Note: Any up-dates are to be completed in different color ink.
k. The student is expected to document all meds the client is currently receiving.
MEDICATION NAME
GENERIC/TRADE INDICATION/ ACTION
CLASSIFICATION
(PHARM) AND
PREGNANCY
CATEGORY
Diphenhydraamine Chemically diverse group of
hcl drugs that competitively
(Benadryl) antagonize (block)
physiologic effects of
Antihistamines (H1 histamine, an endogenous
blockers) agonist at histamine
receptor sites. These agents
Preg. Cat. C can antagonize most effects
of histamine and are
subdivided according to
Mosby’s Drug Nsg type of histamine receptor
Card 318 they block. Histamine
receptors are currently
divided into peripheral
H1and parietal H2 receptors.
H1 blockers (H1 receptor
antagonist ) are original and
largest group of
antihistamines. Term
antihistamine usually
associated with H1 blockers.
Medication use is
commonly for allergic
condition, motion sickness,
parkinsonism , sleep,
vertigo.
DOSE, ROUTE, TIMES EFFECTS
DOSGE FOOD/DRUG SIDE EFFECTS PREGANCY FETUS NURSING CONSIDERATIONS
RANGE INTERACTIONS AND/OR NEONATE
(include therapeutic
dose calculation)
PO Use with anitcholinergics Activity intolerance , Use extreme caution Assess hx of hypersensitivity,
Adults 20-50mg 3-4 or CNS depressants sensory perception, when used if allergy symptoms, lung sounds,
times/day produces additive sedation disturbed (visual, skin pregnant and caution if pregnant and
affects MAO-1 can integrity, impaired (PO lactation. Potential lactation, GI, cardiac, hepatic
increase anticholinergic mucous membrane) ability o cross impairment.
effects of antihistamines. urinary elimination blood-brain barrier Administer PO forms with
Ethanolamines moderate impaired. to produce meals, Monitor VS, BP,
acting (6-8h) with Drowsiness, dizziness, sedation. Monitor activity status Monitor
moderate anticholinergic euphoria, parestheias,. Classic children for paradoxic rxs (CNS
and low sedation activity. Hypotension, antihistamines, H1 stimulation) Institute safety
palpitation, extrasystole, antihistamines can be precautions. Advise patient to
tachycardia, blurred classified according avoid CNS depressants alcohol
vision nasal stuffiness, to their chemical and potentially hazardous
N/V, anorexia derivation , duration activity (drowsiness, dizziness),
,agranulocytosis, of activity, increase fluid intake, Use
hemolytic anemia, anticholinergic sugarless bum/hard candy to
thrombocytopenia, activity, diminish dry mouth,
wheezing, thickening of
bronchial secretions,
anticholinergic effects.
PHARM