ECART MEDS
DRUG INDICATION/DESIRED EFFECT
1. Aeknil - provides relief from pain and fever in a
short time period excellent effect in the
treatment of fever of unknown origin
- •
first Paracetamol solution for injection in
the world
- process
2. Atropine SO4 amp - used in the treatment of bradycardia,
showing low heart rate, asystole and
pulseless electrical activity (PEA) in cardiac
arrest.
3. Cardepine amp - used to treat high blood pressure and to
control angina (chest pain). It lowers
blood pressure by relaxing the blood
vessels so the heart does not have to
pump as hard. It controls chest pain by
increasing the supply of blood and oxygen
to the heart
4. Calcium gluconate vial - used to treat conditions such as
magnesium sulfate overdose,
hypocalcemia, neonatal tetany, cardiac
resuscitation
5. Cordarone amp - -used for the treatment of ventricular •
arrhythmia (irregular heartbeats)
6. Diphenhydramine amp - for allergic reaction
NURSING RESPONSIBILITIES
• Determine the nature of the pain and its
impact to the resident
Document pain assessment and intervention
noted here in to reflect use of nursing
• Make sure the plan of care describes pain
assessment and management
• • Monitor apical pulse prior to administration
Cardiac monitor should be used on patients
receiving atropine with boluses Monitor
•
temperature in infants and children for
“atropine fever”
• Close monitoring of BP and HR Avoid
• systematic hypotension when
administering the drug to patients who
have cerebral infarction or hemorrhage
• The drug should be given slowly e.g. 1.5mL
over a period of one minute
• It should be given through a small needle
into a large vein in order to avoid rapid
increase in serum calcium and extravasation
of calcium solution into the surrounding
tissue
• Rapid injection of calcium gluconate may
cause vasodilation, decreased BP,
decreased HR, cardiac arrhythmia, syncope
and cardiac arrest
Monitor BP and apical pulse prior to
administration
• Cardiac monitor should be used on patients
receiving therapy
• Encourage patient to wear sunglasses for
photosensitivity
• Assess patient for allergies
 ECART MEDS
7. Dobutamine vial - is indicated when parenteral therapy is
necessary for inotropic support in the
short-term treatment of adults with
cardiac decompensation due to depressed
contractility resulting either from organic
heart disease or from cardiac surgical
procedures.
8. Dopamine - indicated for the management of
cardiogenic shock and any circulatory
shock syndrome associated with systemic
vasodilation (e.g., septic shock).
9. Epinephrine amp - treatment for anaphylaxis, hypotension
associated with septic shock, acute
asthmatic attacks to relieve bronchospasm
not controlled by inhalation or
subcutaneous administration of other
solution and prophylaxis of cardiac arrest
and attacks of transitory atrioventricular
(A-V) heart block with syncope seizure
used to treat severe or serious bacterial
infections.res (Stokes-
Adams Syndrome)
10. Gentamicin amp - Used to treat severe or serious bacterial
infections
• Explain to the patient the side effects of
medication such as dizziness, drowsiness, or
blurry vision
• Instruct patient to avoid using
machines/vehicles after administration
• Monitor BP, HR, ECG, Pulmonary capillary
wedge pressure, cardiac output, CVP and
urinary output continuously during
administration, report any sudden change.
Palpate peripheral pulses and assess
• appearance of extremities routinely
throughout administration. NOTIFY
PHYSICIAN if quality of pulses deteriorates
or extremities become cold or mottled
• Monitor potassium concentration during
therapy, may cause hypokalemia.
• Monitor BP, urine output and cardiac output
Assess and educate patient to report any
• pain or swelling around the IV site
• Ensure if infused into a large vein to avoid
extravasation
• • Assess for hypersensitivity to medication
Avoid exposing the medication from light,
heat or freezing environments, medication
• should be clear and colorless when given
Always prepare a rapid acting alpha-
adrenergic blocker (phentolamine) or a
vasodilator (nitrate) in case of hypertensive
• reaction
Advise patient to report any chest pain,
dizziness, insomnia, weakness when being
administered with epinephrine
• Obtain specimen for culture and sensitivity
before initiating therapy
• Monitor I&O and assess daily weight to
assess hydration and renal status
• Missed doses should be taken as soon as
possible if not almost time for next dose, do
not double dose.
 ECART MEDS
11. Hemostan 500mg/4ml - For the treatment and control of excessive
amp bleeding in various surgical and medical
conditions including: Surgical; General
surgical cases; Cardiovascular surgery;
Coronary artery bypass graft surgery
(CABG) (especially in aspirin-treated
patients) Valvular heart surgery;
Correction of congenital heart disease;
Thoracic aortic surgery
12. Isoket 10mg/10ml amp - used to prevent chest pain (angina) in
patients with certain heart condition
(coronary artery disease)
13. Konakion 10mg/1ml - contains the active ingredient
amp phytomenadione, which is also called
vitamin K1 belongs to a group of
medicines called hemostatic agents,
-
meaning they assist with blood clotting
problems is used to prevent or treat
blood clotting problems and works by
- reversing some of the causes of excessive
bleeding.
14. Lanoxin amp - for the treatment of heart failure and
atrial fibrillation (a heart rhythm disorder
of the atria, the upper chambers of the
heart that allow blood to flow into the
heart).
15. Lasix amp - a diuretic agent, prescribed for fluid
retention in people with congestive heart
failure, liver disease or kidney disorder. It
helps the kidney to get rid of unwanted
water from the body.
16. Levophed SF amp - For the treatment of acute hypotension,
cardiogenic shock, sepsis, or septic shock.
• Medication should be taken during
menstrual period
• Can be taken with or without meals
• Informe the client to report immediately If
they experience:
- Allergic reaction
- Calf pain
- Chest pain
- Confusion
• Assess for allergies
• Seek emergency treatment if experiencing
early symptoms of heart attack
• Check for allergic reaction
• Inform the physician if you’re pregnant
• • Before administration get baseline VS
Do not give if patient has low BP (Take
• Apical pulse)
Contraindicated for patient who have
hypersensitivity to drug
• Monitor for renal, cardiac, neurologic, G.I.
manifestation of hypokalemia
• • Monitor for CNS hyperactive reflexes
• Monitor urine output
Best given in the morning, to prevent sleep
disturbances at night
• Monitor BP and apical pulse
• Assess patient for headache, chest pain,
toxicity
• Cardiac monitor should be used on the
patient receiving IV infusions
 ECART MEDS
17. Lidocaine vial 50ml - - For the treatment of perfusing
ventricular arrhythmias including
ventricular fibrillation (VF) and ventricular
tachycardia (VT) that may result during
acute myocardial infarction or cardiac
manipulation (e.g., cardiac surgery).
- For endotracheal intubation
18. Magnesium SO4 vial - for the treatment of eclampsia,
hypomagnesemia, torsades de pointes
19. Midazolam amp - a water-soluble benzodiazepine available
as a sterile, nonpyrogenic
parenteraldosage form for intravenous or
intramuscularinjection.
- use for continuous intravenous infusion
for sedation of intubated and
mechanically ventilated patients as a
component of anesthesia or during
treatment in a critical care setting.
20. Morphine SO4 amp - for the treatment of severe pain,
pulmonary edema, pain associated with
MI
21. Naloxone HCl - used to treat known or suspected opioid
400ug/1ml (narcotic) overdose
22. Nubain amp - indicated for the relief of moderate to • • Assess type, location and intensity of pain
severe pain
23. Plasil 10mg/2ml amp - For the treatment of gastroesophageal
reflux disease (GERD)
• • Monitor ECG, BP and respiratory
status Monitor electrolyte test as well
• serum lidocaine levels Signs of
- toxicity:
- Confusion
Blurred vision
• Monitor BP, Pulse, RR and ECG
• Monitor I&O
• Monitor serum magnesium levels and renal
function
• Monitor neurologic status
• Assess level of sedation and consciousness
before administration
• Monitor BP, pulse and RR continuously
• Effects can be reversed with flumazenil
• Assess type, location and intensity of pain
• Patient on continuous infusion should have
additional bolus doses provided 15-30
minutes as needed
• Assess level of consciousness, BP, pulse and
RR during administration
• Monitor RR, rhythm and depth, PR, BP and
level of consciousness frequently for 3-4
hours
• Assess patient for level of pain
• Assess for signs and symptoms of opioid
withdrawal (vomiting, restlessness and
abdominal cramps)
Assess BP, PR and RR
• Given orally for better absorption allow 30
mins – 1 hour before eating
• Assess GI complaints such as nausea,
vomiting and constipation

24. Potassium chloride vial
25. Sodium bicarbonate
vial
ECART MEDS
- Treatment of severe hypokalemia
- for the treatment of metabolic acidosis
• Assess Extrapyramidal symptoms and
Tardive Dyskinesia
• Monitor serum potassium concentration
• Watch IV site for signs of irritation and
phlebitis
• Continuous cardiac monitoring is
mandatory for IV replacement especially for
central infusions
• symptoms of fluid overload should be
reported such as hypertension, edema,
DOB, crackles or fruity sputum
• Assess client’s fluid balance throughout the
therapy (I&O, weight, edema, lung sounds)
• Signs of acidosis should be assessed such as
disorientation, headache, weakness,
dyspnea and hyperventilation