drug requirement

7/21/2019 Drug Requirement

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CLASSIFICATI

ON

INDICATIONS SIDE EFFECT NURSING RESPONSIBILITY

Brand Name:

Buscopan

Generic Name:

!oscine"N"

#u$!%#romide

An$ispasmodi

cAn$ico%iner

&ic

Buscopan Ta#%e$s

are indica$ed 'or

$e re%ie' o' spasm

o' $e &eni$o"

urinar! $rac$ or

&as$ro" in$es$ina%

$rac$ and 'or $e

s!mp$oma$ic re%ie'

o' Irri$a#%e Bo(e%

S!ndrome

CNS: di))iness*

anap!%ac$ic reac$ions*

anap!%ac$ic soc+*

increased ICP*

disorien$a$ion*

res$%essness*

irri$a#i%i$!* di))iness*

dro(siness* eadace*

con'usion*

a%%ucina$ion* de%irium*

impaired memor!

C,: !po$ension*

$ac!cardia*

pa%pi$a$ions* -usin&

GI: Dr! mou$*

cons$ipa$ion* nausea*

epi&as$ric dis$ress

DER.: -usin&*

d!sidrosis

GU: Urinar! re$en$ion*

urinar! esi$anc!

Resp: d!spnea*

Dru& compa$i#i%i$! sou%d #e

moni$ored c%ose%! in pa$ien$s

re/uirin& ad0unc$i1e $erap!

A1oid dri1in& 2 opera$in&

maciner! a'$er paren$era%

adminis$ra$ion3

A1oid s$ric$ ea$

Raise side rai%s as a precau$ion

#ecause some pa$ien$s

#ecome $emporari%! e4ci$ed or

disorien$ed and some de1e%op

amnesia or #ecome dro(s!3

Reorien$ pa$ien$* as needed*

To%erance ma! de1e%op (en

$erap! is pro%on&ed

A$ropine"%i+e $o4ici$! ma!

cause dose re%a$ed ad1erse

reac$ions3 Indi1idua% $o%erance

1aries &rea$%!

Oerdose ma! cause curare"%i+e

e5ec$s* suc as respira$or!



#roncia% p%u&&in&*

depressed respira$ion

EENT: m!driasis*

di%a$ed pupi%s* #%urred1ision* po$opo#ia*

increased in$raocu%ar

pressure* di6cu%$! o'

s(a%%o(in&3

para%!sis3 7eep emer&enc!

e/uipmen$ a1ai%a#%e

Brand Name:

Pi$ocin*

S!n$ocinon

Generic Name:

O4!$ocin

U$erine"

ac$i1e a&en$s

Induc$ion and

main$enance o'

%a#ourCon$ro%%in&

pos$par$um

#%eedin& an&

u$erine !po$onici$!

in $e $ird s$a&e o'

%a#our

C,:8!per$en$ion*increa

se ear$ ra$e*s!s$emic

1enous re$urns*cardiac

ou$pu$

GI:Nausea and

,omi$in&

Repira$or!:Ano4ia*Asp

!4ia

O$ers:Lo( APGAR

score a$ 9 mins

S$ar$ -o( car$s $o record

ma$erna% BP and o$er 1i$a%

si&ns* I2O ra$io* (ei&$*

s$ren&$* dura$ion* and

're/uenc! o' con$rac$ions* as

(e%% as 'e$a% ear$ $one and

ra$e* #e'ore ins$i$u$in&

$rea$men$3

.oni$or 'e$a% ear$ ra$e and

ma$erna% BP and pu%se a$ %eas$

/9min durin& in'usion period;

e1a%ua$e $onus o' m!ome$riumdurin& and #e$(een

con$rac$ions and record on

-o( car$3 Repor$ can&e in

ra$e and r!$m

immedia$e%!3S$op in'usion $o

pre1en$ 'e$a% ano4ia* $urn

pa$ien$ on er side* and no$i'!

p!sician i' con$rac$ions are



pro%on&ed <occurrin& a$ %ess

$an ="min in$er1a%s> and i'

moni$or records con$rac$ions

a#ou$ 9? mm 8& or i'

con$rac$ions %as$ @? seconds or%on&er3 S$imu%a$ion (i%% (ane

rapid%! (i$in = min3 O4!&en

adminis$ra$ion ma! #e

necessar!3

I' %oca% or re&iona% <cauda%*

spina%> anes$esia is #ein&

&i1en $o $e pa$ien$ recei1in&

o4!$ocin* #e a%er$ $o $e

possi#i%i$! o' !per$ensi1ecrisis <sudden in$ense occipi$a%

eadace* pa%pi$a$ion* mar+ed

!per$ension* s$i5 nec+*

nausea* 1omi$in&* s(ea$in&*

'e1er* po$opo#ia* di%a$ed

pupi%s* #rad!cardia or

$ac!cardia* cons$ric$in& ces$

pain>3

.oni$or I2O durin& %a#or3 I'

pa$ien$ is recei1in& dru& #!

pro%on&ed I, in'usion* (a$c

'or s!mp$oms o' (a$er

in$o4ica$ion <dro(siness*

%is$%essness* eadace*

con'usion* anuria* (ei&$

&ain>3 Repor$ can&es in



a%er$ness and orien$a$ion and

can&es in I2O ra$io <i3e3*

mar+ed decrease in ou$pu$

(i$ e4cessi1e in$a+e>3

Cec+ 'undus 're/uen$%!

durin& $e rs$ 'e( pos$par$um

ours and se1era% $imes dai%!

$erea'$er3

Incidence o' !persensi$i1i$!

or a%%er&ic reac$ions is i&er

(en o4!$ocin is &i1en #! I.

or I, in0ec$ion ra$er $an #!

I, in'usion <di%u$ed so%u$ion>3

Pa$ien$ 2 Fami%! Educa$ion3

Brand Name:

.e$!%er&ono1ine

.a%ea$e

Generic Name:

.e$er&ine

er&o$ a%+a%oid s$imu%a$e smoo$

musc%e

$issue3Because $e

smoo$ musc%e o'

$e u$erus is

especia%%! sensi$i1e

$o $is dru& *i$ is

used pos$par$a%%! $o

s$imu%a$e $e

u$erus $o con$rac$

in order $o decrease

#%ood %oss #!

c%ampin& o5

8!per$ension*nausea*1

omi$in&*eadace*#ran

d!cardia*di))iness*$inni

$us*a#domina%

cramps*pa%pi$a$ions*d!

spnea*ces$ pain and

a%%er&ic reac$ions ma!

#e no$ed3

.oni$or 'unda% ei&$ and

consis$enc! and $e amoun$

and carac$er o' $e %ocia3

Assess $e #%ood pressure

#e'ore and rou$ine%!$rou&ou$ dru&

adminis$ra$ion3

O#ser1e 'or ad1erse e5ec$s or

s!mp$oms o' er&o$

$o4ici$!<er&o$ism> suc as

nausea and

1omi$in&*eadace*musc%e



u$erine #%ood

1esse%s and $o

promo$e $e

in1o%u$ion process

3In addi$ion $edru& as

1asocons$ric$i1e

e5ec$ on a%% #%ood

1esse%s*especia%%!

$e %ar&er ar$eries3

pain*co%d or num# n&ers and

$oes*ces$ pain and &enera%

(ea+ness3

Brand Name:

Nu#ain

Generic Name:

Na%#upine

CENTRAL

NER,OUS

SYSTE.

AGENT; ANALGESIC; NARC

OTIC

<OPIATE>

AGONIST"

ANTAGONIST

Tis medica$ion is a

semi"s!n$e$ic

opioid ana%&esic*

prescri#ed as asupp%emen$ $o

#a%anced

anes$esia* 'or

preopera$i1e and

pos$opera$i1e

ana%&esia* and 'or

o#s$e$rica%

ana%&esia durin&

%a#or and de%i1er!3

.os$ common "

Increased s(ea$in&*

nausea* 1omi$in&*

di))iness* 'ain$in&* dr!mou$* and eadace3

Cen$ra% Ner1ous

S!s$em " Ner1ousness*

depression*

res$%essness* cr!in&*

e%e1a$ed mood*

-oa$in&* os$i%i$!*

unusua% dreams*

con'usion* 'ain$ness*a%%ucina$ions* an4ie$!*

'ee%in& o' ea1iness*

num#ness* $in&%in&3 3

8ear$ " 8i& #%ood

pressure* %o( #%ood

pressure and s%o( or

Assess respira$or! ra$e #e'ore

dru& adminis$ra$ion3 i$o%d

dru& and no$i'! p!sician i'

respira$or! ra$e 'a%%s #e%o( =3

a$c 'or a%%er&ic response in

persons (i$ su%$e sensi$i1i$!3

Adminis$er (i$ cau$ion $o

pa$ien$s (i$ epa$ic or rena%

impairmen$3

.oni$or am#u%a$or! pa$ien$s;

na%#upine ma! producedro(siness3

a$c 'or respira$or!

depression o' ne(#orn i' dru&

is used durin& %a#or and

de%i1er!3

A1oid a#rup$ $ermina$ion o'



'as$ ear$ ra$e3

Gas$roin$es$ina% "

Cramps* indi&es$ion

and #i$$er $as$e3

Respira$or! "

Respira$or! depression*

di6cu%$! in #rea$in&

and as$ma3

S+in " I$cin&* #urnin&

and i1es3

.isce%%aneous " Speec

di6cu%$!* urinar!ur&enc!* #%urred 1ision*

-usin& and (arm$3

na%#upine 'o%%o(in&

pro%on&ed use* (ic ma!

resu%$ in s!mp$oms simi%ar $o

narco$ic (i$dra(a%: nausea*

1omi$in&* a#domina% cramps*%acrima$ion* nasa% con&es$ion*

pi%oerec$ion* 'e1er*

res$%essness* an4ie$!3

Brand Name:

None

Generic Name:

Lidocaine

Anes$e$ic

$opica% or

%oca%*An$iarr!$mic

s

In$ra1enous

1en$ricu%ar

arr!$mias

In$ramuscu%ar

se%'"in0ec$ed or

(en I, is

una1ai%a#%e durin&

$ranspor$ $o %oca%

'aci%i$ies

Dro(siness

Di))iness

Ner1ousness

<mucosa% use>

decreased or a#sen$

&a& re-e4

Brad!cardia

en Lidocaine is

adminis$ered as an

an$iarr!$mic $e nursesou%d moni$or $e ECG

con$inuous%!3 B%ood pressure

and respira$or! s$a$us sou%d

#e moni$ored 're/uen$%! durin&

$e dru& adminis$ra$ion3

en adminis$ered as an

anes$e$ic* $e num#ness o'



Loca% in%$ra$ion

or mucosa% or

$opica% anes$e$ic

Pa$c used (en

pain is presen$ due

$o pos$"erpe$ic

neura%&ia

8!po$ension

Burnin& sensa$ion

$e a5ec$ed par$ sou%d #e

assessed3

Serum Lidocaine %e1e%s sou%d

#e moni$ored 're/uen$%! durin&

pro%on&ed use3Terapeu$ic

serum %idocaine %e1e%s ran&e

'rom 39 $o 9 mc&m%3

I' si&ns o' o1erdose occur

<%is$ed a#o1e>* s$op $e

in'usion immedia$e%! and

moni$or $e pa$ien$ c%ose%!3

For $roa$ spra!s* ma+e sure

$a$ $e pa$ien$s &a& re-e4 is

in$ac$ #e'ore a%%o(in& $e

pa$ien$ $o ea$ or drin+3

en I. in0ec$ions are used*

$e medica$ion sou%d #e

adminis$ered in $e de%$oid

musc%e on%! (i%e 're/uen$%!

aspira$in& $o pre1en$ I,

in0ec$ion3

For direc$ I, in0ec$ion on%!

and = so%u$ions are used3

Undi%u$ed I, %oadin& dose o'

Lidocaine is adminis$ered a$

m&+& a$ a ra$e o' =9 $o 9? m&

o1er minu$e3 Te dose ma!



#e repea$ed a'$er 9 minu$es3

Brand Name:

amo4i%* amo4ia%

pedia$ric drops*

apo"amo4i <CAN>*

dispermo4*

no1amo4in <CAN>*

Nu"amo4i <CAN>*

$rimo4

Generic Name:

Amo4ici%%in

$ri!dra$e

ini#i$s

s!n$esis o'ce%% (a%% o'

sensi$i1e

or&anisms*

causin& ce%%

dea$3

In'ec$ions due $o

suscep$i#%e s$rainso' aemopi%us

in-uen)a* e3co%i*

pro$eus mira#i%is*

neisserria

&onorrea*

s$rep$ococcus

pneumonia*

en$erococcus

'aeca%is*s$rep$ococci* non

penici%%inase"

producin&

s$ap!%ococci38e%ic

o#ac$er p!%ori

in'ec$ion in

com#ina$ion (i$

o$er

a&en$sPos$e4posure

prop!%a4is a&ains$3Baci%%us an$racis

%e$ar&!*

a%%ucina$ions*sei)ures* &%osi$is*

s$oma$i$is* &as$ri$is*

sore mou$* 'urr!

$on&ue* #%ac+ Hair!

$on&ue* nausea and

1omi$in&* diarrea*

a#domina% pain* #%ood!

diarrea* en$eroco%i$is*

pdesudomeme#ranousco%i$is specic epa$is3

Cu%$ure in'ec$ed area prior $o

$rea$men$; re"cu%$ure area i'response is no$ as e4pec$ed3

Gi1e in ora% prepara$ions on%!;

amo4ici%%in is no $a5ec$ed #!

'ood

Con$inue $erap! 'or a$ %eas$ =

da!s a'$er si&ns o' in'ec$ion

a1e disappeared;

con$inua$ion 'or ? 'u%% da!s isrecommended3

Use cor$icos$eroids or

an$iis$amines 'or s+in

reac$ion3

Repor$ an! side e5ec$s

I' GI upse$ occurs* $a+e (i$

mea%s

a%#upine " Dru& In'orma$ion



Generic Name : Na%#upine J Pronuncia$ion : NAL"#!oo"'een E K Se%ec$ Lan&ua&e

Face#oo+T(i$$erS$um#%euponLin+edinAdd Fa1ori$eMLa$es$ prescrip$ion in'orma$ion a#ou$ Na%#upine3 Learn o( $o

pronounce $e dru&s name* i$s indica$ions* dosa&e* o( $o $a+e* (en $o $a+e* (en no$ $o $a+e* side e5ec$s*

specia% precau$ions* i$s s$ora&e ins$ruc$ions and (arnin&s i' an! (en $a+en durin& pre&nanc!3 A%so %is$ed are $e

In$erna$iona% and Indian $rade name<s> o' $e dru& and i$s price %is$3ICD Code : YK93? J Terapeu$icC%assica$ion : Ana%&esicsAd1er$isemen$

Trade Name<s>:

India :

Ru#upine <?m&> J Ru#upine <=?m&>

In$erna$iona% :

Nu#ain

! i$ is prescri#ed <Indica$ions> :

Tis medica$ion is a semi"s!n$e$ic opioid ana%&esic* prescri#ed as a supp%emen$ $o #a%anced anes$esia* 'or

preopera$i1e and pos$opera$i1e ana%&esia* and 'or o#s$e$rica% ana%&esia durin& %a#or and de%i1er!3



en i$ is no$ $o #e $a+en <Con$raindica$ions>:

8!persensi$i1i$!3

Pre&nanc! Ca$e&or! :

A

B

C

D

Ca$e&or! B :



Anima% reproduc$ion s$udies a1e 'ai%ed $o demons$ra$e a ris+ $o $e 'e$us and $ere are no ade/ua$e and (e%%"

con$ro%%ed s$udies in pre&nan$ (omen OR Anima% s$udies a1e so(n an ad1erse e5ec$* #u$ ade/ua$e and (e%%"

con$ro%%ed s$udies in pre&nan$ (omen a1e 'ai%ed $o demons$ra$e a ris+ $o $e 'e$us in an! $rimes$er3

Dosa&e 2 en i$ is $o #e $a+en :

I,I.SC" Te usua% recommended adu%$ dose is ? m& 'or a ? +& indi1idua%3

8o( i$ sou%d #e $a+en :

I$ comes as a so%u$ion 'or in0ec$ion $o #e adminis$ered #! ea%$care pro1ider in$o $e 1ein* musc%e or under $e s+in3

arnin&s and Precau$ions :

Cau$ion sou%d #e e4ercised in pa$ien$s (i$ is$or! o' #rea$in& pro#%ems* i& #%ood pressure* underac$i1e $!roid*

%i1er or +idne! pro#%ems* ear$ a$$ac+* a%coo%ism* depression* men$a% i%%ness* suicida% $ou&$s* ead in0ur!* #rain&ro($s* increased pressure in $e ead* sei)ures* an! a%%er&!* (o are $a+in& o$er medica$ions* durin& pre&nanc!

and #reas$'eedin&3 I$ ma! cause di))iness* dro(siness* or #%urred 1ision* do no$ dri1e a car or opera$e maciner!

(i%e $a+in& $is medica$ion3 A1oid a%coo% consump$ion3

Side E5ec$s :



.os$ common " Increased s(ea$in&* nausea* 1omi$in&* di))iness* 'ain$in&* dr! mou$* and eadace3 Cen$ra%

Ner1ous S!s$em " Ner1ousness* depression* res$%essness* cr!in&* e%e1a$ed mood* -oa$in&* os$i%i$!* unusua% dreams*

con'usion* 'ain$ness* a%%ucina$ions* an4ie$!* 'ee%in& o' ea1iness* num#ness* $in&%in&3 3 8ear$ " 8i& #%ood

pressure* %o( #%ood pressure and s%o( or 'as$ ear$ ra$e3 Gas$roin$es$ina% " Cramps* indi&es$ion and #i$$er $as$e3

Respira$or! " Respira$or! depression* di6cu%$! in #rea$in& and as$ma3 S+in " I$cin&* #urnin& and i1es3

.isce%%aneous " Speec di6cu%$!* urinar! ur&enc!* #%urred 1ision* -usin& and (arm$3

O$er Precau$ions :

Read more: Na%#upine <Nu#ain> Dru& In'orma$ion " Indica$ions* Dosa&e* Side E5ec$s and Precau$ions J.edindia $$p:(((3medindia3ne$doc$orsdru&Qin'orma$ionna%#upine3$mi4))i7=S+

drug requirement

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