Drugs Essay

1395 words - 6 pages

Lithium:

Ther. class. mood stabilizers Indications Manic episodes of manic depressive illness (treatment, maintenance, prophylaxis) Therapeutic Effect(s): Prevents/decreases incidence of acute manic episodes
S/E: CNS: SEIZURES, fatigue, headache,impaired memory, CV: ARRHYTHMIAS, ECG changes GI: abdominal pain, anorexia, bloating,diarrhea, nausea, GU: polyuria,Derm: acneiform eruption, folliculitis, Endo: hypothyroidism, Hemat: leukocytosis. MS: muscle weakness Neuro: tremors.S
Lithium Toxicity:  Assess patient for signs and symptoms oflithium toxicity (vomiting, diarrhea, slurred speech, decreased coordination, drowsiness, muscle weakness, or twitching). If these occur, report before ...view middle of the document...

May induce seizures)
S/E: CNS: dizziness, drowsiness, lethargy, Resp: respiratory depression. CV: rapid IV use only—APNEA, CARDIAC ARREST
• Rate: Administer at a rate not to exceed 2 mg/min or 0.05 mg/kg over 2–5 min. Rapid IV administration may result in apnea, hypotension, bradycardia, or cardiac arrest
Pt Teaching • Caution patient to avoid taking alcohol or other CNS depressants concurrently with this medication
Shellys:
• Block1 Benzodiazepines:
 
lorazepam/Ativan
diazepam/Valium
alprazolam/Xanax
Block4 midazolam/Versed (Sedation used primarily for intubation)
CNS Depressant
Tx of anxiety, decreases seizures
Taper to decrease risk of withdrawal s/s
IV give OVER 2 - 5 Minutes
Psych PP:
• Schedual IV drug

Cogentin (benztropine)
Ther. class. antiparkinson agents Pharm. class. anticholinergics
Indications Adjunctive treatment of all forms of Parkinson's disease, including drug-induced extrapyramidal effects (such as akinesia (inability to initiate movement) and akathisia (inability to remain motionless) and acute dystonic reactions
S/E:  EENT: blurred vision, dry eyes, GI: constipation, dry mouth
Assessment • Assess parkinsonian and extrapyramidal symptoms (restlessness or desire to keep moving, rigidity, tremors, pill rolling, masklike face, shuffling gait, muscle spasms, twisting motions, difficulty speaking or swallowing, loss of balance control) before and throughout therapy
» Assess bowel function daily. Monitor for constipation, abdominal pain, distention, or absence of bowel sounds
» Monitor intake and output ratios and assess patient for urinary retention (dysuria, distended abdomen, infrequent voiding of small amounts, overflow incontinence)

Terbutaline
Ther. class bronchodilators Pharm. class. adenergics Indications:Management of reversible airway disease due to asthma or COPD; inhalation and subcut used for short-term control and oral agent as long-term control Unlabelled Use(s):Management of preterm labor (tocolytic)
Use Cautiously in: • Cardiac disease • Hypertension • Hyperthyroidism • Diabetes
Geri: More susceptible to adverse reactions; may require dose ↓ • Excessive use may lead to tolerance and paradoxical bronchospasm (inhaler) • OB: Lactation; Pregnancy (near term and lactation)
S/E:  Nervousness, Restlessness, Tremor
Drug-Drug:  MAOI’s may lead to hypertensive crisis, Beta Blockers negate therapeutic effect, Caffeine increases stimulant effect
Patient Teaching:» Instruct patient to contact health care professional immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain » Advise patient to consult health care professional before taking any OTC medications or alcoholic beverages concurrently with this therapy. Caution patient also to avoid smoking and other respiratory irritants
• Preterm Labor: Notify health care professional immediately if labor resumes or if significant side effects occur
Amy’s...

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