hyperacidity o Peptic ulcer Hyperkalemia Tricyclic antidepressant OD Shock associated with severe diarrhea. Other: Pain and irritation at injection site RESPONSIBILITIES Monitor urinary pH. uncontrolled DM Reflux esophagitis Contraindicated in patients with metabolic or respiratory alkalosis. Record amount and consistency of stools. belching flatulence Metabolic: alkalosis. dehydration.SIDE EFFECTS Generic Name: Sodium Bicarbonate 1 mEq/kg IVP. or heart failure. Buffer. Clients on lowsodium diets should evaluate sodium contents of antacid Brand name: Soda. electrolytes and phosphate levels. Soda Min NAME OF DRUG DOSAGE CLASSIFICATIO N ACTION INDICATION CONTRAINDICATIO N ADVERSE EFFECTS SIDE EFFECTS NURSING RESPONSIBILITIES .5 mEq/kg 10 min Alkalizing Agent. hypertension. Antacid. hypokalemia. seizures. may repeat 0. and patients with hypocalcemia in which alkalosis may produce tetany. hyperosmolarity (with overdose). calcium.

6 mg I.V.Lanoxicap aduls: 0.4 to 0. V-flutter. Monitor I&O and signs of CHF. as needed and tolerated for 24 hours.V initially followed by 0. . Weigh daily. atrial fibrillation and or flutter. V-fib.3 0.ventricular tachycardia unless caused by heart failure. Record and report changes in rate or rhythm.mg I. give 8 to 12 mcg/kg I. subsequent dose re given q 4 to 8 hours as needed and tolerated Children age 10 years and older For rapid digitalization. First dose is 50% of total dose. every 4 hours.V.1 to 0. over Cardiac Glycoside Inhibits the sodiumpotassium ATP phase. GI:vomiting anorexia diarrhea nausea Side Effects CNS: agitation dizziness fatigue GI: nausea Before each dose assess apical pulse for full minute. Children: digitalizing dose is based on child’s age and is given in three or more divided doses over the first 24 hours.Generic name: Digoxin brand name: lanoxin. CHF pulmonary edema. AE: CNS: hallucinations paresthesia stupor vertigo CV: Arrythmias heart failure hypotension EENT:blurred vision diplopia light flashes photophobia yellow-green halos around images. and paroxysmal atrial Contraindicated in patients hypersensitive to drugs or any of its components and in those with digitalis-induced toxicity.

divided as above. Children ages 5 to 10: For rapid single dose.24 hours. divided and given in two or three equal portions daily NAME OF DRUG DOSAGE CLASSIFICATIO N ACTION INDICATION CONTRAINDICATIO N ADVERSE EFFECTS SIDE EFFECTS NURSING RESPONSIBILITIE S . given daily as a single dose. Maintenance dose is 25% to to 35% of total digitalizing dose. Children ages 5 to 10: For rapid over 24 hours divided as above. Maintenance dose is 25% to over 24 hours divided as above. Maintenance dose is 25% to 35% of total digitalizing dose.

Generic name Atropine Sulfate Bradycardia: 0. To lessen the degree of A-V heart block To overcome severe carotid sinus reflex Hypersensitivity With acute angle closure glaucoma obstructive uropathy obstructive disease of GI tract paralytic ileus toxic megacolon intestinal atony unstable CV status in acute hemorrhage asthma myasthenia gravis CNS: restlessness ataxia disorientation hallucinations delirium coma insomnia agitation CV: tachycardia angina arrhythmias flushing EENT: photophobia blurred vision mydriasis GI: dry mouth constipation vomiting GU: urine retention Hematologic: leukocytosis Monitor VS. moderate doses dilate pupils and increase heart rate. Before meals.ice chips. Instruct to eat foods high in fiber Ecourage to increase oral fluid intake.5 mg IV every 3-5 mins. inhibit gastric acid secretion. Monitor for constipation or oliguria Instruct to take 30 mins. Large doses decrease GI motility.4 mg Antianginal Relaxes the Angina pectoris Contraindicated in CNS: headache Record characteristics . Advise to use hard candy.3-0.04 mg/kg Cardiac Arrest: 1 mg every 3-5 mins Nerve and Organophosphate symptoms: may repeat in 2 mg increments q 3 mins titrated to relief symptoms Generic Name: 0. max Anticholinergics It inhibits actions of acetylcholine at postganglionic parasympathetic neuroeffector sites. Brand Name Isopto Atropine of 0. Small doses inhibit salivary and bronchial secretions. primarily at muscarinic receptors. Report increase in HR. Pre-op meds/ pre-anesthetic meds To restore cardiac rate and arterial pressure during anesthesia when vagal.

(S.L.Assist with ambulating if dizzy. Have client sit or lie down if taking drug for the first time. NAME OF DRUG DOSAGE CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING . cardiac tamponade restrictive cardiomyopathy constrictive pericarditis throbbing dizziness weakness GI: nausea vomiting Skin: Rash Adverse Reactions: CV: orthostatic hypotension flushing fainting EENT: sublingual burning and precipitating factors of anginal pain. Nitrate Vasodilator Coronary vascular smooth system CHF associated with AMI Cardiac load reducing agent Hypertensive Crisis patients hypersensitive to nitrates With early MI.Nitroglycerine Brand Name: Nitrostat SL q 5 min max 3 doses Every 6 hrs except for midnight Wear 12 hrs a day for skin patch. form) severe anemia increase ICP angle-closure glaucoma IV nitroglycerine is contraindicated in patients with hypovolemia hypotension orthostatic hypotension. Monitor BP and apical pulse before administration and periodically after dose. Client must have continuing EKG monitoring for IV administration Cardioverter/ defibrillator must not be discharged through paddle electrode overlying Nitro-Bid ointment or the Transderm-Nitro Patch.

nausea and vomiting Monitor BP and pulse before therapy. confusion EENT: blurred vision. Decreases SA and AV conduction and prolongs AV node refractory period in conduction tissue.SIDE EFFECTS PO 80-120 mg 3x daily. CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING . anxiety. Monitor ECG. serum potassium and weight. Assess for CHF. anorexia. constipation. epistaxis and tinnitus CV: arrhythmia CHF chest pain bradycardia hypotension and palpitations GI: abnormal liver function. diarrhea. Hypertension Angina Pectoris Supraventricular Arrhythmia Atrial flutter Hypersensitivity Sick sinus syndrome 2nd or 3rd degree AV block CHF Cardiogenic shock Concurrent IV beta-blocker CNS:abnormal dreams. I&O. increases Brand Name: Calan Isoptin Verelan Covera HS as needed RESPONSIBILITIES Generic Name: Verapamil Anti-anginal Anti-arrhythmics Anti-hypertensive Vascular headache suppressants Inhibits calcium transport into myocardial smooth muscle cells. during titration and therapy.

nausea and vomiting RESPONSIBILITIES Monitor BP and pulse before therapy. during titration and therapy. Systemic and coronary vasodilation. confusion EENT: blurred vision. epistaxis and tinnitus GI: abnormal liver function. Monitor I&O and weight Assess for CHF Routine serum digoxin monitoring. anxiety. . diarrhea.SIDE EFFECTS Anti-anginals Antiarrhythmics Antihypertensive Ca channel blocker Inhibits calcium transport into myocardial smooth muscle cells. constipation. Hypertension Angina Pectoris Supraventricular Arrhythmia Atrial flutter/ fibrillation CHF Hypersensitivity Sick sinus syndrome Cardiogenic shock Concurrent IV beta-blocker CNS:abnormal dreams. anorexia.

Gravity and I&O to aid evaluation of drug effectiveness Brand Name: Pitressin initially 5 units IM gives subsequent injections q3-4 hours increasing to 10 units if needed. headache. gangrene and urticaria Give 1-2 glass of H20 to reduce adverse reactions and improve therapeutic response. § Warm vasopressin in your hands and mixed until it is distributed evenly in the solution. Diabetes Insipidus Abdominal Distention GI bleeding Esophageal varices With chronic nephritis and nitrogen retention.NAME OF DRUG DOSAGE CLASSIFICATION ACTION INDICATION CONTRAINDICATION ADVERSE EFFECTS SIDE EFFECTS NURSING RESPONSIBILITIES Generic Name: Vasopressin Prevent and treat abdominal distention: Pituitary Hormones ADH Increase permeability of renal tubular epithelium to adenosine monophosphate and water. the epithelium promotes reabsorption of water and concentrated urine. vertigo CV: vasoconstriction arrhythmias cardiac arrest myocardial ischemia circumollar pallor decreased CO angina GI: abdominal cramps GU:uterine cramps Respi: bronchoconstriction Skin: diaphoresis. . CNS: tremor. Hypersensitivity. Monitor urine Sp.

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