drug study- psyche (2)ddd

7/30/2019 Drug Study- Psyche (2)ddd

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PART II

DRUG STUDY

NAME OF DRUG SPECIFIC

ACTION

MECHANIS

M OF

ACTION

INDICATIONS ADVERSE

REACTIONS

CONTRAINDI-

CATIONS

NURSING MANAGEMENT

1.Ascorbic Acid Vitamin Involve in

thyrosine

metabolism

conversion of

folic acid to

follic acid

Prevention and

treatment of

scurvy,

hemovascular

disorders, burns,

delayed fracture

Transient mild

soreness of IM

or Sub-Q

injection site,

faintness,

dizziness

Hypersensitivity Assess injection site if possible,

10 Rights,

Maybe given with or without food

2.Mulivitamins Vitamin B

complex

Convert

carbohydrates

into glucose

Correct vitamin

B deficiencies,

anemia

No known Not known Increase oral fluids,

10 Rights,

Encourage to eat nutritious foods

such as GLV as possible

3.Amlodipine Antihypertensi

ve

Inhibits

calcium ion

influx across

cardiac and

smooth-muscle

cells, thus

Chronic stable

angina,

vasospastic

angina

(Prinzmetal's

or variant

Contraindicated

in patients

hypersensitive

to drug.

Use cautiously in

patients

CNS: headache,

somnolence,

fatigue, dizziness,

light-headedness,

paresthesia.

CV: edema,

Alert: Monitor patient carefully.

Some patients, especially those

with severe obstructive coronary

artery disease, have developed

increased frequency, duration,

or severity of angina or acute


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decreasing

myocardial

contractility

and oxygen

demand; also

dilates

coronary

arteries and

arterioles.

angina)

Hypertension

receiving other

peripheral

vasodilators,

especially those

with severe

aortic stenosis,

and in those with

heart failure.

Because drug is

metabolized by

the liver, use

cautiously and in

reduced dosage

in patients with

severe hepatic

disease.

flushing,

palpitations.

GI: nausea,

abdominal pain.

GU: sexual

difficulties.

Musculoskeletal:

muscle pain.

Respiratory:

dyspnea.

Skin: rash, pruritus.

MI after initiation of calcium

channel blocker therapy or at

time of dosage increase.

Monitor blood pressure

frequently during initiation of

therapy. Because drug-induced

vasodilation has a gradual onset,

acute hypotension is rare.

Notify prescriber if signs of

heart failure occur, such as

swelling of hands and feet or

shortness of breath.

Look alike-sound alike: Don't

confuse amlodipine with

amiloride.

4.Chlorpromazine Antipsychotic Mechanism

that produces

strong

antipsychotic

effects is

unclear. But

Treatment of

schizophrenia

and mania, used

to treat severe

anxiety and

agitation, control

Drowsiness, dry

mouth,

abnormality in

movement esp.

dystonia,

dyskinesia and

Parkinsons disease,

benign prostatic

hypertrophy,

glaucoma, severe

hypotension or

hypertension

Monitor the client for reduction of

target symptoms,

10 Rights,

Routine assessment for presence

of involuntary movements,

Monitor mental status daily,


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thought to be

related to

blockade of

postsynaptic

dopaminereceptors in the

brain. Also has

antiemetic

effects due to

its action on

the CTZ.

nausea and

vomiting

parkinsonism Client education

drug study- psyche (2)ddd

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