Summary Drug Table Sedatives And Hypnotics Barbiturates

The term generic indicates the drug is available in generic form. usually depends on the dose given. When these drugs are used as hypnotics, their respiratory depressant effect is usually similar to that occurring during sleep. The sedative or hypnotic effects of the barbiturates diminishes after approximately 2 weeks. Persons taking these drugs for periods longer than 2 weeks may have a tendency to increase the dose to produce the desired effects (eg, sleep, sedation). Physical and...

Critical Thinking Exercises

Stone is given a special diet and prescribed an anorexiant to help her lose 20 lb before she has reconstructive knee surgery. Determine what instructions you would include in a teaching plan for this patient. Mr. Trent has narcolepsy and is prescribed amphetamine 10 mg d. Develop questions you would ask Mr. Trent when he returns to the clinic for evaluation after 1 month of therapy Ms. Allison is prescribed an analeptic for respiratory depression. Discuss what preadministration and ongoing...

Monitoring and Managing Adverse Reactions

Serious adverse reactions can occur in patients taking antiviral drugs. The nurse must notify the primary health care provider of any adverse reactions to these drugs. ACYCLOVIR. When given IV, acyclovir can cause crystal-luria (presence of crystals in the urine) and mental confusion. The nurse helps the patient maintain adequate hydration to prevent crystalluria by encouraging the patient to drink 2000 to 3000 mL of fluid each day (if the disease condition permits). In addition, the nurse...

Oxytocin

Oxytocin is an endogenous hormone produced by the posterior pituitary gland see Chap. 50 . This hormone has uterine-stimulating properties, especially on the pregnant uterus. As pregnancy progresses, the sensitivity of the uterus to oxytocin increases, reaching peak sensitivity immediately before the birth of the infant. This sensitivity enables oxytocic drugs to exert their full therapeutic effect on the uterus and produce the desired results. Oxytocin also has antidiuretic and vasopressor...

Summary Drug Table Adrenergic Blocking Drugs Continued

Antiadrenergic Drugs Peripherally Acting The term generic indicates the drug is available in generic form. pheochromocytoma, a tumor of the adrenal gland that produces excessive amounts of epinephrine and norepi-nephrine. The drug is used to control hypertension during preoperative preparation and surgical excision of pheochromocytoma. Some drugs such as norepinephrine or dopamine are particularly damaging to the surrounding tissues if extravasation infiltration occurs during intravenous...

Promoting an Optimal Response to Therapy

The nurse develops a nursing care plan to meet the patient's individual needs. It is important to monitor vital signs at least daily. The nurse should report any significant change in the patient's vital signs to the primary health care provider. Behavioral records should be written at periodic intervals frequency depends on hospital or unit guidelines . An accurate description of the patient's behavior and cognitive ability aids the primary health care provider in planning therapy and thus...

Nursing Alert

Antiarrhythmic drugs are capable of causing new arrhythmias, as well as an exacerbation of existing arrhythmias. The nurse must report any new arrhythmia or exacerbation of an existing arrhythmia to the primary health care provider immediately. Some of the antiarrhythmic drugs may cause dizziness and light-headedness, especially during early therapy. The nurse provides assistance to patients not on complete bed rest with ambulatory activities until these symptoms are no longer present.

Summary Drug Table Antianginal Drugs Continued

The term generic indicates the drug is available in generic form. In many instances, the adverse reactions associated with the nitrates lessen and often disappear with prolonged use of the drug. However, for some patients, these adverse reactions become severe, and the primary health care provider may lower the dose until symptoms subside. The dose may then be slowly increased if the lower dosage does not provide relief from the symptoms of angina.

What Is Lfs In Nursing

The nurse reports to the primary care provider a pulse rate of 140 bpm, persistent elevation of pulse rate, irregular pulse, or increase in respiratory rate of more than 20 min. The nurse assesses the respiratory status for symptoms of pulmonary edema eg, dyspnea, tachycardia, increased respiratory rate, rales, and frothy sputum . If these reactions occur, the end result could mean pulmonary edema. The primary health care provider may decrease the dosage or discontinue the drug. The primary...

Antivertigo Drugs

An antivertigo drug is used to treat vertigo, which is usually accompanied by light-headedness, dizziness, and weakness. The individual often has difficulty walking. Some of the causes of vertigo include high alcohol consumption during a short time, certain drugs, inner ear disease, and postural hypotension. Motion sickness seasickness, carsickness has similar symptoms but is caused by repetitive motion eg, riding in an airplane, boat, or car . Both vertigo and motion sickness may result in...

Summary Drug Table Peripheral Vasodilators And Miscellaneous Vasodilating Drugs

Peripheral vascular disease PVD , Raynaud's disease Relief of cerebral and peripheral ischemia associated with arterial spasm, myocardial ischemia complicated by arrhythmias Reduction of symptoms of intermittent claudication Hypotension, tachycardia, chest pain, nausea, vomiting, abdominal distress, rash, weakness, palpitations Nausea, abdominal distress, vertigo, sweating, flushing, rash, excessive sedation Headache, diarrhea, palpitations, dizziness, nausea, rhinitis, abdominal pain,...

Review Questions

Allison is taking gentamicin for a severe gramnegative infection. The nurse observes him for signs of neurotoxicity, which include . B. decreased urinary output and dark, concentrated urine C. muscle twitching and numbness 2. Patients taking a fluoroquinolone are encouraged to . A. nap 1 to 2 hours daily while taking the drug D. avoid foods high in carbohydrate 3. Which of the following complaints by a patient taking tobramycin would be most indicative the patient is experiencing...

Summary Drug Table Antiviral Drugs Continued

Burning, itching, irritation, tearing, The term generic indicates the drug is available in generic form. The term generic indicates the drug is available in generic form. 1. Viral cells attack and enter a living cell. Genetic material from the virus attacks the cell and replicates, using material within the cell. New viral cells are released from the cell to attack other cells. are gastrointestinal disturbances, such as nausea, vomiting, diarrhea, and anorexia. When administered topically, the...