Drug: (Procardia): Generic Name: Classification: Antianginals, antihypertensiveDosage: PO (adults) 100-30 mg 3 times daily. Routes: PO Indications: Management of Hypertension, angina pectoris, vasospastic angina. Prevention of migraine HA. Management of HF or cardiomyopathy. Action: Inhibits calcium transport into myocardial and vascular smooth muscle cells. Therapeutic Effects:Systemic vasodilation, resulting in decreased BP. Coronary vasodilation resulting in decreased frequency and severity of attacks of angina. Side Effects: HA, Abnormal dreams, anxiety, confusion, dizziness, drowsiness, jitteriness, nervousness, psychiatric disturbances, weakness. EENT. Blurred vision, disturbed equilibrium, epitaxies, tinnitus. Resp: cough, dyspnea, SOB. CF: Arrhythmias, HF, Peripheral edema, bradycardia, chest pain, hypotension, palpitations, syncope, tachycardia. Contraindications: Hypersensitivity, Sick Sinus Syndrome, 2nd3rddegree AV block. Systolic BP <90 mm Hg. Co-administration W/ GRAPEFRUIT Juice, Rifampin, rifabutin, phenobarbital, phenytoin, carbamazepine, or St. John’s Wort.
3 | P a g e H o l l y L . G a yNursing Implications:Monitor BP and pulse before therapy, during does titration, and periodically during therapy. Monitory ECG periodically during prolonged therapy.Monitor I & O’s daily weight. Asses for sings of HF Assess for rash, AnginaTeaching Points:PT should monitor pulse contact HCP if HR <50bpm. Avoid grapefruit juice. Drug: Ketorolac (Generic)/ Toradol (Trade)Classification: NSAIDS, Non-opioid availDosage: PO: 20mg; IM: 0.4-1 mg/kg; IV:30mgRoutes: PO, IM, IVIndications: Short term management of painAction: Inhibits prostaglandin synthesis, antipyretic & anti-inflammatory. Therapeutic Effects: Decrease pain lvlsSide Effects: Drowsiness, HF, MI, Stroke, GI bleed, Stevens-Johnson syndrome. Contraindications: Hx of PUD, alcohol intolerance, brain bleed, CUDNursing Implications: Pts w/ asthma @ ^ risk for hypersensitivity, assess for rash,discontinue if accompanied w/ fever, malaise, or fatigue. Assess pain 1-2 hrs. beforeand after administration. Teaching Points: Take missed does asap, don’t do activities requiring alertness, notify HCP if planned pregnancy. Drug:Gentamicin(Generic) /Gentamycin(Trade)Classification:Anti-infective (For a newborn)Dosage: 1-2 mg/kg q8hrsRoutes:IM, IVIndications:TX of serious gram – bacterial infections due to staphAction:Inhibits protein synthesis in bacteriaTherapeutic Effects:Destroys bacteriaSide Effects: Ataxia, ototoxicity, nephrotoxicity, muscle paralysis, Contraindications:Renal impairment, hearing impairment, MG, Lactation
4 | P a g e H o l l y L . G a yNursing Implications:Assess for infection, obtain specimens for culture, evaluate8thCN function, monito I & O’s. Teaching Points:Report signs of tinnitus, vertigo, drink plenty of liquids, Notify HCP of planned pregnancy.
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