pharmacology respiratory, endocrine, anti-diabetic

Epinephrine classification

Epinephrine action
relaxes bronchial smooth muscles resulting in bronchodilation- and is an antagonist of histamine

Epinephrine use

Epinephrine contraindications
hypersensitivity and dysrhythmias

Epinephrine use
treat bronchoconstriction and anaphylactic reaction

Epinephrine side effects
angina, arhythmias, anxiety, cerebral hemorrhage, dizziness hemiplegia, tremors, subarachnoid hemorrhage, weakness, n/v

Epinephrine adverse reactions
fatal ventricular fibrillation; excessive and/or rapid rise in bp

Epinephrine nursing implications
Assess Resp, vs, instruct ADM of inhaler/epipen, rinse mouth after

Dextromethorphan Hydrobromide/Robitussin DM Classification

Dextromethorphan Hydrobromide/ Robitussin DM action
inhibit cough

Dextromethorphan Hydrobromide/ Robitussin DM Uses
suppress cough and reduce viscosity of secretions

Dextromethorphan Hydrobromide/ Robitussin DM Side effects
Nausea, dizziness, drowsiness, sedation

Dextromethorphan Hydrobromide/ Robitussin DM Adverse reactions
Hallucinations at high doses (Robotrip)

Dextromethorphan Hydrorbromide/ Robitussin DM Nursing Implications
Assess Resp, cough, sputum (Coca), caution operating machinery

Dextromethorphan Hydrobromide/ Robitussin DM Contraindications
COPD, MAOI’s, <12 years old, Chronic productive cough

Diphenhydramine/ Benadryl classification

Diphenhydramine/ Benadryl Contraindications
Acute asthma attacks, liver disease, lower resp disease, neonates, MAOI’s

Diphenhydramine/ Benadryl Action
Blocks Histamine, decrease allergic response

Diphenhydramine/ Benadryl Uses
Treat allergic rhinitis and itching, prevent motion sickness, sleep aid, antitussive

Diphenhydramine/ Benadryl side effects
Drowsiness, urinary retention, blurred vision, hyposensitivity, and dry mouth throat and poop (constipation)

Diphenhydramine/ Benadryl adverse reactions
hemolitic anemia, thrombocytopenia (decrease platelets), agranulocytosis

Diphenhydramine/ Benadryl nursing implications
Take with food, CBC, Assess for urinary retension cardiac and resp, caution operating machinery

Albuterol/ Proventil classification

Albuterol/ proventil Contraindications
hypersensitivity (allergic reaction), Cardiac dysrhythmias

Albuterol/ proventil Action
relaxes bronchial smooth muscles causing bronchdilation

Albuterol/ proventil uses
Bronchospasms, asthma, bronchitis, COPD

Albuterol/ proventil side effects
Nervousness, tremors, restlessness, insomnia, H/A, N/V, Hypokalemia (low potassium)

Albuterol/ proventil adverse reactions
tachycardia, palpitations, hypertension, dysrythmias, cardiac arrest, bronchoconstriction

Albuterol/ proventil Nursing Implications
Assess Resp, VS, Frequency of attacts, instructions for inhaler

Monteluskast/ singulair classification
Bronchodilator leukotriene receptor angonist

Montelukast/ singulair contra$
hypersensitivity (allergic reaction)

Montelukast/ singulair action
inhibit LTD4 formation

Montelukast/ singulair uses
chronic asthma, seasonal allergic rhinitis, bronchospasm prophylaxis

Montelukast/ singulair side effects
dizzines, fatigue, H/A, Behavior changes, hallucinations, agitation, anxiety, depression, fever, Abd pain, dyspepsia, N/V/D, rash, cough, asthenia (muscle weakness), influenza, nasal congestion

Montelukast/ singulair adverse reactions
Suicidal, seizures, anaphylasix, angioedema, Churg Strauss Syndrome (blood vessel inflammation)

Montelukast/ singulair nursing implications
assess for Churg Strauss sydrome (blood vessel inflammation), Resp, CBC, rash, behavior changes, suicidal, Adm in PM daily except for exercise induced bronchoconstriction then take 2 hours prior to exercise, Adm granules in mouth or with soft food, Avoid hazardous activity, Do Not take NSAID’s with this if asprin sensitive

Albuterol/ proventil inhaler instructions
Tight seal with lips
Press down on inhaler slow deep breath 3-5 sec
Hold breath 10 sec
Exhale slowly
Rinse mouth and mouth piece

Fluticasone/ flovent classification
Glucocoritcoids (antiinflammatory)

Fluticasone/ flovent contraindication
Hypersensitivity (allergic reaction), Not Primary treatment in status asthmaticus

Fluticasone/ flovent action
Decrease inflammation

Fluticasone/ flovent uses
Prevention of chronic asthma, nasal symptoms of seasonal/perennial rhintis, COPD (unlabeled use)

Fluticasone/ flovent side effects
H/A, epistaxis (nose bleed), N/V/D, thrush, hypergylcemia, growth retardation in children, adrenal insuff, osteoporosis, joint pain

Fluticasone/ flovent adverse reactions
eosinophilic cond, angioedema, Churg Strauss Syndrome (blood vessel inflammation), anaphylaxis

Fluticasone, flovent nursing implications
Assess Resp, Pulmonary function, withdrawl symptoms from oral, Adrenal insuff, growth rate in children,Rinse mouth after, avoid smoking, give at 1 min intervals, If bronchodilator (aerosol) is used then wait 5 to 15 min to use fluticasone, Decrease dose 2 to 4 week intervals til lowest effective dose is reached, Prime and clean and dry daily, <4 yrs old use mask w/spacer

Levothyroxine sodium/ T3T4 classification
Thyroid hormone

Levothyroxine sodium/T3T4 Contraindications
Adrenal Insuff., MI, Thyrotoxicosis

Levothyroxine sodium/T3T4 Action
Increases metabolic rates, cardiac output, 02 consumption, body temp, blood volume, growth, development at cellular level

Levothyroxine sodium/T3T4 Side effects
insomnia, tremors, H/A, nervousness, tachycardia, palpitations, angina, dysrhythmias, hypertension, N/V/D, increased/decreased appetite, cramps, menstrual irregularities, weight loss, seating, heat intolerance, fever

Levothyroxine sodium/T3T4 Adverse reactions
Thyroid storm, cardiac arrest, NOT FOR Obesity treatment

Levothyroxine sodium/T3T4 Nursing Implications
Adm in AM, Only for hormone imbalances-not for obesity, male infertility, menstrual conditions, lethargy. Use lowest dose that relieves symptoms, store airtight no leak container, temp hair loss in children, Report excitability, irritability, chest pain, increased pulse rate, palpitations, excessive sweating, heat intolerance, nervousness, anxiety. hypothyroid child will show immediate behavior changes, No not take withing 4 hours of Iron, Avoid iodine food, iodized salt, soybeans, tofu, turnips, certain seafood and bread. Product does not cure but controls symptoms-Treatment is lifelong.

Propylthiouracil (PTU) classification
Antithyroid hormone

Propylthiouracil (PTU) Contraindications
Pregnancy, Breastfeeding, hypersensitivity (allergic reactions)

Propylthiouracil (PTU) Action
Inhibits synthesis of thyroid hormones by decreasing iodine use

Propylthiouracil (PTU) Use
Hyperthyroidism, prep for thyroidectomy or radioactive iodine therapy, thyrotoxic crisis

Levothyroxine sodium/ T3T4 Use
Hypothyroidism, Hormone replacement

Propylthiouracil (PTU) Side effects
Drowsiness, H/A, Vertigo, fever, paresthesias, neuritis, enlarged thyroid, N/V/D, loss of taste, vasculitis, rash, urticaria, pruritus, alopecia, hyperpigmentation, lupus-like syndrome, myalgia, arthralgia, nocturnal muscle cramps

Propylthiouracil (PTU) Adverse reactions
Jaundice, hepatitis, nephritis, agranulocytosis, leukopenia, thrombocytopenia, hypothrombinemia, lymphadenotpathy, bleeding

Propylthiouracil (PTU) Nursing Implications
Monitor B/P, temp, I&O, edema, periobits (indicates hypothyroidism), weigh daily, monitor T3T4, TSH, Free thyroxine index. CBC, leukopenia, thrombocytopenia, agranulocytosis, Hypersensitivity, Hypoprothrombinemia (bleeding, petchiae, ecchymosis), Bone marrow suppression (sore throat, fever, fatigue), Adm with Food, Discontinue before RAIU, Instruct to take daily weight with graph of weight/pulse/mood. Report redness, swelling, sore throat, mouth lesions, fever (which indicate dyscrasias). Report periorbital edema, cold intolerance, depression (signs of overdose). Do not stop abruptly or thyroid crisis may occur. Patient response may take several months if thyroid is large. symptoms of inadequate dose are tachycardia, diarrhea, fever, irritability. Take at same time of day, do not skip or double dose.

Calcitriol classification
Vitamin D analogue

Calcitriol action
increases intestinal labsorption of calcium, provides Calcium for bones, increases renal tubular resorption of phosphate

Calcitriol use
Hypocalcemia in chronic renal disease, hyperparathyroidism, pseudohypoparathyroidism. Unlabeled uses- Osteopetrosis, osteoporosis, osteoporosis prophylaxis, rickets, familial hypophosphatemia

Calcitriol Contraindications
Hypersensitivity, hyperphosphatemia, hypercalcemia, vit D toxicity

Calcitriol side effects
drowsiness, H/A, vertigo, fever, lethargy, hallucinations, palpitations, hypertension, blurred vision, photophobia, N/V/D, jaundice, anorexia, dry mouth, constipation, cramps, metallic taste, polyuria, hypercalciuria, hyperphosphatemia, hematuria, thirst, myalgia, arthralgia, decreased bone development, weakness

Calcitriol adverse reactions

Calcitriol nursing implications
Monitor BUN, uninary calcium, PTH, creatinine, chloride, magnesium, electrolytes,

Ventolin, Proventil. Pro-Air Generic name: Albuterol Classification: Beta 2 agonist inhaler (SABA, rescue, either MDI or nebulizer via liquid) – bronchodilator Indications: Side Effects: trembling to shaking of hands, arms – “hyperkinesia”, legs or feet. Drowsy/dizzy, headache, dry mouth, arrhythmias …

Diphenhydramine Drug Class: Trade Name: Drug class: Antihistamine Trade Name: Benadryl Diphenhydramine (Benadryl): 1st Generation antihistamines Diphenhydramine (Benadryl) WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Diphenhydramine (Benadryl): 2nd …

Ephedrine- class adrenergic (decongestant) Ephedrine- indications relief of nasal and nasopharyngeal mucosal congestion due to cold or hayfever WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Ephedrine- actions relaxes …

Bisacodyl Suppository Generic Name: Bisacodyl Suppository Trade Name (s): Dulcolax Classification: Laxative OB Category: Category B Mechanism of Action: Unclear. Thought to stimulate colonic mucosa, producing parasympathetic reflexes that enhance peristalsis and increase H20 and electrolyte secretion, thereby causing evacuation …

Antihistamines MOA also known as histamine antagonists block the histamine receptors Histamine: dilates blood vessels, allergic reactions, stimulates secretions Antihistamine: reduces dilation of blood vessels, inhibit allergic reaction, reduces secretions Antihistamines Indications nasal allergies seasonal allergic rhinitis common cold allergic …

Give 4 prototypes from the Category Penicillin and their actions 1. Penicillin G- for STREP narrow spectrum 2. Ampicillin, Amoxicillin- broad spectrum most G+ *inhibits bacterial cell wall synthesis* 3. Piperacillin/ Tazobactam (aka Zosyn)- effective against G+ and G- State …

David from Healtheappointments:

Hi there, would you like to get such a paper? How about receiving a customized one? Check it out