c.

Drug Study

Date Generic SIDE NURSING

Ordered Name CLASSIFICA MECHANISM CONTRAINDICATI EFFECTS/ADVE IMPLICATIONS/RESPOSIB
DOSAGE INDICATION
(mm/dd/yy) (brand name) TION OF ACTION ON RSE LITIES
EFFECTS

02/19/10 dobutamine Adrenergic 20ml Stimulates To increase Contraindicated CNS:  Give a plasma
hcl s (280mg/ heart’s beta1 cardiac to headache, volume expander
(Dobutrex) (sympatho 20ml) receptors to output hypersensitivity tremors, first before starting
mimetics) IVTT increase caused by to other Paresthesias, dobutamine therapy
myocardial depressed sympatho mild first to correct
beta 1 contractility contractility mimetic leg cramps, hypovolemia.
selective and stroke of the heart amines, nervousness  Monitor the effects
adrenergic volume. ventricular fatigue(with of the medication by
agonist tachycardia. over dose) monitoring ECG
At therapeutic CV: increase and BP
dosages, drug heart rate and continuously during
increases BP premature administration.
cardiac output ventricular  Observe patient
by decreasing beats with pre-existing
peripheral palpitations hypertension
vascular angina pain closely for
resistance, GI: nausea, exaggerated
reducing vomiting pressor infusion.
ventricular OTHER: non-  Monitor intake and
filling specific chest output ratio and
pressure, and pain, pattern.
facilitating AV shortness of  Report angina pain
node breath. and report any
conduction. unusualities to the
physician.

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 c. Drug Study

GENERIC SIDE
DATE NURSING
NAME CLASSIFICA MECHANISM CONTRAINDICATI EFFECTS/ADVE
ORDERED DOSAGE INDICATION IMPLICATIONS/RESPOSIB
(BRAND TION OF ACTION ON RSE
(mm/dd/yy) LITIES
NAME) EFFECTS

02/19/10 famotidine H2- 2omg Competitively Intractable Contraindicated CNS:  Assess creatinine
(Pepcid) receptor IVTT q blocks the ulcerations in patient with dizziness, clearance before
antagonist, 12 hr action of or hyper sensitivity to headache, treatment.
antiscretor histamine at secretory drug or any of confusion,  Assess patient GI
y the H2 conditions. its components. depression. disorder before
receptors of GI: starting therapy and
the parietal constipation, reassess regularly.
cells of the diarrhea.  Be alert for adverse
stomach; SKIN: rash, reactions.
inhibits basal acne, pruritus,  Give daily doses or
gastric acid dry skin, last dose of the day
secretion and flushing. at bedtime.
chemically  Take drug with food
induced tell patient/SO
gastric acid taking 20mg BID to
secretions. take one dose HS.
 Avoid over the
counter drugs to
treat heartburns.

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c. Drug Study
 c. Drug Study

GENERIC SIDE
DATE MECHANIS NURSING
NAME CLASSIFICATI CONTRAINDICATIO EFFECTS/ADVERS
ORDERED DOSAGE M OF INDICATION IMPLICATIONS/RE
(BRAND ON N E
(mm/dd/yy) ACTION SPOSIBLITIES
NAME) EFFECTS

02/19/10 terbutalin Beta-Specific 5ml PO Promotes To increase Contraindicated CNS: tremor,  Asses
e sulfate Adrenergic TID contractio heart rate, in patients headache, patient’s
(Bricanyl) Agonists n by conductivity and hypersensitive to drowsiness, condition
acting on contractility drug for any of its dizziness, before
beta 2- components or to weakness. starting
adrenergic sympathomimetic CV; tachycardia, therapy and
receptors. amines. arrhythmias, regularly
flushing, chest there after to
discomfort. monitor
EENT: tinnitus drug’s
GI: vomiting, effectiveness
nausea,  Assess heart
heartburn. rate first
METABOLIC: before
hypokalemia administering
RESPIRATORY: the drug
paradoxical  Monitor
brochospasm, patient
dyspnea closely for
SKIN: toxicity
diaphoresis especially if
using with
other
adrenergics.

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 c. Drug Study

DATE
GENERIC SIDE
ORDERE
NAME CLASSIFIC MECHANISM CONTRAINDI EFFECTS/ADVE NURSING
D DOSAGE INDICATION
(BRAND ATION OF ACTION CATION RSE IMPLICATIONS/RESPOSIBLITIES
(mm/dd/y
NAME) EFFECTS
y)

02/19/10 dopamine Adrenergi 1amp + Stimulates To correct Contraindic CV:  Monitor blood pressure,
hcL cs 200cc dopaminergi hemodynam ated to hypotension, pulse, peripheral pulses,
(Revimine) (sympath D5W via c & alpha ic patients ectopic beats, and urinary output at time
omimetic syringe beta imbalances, with tachycardia, intervals prescribed by
s) pump recptors of to improve pheochrom anginal pain, physicians.
the hypotension ocytana: palpitation,
sympathetic , to increase tachy vasoconstricti  Report following indicators
nervous cardiac arrhythmia on (indicated promptly to physician for
system. output, to s or by use in decreasing or
Action is improve ventricular disproportiona temporarily suspending
dose- perfusion to vibrillation. te rise in dose; reduce urine flow rate
related; vital organs Use diastolic in absence of hypotension;
cause cautiously pressure) ascending tachycardia;
mainly to patients cold dysrythmias;
alpha with, cold extremities. disproportionate rise in
stimulation. injury, and GI: nausea diastolic pressure (mark
arterial and vomiting. decrease in pulse
embolism. CNS: pressure); signs of
headache. peripheral schemia(pallor,
SKIN: cyanosis,mottling,
necrosis, coldness, complaints of
tissue tenderness, pain,
sloughing with numbness, or burning
extravasation, sensation).
gangrene,
piloerection.  Monitor therapeutic effects
of the drug.

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