Free Nursing1000 Drug Cards

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By nclexnursing

Free Nursing 1000 Drug Cards for your nursing review a simple summary.

Trade Name: Innovar 

Classification: General anesthetic, narcotic analgesic, neuroleptic analgesic

 Use(s): Premedication, adjunct/maintenance of anesthesia, 

Action: Acts at subcortical levels to reduce motor activity.

Contraindications: Hypersensitivity, <2 years old.

Side Effects: Laryngospasm, bronchospasm, respiratory arrest.
Nursing implications: V/S, LFT, BUN, Creatine, Paco2. After 1st dose of the narcotic reduces dosage.

Trade Name: Progesterone 

Classification: Progesterone, hormone 

 Use(s): Contraception, amenorrhea, PMS, abnormal uterine bleeding.

Action: Prevents pituitary release of gonadotrophins, which prevents follicular maturation.

Contraindications: Breast/Reproductive CA, cerebral bleeds. 

Side Effects: Stroke, PE, MI, spontaneous AB

Nursing implications: Weight, B/P, LFT, edema, mental status, hypercalcemia.

Trade Name: Estrogens 

Classification: Estrogen, hormone

 Use(s): Menopause, inoperable breast CA, Prostate CA, osteoporosis

Action: Inhibits release of pituitary gonadotrophins, inhibits ovulation and calcium use in bone.

Contraindications: Breast/Reproductive CA

Side Effects: Seizures, Stroke, MI

Nursing implications: Assess LFT, AST, ALT, and bilirubin.

Trade Name: Doxycycline 

Classification: Antiinfectives

 Use(s): syphilis, Clap, gonorrhea, rickettsia

Action: Inhibits protein synthesis

Contraindications: hypersensitivity to tetracycline, children <8 years old, pregnancy, lactation.

Side Effects: Fever, neutropenia, angioedema, hepatotoxicity

Nursing implications: Assess I&O, allergic Rx, Blood studies, Signs of infection

Trade Name: Tetracycline 

Classification: Broad-Spectrum anti-infective

 Use(s): Syphilis, clap, gonorrhea, rickettsia infections, acne ophthalmia  neonatorum

Action: Inhibits protein synthesis

Contraindications: hypersensitivity to tetracycline, children <8 years old, pregnancy, and lactation. Hypersensitivity to light

Side Effects: Fever, HA, neutropenia, hemolytic anemia, angioedema.

Nursing implications: Signs of anemia, Allergic reactions, N/V/D.  Store out of heat/light

Trade Name: Penicillin 

Classification: Broad-Spectrum antiinfectives.

 Use(s): Gram +/- bacilli and cocci.

Action: interferes with cell wall replication, producing inferior cell walls.

Contraindications: Hypersensitivity to PCN, neonates. Sensitivity to cephalosporins

Side Effects: anemia, increased bleeding time, Oliguria, proteinuria, Hematuria, rash, urticaria, anaphylaxis

Nursing implications: Infection, I&O, liver studies, blood studies, respiratory status.

Trade Name: Flagyl (Metronidazole HCL)

Classification: Antiinfectives

Use(s): Intestinal amoeba, bone / joint infections, lower respiratory infections. Trichomonas vaginalis

Action: Direct-acting amebicide

Contraindications: renal disease, pregnancy (1st tri), CNS disorders.

Side Effects: Headache, dizziness, convulsions, blurred vision, sore throat, dry mouth.

Nursing implications: Assess for signs of infection. Assess stools, and check vision and allergic reactions.

Trade Name: Pepcid 

Classification: H2-receptor antagonist.

 Use(s): Duodenal ulcer, gastric ulcer, GERD

Action: Competitively inhibits histamine, while pepsin stays at a stable level, inhibits gastric secretions

Contraindications: Hypersensitivity

Side Effects: Thrombocytopenia, seizure, bronchospasm,

Nursing implications: Blood counts, bleeding

Trade Name: Tobramycin 

Classification: Antiinfectives-Aminoglycoside

 Use(s): Infections of pseudomonas, E.Coli, enterobacter, staphylococcus

Action: Interferes with protein synthesis, causing an inaccurate peptide sequence resulting in death.

Contraindications: Severe renal disease, hypersensitivity to aminoglycosides.

Side Effects: Oliguria, hematuria, renal failure, ototoxicity, nephrotoxicity, & leukopenia.

Nursing implications: Assess weight, I&O, blood studies, serum levels

Trade Name: Neomycin 

Classification: Antiinfectives-Aminoglycoside

 Use(s): Severe systemic infections with pseudomonas, E.Coli, Enterobacter, Proteus.

Action: Interferes with protein synthesis by binding to the 30s  subunit, causing an erroneous protein that causes death.

Contraindications: Bowel obstruction, severe renal disease, hypersensitivity, infants, and children.

Side Effects: Oliguria, hematuria, renal failure, ototoxicity, nephrotoxicity, & leukopenia.

Nursing implications: Assess Weight, I&O, renal impairment, dehydration, blood studies, and serum levels.

Trade Name: Claforan 

Classification: Broad-spectrum antibiotic-Cephalosporin

 Use(s): Gram – & gram + organisms

Action: Inhibits cell wall synthesis, making cell wall unstable.

Contraindications: hypersensitivity to cephalosporins, infants < 1 month.

Side Effects: N/V/D, anaphylaxis, Proteinuria, leukopenia.

Nursing implications: Assess for sensitivity to PCN/Cephalosporins, nephrotoxicity, blood studies, and electrolytes.

Trade Name: Erythromycin 

Classification: Broad-Spectrum Antiinfectives-Macrolide

 Use(s):  Bacterial infections, Legionnaire’s disease, syphilis. 

Action: Binds to the P site of 50s ribosomal subunit, interfering with protein synthesis.

Contraindications: Hypersens., cisapride use, astemizole use, impaired liver function, impaired hearing.

Side Effects:  anaphylaxis, N/V, diarrhea, anorexia, pain, and cramps, pruritus, 

Nursing implications:  observe for allergic reactions,

Trade Name: Ampicillin 

Classification: Broad-Spectrum Antiinfectives-Penicillin

 Use(s): Gram +/- cocci, Gram +/- bacilli

Action: Interferes with cell wall replication & causes cell walls to burst.

Contraindications: Hypersensitivity to PCN

Side Effects: Rash, anemia, bone marrow depression, coma, convulsions, and anaphylaxis.

Nursing implications: Assess I&O, liver studies, blood studies, respiratory and vitals, as well as bowel habits.