37759949-emergency-drug-study

8/7/2019 37759949-Emergency-Drug-Study

http://slidepdf.com/reader/full/37759949-emergency-drug-study 1/3

EMERGENCY DRUG STUDY

Brand/ Generic Name General Action Mechanism of Action Indications Adverse

Effects

Nursing Responsibilities

Generic:PARACETAMOLBrand: Aeknil

Anti-pyretic Paracetamol reducesthe oxidized form of the COX enzyme,

preventing it fromforming pro-inflammatorychemicals.Thusreducing the amount of

Prostaglandin E2 inthe CNS and thuslowering the

hypothalamic set pointin thethermoregulatory

centre.

· Symptomaticrelief of pain andfever.

· Hematologic:anemia,leucopenia

· Use liquid form for childrenand

patients who have difficultyswallowing.· In children, don’t exceedfive dosesin 24 hours.· Advise patient that drug isonly for short term use and to consultthe

physician if giving tochildren for longer than 5 days or adults

for longer than 10 days.

· Advise patient or caregiver that

many over the counter products

contain acetaminophen; beaware

of this when calculating totaldailydose.· Warn patient that highdoses or unsupervised long term usecancause liver damage.



DRUG STUDY

Brand/Generic

Name/ Dosage

General Action Mechanism of

Action

Indications Adverse Effects Nursing

Responsibilities

Generic name:

KETOROLAC

Brand name: Toradol

- Also has antipyretic

and anti-inflammatory properties.- Therapeuticeffect:Decreased pain

- Inhibits

prostaglandinsynthesis, producing peripherally mediatedanalgesia

Short term

management of pain(not to exceed 5 daystotal for all routescombined)

- CNS:

Dizziness- CV:Pallor - GI:dry mouth

- Assessed pain (note

type, location, andintensity) prior to and1-2 hr followingadministration.- Ketorolac therapygiven initially by theIV route.-Advised patient to

consult if rash, itching,visual disturbances,

tinnitus, weight gain,

edema, black stools, persistent headche, or influenza-like

syndromes(chills,fever,musclesaches, pain) occur.- Effectiveness of therapy bedemonstrated bydecrease in severity of

pain.

DRUG STUDY



Brand/Generic

Name/ Dosage

General Action Mechanism of

Action

Indications Adverse Effects Nursing

Responsibilities

GENERIC NAME:captopril

BRAND NAME:Capoten,

Angiotensin-converting enzyme

(ACE) inhibitOr Antihypertensive

Blocks ACE fromconverting

angiotensin I toangiotensin II, a powerfulvasoconstrictor,leading to decreased

blood pressure,decreased aldosteronesecretion, a small

increase in serum potassium levels, and

sodium and fluid loss;

increased prostaglandinsynthesis also may be

involved in theantihypertensiveaction.

•Treatment of hypertension alone or

in combination withthiazide-typediuretics•Treatment of CHF in

patients unresponsiveto conventionaltherapy; used withdiuretics and digitalis

•Treatment of leftventricular

dysfunction after MI

CV:Tachycardia, CHF,

hypotension in salt-or volume-depleted patients•Dermatologic:Rash,•GI:Gastric irritation,anorexia, constipation

•GU:urinary frequency

•Other:

malaise, dry mouth,

Nursing considerationsAssessment

•History:Allergy to captopril,impaired renalfunction, CHF, salt or volume depletion,

pregnancy, lactation•Administer 1 hr

before or 2 hr after

meals.• Watch for

hypotensive effectcs

within 1-3 hours of first dose or newhigher dose.

37759949-emergency-drug-study

Documents