Ingrid Morciglio Figueroa Y00384728

Taller Integrador

Nombre de
Medicamento
Comercial Genrico Dosis Clasificacin/ uso Efectos Adversos Intervencciones de enfermeria
1. Vasotec enalapril 5 mg daily Chem class:Dicarbocyl- Ataxia, confusion, depression, Use enalapril and enalaprilat cautiously
containing ACEinhibitor dizziness in
Therapeutic class: Dream disturbances, fatigue, Patients with impaired renal function.
Antihypertensive headache
2. Lasix furosemide 20 to 80 mg Chemical class: Sulfonamide Dehydration, hyperuricemia, Obtain patients weight before and
single dose hypochloremia, periodically
Therapeutic class: hypokalemia, hyponatremia, during furosemide therapy to monitor
Antihypertensive, diuretic hypovolemia fluid loss.
3. Dilantin phenytoin 125 mg Chemical class: Hydantoin Cardiac arrest, hypotension, If patient has difficulty swallowing, open
suspension derivative Abdominal pain, prompt
100 to 125 mg Therapeutic class: Exfoliative dermatitis, jaundice (rapid-release) capsules and mix
tablet t.i.d. Anticonvulsant contents with food or fluid.
4. Lopressor metoprolol 25 to 100 mg Chemical class: Beta1- Angina, arrhythmias, Anxiety, Use with extreme caution in patients with
daily adrenergic antagonist confusion, depression bronchospastic disease
succinate Thera class: Antianginal, Constipation, diarrhea, hepatitis, who dont respond to or cant tolerate
antihypertensive nausea, vomiting other antihypertensives.
5. Intropin Dopamine 0.5 to 3 Chemical class: Angina, bradycardia, To avoid extravasation and tissue
mcg/kg/min for Catecholamine hypertension, hypotension, necrosis,
vasodi
hydrochloride lation of renal Therap class: Cardiac palpitations, Extravasation with administer infusion through a central
arteries stimulant, vasopressor tissue necrosis catheter.
6. Zestril lisinopril 10 mg daily. Chemical class: Lysine ester Arrhythmias, chest pain, Use lisinopril cautiously in patients with
Maintenance: of enalaprilat hypotension, fluid volume deficit,
20 to 40 mg daily. Therapeutic class: MI, orthostatic heart failure, impaired renal function, or
Antihypertensive, sodium depletion.
vasodilator
7. Garamyci gentamicin 1 to 1.7 mg/kg Chemical class: Acute organic mental syndrome, Dont give drug to pregnant patient
n sulfate Aminoglycoside confusion, Blurred vision
every 8 hr for 7 to Therapeutic class: Antibiotic increased salivation, laryngeal because it can cause hearing loss in
10 days. edema fetus.
8. Zantac ranitidine 150 mg b.i.d. for Chem: Aminoalkyl- Bronchospasm Alopecia, Advise patient (or parent) to wait until
substituted furan derivative erythema multiforme, rash
 hydrochloride gastric ulcers T: Antiulcer agent gastric Other: Anaphylaxis, angioedema effervescent tablet is completely
acid secretion inhibitor dissolved before taking
9. Resectisol mannitol 0.25 to 2 g/kg as Chemical class: Extravasation with edema and Check weight and monitor BUN and
15% to 25% Hexahydroxy alcohol tissue
solution over 30 T: Antiglaucoma, diagnostic necrosis, rash, urticaria serum creatinine electrolyte levels daily.
to 60 min agent, diuretic
10.Indocin indomethacin 25 to 50 mg b.i.d. Chemical class: Indoleacetic Abdominal cramps or pain, Use indomethacin with extreme caution
to q.i.d acid derivative abdominal distention in
T: Antigout, Acute renal falure, hematuria, patients with history of ulcer disease or
antiinflammatory, interstitial nephritis GI
antirheumatic
11.Osmitrol mannitol 0.25 to 2 g/kg as Chemical class: Diarrhea, nausea, thirst, vomiting If crystals form in mannitol solution
15% to 25% Hexahydroxy alcohol thrombophlebitis exposed to low temperature
solution over 30 T: Antiglaucoma, diuretic, Chest pain, heart failure, place solution in hot-water bath to
to 60 min hypertension, tachycardia redissolve crystals.
12.Novolin R regular insulin Onset: 30 min Dont use short-acting insulin if its
Peak: 25 hr cloudy, discolored, or
Duration: 68 hr unusually viscous.
13.Novolin N nph insulin Onset: 13 hr Administer by SubQ injection only, 30
Peak: 415 hr minutes before a
Duration: 1824 meal or bedtime snack.
hr
14.Humulin Novolin 70/30 Onset: 30 min Administer combination insulin by the
70/30 Peak: 212 hr SubQ route only, 30
Duration: 1824 minutes before a meal.
hr
15.magnesiu magnesium 270 to 400 mg Chemical class: Cation, Arrhythmias, hypotension, Avoid giving other oral drugs within
m sulfate sulfate daily electrolyte Flatulence, vomiting
T: Antacid, antiarrhythmic, Muscle cramps Dyspnea, 2 hours of magnesium-containing antacid
anticonvulsant, respiratory depression
16.folic acid Folate, b 50 to Prevents malformation of nausea, loss of appetite, bloating, Monitor patients on phenytoin for
vitamin the fetus gas subtherapeutic plasma levels
400 mcg/day. sleep problems, depression
17.Terbutalin Brethaire 2.5 to 5 mg t.i.d. Chemical class: Chest pain, irregular heartbeat, Instruct patient to inject drug into thigh
e sulfate at 6-hr Sympathomimetic amine palpitations,
intervals while Therapeutic class: tachycardia, Dry mouth, taste or abdominal wall and to rotate injection
awake Bronchodilator perversion sites.
18.Celestone betamethasone 0.6 to 7.2 mg Chemical class: Synthetic Arrhythmias, ECG changes, fat Because betamethasone is linked to
daily. glucocorticoid embolism peptic ulcer formation
 Therapeutic class: Anti- fluid retention, growth expect to administer it with an antacid or
inflammatory suppression in children H2-receptor blocker.
19.WinRho immune 0.66 ml/kg (at Chemical class: Polyvalent Headache, malaise, Tachycardia, If drug is reconstituted outside of sterile
SDF globulin least 200 mg/kg) antibody Arthralgia, back pain laminar airflow
every 3 to 4 wk; T: Antibacterial, anti myalgia, Nausea, vomiting, conditions, administer it immediately
Kawasaki disease agent Dyspnea and discard unused portions.
20.Pitocin oxytocin 0.5-1 mU/min at diabetes, preeclampsia headache Confusion difficulty in Incidence of hypersensitivity or allergic
30-60 breathing reactions is higher when
min intervals uterine stimulant oxytocin is given by IM or IV injection
rather than by IV infusion.
21.Vitamin phytonadione 120 mcg/day
K1

22.Wintrocin erythromycin 250 to 500 mg Chemical class: Macrolide Abdominal cramps and pain, Before giving first erythromycin dose,
(base) every 6 hr diarrhea, expect to obtain body fluid
for 10 days. T: Antiacne agent, antibiotic hepatotoxicity, nausea, or tissue sample for culture and
pseudomembranous colitis sensitivity testing.
23.Sumycin tetracycline 250 to 500 mg C: Chlortetracycline Abdominal pain, diarrhea, Stress the need to discard outdated
every 6 hr derivative hepatotoxicity, tetracycline
hydrochloride Therapeutic class: Antibiotic nausea, rectal candidiasis, because of the risk of toxic effects
vomiting
24.Dextrose glucose 10 to 20 g. Chemical class: Confusion, fever, Glycosuria, Assess infusion site regularly for signs of
Repeated in 10 Monosaccharide Dehydration
to 20 min if T class: Antidiabetic, hyperosmolar coma; infiltration, such as pain or swelling.
needed. nutritional supplement hypervolemia; hypovolemia
25.Ampicillin Omnipen, 500 mg P.O. every Chemical class: Chest pain, edema, Avoid giving ampicillin to patients with
6 hr Semisynthetic thrombophlebitis
aminopenicillin
Therapeutic class: Antibiotic Chills, fatigue, fever, headache mon-nucleosis because of increased risk
of rash.
26.Ipol inactivated headache, joint pain
polio
vaccine
27.amoxicillin Amoxil 250 mg every 8 Chemical class: Agitation, anxiety, behavior Expect to start therapy before culture
hr; for severe Aminopenicillin changes, and
infections Therapeutic class: Antibiotic confusion, dizziness, insomnia, sensitivity test results are known.
28.penicillin Betapen-VK 200,000 to Chemical class: Penicillin Abdominal pain, diarrhea, Inject I.M. form deep into large muscle
V 500,000 units elevated liver
29.potassium (125 to 312 mg) Therapeutic class: Antibiotic Confusion, dizziness, dysphasia mass. Apply ice to relieve pain
 every 4 to 6 hr
30.Solu- methylprednisol 40 to 120 mg 3 to Chemical class: Synthetic Ataxia, behavioral changes, Arrange for low-sodium diet with added
Medrol one 7 times/wk glucocorticoid Arrhythmias, cardiac arrest
sodium for 2 or more wk T: Anti-inflammatory, potassium, as prescribed.
succinate immunosuppressant
31.Duramorp morphine 10 to 30 mg every Chemical class: Amnesia, anxiety, coma, Store morphine at room temperature.
h sulfate 4 hr, p.r.n. Phenanthrene derivative Bradycardia, cardiac arrest
Therapeutic class: Analgesic Diaphoresis, flushing, pallor
32.Nardil phenelzine 1 mg/kg daily Chemical class: Hydrazine Bradycardia, edema, hypertensive Use phenelzine cautiously in patients
sulfate derivative crisis, with
Therapeutic class: orthostatic hypotension epilepsy because drug may alter seizure
Antidepressant threshold.
33.Clozaril clozapine 12.5 mg once or Chemical class: Agitation, akinesia, anxiety, ataxia Monitor temperature. A transient
twice daily Dibenzodiazepine derivative increase above 100.4 F (38 C)
Therapeutic class: Cardiac arrest, cardiomyopathy, may occur, most often within the first 3
Antipsychotic chest pain weeks of therapy.
34.Intropin dopamine 0.5 to 3 Chemical class: Angina, bradycardia, If patient has hypovolemia, ensure
mcg/kg/min for Catecholamine hypertension, hypotension, adequate
vasodilation of T class: Cardiac stimulant, palpitations Extravasation with fluid resuscitation before giving drug.
renal arteries vasopressor tissue necrosis
35.Librium chlordiazepoxid 5 to 10 mg t.i.d. Chemical class: ECG changes, hypotension, Use chlordiazepoxide cautiously in
e or q.i.d. Benzodiazepine tachycardia, Hepatic patients with
hydrochloride Therapeutic class: dysfunction Agranulocytosis, renal or hepatic impairment or porphyria.
Antianxiety Jaundice
36.nystatin Mycostatin 200,000 to C class: Amphoteric polyene Abdominal pain, diarrhea, nausea Prepare nystatin powder for oral
500,000 units macrolide suspension
dissolved in Therapeutic class: for each dose; it has no preservatives
mouth Antifungal
37.Solu- hydrocortisone 20 to 240 mg Chemical class: heart failure, hypertension, When possible, give oral dose with food
Cortef daily as a single Glucocorticoid or
dose
or in divided T: Adrenocorticoid hypotension, thromboembolism milk to avoid GI distress.
doses. replacement, anti-inflamma
38.Aldactone spironolactone 25 to 200 mg Chemical class: Aldosterone Abdominal pain, anorexia, Evaluate spironolactones effectiveness
daily in divided antagonist constipation, by
doses b.i.d. to T: Aldosterone antagonist, diarrhea, flatulence, nausea assessing blood pressure and edema.
q.i.d. antihypertensive
39.Cortane pramoxine
40.Adrenaline epinephrine 1 to 3 inhalations Chemical class: Arrhythmias, including ventricular Dilute the 1:1,000 (1-mg/ml) solution of
(10 drops) Catecholamine fibrillation;
by hand-bulb T: Antianaphylactic, chest discomfort or pain parenteral epinephrine before I.V. use.
nebulizer bronchodilator
41.Glucopha metformin 500 mg b.i.d. or Chemical class: Headache, Metallic taste, Caution patient to avoid alcohol, which
ge 850 mg daily Dimethylbiguanide Hypoglycemia, Abdominal
Therapeutic class: distention, Aplastic anemia, Lactic can increase the risk of hypoglycemia.
Antidiabetic acidosis, weight loss
42.DiaBeta glyburide 1.5 to 3 mg daily Chemical class: Sulfonylurea Anorexia, constipation, cholestatic When patient switches from insulin to
with first jaundice glyburide, check
meal of day Therapeutic class: Abnormal gait, anxiety, asthenia blood glucose level three times daily
Antidiabetic before meals.
43.Coumadin warfarin sodium 2 to 5 mg daily for Chemical class: Coumarin Coma, intracranial hemorrhage, Avoid I.M. injections during warfarin
2 to derivative Angina, chest pain therapy, if possible, because
4 days Therapeutic class: they can result in bleeding, bruising,
Anticoagulant and hematoma.
44.Lovenox enoxaparin 30 mg every 12 hr C class: Low-molecular- Atrial fibrillation, congestive heart Dont give drug by I.M. injection.
sodium weight heparin failure,
Therapeutic class: hyperlipidemia, peripheral edema
Antithrombotic
45.Lanoxin digoxin 10 to 15 mcg/kg Chemical class: Digitalis Confusion, depression, Before giving each dose, take patients
in 3 divided glycoside drowsiness, apical
doses every 6 to 8 Therapeutic class: extreme weakness, headache, pulse and notify prescriber if its below
hr Antiarrhythmic, cardiotonic syncope 60 beats/minute
46.Flagyl metronidazole 7.5 mg/kg up to Chemical class: Aseptic meningitis (parenteral Give I.V. drug by slow infusion over
1,000 mg Nitroimidazole derivative form), ataxia, confusion
every 6 hr for 7 Therapeutic class: Antibiotic, 1 hour; dont give by direct I.V. injection.
days or longer. antiprotozoal
47.Heparin heparin sodium 35 to 70 units/kg Chemical class: Chills, dizziness, fever, headache, Alternate injection sites, and watch for
Lock Flush or Glycosaminoglycan peripheral neuropathy,
5,000 units by Therapeutic class: Chest pain, thrombosis signs of bleeding and hematoma.
injection Anticoagulant
48.Lactate potassium
chroride

49.Zoloft sertraline 50 mg daily Chemical class: Aggressiveness, agitation, Monitor liver function test and BUN and
Naphthylamine derivative anxiety, dizziness, serum creatinine levels, as
hydrochloride T: Antidepressant, drowsiness, fatigue appropriate, in patients with hepatic or
antiobsessant, antipanic renal dysfunction.
50.Haldol haloperidol 0.5 to 5 mg b.i.d. Chemical class: Cardiac arrest, hypertension, Haloperidol shouldnt be used to treat
Butyrophenone derivative orthostatic dementia-related psychosis
or t.i.d. Therapeutic class: hypotension in the elderly because of an increased
Antidyskinetic, antipsychotic mortality risk.
51.Adderall amphetamine 10 mg daily Chemical class: Cardiomyopathy, hypertension, Give first dose when patient awakens
Sympathomimetic amine palpitations, and
sulfate Therapeutic class: CNS tachycardia additional doses at 4- to 6-hour intervals.
stimulant
52.Chymopa- Chymodiactin Allergies
pain

53.DDAVP desmopressin 0.2 mg at Chemical class: Synthetic Anaphylaxis, hyponatremia, Check blood pressure often during
Injection bedtime, ADH analogue injection therapy.
increased
acetate as needed. Therapeutic class: site pain and redness; water
Antidiuretic, intoxication
antihemorrhagic
54.Erithro- erthropoyetin
poietin

55.Phospha- aluminium
lugel phosphate

56.Ferrous Mol-Iron 10 mg elemental Chemical class: Trace Dizziness, fever, headache, Protect liquid form from freezing.
sulfate element, mineral paresthesia,
iron daily T class: Antianemic, syncope
nutritional supplement
57.Panadol, acetaminophen 325 to 650 mg C: Nonsalicylate, Abdominal pain, hepatotoxicity, Expect to reduce dosage for patients
Tylenol every 4 to 6 hr paraaminophenol derivative nausea, with
T class: Antipyretic, vomiting renal dysfunction.
nonopioid analgesic
58.Streptase streptokinase 1,500,000 C: Purified beta-hemolytic Chills, fever Arrhythmias, To prevent foaming, dont shake drug
international units Streptococcus filtrate hypotension during
within 60 min of Therapeutic class: Unusual bleeding or bruising reconstitution
event. Thrombolytic
59.Ticlid ticlopidine 250 mg b.i.d. Chemical class: Abdominal pain, anorexia, Give ticlopidine with food to maximize GI
Thienopyridine derivative diarrhea,
hydrochloride T: Antithrombotic, platelet elevated liver function test results absorption and minimize any GI distress.
aggregation inhibitor
60.Medrol methylprednisol 40 to 120 mg 3 to Chemical class: Synthetic Arthralgia; aseptic necrosis of Arrange for low-sodium diet with added
one 7 times/wk glucocorticoid femoral
T: Anti-inflammatory, and humeral heads potassium, as prescribed.
immunosuppressant
61.NovoLog Rapid-acting Onset: 15 min Be aware that 1 unit of rapid-acting
insulin Peak: 3090 min insulin has the same
Duration: In 6 hr glucose-lowering ability as 1 unit of
short-acting insulin.
62.Luminal phenobarbital 60 to 250 mg Chemical class: Barbiturate Decreased libido, impotence, If necessary, crush tablets and mix with
daily as a single sexual
dose or in divided T class: Anticonvulsant, dysfunction food or fluids.
doses sedativehypnotic
63.Levophed norepinephrine 0.5 to 1 mcg/min. Chemical class: Angina, bradycardia, ECG Give drug with a flow-control device.
Increased, Catecholamine changes,
as ordered Thera class: Cardiac edema, hypertension
stimulant, vasopressor
64.Nitrostat nitroglycerin 1 mg every 5 hr Chemical class: Nitrate Arrhythmias (including Place E.R. buccal tablets in buccal pouch
while awake. tachycardia),
T: Antianginal, edema, hypotension with patient in sitting or lying position.
antihypertensive,
vasodilator
65.Valium diazepam 2 to 10 mg b.i.d. Chemical class: Anterograde amnesia, anxiety, Monitor patient for decreased drug
to q.i.d. Benzodiazepine ataxia, effectiveness,
T: Anticonvulsant, anxiolytic, confusion, depression, dizziness especially with prolonged use.
sedative-hypnotic
66.Percocet oxycodone 5 mg every 3 to 6 Chemical class: Abnormal dreams, anxiety, Assess patient for possible respiratory
hr, p.r.n., and Phenanthrene derivative asthenia,
increased as Therapeutic class: Analgesic chills, dizziness depression or paradoxical excitation
needed. during dosage titration.
67.Demerol meperidine 50 to 150 mg C class: Phenylpiperidine Diaphoresis, flushing, pruritus, Keep naloxone available when giving I.V.
every 3 to 4 hr, derivative opioid rash,
hydrochloride p.r.n. Therapeutic class: Analgesic urticaria meperidine.
68.Restoril temazepam 7.5 to 30 mg 30 Chemical class: Aggressiveness, anxiety (in Use temazepam cautiously in patients
min before at Benzodiazepine daytime), with
bedtime. Therapeutic class: Sedative- ataxia, complex behaviors a history of depression or suicidal
hypnotic thoughts
69.Narcan naloxone 0.4 to 2 mg Chemical class: Thebaine Excitement, irritability, Keep resuscitation equipment readily
derivative nervousness,
hydrochloride repeated every 2 Therapeutic class: Opioid restlessness available during naloxone administration.
 to 3 min, p.r.n. antagonist
70.Darvon propoxyphene 100 mg every 4 Chemical class: Synthetic Orthostatic hypotension, Be aware that abruptly discontinuing
hr, p.r.n. Maxim opioid tachycardia drug
hydrochloride 600 mg daily. Therapeutic class: Analgesic EENT: Blurred vision, diplopia can result in withdrawal symptoms.
71.Septra sulfamethoxazo 2 g, followed by 1 Chemical class: Sulfonamide Dizziness, fatigue, fever, Monitor fluid intake and output during
le g every headache, lethargy, weakness
8 to 12 hr. Therapeutic class: Antibiotic, EENT: Pharyngitis therapy. Altered fluid balance may
antiprotozoal increase risk of crystalluria.
72.Cleocin clindamycin 150 to 300 mg Chemical class: Lincosamide Glossitis, metallic or unpleasant Expect to obtain a specimen for culture
every 6 hr
hydrochloride T: Antibacterial and taste and sensitivity testing before giving first
antiprotozoal antibiotic dose.
73.Tigan trimethobenza 250 mg every 6 to Chemical class: Dizziness, drowsiness, headache Use cautiously in dehydrated patients
mide Ethanolamine derivative and those with an electrolyte
hydrochloride 8 hr, p.r.n Therapeutic class: Blurred vision imbalance, encephalitis, encephalopathy,
Antiemetic gastroenteritis, or fever.
74.Phenerga promethazine 25 mg 30 to 60 Chemical class: Blurred vision; diplopia; dry Inject I.M. form deep into large muscle
n min before Phenothiazine derivative mouth,
hydrochloride travel and T: Antiemetic, antihistamine, nose, and throat; nasal congestion mass, and rotate sites.
repeated 8 to 12 antivertigo
hr
75.Tylenol acetaminophen 1 tab300 mg/30 relieve mild to moderate hives; difficulty breathing; Alcohol and other CNS depressants may
with mg or 15 pain swelling of your face, produce an additive CNS
Codeine 3
with Codeine mL liquid orally lips, tongue, or throat. depression when taken with this
every 4 h combination product.
76.Vistaril hydroxyzine 50 to 100 mg Chemical class: Piperazine Dry mouth, Pruritus, rash, Dont give hydroxyzine by subcutaneous
every derivative urticaria Allergic reaction
pamoate 4 to 6 hr, p.r.n. T: Antianxiety, antiemetic, or I.V. route because tissue necrosis may
antihistamine occur.
77.Bentyl dicyclomine 10 to 20 mg t.i.d. Chemical class: Tertiary Decreased sweating, flushing, Assess patient for tachycardia before
amine pruritus giving
hydrochloride or q.i.d Therap class: Heatstroke; injection site pain, dicyclomine; heart rate may increase.
Anticholinergic,
antispasmodic
78.Calan verapamil 80 to 120 mg Chemical class: Asthenia, confusion, Administer I.V. verapamil with compatible
t.i.d., Phenylalkylamine derivative disequilibrium, solutions, including
T: Antianginal, dizziness, equilibrium disorders Ringers injection, D5W, or normal saline
antiarrhythmic, solution.
 antihypertensive
79.Phillips magnesium 270 to Chemical class: Cation, Dyspnea, respiratory depression Make sure patient chews chewable
Milk electrolyte or tablets
of hydroxide 400 mg daily T: Antacid, antiarrhythmic, paralysis thoroughly before swallowing.
Magnesia anticonvulsant
80.Epogen epoetin alfa 50 to Chemical class: 165amino Chest pain, deep vein thrombosis, Dont shake vial while preparing to avoid
acid glycoprotein
100 units/kg 3 Therapeutic class: edema, hypertension denaturing glycoprotein, inactivating
times/wk Antianemic drug
81.Diflucan fluconazole 200 mg on day Chemical class: Triazole Abdominal pain, anorexia, Assess for rash every 8 hours during
derivative constipation, therapy,
1 followed by 100 Therapeutic class: diarrhea, hepatic failure and notify prescriber if rash occurs.
mg daily Antifungal
82.Deltasone prednisone 5 to 60 mg daily Chemical class: Adrenal insufficiency, Cushings Monitor growth pattern in children.
Glucocorticoid
83.Liquid T: Anti-inflammatory, syndrome, growth suppression in Prednisone may retard bone growth
Pred immunosuppressant children, hyperglycemia
84.Protonix pantoprazole 40 mg daily for up Chemical class: Substituted Abdominal pain, atrophic gastritis, Expect to monitor PT or INR during
to 8 wk. benzimidazole constipation, therapy
sodium T: Antiulcer, gastric acid diarrhea if patient takes an oral anticoagulant.
proton pump inhibitor
85.Solu- hydrocortisone 20 to 240 mg Chemical class: Acne; altered skin pigmentation; When possible, give oral dose with food
Cortef daily Glucocorticoid or
sodium T: Adrenocorticoid diaphoresis; erythema; hirsutism milk to avoid GI distress.
succinate replacement, anti-inflammat
86.GlucaGen glucagon 1 mg, repeated in Chemical class: Synthetic Nausea, vomiting, Bronchospasm, If patient doesnt respond to glucagon,
15 min if hormone respiratory distress
needed. Therapeutic class: Urticaria expect to give I.V. dextrose
Antihypoglycemic
87.Glucopha metformin 500 mg b.i.d. or Chemical class: Abdominal distention, anorexia, Expect prescriber to alter dosage if
ge 850 mg daily Dimethylbiguanide constipation, patient has a condition that
hydrochloride Therapeutic class: diarrhea, flatulence, decreases or delays gastric emptying,
Antidiabetic such as diarrhea, gastroparesis
88.Amaryl glimepiride 1 to 2 mg daily Chemical class: Sulfonylurea Abnormal gait, anxiety, asthenia, Expect to switch patient to insulin
with first meal of therapy, as prescribed, during
the day. Therapeutic class: chills, depression, dizziness, physical stress, such as infection,
Antidiabetic fatigue, surgery, and trauma.
89.Toradol ketorolac 20 mg as single Chemical class: Acetic acid Bronchospasm, pneumonia, Give I.V. injection over at least 15
dose derivative respiratory seconds
 tromethamine Therapeutic class: depression
Analgesic, antiinflammatory
90.Versed midazolam 0.25 to 0.5 mg/kg Chemical class: Cardiac arrest, hypotension, nodal Be aware that recovery time is usually
as a single Benzodiazepine
hydrochloride dose 30to45min Therapeutic class: Sedative- rhythm, PVCs, tachycardia 2 hours but may be up to 6 hours.
before surgery hypnotic
91.Duragesic fentanyl 0.05 to 0.1 mg 30 C class: Opioid, Agitation, amnesia, anxiety, Be aware that 100 mcg of fentanyl is
to 60 min phenylpiperidine derivative asthenia,
before surgery. T class: Analgesic, ataxia, confusion, delusions equivalent in potency to 10 mg of
anesthesia adjunct morphine.
92.Diprivan propofol 2.8 to 130 Chemical class: 2,6- Bradycardia, hypotension Nausea, To dilute before administration, use only
mcg/kg/min. diisopropylphenol derivative vomiting
Usual:
27 mcg/kg/min. Therapeutic class: Sedative- Involuntary muscle movement D5W for final solution of 2 mg/ml or
hypnotic more.
93.BuSpar buspirone 5 mg t.i.d. or 7.5 Chemical class: Blurred vision, dry mouth, nasal Caution patient to avoid drinking large
mg b.i.d. Azaspirodecanedione
Therapeutic class: congestion, pharyngitis amounts of grapefruit juice
Antianxiety
94.Xylocaine lidocaine 50 to 100 mg (or Chemical class: Muscle weakness, myalgia Check blood drug level, as ordered.
1 to 1.5 mg/kg) Aminoacetamide
hydrochloride given at 25 to 50 T: Class IB antiarrhythmic, Respiratory arrest or depression Therapeutic level is 2 to 5 mcg/ml.
mg/min local anesthetic
95.Rocephin ceftriaxone 1 to 2 g daily or in Chemical class: Third- Glossitis, hearing loss, stomatitis If possible, obtain culture and sensitivity
sodium equally divided generation cephalosporin,
doses b.i.d. Therapeutic class: Antibiotic Abdominal cramps, cholestasis, results, as ordered, before giving drug.
diarrhea
96.Amoxil amoxicillin 250 mg every 8 Chemical class: Diarrhea, diarrhea related to Expect to start therapy before culture
hr; for severe Aminopenicillin Clostridium and
infections, Therapeutic class: Antibiotic difficile, elevated liver enzymes, sensitivity test results are known.
hemorrhagic
97.Compazin prochlorperazin 5 to 10 mg at a Chemical class: Hypotension, orthostatic Rotate I.M. injection sites to prevent
e e rate not to Phenothiazine, piperazine hypotension, irritation
exceed 5 mg/ml T: Antianxiety, antiemetic, tachycardia and sterile abscesses.
15 to 30 min antipsychotic
98.Klonopin clonazepam 1.5 mg Chemical class: Ataxia, confusion, depression, Monitor blood drug level, CBC, and liver
Benzodiazepine dizziness, function test results
daily in divided Therapeutic class: drowsiness, emotional lability during long-term or high-dose therapy,
doses t.i.d. 0.2 Anticonvulsant as ordered.
99.Romazico flumazenil mg, repeated C: Imidazobenzodiazepine Hot flashes, hypertension, Use cautiously in patients with cardiac
n after 45 to 60 sec derivative palpitations disease. Assess for increased
Therapeutic class: EENT: Blurred vision stress or anxiety from withdrawal
Benzodiazepine antidote patients blood pressure may rise.
100. Dec dexamethasone 2 mg every 6 hr C: Synthetic adrenocortical Abdominal distention, bloody Give oral drug with food to decrease GI
adron for 48 hr steroid stools,
T: Anti-inflammatory, heartburn, hepatomegaly, distress.
immunosuppressant increased appetite,