| Drug: |
Epinephrine (Adrenalin) |
| Side Effects: |
Increased ocular pressure, ectopic
beats, nausea |
| Nursing Considerations: |
Monitor blood pressure, peripheral
pulses, urinary output
Use infusion pump
|
|
| Drug: |
Buspirone (BuSpar) |
| Side Effects: |
Light headedness, confusion, hypotension, palpitations |
| Nursing Considerations: |
Little sedation
Used for episode or acute incident
Not ongoing anxiety
Used for clients with previous addiction
Does not potentiate CNS depressants
|
|
| Drug: |
Quinidine (Quinaglute) |
| Side Effects: |
Anemia, hypotension, headache, heart block, tinnitus,
fever, GI
symptoms
|
| Nursing Considerations: |
Used for atrial or ventricular arrhythmias
May increase toxicity for digitalis
Monitor liver function tests and I and O
Check apical pulse and BP
Monitor EKG and BP
|
|
| Drug: |
Amantadine (Symmetrel) |
| Side Effects:
|
CNS disturbances, hyperexcitability,
insomnia, vertigo, ataxia,
slurred speech, convulsions
|
| Nursing Considerations: |
Enhances effect of L-Dopa, Contraindicated
in epilepsy,
arteriosclerosis, antiviral
|
|
| Drug: |
Radioactive Iodine (131I) |
| Side Effects: |
Feeling of fullness
in neck, metallic taste, leukemia |
| Nursing Considerations: |
Destroys thyroid tissue
Contraindicated for women of childbearing age
Fast overnight before administration
Urine, saliva, vomit radioactive 3 days
Use full radiation precautions
Encourage fluids
|
|
| Drug: |
Spironolactone (Aldactone) |
| Side Effects:
|
Hyperkalemia, hyponatremia, hepatic
and renal damage, tinnitus,
rash
|
| Nursing Considerations: |
Used with other diuretics
Give with meals
Avoid salt substitutes containing potassium
Monitor I and O
|
|
| Drug: |
Cyclopentolate (Cyclogyl) |
| Side Effects:
|
Photophobia
Seizures
Tachycardia
|
| Nursing Considerations: |
Contraindicated in narrow-angle glaucoma
Burns when instilled
|
|
| Drug: |
Propoxyphene (Darvon) |
| Side Effects:
|
Restlessness
Tremors
Mild euphoria
|
| Nursing Considerations: |
Observe for dependence in prolonged
users
Use cautiously with CNS depressants, alcohol, and
tranquilizers because
of potentiating effect
|
|
| Drug: |
Hydralazine (Apresoline) |
| Side Effects:
|
Headache
Palpitations
Edema
Tachycardia
Lupus erythematosus-like syndrome
|
| Nursing Considerations: |
Give with meals
Observe mental status
Check for weight gain, edema
|
|
| Drug: |
Methenamine (Mandelamine) |
| Side Effects:
|
Nausea
Vomiting
Elevated liver enzymes
|
| Nursing Considerations: |
Anti-infective
Give cranberry juice to supplement acidification
Check I and O
Limit intake of alkaline foods (vegetables, milk,
almonds, coconut)
|
