Benztropine (Cogentin) Nursing Considerations
Generic Name Benztropine Trade Name Cogentin Indication Treatment for Parkinson’s disease Action Exhibits anticholinergic properties (blocks acetylcholine) in the CNS to reduce rigidity and tremors Therapeutic Class Antiparkinson agent Pharmacologic Class Anticholinergic Nursing Considerations • May lead to arrhythmias, hypotension, palpitations, and tachycardia • Anticholinergic effects like constipation, dry mouth • Assess for extrapyramidal symptoms […]
Bisacodyl (Dulcolax) Nursing Considerations
Generic Name Bisacodyl Trade Name Dulcolax Indication Treatment of constipation, bowel regimen Action Stimulates enteric nerves to cause peristalsis which leads to fluid accumulation in the colon Therapeutic Class Laxatives Pharmacologic Class Stimulant laxatives Nursing Considerations • May lead to hypokalemia • May cause abdominal pain and cramps • Not for use within 1 hour […]
Buspirone (Buspar) Nursing Considerations
In this lesson we will cover Buspirone nursing considerations: Generic Name Buspirone Trade Name Buspar Indication Management of anxiety Action Relieves anxiety by binding to dopamine and serotonin receptors Therapeutic Class Antianxiety Pharmacologic Class Azapirone Buspirone Nursing Considerations • Do not administer concurrently with MAOI or grapefruit juice • May lead to dizziness, drowsiness, fatigue, […]
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Generic Name Carbidopa/levodopa Trade Name Sinemet Indication Parkinson’s disease Action Levodopa is converted to dopamine and works as a neurotransmitter, carbidopa prevents the destruction of levodopa allowing it to cross the blood brain barrier Therapeutic Class Antiparkinson agent Pharmacologic Class Dopamine Agonist Nursing Considerations • May cause orthostatic hypotension • May cause dark urine • […]
Cefdinir (Omnicef) Nursing Considerations
Generic Name Cefdinir Trade Name Omnicef Indication Treatment of skin infections, otitis media Action Bactericidal, binds to bacterial cell wall causing cell death Therapeutic Class Anti-infectives Pharmacologic Class Cephalosporin 3rd generations Nursing Considerations • Contraindicated in cephalosporin and possibly penicillin allergies • May need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis […]
Celecoxib (Celebrex) Nursing Considerations
Generic Name Celecoxib Trade Name Celebrex Indication Osteoarthritis, rheumatoid arthritis, acute pain Action Decreases pain and inflammation by inhibiting synthesis of prostaglandins Therapeutic Class Antirheumatics/NSAID Pharmacologic Class Cox 2 inhibitor Nursing Considerations • Use caution with cardiovascular disease • Increases risk for MI, CVA, thrombosis • May cause GI bleeding, Stevens-Johnson syndrome, dermatitis • Notify […]
Codeine (Paveral) Nursing Considerations
Generic Name Codeine Trade Name Paveral Indication Management of pain, diarrhea, cough suppressant Action Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class Allergy, cold, cough remedy, antitussive, opioid […]
Adenosine (Adenocard) Nursing Considerations
Nursing Considerations Contraindications 2nd or 3rd degree AV Block Atrial flutter Atrial fibrillation Monitor before administration Blood pressure Apical pulse Patient on cardiac monitor Period of asystole after bolus Side Effects Flushing Shortness of breath Nausea Patient Education May feel flush after bolus Avoid caffeine
Amiodarone (Pacerone) Nursing Considerations
Generic Name Amiodarone Trade Name Cordarone Indication a-fib, ventricular arrhythmias, SVT, ACLS protocol for v-fib and v-tach Action Prolongs phase 3 of the action potential, makes the heart more tolerant to arrhythmias, inhibits adrenergic stimulation, slows rate, decreases peripheral vascular resistance causing vasodilation Therapeutic Class Antiarrhythmic class III, potassium channel blocker Pharmacologic Class None Nursing […]
Atenolol (Tenormin) Nursing Considerations
Generic Name Atenolol Trade Name Tenormin Indication Hypertension, angina, prevention of MI Action Blocks the stimulation of beta1 receptors in the SNS with minimal effect on beta2 receptors Therapeutic Class Antianginal, antihypertensive Pharmacologic Class Beta blocker Nursing Considerations • Contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block • Monitor hemodynamic parameters (HR, BP) […]