BRAND NAME INDICATIO MECHANISM SIDE ADVERSE CONTRAINDICATI NURSING

N OF ACTION EFFECTS EFFECTS ON RESPONSIBILITIES

General Name: Managem Depress the CNS,  weak or Body as a  Monitor Vital
 DIAZEPHAM ent of probably by shallow whole:  low alcohol Signs of the
anxiety potentiating breathing Throat and intoxication patient prior to
Classification: disorders, GABA, an  lightheaded Chest Pain  drug abuse periodically
 Anti-anxiety for short inhibitory ness throughout
agents term relief neurotransmitter.  depressed CNS:  depression therapy and
 Anti- of anxiety mood Drowsiness, frequently during
convulsions symptoms Produces skeletal  thoughts of Fatigue and  myasthenia gravis, IV therapy
 Sedatives , to allay muscle relaxation suicide or Confusion a skeletal muscle  Assess IV site
anxiety by inhibiting hurting disorder frequently during
 Skeletal muscle
relaxants and spinal yourself CV: administration,
 wide-angle
tension polysynaptic  confusion Hypotension, diazepam may
glaucoma
Dosage: prior to afferent pathways.  hallucinati Tachycardia cause phlebitis
 6mg, IV surgery ons and Edema  worsening of and venous
cardio Has an debilitating chronic thrombosis
 anxiety
version anticonvulsant GI: Nausea, lung disease called  Observe and
 panic
and property due to Constipation COPD record intensity,
attacks
endoscopi enhanced and Hepatic duration and
c presynaptic  trouble Dysfunction  decreased lung location of
procedure inhibition. sleeping function seizure activity.
 hyperactivi Urogenital: (Since the initial
ty Incontinence  liver problems dose offers
 agitation and Urinary seizure control
 aggression,  pregnancy
Retention for 15-20 minutes
hostility  a patient who is after
unusual Respiratory: producing milk and administration).
risk-taking Hiccups and breastfeeding
behavior Coughing
BRAND NAME INDICATIO MECHANISM SIDE ADVERSE CONTRAINDICATI NURSING
N OF ACTION EFFECTS EFFECTS ON RESPONSIBILITIES

General Name:  Bronchos Stimulates alpha-  Dizziness  Ischemi  Monitor Vital

 EPINEPHRINE pasm beta and beta2  Muscle c Injury  Hypersensitivity Signs
 Anaphyla adrenergic Tremors  Arrhyth to epinephrine or  Use extreme
Classification: ctic receptors resulting mias any component caution when
 Loss Of
 Inotropic Agent Reaction in relaxation of Skin Color  Respirat  Cardiac calculating and
 Adrenergic s smooth muscle of  Headache ory arrhythmias preparing doses:
Agonist  Cardiac the bronchial tree,  Heart Difficult epinephrine is
 Bronchodilator Arrest cardiac Throbbing y  Angle closure very potent drug
stimulation, and Or  Extravas glaucoma  Protect drug
Dosage: dilation of skeletal Pounding ation solution from
 1.8 mg vasculature: small  Nausea Necrosis light, extreme
 IV doses can cause at heat and freezing
 Vomiting
vasodilation via Injectio  Shake and
 Nervousne
beta2 – vascular n Site suspension for
ss
receptors; large injection well
doses may  Generalize before
produce d withdrawing the
constriction of Weakness does
skeletal and  Anxious
vascular smooth Feelings INJECTION:
muscle; decrease  Fast
production of Heartbeat  Rotate SC
aqueous humor  injection sites to
and increase prevent necrosis;
aqueous outflow; monitor sites
dilates the pupil frequently
by contracting the  Make
dilator muscle. resuscitation
equipment
available
 Cardiac monitors
must be attached
to patient
BRAND INDICATION MECHANISM SIDE EFFECTS ADVERSE CONTRAINDIC NURSING
NAME OF ACTION EFFECTS ATION RESPONSIBILITIES

General Temporary Antipyretic:  low fever CNS: headache  Contraindicat  Do not exceed
Name: reduction of Reduces fever with nausea, ed with the
PARACETAM fever, by acting stomach CV: chest pain, dyspnea, allergy to recommended
OL temporary directly on the pain, and myocardial damage when acetaminoph dosage.
relief of minor hypothalamic loss of doses of 5-8g/day are en  Reduce dosage
Classification: aches and heat-regulating appetite; ingested daily for several with hepatic
 Analgesic pains caused center to cause  dark urine, weeks or when doses of  Use impairment.
by common vasodilation clay-colored 4g/day are ingested for 1yr cautiously  Avoid using
Dosage: cold and and sweating, stools; or with multiple
 150 mg influenza, which helps  Jaundice GI: hepatic toxicity impaired preparations
 IV headache, sore dissipate heat (yellowing and failure, jaundice hepatic containing
throat, of the skin function, acetaminophen.
toothache, or eyes). GU: acute renal failure, chronic Carefully check
back ache, renal tubular necrosis alcoholism, all OTC
menstrual pregnancy, products.
cramps, etc. Hematologic: lactation  Give drug with
methemoglobinemia- food if GI upset
cyanosis; hemolytic occurs.
anemia-hematuria, anuria;  Discontinue drug
neutropenia, if
leukopenia, pancytopeni hypersensitivity
a, thrombocytopenia, reactions occur.
hypoglycemia

Hypersensitivity: rash,
fever
BRAND NAME INDICATION MECHANIS SIDE EFFECTS ADVERSE CONTRAINDI NURSING
M OF EFFECTS CATION RESPONSIBILITIES
ACTION

General Name: Levetiracetam is May act by  Dizziness. The most  Anemia  Use drug only with
LEVITIRACETAM indicated as an inhibiting  Headache. common  Decrease other
adjunctive therapy simultaneous  Irritability. adverse blood anticonvulsants: it
Classification: in the treatment of neuronal firing  Loss of reactions in platelets is not
partial onset that leads to strength and pediatric  Low levels of recommended for
 Anticonvuls seizures in seizure activity. energy. patients are: WBC mono-therapy
ants epileptic patients It inhibits the  Mood and  Fatigue  Psychotic  Seizures can occur
who are one spread of behavior  Aggress disorder if drug stop
Dosage: month of age and seizure activity changes. ion  Hallucination abruptly. Tapering
 440 mg older. in the brain.  Sleepiness.  nasal  Kidney is recommender
Additionally, it is congesti disease  Monitor patients
indicated as an on for signs and
 Depression
adjunct in the  decrease symptoms of
treatment of d somnolence and
myoclonic appetite, fatigue
seizures in and  Monitor patient
patients with  Irritabili closely for such
juvenile ty. adverse effects
myoclonic  Discontinue and
epilepsy who are notify prescriber
12 years of age for sign and
and older, and in symptoms of
primary anaphylaxis
generalized tonic-  Monitor renal
clonic seizures in function as acute
patients with kidney injury has
idiopathic been reported
generalized
 Closely monitor
epilepsy who are 6
for changes in
years of age and
behavior.
older.
BRAND NAME INDICATION MECHANISM SIDE ADVERSE CONTRAINDI NURSING
OF ACTION EFFECTS EFFECTS CATION RESPONSIBIL
ITIES

General Name: Short-term treatment of Gastric acid-  Headach  Diarrhea  Contraindi  Assess
OMEPRAZOLE active duodenal ulcer; pump inhibitor: es  Fatigue cated with Vital Signs
First-line therapy in suppresses gastric  Nausea  Acid hypersensit  Check for
Brand Name: treatment of heartburn or acid secretion by  Constipat regurgitation ivity to abdominal
Omepron symptoms of gastro specific ion  Dry mouth omeprazol Pain,
esophageal reflux inhibition of the  Farting  Dizziness e or its emesis,
Classification: disease (GERD); hydrogen  Vomiting  Abdominal component Diarrhea or
Proton Pump Short-term treatment of potassium ATP  Stomach pain s constipation
Inhibitor active benign gastric as enzyme pain  Use .
 Skin rashes
ulcer; GERD, severe system at the cautiously  Evaluate
 Urticarial
Dosage: erosive esophagitis, secretory surface with fluid and
poorly responsive of the gastric  Weaknesses
pregnant intake
 20 mg symptomatic GERD; parietal cells;  Upper
women and  Watch for
Long-term therapy: blocks the final respiratory
 IV lactating elevated
Treatment of pathologic step of acid infection
mom liver
hyper secretory production.  Cough
function
conditions (Zollinger- test results
Ellisonsyndrome,multipl  Tell patient
eadenomas,systemicmas to take 30-
tocytosis);Eradication of 60 minutes
H. pylori With before a
amoxicillin or meal,
metronidazole preferably
in morning.