DRUG NAME

DOSAGE, FREQUENCY AND ROUTE 500 mg P.O TID

GENERIC NAME: citicoline BRAND NAME: nicholine CLASSIFICATION: Neurotonics HOW SUPPLIED: a. Patients Supply: tablet b. Other forms:

MECHANISM OF ACTION Citicoline increases blood flow and O2 consumption in the brain. It is also involved in the biosynthesis of lecithin

INDICATION

CONTRAINDICATIONS

SIDE EFFECTS

NURSING RESPONSIBILITIES

Parkinsons Hypersensitivity to drug or disease other ACE inhibitors. Head injury Cerebral vascular disease Alzheimers disease Cerebral surgery or acute cerebral disturbance Disturbance of consciousness following brain surgery

Body temperature elevation Restlessness Headaches Nausea and vomiting Diarrhea Low or high blood pressure Tachycardia Sleeping troubles or insomnia Blurred vision Chest pains

Before >Check doctors order >Do handwashing >Monitor vital signs During >Remember 5 rights >Let the patient state his name >Explain the purpose why the medication is given After >Document the medication given in patients chart >Monitor for any unusualities >Do handwashing Nursing Considerations:

Citicoline may be taken with or without food. Take it with or between meals.

The supplement should not be taken in the late afternoon or at night because it can cause difficulty sleeping.

Women who are pregnant or trying to become pregnant should consult with their doctor before taking the supplements. Not enough is known about the use of Citicoline during pregnancy and breast-feeding. Stay on the safe side and avoid use. Special attention should be paid for administration in the neonate, premature and children. Contact the physician immediately if allergic reaction such as hives, rash, or itching, swelling in your face or hands, mouth or throat, chest tightness or trouble breathing are experienced. Citicoline therapy should be started within 24 hours of a stroke. The physician will prescribe the correct dosage and the length of time it should be taken for a medical condition

Patients Chart

Patients Chart

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler.

Kluwer, Wolters. (2010). Kluwer, Wolters. (2010). Nursing 2010 DRUG Nursing 2010 DRUG HANDBOOK. HANDBOOK. Lippincott Lippincott Williams & Williams & Wilkins. 323 Wilkins. 323 Norristown Norristown Road, Suite 200, Road, Suite 200, Ambler. Ambler. 2

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler.

DRUG NAME

GENERIC NAME: ivabradin HCl BRAND NAME: coralan CLASSIFICATION: Anti anginal HOW SUPPLIED: a.Patients Supply: tablet b. Other forms:

DOSAGE, FREQUENCY AND ROUTE 7.5mg 1tab PO 2x/day

MECHANISM OF ACTION Blocks dopamine receptors by disrupting CNS chemoreceptor trigger zone, increasing peristalsis and promoting gastric emptying

INDICATION

CONTRAINDICATIONS

SIDE EFFECTS

NURSING RESPONSIBILITIES

Prevention of postoperative nausea and vomiting

- Hypersensitivity to drug

Heart - Slow heart rate, palpitations, heart block, abnormal heart rhythm, difficulty in breathing and fainting. Central Nervous System - Headache, and dizziness. Eye - Blurred vision. Gastrointestinal Nausea, vomiting and constipation. Blood - Eosinophilia. Musculoskeletal Muscle cramps and muscle weakness. Other Precautions : * Avoid excess dosage.

Before >Check doctors order >Do handwashing >Monitor vital signs During >Remember 5 rights >Let the patient state his name >Explain the purpose why the medication is given After >Document the medication given in patients chart >Monitor for any unusualities >Do handwashing

Nursing Considerations: * Caution should be exercised in patients with abnormal heart rhythm, high blood pressure, stroke, who are taking other medications, liver impairment, runny nose, any allergy, during pregnancy and breastfeeding

. 3

* Patient may develop with increased risk of fluctuating eye pressure; if it is so stop the medication immediately. * Monitor regularly for atrial flutter occurrence while taking this medication. * It may cause blurred vision, do not drive a car or operate machinery while taking this medication.

Patients Chart

Patients Chart

Kluwer, Wolters. (2010). Kluwer, Wolters. (2010). Nursing 2010 DRUG Kluwer, Wolters. Kluwer, Wolters. Nursing 2010 DRUG HANDBOOK. (2010). Nursing (2010). Nursing HANDBOOK. Lippincott Lippincott Williams & 2010 DRUG 2010 DRUG Williams & Wilkins. 323 Wilkins. 323 Norristown HANDBOOK. HANDBOOK . Norristown Road, Suite 200, Road, Suite 200, Lippincott Lippincott Ambler. Ambler. Williams & Williams & Wilkins. 323 Wilkins. 323 Norristown Road, Suite 200, Norristown Road, Suite 200, Ambler. Ambler. 4

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler.

DRUG NAME

DOSAGE, FREQUENCY AND ROUTE insulin genergin 20 u SQ OD @ HS insulin (humalog mix 25) 20u SQ 3x/day pre meals

MECHANISM OF ACTION Insulin is a naturallyoccurring hormone secreted by the pancreas. Insulin is required by the cells of the body in order for them to remove and use glucose from the blood.

INDICATIONS

CONTRAINDICATIONS

SIDE EFFECTS

NURSING RESPONSIBILITIES

GENERIC NAME: insulin BRAND NAME:

CLASSIFICATION:

HOW SUPPLIED: A. Patients supply cartridge B. Other forms vials, cartridges and prefilled syringes

Management of type 1 diabetes mellitus (insulindependent) and type 2 diabetes mellitus (non insulindependent) not properly controlled by diet, exercise, and weight reduction.

Hypersensitivity to any ingredient of the product; during episodes of hypoglycemia.

Dermatologic Lipodystrophy. Lab Tests Hypokalemia. Metabolic Hypoglycemia. Miscellaneous Hypersensitivity reaction (eg, anaphylaxis, angioedema, fast pulse, hypotension, rash, shortness of breath, sweating); local reactions (eg, itching at injection site, redness, swelling).

Before >Check doctors order >Do handwashing >Monitor vital signs During >Remember 5 rights >Let the patient state his name >Explain the purpose why the medication is given After >Document the medication given in patients chart >Monitor for any unusualities >Do handwashing Nursing Considerations:

Regular insulin is for subcutaneous, IM, or IV administration only. Not for intradermal, intra-arterial, or oral administration. Long-acting insulins are for subcutaneous administration only. Not for intradermal, IM, IV, intraarterial, or oral administration.

Administer direct subcutaneous injections into abdominal wall, thigh, or deltoid. Rotate injection sites within same region. Do not use regular insulin if cloudy, thickened, discolored, or contains particulate matter. Do not use long-acting insulin if white material (insulin) remains at bottom of bottle after mixing or if there are clumps. If mixing regular insulin with long-acting insulin, draw regular insulin into syringe first. If using insulin pen, mix contents by rolling between the palms 10 times then inverting 180 10 times, then prime the pen before each dose. Do not administer if white material (insulin) remains visibly separated from the liquid after mixing, if clumps are noted, or if solid white particles stick to walls of cartridge.

Patients Chart

Patients Chart

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200, Ambler

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Wilkins. 323 Norristown Road, Suite 200,

Kluwer, Wolters. (2010). Nursing 2010 DRUG HANDBOOK. Lippincott Williams & Kluwer, Wolters. (2010). Nursing Wilkins. 323 2010 DRUG HANDBOOK. Lippincott Norristown Road, Williams & Wilkins. 323 Norristown Suite 200, Ambler. Road, Suite 200, Ambler.