Trade Name:

Innovar

Classification: General anesthetic, narcotic analgesic,

neuroleptic analgesic
Use(s): Premedication, adjunct/maintenance of anesthesia,

PHARMOCOLOGY

Action: Acts at subcortical levels to reduce motor activity.

Contraindications: Hypersensitivity, <2 years old.

DRUG CARDS

Side Effects: Laryngospasm, bronchospasm, respiratory arrest.

Nursing implications: V/S, LFT, BUN, Creatine, Paco2. After
1st dose of narcotic reduce dosage.

Trade Name:

Progesterone

Trade Name:

Estrogens

Classification: Progesterone, hormone

Classification: Estrogen, hormone

Use(s): Contraception, amenorrhea, PMS, abnormal uterine

bleeding.

Use(s): Menopause, inoperable breast CA, Prostate CA,

osteoporosis

Action: Prevents pituitary release of gonadotrophins, which

prevents follicular maturation.

Action: Inhibits release of pituitary gonadotrophins, inhibits

ovulation and calcium use in bone.

Contraindications: Breast/Reproductive CA, , cerebral bleeds.

Contraindications: Breast/Reproductive CA

Side Effects: Stroke, PE, MI, spontaneous AB

Side Effects: Seizures, Stroke, MI

Nursing implications: Weight, B/P, LFT, edema, mental status,

hypercalcemia.

Nursing implications: Assess LFT, AST, ALT, bilirubin.

Trade Name:

Rocephin (ceftriaxone)

Classification: Broad-Spectrum antibiotic, 3rd generation

cephalosporin
Use(s): Gram-negative bacilli, less effective against gram
positive
Action: Inhibits bacterial cell wall synthesis
Contraindications: to cephalosporins, <1 month old,
pregnancy, lactation.
Side Effects: N/V/D, bleeding, proteinuria, lymphocytosis,
super infection, headache, dizziness, rash
Nursing implications: Sensitivity to PCN or other
cephalosporins. Assess for diarrhea, and blood chemistry
studies, assess for s/s of superifection such as thrush and yeast
infection

Trade Name:

Tetracycline

Classification: Broad-Spectrum anti-infective

Use(s): Syphilis, clap, gonorrhea, rickettsia infections, acne,
ophthalmic neonatorum

Trade Name:

Doxycycline

Classification: Antiinfectives
Use(s): syphilis, Clap, gonorrhea, rickettsia
Action: Inhibits protein synthesis
Contraindications: hypersensitivity to tetracycline, children
<8 years old, pregnancy, lactation.
Side Effects: Fever, neutropenia, angioedema, hepatotoxicity
Nursing implications: Assess I&O, allergic Rx, Blood studies,
Signs of infection.

Trade Name:

Penicillin

Classification: Broad-Spectrum antiinfectives.

Use(s): Gram +/- bacilli and cocci.

Action: Inhibits protein synthesis

Action: interferes with cell wall replication, producing inferior

cell walls.

Contraindications: hypersensitivity to tetracycline, children

<8 years old, pregnancy, and lactation. Hypersensitivity to light

Contraindications: Hypersensitivity to PCN, neonates.

Sensitivity to cephalosporins

Side Effects: Fever, HA, neutropenia, hemolytic anemia,

angioedema.

Side Effects: anemia, increased bleeding time, Oliguria,

proteinuria, Hematuria, rash, uticaria, anaphylaxsis

Nursing implications: Signs of anemia, Allergic reactions,

N/V/D. Store out of heat/light

Nursing implications: Infection, I&O, liver studies, blood

studies, respiratory status.

Trade Name:

Acyclovir

Classification: Antiviral
Use(s): Herpes zoster, herpes simplex, herpes genitalis

Trade Name:

Podophyllin

Classification: Antiviral
Use(s): Genital wart removal

Action: Interferes with DNA synthesis causing decreased viral

replication.

Action: unknown

Contraindications:

Contraindications: hypersensitivity; perianal or MM warts.

Side Effects: Tremors, confusion, lethargy, convulsions, acute

renal failure.

Side Effects: inflammation, burning

Nursing implications: None noted.

Nursing implications: Signs of infection, I&O ratio, skin

eruptions, allergic Reactions

Trade Name:

Flagyl (Metronidazole HCL)

Classification: Antiinfectives

Trade Name:

Use(s): Intestinal amoeba, bone / joint infections, lower

respiratory infections. Trichomonas vaginalis

Classification: H2-receptor antagonist.

Action: Direct acting amebicide

Contraindications: , renal disease, pregnancy (1st tri), CNS
disorders.
Side Effects: Headache, dizziness, convulsions, Blurred vision,
sore throat, dry mouth.
Nursing implications: Assess for signs of infection. Assess
stools, check vision, allergic reactions.

Pepcid

Use(s): Duodenal ulcer, gastric ulcer, GERD

Action: Competitively inhibits histamine, while pepsin stays at
a stable level, inhibits gastric secretions
Contraindications: Hypersensitivity
Side Effects: Thrombocytopenia, seizure, bronchospasm,
Nursing implications: Blood counts, bleeding

Trade Name:

Tobramycin

Classification: Antiinfectives-Aminoglycoside
Use(s): Infections of pseudomonas, E.Coli, enterobacter,
staphylococcus
Action: Interferes with protein synthesis, causing an inaccurate
peptide sequence resulting in death.
Contraindications: Severe renal disease, hypersensitivity to
aminoglycosides.
Side Effects Oliguria, hematuria, renal failure, ototoxicity,
nephrotoxicity, & leukopenia.
Nursing implications: Assess weight, I&O, blood studies,
serum levels

Trade/generic:
Class:

Zinacef

(cefuroxime sodium)

Antibacterial Agents: 2nd gen. Cephalosporin

Route: IM, IV
Ind:

Gram +/- bacteria, including most staph, gp. A & B

Strep, most strep, E. coli, meningitits.

Action: Inhibits bacterial cell wall synthesis, making the

cell wall unstable.

Contra: Hypers, seizure disorders.
S/E:

RN:

Dizziness, headache, fatigue, rash,

nephrotoxicity, renal failure.
Assess for nephrotoxicity, I&O, Blood serum
studies & allergic reactions.

Trade Name:

Neomycin

Classification: Antiinfectives-Aminoglycoside
Use(s): Severe systemic infections with pseudomonas, E.Coli,
enterobacter, Proteus.
Action: Interferes with protein synthesis by binding to the 30s
subunit, causing an erroneous protein that causes death.
Contraindications: Bowel obstruction, severe renal disease,
hypersensitivity, infants, and children.
Side Effects Oliguria, hematuria, renal failure, ototoxicity,
nephrotoxicity, & leukopenia.
Nursing implications: Assess Weight, I&O, renal impairment,
dehydration, blood studies, serum levels.

Trade Name:

Claforan

Classification: Broad-spectrum antibiotic-Cephalosporin

Use(s): Gram - & gram + organisms
Action: Inhibits cell wall synthesis, making cell wall unstable.
Contraindications: hypersensitivity to cephalosporins, infants
< 1 month.
Side Effects: N/V/D, anaphylaxis, Proteinuria, leukopenia.
Nursing implications: Assess for sensitivity to
PCN/Cephalosporins, nephrotoxicity, blood studies, and
electrolytes.

Trade Name:

Tazidime

Classification: Broad-spectrum antibiotic-Cephalosporin

Use(s): Gram negative and gram positive organisms
Action: Inhibits cell wall synthesis, making cell wall unstable.
Contraindications: hypersensitivity to cephalosporins, infants
< 1 month.
Side Effects: N/V/D, anaphylaxis, Proteinuria, leukopenia.
Nursing implications: Assess for sensitivity to
PCN/Cephalosporins, nephrotoxicity, blood studies, and
electrolytes.

Trade Name:

Ticar

(ticarcillin)

Classification: Broad-spectrum Antiinfectives-Penicillin

Use(s): Gram +/- cocci, Gram +/- bacilli.

Trade Name:

Erythromycin

Classification: Broad-Spectrum Antiinfectives-Microlide

Use(s): Bacterial infections, Legionaires disease,
syphilis.
Action: Binds to P site of 50s ribosomal subunit, interfereing w/
protein synthesis.
Contraindications: Hypersens., cisapride use, astemizole use,
impaired liver function, impaired hearing.
Side Effects: anaphylaxis, N/V, diarrhea, anorexia, abd pain,
abd cramps, pruritus,
Nursing implications: observe for allergic reactions,

Trade Name:

Ampicillin

Classification: Broad-Spectrum Antiinfectives-Penicillin

Use(s): Gram +/- cocci, Gram +/- bacilli

Action: Interferes with cell wall replication, and causes unstable

cell walls to burst.

Action: Interferes with cell wall replication & causes cell walls to
burst.

Contraindications: Hypersensitivity to PCN

Contraindications: Hypersensitivity to PCN

Side Effects: Anemia, increased bleeding time, bone marrow

depression, N/V/D.

Side Effects: Rash, anemia, bone marrow depression, coma,

convulsions, and anaphylaxis.

Nursing implications: Assess, I&O, liver studies, blood studies,

lethargy, coma, convulsions.

Nursing implications: Assess I&O, liver studies, blood

studies, respiratory and vitals, as well as bowel habits.

Trade Name:

Trade Name:

Cipro

Classification: Broad-Spectrum Antiinfectives

Use(s): Infections caused by susceptible organisms E. Coli,
Proteus, staph.
Action: Interferes with conversion of DNA fragments into higher
molecular weight ones. DNA gyrase inhibitors.
Contraindications: Hypersensitivity to quinolones
Side Effects: Headache, dizziness, restlessness, N/V/D.
Nursing implications: Assess for CNS symptoms, I&O ratio,
allergic reactions.

Trade Name:

Virazole

Classification: Antiinfectives-Sulfonamides
Use(s): UTI, Otitis media, and shigellosis
Action: Bacteriostatic agent that prevents bacterial growth by
Inhibiting folic acid production.
Contraindications: Hypersensitivity to sulfonamides, infants
<2
months.
Side Effects: N/V, diarrhea, joint pain, urticaria, convulsions,
fever, renal failure, leukopenia.
Nursing implications: Assess for allergic reactions, kidney
functions, and allergic reactions, maintain adequate fluid inake

(ribavirin)

Classification: Antiviral Agents-ribavirin

Use(s): Infants and young children w/ lower resp. infections
caused
By RSV (respiratory syncytial virus)
Action: Inhibits viral RNA and DNA synthesis
Contraindications: Pregnant or lactating, COPD, asthma,
ventilation,
Side Effects: resp. function, vent. Dependence,
pneumothorax, apnea, cardiac arrest, HTN, rash, conjunctivitis,
erythema of eyelids.
Nursing implications: Monitor: VS, cardiac status, CBC. Route
of administration is aerosol inhalation

Bactrim

Trade Name:

Respigam

Classification: Immune serums

Use(s): Prevention of serious lower respiratory tract infections
caused by RSV in children <2 years old, with bronchopulmonary
dysplasia, or premature birth.
Action: Higher titer of neutralizing antibody against RSV.
Contraindications: Hypersensitivity to this drug or other
human immunoglobulin preparations.
Side Effects: Resp distress, hypoxia, fever, HTN, anaphylaxis
Nursing implications: Assess vital signs, respiratory status,
for
signs of aseptic meningitis.

antimycotic Agents (nystatin,

clotrimazole, miconazole, fluconizole, etc.)
Trade Name:

Trade Name:

Synagis

Classification: monoclonal antibodies

Classification: Antifungals

Use(s): Prevention of serious lower respiratory tract disease

caused by RSV in pediatric PTs.

Use(s): fungal infections: tinea pedis (common) to

sporotrichosis (rare)

Action: A humanized monoclonal antibody that exhibits

neutralizing and fusion-inhibitory activity against RSV.

Action: cell wall permeability.Some interfere w/ protein

synthsis by binding to sterol..

Contraindications: Hypersensitivity, adults, and cyanotic

congenital heart disease.

Contraindications: Hypersens., Pregnant or Lactating Pts.

Side Effects: N/V/D, URI, apnea, and rash site injection.

Side Effects: Nephrotoxicity, hypokalemia, chills, fever, N/V,

muscle & joint pain, HA, anorexia, abd. Pain.

Nursing implications: For presence of RSV infections.

Trade Name:

Cotazym

Classification: Digestant
Use(s): Exocrine pancreatic secretion insufficiency, cystic
fibrosis, steatorrhea, and pancreatic enzyme deficiency.
Action: Pancreatic enzyme needed for breaking down
substances from the pancreas.
Contraindications: Allergy to pork, chronic pancreatic disease.

Nursing implications: Monitor LFTs, do not administer w/

antacids.

Trade Name:

Pancreatin

Classification: Digestant
Use(s): Exocrine pancreatic secretion insufficiency, cystic
fibrosis (digestive aid)
Action: Pancreatic enzyme needed for breakdown of
substances released from the pancreas.

Side Effects: Anorexia, N/V/D

Contraindications: Hypersensitivity to pork, chronic pancreatic

disease.

Nursing implications: Assess for proper development,

administer with meals, I&O ratio, 3 ps.

Side Effects: Anorexia, N/V/D, and rash, hypersensitivity,

buccal soreness.
Nursing implications: Assess I&O, for 3 Ps for allergy to
pork.

Trade Name:

Pancrease

Trade Name:

Mucomyst

Classification: Mucolytic; antidote - acetaminophen

Classification: Digestant
Use(s): Exocrine pancreatic secretion insufficiency, cystic
fibrosis (digestive aid), and Pancreatic enzyme deficiency.

Use(s): Bronchitis; pneumonia; CF; emphysema; diagnostic in

lab
tests.

Action: Pancreatic enzyme needed for breakdown of

substances released from the pancreas.

Action: Decreases viscosity of secretions by breaking disulfide

links of mucoproteins.

Contraindications: Allergy to pork, chronic pancreatic disease.

Contraindications: Hypersensitivity; increased ICP, status

asthmaticus.

Side Effects: N/V/D

Nursing implications: Assess for 3 Ps, pork sensitivity,
appropriate height and weight.

Side Effects: Dizziness; drowsiness, nausea, vomiting,

bronchospasm, hemoptysis. stomatitis
Nursing implications: Assess cough, respiratory status, VS.

Trade Name:

Flexeril (cyclobenzaprine)
Pulmozyme

Classification: Skeletal muscle relaxant, central acting.

Trade Name:

Use(s): Adjunct for relief of muscle spasm and pain in muscle

injuries.

Classification: cystic fibrosis agent

Use(s): Management of Cystic fibrosis

Action: Unknown may be related to antidepressant effects.

Contraindications: Acute recovery from an MI, dysrhythmias,
heart block, CHF, hypersensitivity, child <12 years, thyroid
disease.
Side Effects: Dizziness, weakness, drowsiness, and
dysrhythmias.
Nursing implications: Assess blood studies, LFTs, ECG in
epileptic Pts., allergic Rx, CNS Depression.

Action: Breaks down molecules of infected sputum, to help get

the sputum out.
Contraindications: Hypersensitivity
Side Effects: Possible laryngitis, uticaria, rash, chest pain.
Nursing implications: Assess respiratory function, B/P,
pulse, lung sounds.

Trade Name:

Cromolyn (same as intal)

Classification: Antiasthmatic
Use(s): Preventive allergic rhinitis, asthma, and bronchial
asthma, exercise induced asthma.
Action: Stabilizes the membrane of the senthestized cell,
preventing the release of additional chemical mediators
Contraindications: Hypersensitivity to this drug or lactose or
status asthmaticus.
Side Effects: Headache, dizziness, urinary frequency, dysuria,
N/V, dry mouth, bitter taste.
Nursing implications: Assess eosinophil count during
treatment, respiratory status.

Trade Name:

Prednisone

Classification: Corticosteroid
Use(s): Severe inflammation, immunosuppression, neoplasms,
MS, collagen disorders.
Action: Decreases inflammation by suppression of migration of
leukocytes and fibroblasts increases capillary permeability and
lysosomal stabilization.
Contraindications: Psychosis, hypersensitivity, amebiasis,
fungal infections, child <2 years old, aids, TB.
Side Effects: Circulatory collapse, thrombophlebitis, embolism,
GI hemorrhage.
Nursing implications: Assess for N/V, Weight, BP, I&O,
infection, edema, mental status.

Trade Name:

Robaxin

Classification: Skeletal muscle relaxant, central acting.

Use(s): Adjunct for relief of spasms and pain in muscles,
tetanus management.
Action: Depresses multisynaptic pathways in the spinal cord,
causing skeletal muscle relaxant.
Contraindications: hypersensitivity, child <12 yr., intermittent
porphyria
Side Effects: Dizziness, weakness, drowsiness, seizures, N/V,
anaphylaxis.
Nursing implications: Assess blood studies, liver function
tests,
ECG, allergic RX, CNS depression.

Trade Name:

Valium (diazepam)

Classification: Antianxiety, anti-convulsant, skeletal muscle

relaxant
Use(s): Anxiety, acute ETOH withdrawal, adjunct in seizure
disorders. IV with anesthesia for labor
Action: Potentates the action of GABA, especially in the limbic
system.
Contraindications: Hypersensitivity to benzodiazepines,
narrow
angle glaucoma, psychosis.
Side Effects: Neutropenia, respiratory depression, dizziness
drowsiness, and orthostatic hypotension.
Nursing implications: Assess B/P, anxiety, for seizure, for
changes in mental status.

Trade Name:
Trade Name:

Indocin

Classification: NSAID
Use(s): Rheumatoid arthritis, gout, closure of patent ductus
arteriosus in premature infants.
Action: Inhibits prostaglandin synthesis, analgesic, antiinflammatory, antipyretic.
Contraindications: Hypersensitivity, asthma, severe renal
disease, severe renal disease, and severe hepatic disease
Side Effects: N/V/D, ulceration, and perforation, GI bleeds,
hematuria, Oliguria.
Nursing implications: Assess renal, blood and liver status,
eye and ear problems, for confusion.

Tilade

Classification: Antiasthmatic
Use(s): Severe perennial bronchial asthma, prevention of
exercise-induced asthma. Not for treatment of acute
asthma attacks.
Action: Stabilizes the membrane of the sensitized mast cell,
preventing further release of chemical mediators after the initial
response.
Contraindications: Hypersensitivity to this drug or lactose,
status
asthmaticus.
Side Effects: Throat irritation, cough, nasal congestion, and
rhinitis,
burning eyes, N/V, bitter taste.
Nursing implications: Assess pulmonary function test,
respiratory status
Trade Name:

Trade Name:

Intal

Classification: Antiasthmatic
Use(s): Allergic rhinitis, severe perennial asthma, prevention of
exercise induced bronchial asthma, asthma induced by
pollutants.
Action: Stabilizes the membrane of the sensitized mast cell,
preventing further release of chemical mediators.
Contraindications: hypersensitivity to this drug or lactose,
status asthmaticus
Side Effects: Headache, dizziness, neuritis, urinary frequency,
dysuria, nausea, vomiting.
Nursing implications: Assess eosinophil, respiratory status.

Aspirin ( acetylsalicylic acid ASA)

Classification: Non-narcotic analgesic, nonsteroidal antiinflammatory, antipyretic, antiplatelet

Use(s): Mild to moderate pain or fever, prophylaxis of MI,
angina & ischemic stroke
Action: Blocks pain impulses at the CNS, antipyretic, decreases
platelet aggregation, prolongs bleeding
Contraindications: Hypersensitivity to ASA, yellow #5, GI
bleed, Children <12 years old, children with flu-like symptoms,
peptic ulcer.
Side Effects: convulsion, GI bleed, hepatitis, and Reyes
syndrome, decreases hearing acuity, gastric irritation
Nursing implications: Assess Liver function, renal function,
blood studies, I&O ratio. Do not give with Ibuprofen, take with
food

Trade Name:

Alupent

Classification: Bronchodilator selective B2 agonist

Use(s): Bronchial asthma, bronchial spasm.
Action: Relaxes bronchial smooth muscle by direct action on B 2
Adrenergic receptors.
Contraindications: Hypersensitivity to sympathomimetics,
narrow
angle glaucoma.
Side Effects: N/V, palpitations, tachycardia, tremors, nausea,
nervousness, headache, and increased bronchospasm, cardiac
arrest.
Nursing implications: Assess respiratory function, for
tolerance.

Trade Name:

Theophylline

Classification: Spasmolytic, bronchodilator

Use(s): Bronchial asthma, broncho-spasm of COPD, chronic
bronchitis.
Action: Relaxes bronchial smooth muscle by blocking
phosphodiesterase.
Contraindications: Hypersensitivity to xanthine,
tachydysrhythmias.
Side Effects: Convulsions, palpitations, tachycardia, tremors,
nausea, nervousness, and headache,restlessness, irritability,
insomnia, dizziness. Adverse CNS reactions often more severe
in children
Nursing implications: Assess Theophylline level, heart rate,
respiratory status, for allergic reactions, monitor blood levels.
If dose missed call MD before doubling.

Trade Name:

Solu-Cortef

Classification: Corticosteroid
Use(s): Severe inflammation, septic shock, adrenal
insufficiency, ulcerative colitis, collagen disorders.
Action: Decreases inflammation by suppression of leukocytes
reverses capillary permeability.
Contraindications: Psychosis, hypersensitivity, idiopathic
thrombocytopenia, fungal infections, bronchial disease, children
<2 years old, aids, TB.
Side Effects: Circulatory collapse, thrombophlebitis, and
embolism, thrombocytopenia, GI hemorrhage.
Nursing implications: Assess mental status, weight, B/P,
I&O, infection, edema, hypertension.

Trade Name:

Proventil/Ventolin

Classification: Adrenergic B2-agonist, sympathomimetic,

bronchodilator
Use(s): Prevention of exercise induced asthma, bronchospasm,
bronchitis, emphysema, or other respiratory diseases.
Action: Causes bronchodilation by interacting with B2 receptors,
relaxes bronchial smooth muscle.
Contraindications: Hypersensitivity to sympathomimetics,
tachydysrhythmias, severe cardiac disease, and heart block.
Side Effects: Palpitations, tachycardia, tremors, nausea,
nervousness, headache, and increased bronchospasm.
Nursing implications: Assess the need for the drug,
respiratory function, ability to self medicate, evidence of
allergic Reactions

Trade Name:

Accutane (isotretirion)

Classification: Antiacne agent

Use(s): Rarely used for severe recalcitrant acne
Action: Unknown

Trade Name:

Brethine (terbutaline)

Classification: Selective B2 agonist; Bronchodilator

Use(s): Bronchospasm, hyperkalemia, and premature labor.

Contraindications: hypersensitivity, inflamed skin, pregnancy

Action: Relaxes bronchial smooth muscle by acting on B 2

Adrenergic receptors that relax bronchial smooth muscle.

Side Effects: Pseudotumor cerebri, hyperostosis,

hepatotoxicity, chelitis, dry skin, skin fragility, pruritus, dry
mouth, depression. Fetal abnormalities

Contraindications: Hypersensitivity to sympathomimetics,

narrow
angle glaucoma, tachydysrhythmias.

Nursing implications: caution if psychiatric disorder.

Side Effects: N/V, palpitations, tachycardia, tremors, nausea,

nervousness, headache, and cardiac arrest.
Nursing implications: Assess respiratory function, vitals,
and tolerance to treatment, monitor FHTs, uterine activity

Trade Name:

Azulfidine (sulfasalazine)

Trade Name:

Aminophylline

Classification: Anti-inflammatory

Classification: Spasmolytic

Use(s): Ulcerative colitis, used for rheumatoid arthritis in pts

who are unresponsive to or intolerant to NSAIDS.

Use(s): Bronchial asthma, bronchial spasm, Cheyne-Stokes

respiration. wheezing

Action: anti-inflammatory in connective tissue. A prodrug that

delivers sulfapyridine and 5-aminosalicylic acid to the colon.

Action: Relaxes bronchial smooth muscle, and produces

bronchodilation.

Contraindications: Hypersensitivity to sulfonamides or

salicylates, pregnancy @ term, child <2 years old,
intestinal/urinary obstruction.

Contraindications: Hypersensitivity to xanthines,

tachydysrhythmias

Side Effects: Anaphylaxis, N/V/D, abdominal pain, hepatitis,

convulsions, skin and urine discoloration may occur
Nursing implications: Assess kidney function studies, for
blood dyscrasis, allergic reaction. Administer after meals

Side Effects: N/V, palpitations, tachycardia, tremors, nausea,

nervousness, headache, tachypnea.
Nursing implications: Assess: Theophylline levels,
respiratory
status, allergic reactions.

Trade Name: Nix (permethrin)

Classification: Antiparasitic-Pediculicide
Use(s): Lice, ticks, nits, flea nits
Action: disrupts parasitic nerve cells.
Contraindications: Hypersensitivity,
Side Effects: Burning, pruritus, erythema, numbness, tingling.
Nursing implications: Assess for signs of infection. Identify
sources of infection.

Trade Name:

Kwell

(lindane)

Classification: Scabicide, pediculicide.

Use(s): Scabies, Lice, nits.
Action: Stimulates the nervous system of arthropods, causing
seizures and death of organism.
Contraindications: Hypersensitivity; premature neonate; pts
with seizure disorders, inflammation of skin, or breaks in skin.
Side Effects: Pruritis, rash, irritation, contact dermatitis,
aplastic anemia, seizures
Nursing implications: Assess for organisms prior to/after
treatment. Identify sources of infection.

Trade Name:
Trade Name:

Norplant

Classification: Contraceptive system

Use(s): Prevention of pregnancy for 5 years.
Action: Progestin that inhibits secretion of gonadotropins &
prohibits follicular maturation.
Contraindications: , pregnancy, and liver disease/tumors,
breast carcinoma.
Side Effects: dizziness, HA, nervousness, vaginitis.
Nursing implications: Assess for jaundice, acne, and
menstrual irregularities.

Urecholine (bethanechol)

Classification: Cholinergic stimulant.

Use(s): Urinary retention (postoperative, postpartum);
neurogenic
atony of the bladder with retention.
Action: Stimulates the muscarinc Ach receptors directly; mimics
parasympathetic NS stimulation, stimulates GI
motility/Micturition.
Contraindications: Hypersensitivity, severe Bradycardia,
asthma,
hypotension, PUD, CAD, COPD.
Side Effects: Rash, N/V/Bloody diarrhea, Cardiac arrest,
circulatory
collapse, acute asthma, dyspnea, bronchoconstriction.
Nursing implications: Assess vitals, I&O, Assess for
abnormal
HR/Rhythm and respiratory issues D/C if develop. Give on an
empty stomach

Trade Name(s)

Xylocaine

Classification: Anesthetics local

Use(s):

Nerve block for pain

Action: Inhibits conduction of nerve impulses from sensory

Nerves.
Contraindications: Hypersensitivity, application to large areas
Side Effects: Rash, irritation, and sensitization
Nursing implications: Assess pain, assess for any infection,

evaluate response, redness, swelling, pain.

Trade Name:

Danocrine (danazol)

Classification: androgen
Use(s): endometriosis, fibrocystic breast disease, and
prevention of heredity angioedema.
Action: Decreases FSH, LH which leads to amenorrhea /
anovulation.
Contraindications: Severe renal/cardiac/hepatic disease, ,
pregnancy.
Side Effects: Rash, acne, dizziness, mood change, cramps, BP
Nursing implications: Assess K+, mental status,
hypercalcemia,

Trade Name(s)

Duramorph

Classification: Anesthetics: Opiate analgesic

Use(s): Severe pain
Action:
Depresses pain impulse transmission at the spinal

cord level by interacting with opioid receptors.

Contraindications: hypersensitivity, addiction, hemorrhage,
bronchial asthma, increased intracranial pressure.
Side Effects:
Drowsiness, dizziness, confusion, headache,
sedation, euphoria, palpitations, bradycardia, change in
B/P, n/v, rash, respiratory depression.
Nursing implications: Assess:
Pain
Bowel status

I&O
Vitals
CNS
Respiratory depression
Allergic reactions

Trade Name(s)

Novocain

Classification: Local anesthetic

Use(s): Spinal, epidermal, periph. nerve block, & perineum,

lower extremities, infiltration.

Action: Completes w/ Ca+ for sites in nerve membrane that

controls Na+ transport across the cell membrane;

decreases rise of depolarization phase of action
potential.
Contraindications: Hypersens., children 12, severe liver
disease.
Side Effects: Palpatations, tachycardia, tremors, nausea,
nervousness, & HA.
Nursing implications:

Assess: VS, HFT if used during labor, allergic reactions, rash

urticaria, itching, as well as cardiac status.
Administer: Only clear drugs, only with resuscitative equipment
nearby, only use drugs w/o preservatives for epidural
or caudal anesthesia.

Trade Name(s)

Nesacaine

Classification: Local anesthetic

Use(s): Epidural, peripheral block, caudal anesthesia, &

Trade Name(s)

Classification: Local anesthetic

Use(s): Epidural, peripheral block, caudal anesthesia, &

Infiltration, block

infiltration block.
Action: Competes with calcium for sites in the nerve membrane

that control sodium transport. Thus slowing the

depolarization phase of the action potential.
Contraindications: Hypersensitivity, children <12 years, severe

Action: Block nerve impulses at the point of contact in all kinds

of nerves.
Contraindications: Hypersensitivity.
Side Effects: Anxiety, dizziness, HA, restlessness, tremor, HTN

palpitations, tachycardia, anginal pain.

liver disease.
Side Effects: Seizures, loss of consciousness, myocardial

Marcaine

Nursing implications: Monitor for cyanosis, angina

depression, arrest, dysrhythmias, status asthmaticus,

respiratory arrest, anaphylaxis.
Nursing implications: VS, FHTs. Look for allergic reactions.

Trade Name(s)
Trade Name:

Vitamin K (aqua mephyton)

Demerol (meperidine hydrochloride)

Classification: Opiate analgesic. Narcotic analgesic

Classification: Vitamin K, Fat-soluble vitamin

Use(s): Pain control

Use(s): Vitamin K malabsorption, to prevent hemorrhage,

prevents hemorrhagic disease

Action: Depresses pain impulse transmission at the spinal cord

Action: Needed for adequate blood clotting, factors 2, 7, 9, 10

Contraindications:: Hypersensitivity, addiction.

Contraindications: Hypersensitivity, severe hepatic disease,

last few weeks of pregnancy.

Side Effects: Increased ICP, seizures, respiratory depression,

Side Effects: HA, brain damage, hemolytic anemia,

hemoglobinuria
& hyperbilirubinemia.

Nursing implications: Assess pain, renal function, I&O,

Nursing implications: Assess for bleeding (emesis, stools, urine)

Check PTT, nutritional status (is K intake adequate?)

level by interacting with opioid receptors.

drowsiness, dizziness, confusion, headache, sedation, &

euphoria
constipation, allergic reaction, respiratory rate, in labor
do not
give if delivery is expected within 2-4 hours

Trade Name(s):

Stadol (butorphanol)

Classification: Narcotic analgesic, opiate analgesic

Use(s): Moderate to severe pain.
Action: Decreases pain impulse at the spinal cord level by
interacting with opioid receptors.
Contraindications: Hypersensitivity, addiction, CHF, myocardial

infarction
Side Effects: Drowsiness, dizziness, headache, confusion, sedation,
euphoria, n/v, anorexia, constipation, cramps. Respiratory depression, pulmonary HTN.
Nursing implications: Assess pain, decreased output, CNS

changes, allergic Rx and respiratory dysfunction.

Trade Name(s):

Narcan

(naloxone)

Classification: Opioid antagonist

Use(s): Reverses narcotics, treat respiratory depression caused
by narcotics and narcotic overdose
Action: Competes with opioids at opiate receptor sites.
Contraindications: Hypersensitivity
Side Effects: Drowsiness, nervousness, Rapid pulse, V-Tach,

V-Fib.
Nursing implications: Withdrawal symptoms, respiratory &

cardiac
status, pain.

Trade Name(s):

Nubain

Classification: Opioid analgesic

Use(s): Moderate to severe pain

Action: Depresses pain impulse transmission at the spinal cord
level by interacting with opioid receptors.
Contraindications: Hypersensitivity and addiction.
Side Effects: Drowsiness, dizziness, confusion, HA, sedation,
euphoria, N/V, anorexia, constipation, and cramps.
Nursing implications: I&O, CNS changes, dizziness, need for
medication, allergic reactions.

Trade Name:

Morphine Sulfate

Classification: Opiate analgesic

Use(s): Severe pain
Action: Depress pain impulse transmission at the spinal cord
level by interacting with opioid receptors
Contraindications: Hypersensitivity, addiction, hemorrhage,
bronchial asthma, increase ICP.
Side Effects:
Nursing implications: Assess need for pain medication,
respiratory depression, and allergic reactions. Antidote is
Narcan

Trade Name:

Versed (midazolam)

Classification: Sedative, hypnotic

Use(s): Pre-op, general induction, sedation for procedures.

Trade Name:

Sublimaze

Classification: Narcotic analgesic

Use(s): Pre-op, post-op, adjunct to general anesthetic

Action: Binds to Benzodiazepine receptors, induces amnesia

Action: Inhibits ascending pain pathways

Contraindications: Hypersensitivity, shock, coma, Etoh

ingestion, acute narrow angle glaucoma.

Contraindications: Hypersensitivity to opiates, myasthenia

gravis

Side Effects: Apnea, laryngospasm, bronchospasm, retrograde

amnesia

Side Effects: Bradycardia, arrest, respiratory depression,

respiratory arrest.

Nursing implications: injection site, vital signs, and signs of

apnea

Nursing implications: Vital signs

Trade Name:

Erythromycin ophthalmic ointment

Achromycin ophthalmic ointment

Classification: Antibacterial

Trade Name:

Use(s): prevention of gonococal conjunctivitis and chiamydial

conjunctivitis

Classification: Antibacterial
Use(s): prevents neisseria gonorrhea, ophthalmic neonatorium

Action bacteriostatic or bacteriocidal based on concentration

and target organism

Action bacteriostatic

Contraindications: none

Contraindications: none

Side Effects: chemical conjunctivitis

Side Effects: chemical conjunctivitis

Nursing implications: place in. ribbon of ointment in the

lower conjunctival sac within 1 hour of delivery

Nursing implications: place in. ribbon of ointment in the

lower conjunctival sac within 1 hour of delivery

Trade Name:
Trade Name:

Hepatitis B Vaccine

Classification: Immune Globulin

Use(s): Prevention of Hepatitis B virus in exposed patients

Toradol

(ketorolac)

Classification: Nonsteroidal anti-inflammatory/nonopioid

analgesic.
Use(s): Mild to moderate pain.

Action: Provides passive immunity to Hepatitis B

Action: Inhibits prostaglandin synthesis, analgesic, antiinflammatory

Contraindications: Hypersensitivity to immune globulins,

coagulation disorders

Contraindications: Hypersensitivity, asthma, renal disease,

PUD, lactation, CV bleed.

Side Effects: Soreness at injection site, angioedema,

anaphylaxis

Side Effects: Gi Bleeds, perforation, Dysuria, Hematuria

Nursing implications: For history of anaphylaxis to vaccines.

Trade/Generic Name:

Motrin/Advil/Ibuprofen

Classificationn: NSAID
Use(s): Fever, dental pain, rheumatoid arthritis,
musculoskeletal disorders
Action: Inhibits prostaglandin synthesis, analgesic, and antiinflammatory, antipyretic.
Contraindications: PUD, asthma, and severe renal/hepatic
disease.

Nursing implications: For ASA sensitivity, pain

characteristics, bleeding time, tinnitus.

Trade Name: chlorpropamide (Glucamide)

100-750mg/day
Classification: Oral Hypoglycemic Agents-1st Generation
Sulfonureas
Use(s): Hyperglycemia, Adjunct to diet, exercise to glucose
levels
w/ Mild to mod.Type 2 DM.
Action: Unk., probably stimulates insulin release from the
pancreas.
peripheral sensitivity to insulin. Potentiates ADH.

Side Effects: N/V/D, dizziness, light-headedness, fatigue

Contraindications: Hypersensitivity to sulfonylureas, juvenile

or
brittle diabetes, pregnancy, lactation, pregnancy.

Nursing implications: For pain, fever/temp, and for a history

of contraindications.

Side Effects: parasthesia, fatigue, dizziness, vertigo, malaise,

HA, tinnitus, N/V, heartburn, epigastric distress, rash, urticaria.
Nursing implications: caution w/ renal failure, elderly,
malnourished, allergy to. Monitor S/S of hypoglycemia.

Trade Name:
Trade Name: tolbutamide (Orinase)
100-1,000mg/day
Classification: Oral Hypoglycemic Agents-1st Generation
Sulfonureas
Use(s): Hyperglycemia, Adjunct to diet, exercise to glucose
levels w/
Mild to mod.Type 2 DM.
Action: Unk., probably stimulates insulin release from the
pancreas. peripheral sensitivity to insulin.
Contraindications: Hypersens., sole agent for Type 1,
pregnant or lactating, DKA.
Side Effects: Hypoglycemia, N/V, cholestasis, rash, pruritis,
leukopenia, thrombocytopenia.
Nursing implications: caution w/ renal failure, elderly,
malnourished, allergy to. Monitor S/S of hypoglycemia.

Trade Name:

tolazamide

(Tolinase)

acetohexamide

(Dymelor)

Classification: Oral Hypoglycemic Agents-1st Generation

Sulfonureas
Use(s): Hyperglycemia, Adjunct to diet, exercise to glucose
levels
w/ Mild to mod.Type 2 DM.
Action: Unk., probably stimulates insulin release from the
pancreas.
peripheral sensitivity to insulin. Potentiates ADH.
Contraindications: Hypersensitivity to sulfonylureas, juvenile
or
brittle diabetes, pregnancy, lactation.
Side Effects: Hypoglycemia, N/V, cholestasis, rash, pruritis,
leukopenia, thrombocytopenia.
Nursing implications: caution w/ renal failure, elderly,
malnourished, allergy to. Monitor S/S of hypoglycemia.

Trade Name:

glipizide

(Glucatrol)

Classification: Oral Hypoglycemic Agents-1st Generation

Sulfonureas

Classification: Oral Hypoglycemic Agents-2nd Generation

Sulfonureas

Use(s): Hyperglycemia, Adjunct to diet, exercise to glucose

levels w/
Mild to mod.Type 2 DM.

Use(s): Stable adult onset DM type II, NIDDM.

Action: Unk., probably stimulates insulin release from the

pancreas. peripheral sensitivity to insulin. Potentiates ADH.

Contraindications: Hypersensitivity to sulfonylureas, juvenile

or
brittle Diabetes.

Contraindications: Hypersensitivity to sulfonylureas, juvenile

or brittle diabetes, pregnancy, lactation, pregnancy
Side Effects: Hypoglycemia, N/V, cholestasis, rash, pruritis,
leukopenia, thrombocytopenia.
Nursing implications: caution w/ renal failure, elderly,
malnourished, allergy to. Monitor S/S of hypoglycemia.

Action: Causes functioning pancreas cells to release insulin.

Side Effects: N/V/D, headache, dizziness, hepatotoxicity,

leukopenia, hemolytic anemia.
Nursing implications: Assess for hypo/hyperglycemic
reactions
that can occur soon after a meal. Assess blood and urine
glucose levels after treatment.

Trade Name:

glyburide (Diabeta,Micronase)

Classification: Oral Hypoglycemic Agents-2nd Generation

Sulfonureas
Use(s): Stable adult onset DM (NIDDM)
Action: Causes functioning Beta cells in the pancreas to release
insulin.
Contraindications: Hypersensitivity to sulfonylureas, juvenile
or brittle Diabetes
Side Effects: Headache, weakness, N/V/D, Rash, Hypoglycemia
Nursing implications: Assess for hypo/hyperglycemic
reaction that can occur after meals.

Trade Name:

metformin (Glucophage)

Classification: Oral Hypoglycemic Agents-Biguanides

Use(s): Stable adult onset diabetes mellitus (NIDDM)
Action: Inhibits hepatic glucose production and increases
sensitivity of insulin dependent cells.
Contraindications: Hypersensitivity, hepatic, renal disease,
alcoholism, cardiopulmonary disease, history of lactic acidosis.
Side Effects: N/V/D, rash, headache, weakness, dizziness.
Nursing implications: Assess for hypo/hyperglycemic
reaction, assess CBC, for lactic acidosis.

Trade Name:
(Actos)

Pioglitazone hydrochloride (NDH)

Classification: Oral Hypoglycemic Agents-NEW

Use(s): Stable adult onset DM
Action: insulin sensitivity by hepatic glucose metabolism
Contraindications: Hypersensitivity to Thiazolidinedione,
lactation,
children, DKA,
Side Effects: Hypoglycemia, aggravated DM, URTI, Pharyngitis,
HA,
edema, HDL.
Nursing implications: Assess for Hypo/hyperglycemic
reactions,
Monitor CBGs, LFTs, CBC. Caution w/ CHF.

Trade Name:

insulin: Lispro / Lente / Regular/

Semilente/ NPH / Ultralente /70-30
Classification: Insulins
Use(s): DM type I ,ketoacidosis in DM type I & II, PTs. on TPN or
G
tube feeding. See pharm book for peak, onset and
duration times
Action: blood sugar by facilitating the uptake & metabolism if
glucose by insulin dependent cells. Also inhibits hepatic glucose
production & the breakdown of glycogen, protein & fat, while it
promotes the formation of glycogen, protein & triglycerides.
Contraindications: Hypersensitive to protamine,
Hypoglycemia,
NPO status,
Side Effects: Hypoglycemia, anaphylaxis, hepatotoxicity.
Nursing implications: CBGs (fasting & during treatment),
rotate injection sites, Monitor signs of hypoglycemia. Peak

Trade Name:

rosiglitazone maleate (NDH) (Avandia)

Classification: Oral Hypoglycemic Agents-NEW

Use(s): Stable adult onset DM, NIDDM.
Action: Improves insulin resistance by hepatic glucose
metabolism.
Contraindications: Hypersensitivity to Thiazolidinediones
Side Effects: Hypo/hyperglycemia, fatigue, Headache
Nursing implications: Assess for hypo/hyperglycemic
reactions, blood studies

Trade Name:

glucagon

Classification: Oral hyperglycemic agent (occurs naturally in

body also)
Use(s): Sever hypoglycemia, insulin antagonist
Action: Converts hepatic glycogen to glucose.

Trade Name:

Estrogen/Progesterone

(comb.)

Classification: Contraceptives
Use(s): Birth Control.
Action: the release of FSH & LH.
Contraindications: Pregnancy, thrombophlebitis,
thromboembolic disorders, estrogen dependent CA of the breast
or reproductive organs.
Side Effects: Fluid retention, N/V, cramping, constipation,
hyperpigmentation, HTN, risk of MI,
Nursing implications: Monitor for adverse reactions.

Trade Name:

Progesterone only

Classification: Progesterone
Use(s): Contraception, amenorrhea, PMS, abnormal uterine
bleeding.
Action: Inhibits secretion of pituitary gonadotropins, which
prevents follicular maturation.

Contraindications: hypoglycemia,
Side Effects: Hypersens., Pt. W/ pheochromocytoma,
hyperglycemia, hypotension, N/V, urticaria, resp. distress.
Nursing implications: Monitor CBGs, VS, S/S of
hyperglycemia. Initial dose is IM effect in 5-20 minutes. IV for
severe hypoglycemia. Destroyed by the GI tract.

Contraindications: Breast CA, pregnancy, thrombolytic

disorders.
Side Effects: Dizziness, HA, migraine, fatigue, depression,
stroke, embolism, MI, spontaneous Abortion
Nursing implications: Assess Weight, B/P, I&O, edema, HTN.

Trade Name:

Depo-Provera

Classification: Antineoplastic, hormone

Use(s): Uterine bleeding, endometrial / renal cancer, and
secondary amenorrhea
Action: Inhibits secretion of pituitary gonadotropins, which
prevents maturation and ovulation.
Contraindications: Breast/reproductive CA, , pregnancy,
thrombolytic disorders.
Side Effects: Stroke, PE, MI, N/V, spontaneous AB.
Nursing implications: Assess Weight, B/P, I&O, edema, HTN.

Trade Name:

Norplant (559-560)

Trade Name:

RU486 (mifepristone)

Classification: Contraceptives
Dose: 600 mg PO
Use(s): Early Pregnancy Termination

Trade Name:

Ergotrate Maleate

Classification: Oxytocic
Use(s): Postpartum or postabortion hemorrhage
Action: Stimulates uterine contractions and vascular smooth
muscle, decreases bleeding.
Contraindications: Hypersensitivity to ergot medications,
augmentation of labor, before delivery of placenta, threatened
AB
Side Effects: Headache, dizziness, fainting, HTN, Chest pain,
N/V
Nursing implications: Assess for ergotism, vitals, and fundal
tone.

Trade Name:

Nupercainal Ointment

Classification: Topical anesthetics

Use(s): Minor external irritation

Action: Inhibits progesterone receptors.

Action: Inhibits the conduction of nerve impulses from sensory

nerves

Contraindications: Hypersensitivity, ectopic preg., IUD use,

anticoagulants, cortico-steriods, chronic adrenal failure,
bleeding disorder.

Contraindications: Hypersensitivity, large areas, Less than 1

year old.

Side Effects: Incomplete abortion, hemorrhage fetal

malformation, vag. Bleeding, abd cramps, abd pain, N/V, HA,
Nursing implications: Monitor for adverse reactions.

Side Effects: Rash, irritation, and sensitization

Nursing implications: Assess pain, do not use until infection
is treated, remove any scales or crust before applying
medication

Trade/generic:
Class:

Methergine (methylergonovine maleate)

Oxytocic, Uterine Motility Agent: Ergot Alkaloid

Treatment of PPH or postabortion, uterine contractions,

uterine atont
Ind:

Route: PO, IM, PR

Action: Stimulates uterine, vascular, smooth muscle, causing

contractions & bleeding

Trade Name:

Epifoam

Classification: Topical Glucocorticoids

Use(s): Contact dermatitis
Action: Antipruritic, anti-inflammatory
Contraindications: Hypersensitivity, viral and fungal
infections.

before delivery of placenta, hypertension, PID,.

Side Effects: Acne, atrophy, epidermal thinning, purpura, and

striae.

S/E:

N/V, HA, dizziness, dyspnea, cramping, chest pain,

hypertension & dysrhythmias

Nursing implications: Assess for a temperature, and for

systemic absorption leading to a temperature.

RN:

monitor vitals, character & amt. of vag.bdg & watch

for hemorrhage.

Contra: Hypersensitivity to ergot preparations, in labor,

Trade Name:

Syntocinon Nasal Spray

Classification: Oxytocic
Use(s): Stimulation or induction of labor; missed or incomplete
abortion; postpartum bleeding.

Trade Name:

Colace

Classification: Laxative, emollient

Use(s): To soften stools

Action: Acts directly on myofibrils, producing uterine

contractions; stimulates milk ejection by the breast.

Action: Increases water and fat penetration in the intestine;

allows for easier passage of the stool

Contraindications: Hypersensitivity, serum toxicity, fetal

distress, and hypertonic uterus.

Contraindications: Hypersensitivity, obstruction, fecal

impaction, and nausea/vomiting.

Side Effects: convulsions, tetanic contractions. Hypo/Hypertension, Brady/tachy-cardia, abruptio placenta, decreased
uterine blood flow.

Side Effects: Nausea, cramps, diarrhea, rash, bitter taste,

throat irritation.

Nursing implications: I&O, respiration, B/P and pulse (watch

for hemorrhage) Length of contractions.

Nursing implications: Causes of constipation, bleeding, N/V

Trade Name:

Proctofoam

Classification: Topical anesthetics

Use(s): Rectal pain and itching, post partum hemorrhoids
Action: Inhibits conduction of nerve impulses
Contraindications: Hypersensitivity, infants less than 1 year of
age.
Side Effects: Rash, irritation, and sensitization.
Nursing implications: Assess for pain and infection.

Trade Name:

Surfak

Classification: Laxative, emollient

Use(s): To soften stools
Action: Increases water and fat penetration in the intestine;
allows for easier passage of the stool
Contraindications: Hypersensitivity, obstruction, fecal
impaction, and nausea/vomiting.
Side Effects: Nausea, cramps, diarrhea, rash, bitter taste,
throat irritation.
Nursing implications: Causes of constipation, bleeding, N/V.

Trade Name:

Zantac

Trade Name:

Rubella Vaccine

Classification: H2-histamine receptor antagonist

Classification: Vaccines & toxoids
Use(s): Duodenal ulcer, H. Pylori, ERD
Use(s): Rubella immunization
Action: Inhibits histamine sites, which ceases acid production
Contraindications: Hypersensitivity
Side Effects: HA, Sleeplessness, confusion, hepatotoxicity.
Nursing implications: I&O, Bun, Creatine, mental status, GI
complaints.

Action: Promotes immunity by causing antibodies to be

produced.
Contraindications: immunosuppressed, CA, blood dyscrasia,
GG disorders, TB, do not get pregnant for 3 months
Side Effects: HA, malaise, rash, pain, erythema, sore throat,
Nursing implications: Watch for anaphylaxis. Give SQ

Trade Name:

Dulcolax

Ind:

( ritodrine)

Tocolytic, uterine relaxant.

Class:

Classification: Laxative, stimulant

Use(s): Short term treatment of constipation, bowel or rectal
preparation for surgery/examination

Yutopar

Trade Name(s):

Management of premature labor.

Route: PO, IV

Action: Acts directly on the intestines by increasing motor

activity

Action: frequency & intensity of uterine contractions

Contraindications: Hypersensitivity, rectal problems, N/V,

acute abdomen, obstruction

Contra: hypersens, eclampsia, HTN, dysrhythmias, before

Side Effects: muscle weakness, N/V, cramps

S/E:

Nursing implications: Assess cause of constipation, monitor

blood/urine/electrolytes if used often by the patient. Assess
for cramping or rectal bleeding.

Erythema, rash, dyspnea, hyperventilation, glycosuria,

lactic acidosis, hyperglycemia, Hypokalemia,
nervousness, tremors.

RN:

Maternal & FHT, EKG, intensity & length of contractions,

fluid intake.

Trade Name:

RhoGAM

Classification: Immunizing agent

by stimulating beta-2 receptors in uterine smooth muscle.

20th week of pregnancy, bronchial asthma.

Trade/generic:
Class:

Pitocin

(oxytocin) Syntocinon

Oxytocic

Route: IM, IV, spray

Use(s): Prevention of isoimmunization in Rh negative women

who are given Rh positive blood after abortions, miscarriages,
and amniocentesis
Suppress active antibiody response and formation of anti-Rh(D)
in Rh negative clients exposed to Rh positive blood, promotes
destruction of Rh positive fetal cells

Action: Acts directly on myofibrils, producing uterine

contractions; stimulates milk ejection by the breast.

Action: Suppress the immune response of non-sensitized Rh

cells, to sensitized cells, , blocks maternal antibody prodction

Contra: Hypers., serum toxemia, fetal distress, hypert. uterus,

PPH, GI disturbance, diapheresis, HA, dizziness.

Contraindications: Previous immunization with the drug

S/E:

Ind:

Side Effects: Irritation at injection site, fever, lethargy, myalgia

Nursing implications: For allergic reactions,

RN:

Stimulates or induces labor; for missed or incomplete

Abortion, PPH, preeclampsia, eclampsia, PROM.

Convulsions, tetanic contractions, abruptio placenta,

uterine blood flow
I&O, VS, FHTs

Trade Name(s):

Magnesium Sulfate

Classification: Electrolyte, anticonvulsant

Use(s): Smooth muscle relaxant, inhibit or prevent pre-term labor
,uterine hyperstimulation, anticonvulsant
Action:
Contraindications:
Side Effects: Muscle weakness, flushing, sweating, confusion,

sedation, depressed reflexes, flaccidity, paralysis,

hypothermia, nausea, vomiting, cramps, hypotension,
heart block, circulatory collapse.
Nursing implications: Assess for magnesium toxicity, cramping,

bleeding. In PIH prevents seizures. Calcium gluconate is the

antagonist.

Trade Name(s):

Trade Name:

MMR vaccine

Classification: vaccine
Use(s): prevention of measles, mumps, and rubella
Action: produces antibodies to measles, mumps and rubella
Contraindications: Hypersensitivity, anemia, active infection,
allergy to eggs/chickens, pregnancy, febrile illness.
Side Effects: anaphylaxis, subacute sclerosing panencephalitis,
and blindness associated with optic neuritis
Nursing implications: Watch for skin reactions and
anaphylaxis, bronchospasm, inability to breathe, must dilute
with specific diluent that comes with the medication. Instruct
female patients not to get pregnant for 3 months

Prostaglandin

Classification: hormone
Use(s): To maintain patent ductus arteriosus
Action: Relaxes the smooth muscle of the ductus arteriosus;
this results in increased o2 content in the body
Contraindications: hypersensitivity, respiratory distress
syndrome.

Gen./Trade Name: Vitamins A, D, E, K

Classification: fat soluble

Use(s): A-night blindness, D-maintains Ca & P homeostasis, Eantioxidant platelet aggregation, K-clotting factors.
Action: Catalysts for biochemical and metabolic reactions.
Contraindications:

Side Effects: Sepsis, peritonitis, apnea, bradycardia, wheezing, Side Effects: Anaphylaxis, N/V, fatigue, weakness, HA. dizziness,
respiratory depression, DIC, cerebral bleed,
lethargy.
dysrhythmias
Nursing implications: monitor bilirubin, hypersensitivity, bleeding,
Nursing implications: ABGs, apnea, bradycardia
PT times.

Trade Name:

DPT vaccine

Classification: Vaccine, toxoid

Use(s): Prevention of diphtheria, tetanus, and pertussis.
Action: Provides immunity by stimulating antibody/antitoxin
production.
Contraindications: Hypersensitivity, active infection,
immunosuppression, and febrile illness
Side Effects: seizures, N/V, anaphylaxis, encephalopathy
Nursing implications: for skin reactions, inability to breath,
bronchospasm.

Trade Name:

Iron

Classification: Vitamin
Use(s): To prevent maternal deficiency.
Action: Replaces iron stores needed for RBC development
Contraindications:
Side Effects: N/V/D, constipation, black or red tarry stools,
epigastric pain.
Nursing implications: Liquid forms should be diluted to
prevent discoloration of teeth.

Gen./Trade Name: bile salts (Bilron)

Classification: Digestive agents

Use(s): Initiate bile flow from the liver. Once used to treat pts.
w/ biliary fistula & resection of the ileum. Used infrequently
today.
Action: Bile salts are converted to cholic acid &
chenodeoxycholic acid. They conjugate w/ glycerine & taurine to
form bile acids. Then the salts of the bile acids are secreted in
the bile.
Contraindications: Hepatic dysfunction, obstruction, N/V, abd.
pain.
Side Effects: Abd. cramping, diarrhea, MM resistance to acid,
colic, HCl can damage tooth enamel
RN implications: Monitor for abd pain, colic.

Trade Name:

Reglan

Classification: cholinergic
Use(s): prevention of nausea and vomiting.
Action: blocks dopamine in the chemoreceptor trigger zone
Contraindications: Hypersensitivity to this drug or
procainamide, seizure disorders, breast cancer
Side Effects: Sedation, fatigue, restlessness, neutropenia,
leukopenia.
Nursing implications: Mental status, GI complaints.

Trade Name:
Vitamins B1 (thiamine), B2 (riboflavin), B3, (niacin), B6 (pyridoxine),
nicotinamide, C (ascorbic acid)
Classification: Water Soluble
Use(s): B1 -beriberi, B2 -skin, eyes, B3-pellagra, B6 seizures, C-scurvy
Action: Catalysts for biochemical and metabolic reactions.

Zofran (ondansetron)

Classification: Antiemetic
Use(s): Prevention of N/V
Action: Blocks serotonin
Contraindications: Hypersensitivity

Contraindications:

Side Effects: Diarrhea, dizziness, drowsiness, fatigue.

Side Effects: Generally water soluble vitamins are nontoxic b/c excesses
are excreted in urine.

Nursing implications: For hypersensitivity

Nursing implications: Monitor for S/S of allergic reactions to

parenteral thiamine.

Trade Name:

Folic Acid

Classification: Vitamin
Use(s): To assist with a normal pregnancy.
Action:
Contraindications:
Side Effects: Allergic bronchospasm, rash, Pruritis, Erythema,
malaise.
Nursing implications: A client trying to get pregnant should
take folic acid 3-6 months before conception.

Trade Name:

Atropine Sulfate

Classification: Antidysrhythmic, anticholinergic,

parasympatholytic
Use(s): Bradycardias, blocks vagal response, pre-surgery to
decrease secretions, increase heart rate and dilate pupils
Action: Blocks ACH at parasympathetic receptors, decreases
oral and respiratory secretions, muscarinic antagonist drug
Contraindications: Hypersensitivity to belladonna alkaloids,
tachycardia, GI obstruction, closed angle glaucoma, paralytic
ileus
Side Effects: Dry mouth, n/v tachycardia, blurred vision,
decrease perspiration, constipation, urinary retention
Nursing implications: I&O, EKG, respiratory status

Trade Name:

Riopan

Classification: Antacid
Trade Name:

Calcium

Use(s): Antacid, PUD, gastric ulcers, indigestion.

Action: Neutralizes gastric acidity.

Classification: Electrolyte
Contraindications: hypersensitivity to this drug or aluminum
Use(s): To manage hypocalcemia, to prevent deficits.
Side Effects: Constipation, diarrhea, hypermagnesemia
Action:
Contraindications: Hypercalcemia, renal calculi, dig toxicity,
V-Fib.

Nursing implications: GI status, Serum MG++ Levels if

decreased liver function. Give after meals and atbedtime

Side Effects: N/V, pain, constipation, drowsiness, muscle

weakness, HA.
Nursing implications: Assess the need for Calcium intake.

Trade Name:

Antivert (meclizine)

Classification: Antiemetic, antihistamine, anticholinergic

Use(s): Vertigo, motion sickness
Action: Acts by blocking the chemoreceptor trigger zone

Trade Name:

Anectine

Classification: Neuromuscular blocker

Use(s): Skeletal muscle relaxant

Contraindications: hypersensitivity to cyclizines, shock.

Action: Inhibits transmission of nerve impulses

Side Effects: Drowsiness, fatigue

Contraindications: Hypersensitivity, Malignant hypothermia,

penetrating eye injuries.

Nursing implications: V/S, signs of toxicity

Side Effects: Sinus arrest, dysrhythmias, prolonged apnea,

bronchospasm.
Nursing implications: Electrolyte imbalances, I&O ratio,
allergic reactions.

Trade Name:

Inapsine

Classification: neuroleptic
Use(s): postoperatively for N/V
Action: Acts on CNS at subcortical level, produces,
tranquilization, sleep, Antiemetic.

Trade Name:

Tagamet

Classification: H2-histamine receptor antagonist

Use(s): Short term treatment of GERD, duodenal and gastric
ulcers
Action: Inhibits histamine at the gastric acid site which inhibits
secretion

Contraindications: Hypersensitivity, child <2 years old,

pregnancy, lactation.

Contraindications: Hypersensitivity

Side Effects: Laryngospasm, bronchospasm, Tachycardia,

hypotension.

Side Effects: Convulsions, paralytic ileus, jaundice,

neutropenia, increased PTT.

Nursing implications: Vital signs.

Nursing implications: Assess I&O, bun, Creatine, and a CBC

with differential monthly.

Trade Name:

Kytril (granisetron)

Trade Name:

Robinul (glycopyrrolate)

Classification: Cholinergic blocker, anticholinergic

Classification: Antiemetic
Use(s): Prevention of N/V

Use(s): decreases secretions before surgery, PUD, Irritable

bowel, reduces gastric secretions

Action: Blocks serotonin

Action: Inhibits Ach in the autonomic nervous system

Contraindications: hypersensitivity

Contraindications: Hypersensitivity, narrow angle glaucoma,

child <3 Y.O., MI.

Side Effects: HA, anxiety, bronchospasm, leukopenia

Side Effects: Dry mouth, constipation.
Nursing implications: For Hypersensitivity reactions
Nursing implications: I&O, constipation, mental status.

Trade Name:

RID

Classification:
Use(s):
Trade Name:

Gelsolin

Classification:
Use(s):

Action:
Contraindications:
Side Effects:

Action:

Nursing implications:

Contraindications:
Side Effects:
Nursing implications:

Trade Name:
Trade Name:

DNase

Triple Dye

Classification:

Classification:

Use(s): Prevent infection of umbilical cord and promotes drying

of the cord

Use(s):

Action

Action:

Contraindications:

Contraindications:

Side Effects:

Side Effects:

Nursing implications:

Nursing implications:

Trade Name:

Multi-Vitamins

Trade Name:

Silver nitrate Solution

Classification:
Classification: Vitamins
Use(s):
Use(s): To prevent birth defects
Action:
Action:
Contraindications:
Contraindications:
Side Effects:
Side Effects:
Nursing implications:
Nursing implications:

Trade Name:

Bicitra

Trade Name:

Dermoplast

Classification: OTC
Classification:
Use(s):
Use(s):

Treating metabolic acidosis and certain kidney problems

(eg, kidney stones).
Action:

Contraindications:

Diarrhea; loose stools; nausea; upset

stomach; vomiting
Side Effects:

Nursing implications:

Action:
Contraindications:
Side Effects:
Nursing implications:

Trade Name:

Americain Spray

Classification: OTC
Use(s):

Masse Cream

Classification: OTC
Use(s):

Action:

Action:

Contraindications:
Side Effects:

Contraindications:
Side Effects:

Nursing implications:

Trade Name:

Trade Name:

Tucks

Classification: Astringents-OTC
Use(s):

Nursing implications:

Trade Name:

Witch Hazel

Classification: Astringents-OTC
Use(s):

Action:

Action:

Contraindications:

Contraindications:

Side Effects:

Side Effects:

Nursing implications:

Nursing implications: