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.
