Generic - Lorazepam

Trade- Ativan

Class - Central Nervous System Agent 

Action - Anxiolytic, Sedative, Hypnotic, Skeletal Muscle Relaxant

Indications - Management of anxiety disorders, Short term relief of symptoms of anxiety, also for management of Status Epilepticus.

Dose - Antianxiety 2-6mg adult 0.05 mg child

Status Epilepticus 4mg IV Push Adult 0.1mg IV Push child

Contraindications - Acute Narrow-angle glaucoma, Primary depressive disorders or psychosis, pregnancy and lactation.

Nursing Implications - Supervise Pt who exhibits depression with anxiety closely. IV injection is usually followed by a depth of drowsiness or sleepiness that permits Pt to respond to simple instructions whether they appear to be asleep or awake. Supervise ambulation of older adult Pt for at least 8 hours after injection to prevent falls and injury

Side Effects - Drowsiness and weakness, Sleep disturbance, HTN, Blurred vision.

Generic - Potassium Chloride

Trade - Cena K

Class - Electrolyte and water balance agent

Action - Essential for maintenance of intracellular isotonicity, transmission of nerve impulses, contraction of cardiac skeletal and smooth muscles, maintenance of normal kidney function, and for enzyme activity. Plays a prominent role in both formation and correction of imbalances in acid-base metabolism.

Indications - To prevent and treat potassium deficit secondary to diuretic or corticosteriod therapy, also indicated when potassium is depleted by severe vomiting and or diarrhea.

Dose - 10-100mEq PO adult

1-3mEq PO child

10-40mEq IV adult

Up to 3mEq IV child

Contraindications - Severe renal impairment, Untreated addisons disease, Acute dehydration.

Nursing implications - Moniter for and report signs of GI ulceration, Moniter Pt recieving parenteral potassium closely with cardiac moniter, Frequent serum electrolytes are warranted.

Side effects - Mental confusion, Difficulty swallowing, cardiac depression.

Generic - Nitroglycerine

Trade - Nitrostat

Class - Cardiovascular agent Nitrate vasodilator

Action - Relaxes vascular muscle resulting in dilation of arterys and veins

Indications - Prophylaxis, Management of angina pectoris, to produce controlled hypotension during surgical procedures.

Dose - 0.3 - 0.6mg sl adult

1.3 - 9mg PO adult

5mcg per min and titrate to effect IV adult

Contraindications - Severe anemia, increased ICP, hypotension.

Nursing implications - Moniter pt closely for hypotension, Be aware that moisture on SL tissue is required for dissolution of SL tablet, assess for headaches.

Side effects - Hypotension, Headache, Blurred vision

Generic - Albuterol

Trade - Proventil, Proventil Repetabs, Ventolin, Volmax

Class - Bronchodilator, nervous system agent

Action - inhibits histamine release by mast cells, bronchodilation, acts more prominently on beta receptors.

Indications - to relieve bronchospasm due to asthma, used to prevent exercise induced bronchospasm.

Dose - 2 - 4mg PO adult

0.1 - 0.2 mg PO child

1 - 2 inhalations q4-6h adult and child

Nursing implications - moniter for fine tremor in fingers, periodic ABG, pulmonary functions and pulse oximetry.

Side effects - Headache, dizzeness, vertigo, increased ICP 

Generic - Regular Insulin

Trade - Humulin R, Iletin II Regular Pork, Insulin Purified Regular Pork, Novolin R, Velosulin BR

Class - Hormone and Synthetic substitute; antidiabetic agent

Action - Lowers blood glucose levels

Indications - Emergency treatment of diabetic ketoacidosis or coma, to initiate therapy in Pt IDDM.

Dose - 5-10U SC adult

2-4U SC child

Contraindications - Hypersensitivity to insulin animal protein. Cautious Use in renal impairment, pregnancy and lactation.

Nursing Implications - Frequency of blood glucose monitoring, notify Dr promptly for presence of acetone with sugar in urine. Monitor for hypoglycemia at time of peak action of insulin.

Side effects - hyperinsulinemia, tremors, tachycardia and weakness

Generic- Aspirin (acetylsalicylic acid)

Trade- Acuprin 81, Bayer Aspirin, Bufferin, Easprin, Ecotrin, Empirin, Fasprin, Halfprin, Norwich Aspirin, St. Joseph Aspirin, Zorprin

Class - CNS agent, analgesic, antipyretic, antiplatelet

Action - Inhibits formation of prostaglandins involved in production of inflammation, pain, and fever

Indications - To relieve pain, inflammation, and reduce fever

Dose - 350-650mg q4h PO adult

10-15mg/kg in 4-6h PO child

Contraindications - Hypersensitivity to salicylates and other NSAIDs, chronic rhinitis, history of GI ulceration

Nursing Implications - Frequent PT and IRN with concurrent anticoagulant therapy, monitor diabetic carefully for need to adjust insulin dose, monitor for loss of tolerance to aspirin.

Side effects - dizziness, confusion, drowziness, tinnitus

Generic - rabeprazole

Trade - Aciphex

Class - GI agent, proton pump inhibitor

Action - Suppresses gastric acid secretion

Indications - Healing of erosive or GERD, healing of duodenal ulcers

Dose - 20mg PO adult

Contraindications - Hypersensitivity to PPIs, lactation, and Cautious use in severe hepatic impairment

Nursing Implications - Routine serum chemistry, report diarrhea and/or skin rash, do not breast feed while taking this drug

Side effects - Stevens-Johnson syndrome, toxic epidermal necrolysis, eyrthema multiforme

Generic - carvedilol

Trade - Coreg, Kredex

Class - autonomic nervous system agent, alpha- and beta- adrenergic antagonist, antihypertensive

Action - Blood pressure reduction, peripheral vasodilation

Indications - Management of essential hypertension, CHF in conjunction with other heart failure medications

Dose - 6.25mg bid PO adult

Contraindications - Class IV decompensated cardiac failure, bronchial asthma, pregnancy and lactation

Nursing Implications - monitor liver function test, monitor for worsening of symptoms of PVD, monitor digoxin levels with concurrent use

Side effects - bradycardia, hypotension, and bronchitis

Generic - Enoxaparin

Trade - Lovenox

Class - Blood formers, coagulators

Action - low molecular weight heparin with antithrombotic properties, does not affect PT, does affect thrombin and aPTT

Indications - Prevents DVT and pulmonary imbolism, management of acute coronary syndrome

Dose - 30mg bid SC adult

Contraindications - Gi bleeding, hemophilia, heparin-induced thrombocytopenia

Nursing Implications - Baseline coagulation studies, monitor platelet count, monitor for signs and symptoms of unexplained bleeding

Side effects - hemorrhage, anemia, and dyspnea

Generic - Heparin

Trade - Hep-Lock, Hep-Pak, Hep-Pak CVC, Heparin Lock Flush

Class - blood formers, coagulators, and anticoagulants

Action - Inhibits formation of new clots

Indications - prophylaxis and treatment of venous thrombosis and pulmonary embolism

Dose - 5000U q8-12h SC adult

Contraindications - active bleeding, hemophilia, jaundice

Nursing Implications - monitor APTT levels closely, draw blood for coagulation test 30 min before each dose, observe all needle sites for hematoma and signs of inflammation

Side effects - spontaneous bleeding, hypertension, chest pain

Generic - rosiglitazone

Trade - Avandia

Class - hormones and synthetic substitutes, antidiabetic

Action - reduces cellular insulin resistance and decreases hepatic glucose output

Indications - reduces hyperglycemia and hyperlipidemia

Dose - 4mg qd PO adult

Contraindications - pregnancy, lactation, active hepatic disease

Nursing Implications - monitor for S&S of hypoglycemia and CHF, liver function test, and monitor for edema

Side effects - Edema, headache, back pain, fatigue

Generic - Acetaminophen

Trade - Anacin-3 Maximum Strength, Childrens Tylenol, Tylenol, Tylenol Caplet, Tylenol Caplet Extra Strength, Tylenol Extended Release, Tylenol Extra Strength, Tylenol Gelcap Extra Strength, Tylenol Suspension

Class - CNS agent, Nonnarcotic Analgesic, Antipyretic

Action - Produces analgesia, reduces fever by direct action on hypothalmus heat regulating center, has little effect of platelet aggregation.

Indications - Fever reduction, temporary relief of mild to moderate pain.

Dose - 325-650mg q4-6h PO Adult

650mg q4-6h PR Adult

10-15mg/kg q4-6h PO Child

120mg q4-6h PR Child

10-15mg/kg q6-8h PO Neonate

Contraindications - Hypersensitivity to acetaminophen or phenacetin, or use with alcohol.

Nursing Implications - Montitor for S/S of hepatoxicity in individuals with poor nutrition, alcoholics, poisonings, and potental abuse from psychological dependance.

Side Effects - Hepatotoxicity, epigastric or abdominal pain, anorexia.

Generic - Morphine

Trade - Avinza, Kadian, MS Contin, MSIR, Oramorph SR, Rescudose, Roxanol, Roxanol 100.

Class - CNS Agent, Analgesic, Narcotic (Opiate) Agonist.

Action - Analgesia at supraspinal level, euphoria, respiratory depression, and physical dependence; analgesia at spinal level, sedation, and miosis; and dysphoric, hallucinogenic and cardiac stimulant effects.

Idications - Symptomatic relief of severe acute and chronic pain after nonnarcotic analgesics have failed and as preanesthetic medication; also used to relieve dyspnea of acute left ventricular failure and pulmonary edema and pain of MI.

Dose - 10-30mg q4h PO adult

0.05-0.1mg/kg PO child

Contraindications - Increased ICP, Severe respiratory depression, convulsive disorders.

Nursing Implications - Obtain baseline respiratory rate, depth, and rhythm and size of pupils before adminstering the drug. Be alert to elevated pulse or respiratory rate, restleness, anorexia, or drawn facial expressions that may indicate the need for analgesia. Monitor for respiratory depression.

Side effects - Severe respiratory depression, Constipation, Bradycardia.

Generic - Haloperidol

Trade - Haldol, Peridol

Class - CNS agent, Psychotherapeutic, antipsychotic, butyrophenone.

Action - Decreases psychotic manifestationsand exerts strong antiemetic effect.

Indications - Management of manifestations of psychotic disorders and for control of tics and vocal utterances of Gilles de la Tourette's syndrome.

Dose - 0.2-5mg b.i.d PO for Psychosis Adult

0.5mg/d PO for Psychosis Child

0.2-5mg PO for Tourettes Adult

0.05-0.075mg/kg/d PO for Tourettes Child

Contraindications - Parkinsons disease, Seizure disorder, severe mental depression.

Nursing implications - Target symptoms expected to decrease with successful treatment include hallucinations, insomnia, hostility, agitation, and delusions. Moniter Pts mental status daily. Moniter for exacerbation of seizure activity.

Side Effects -Parkinsonian symptoms, tachycardia, laryngospasm.

Generic - Clopidogrel

Trade - Plavix

Class - Blood formers, Coagulators, Anticoagulants, Antiplatelet Agent.

Action -Inhibits platelet aggregation by selectively preventing the binding of adenosine diphosphate to its platelet receptor consequently prolongs bleeding time.

Indications - Secondary prevention of MI, stroke, and vascular death in Pt' s with recent MI, stroke, unstable angina or estabished peripheral arterial disease.

Dose - 75mg q.d. PO Adult

Contraindications - Intercranial Hemmorrhage, peptic ulcer, or any othe rpathologic bleeding, and pregnancy.

Nursing implications - Discontinue use 7 days before surgery. Carefully moniter for S/S of GI bleeding. Periodic platelet count and lipid profile.

Side Effects - Flu-like syndrome; chest pain, edema,and hypertension; and URI, dyspnea, rhinitis, bronchitis, and cough.

 Generic - Levofloxacin

Trade - Levaquin, Iquix, Quixin

Class - Antiinfective, Antibiotic, Quinolone.

Action - Effective against many gram-positive and gram-negative organisms.

Indication - Treatment of maxillary sinusitis, acute exacerbations of bacterial bronchitis, community-acquired pneumonia, uncomplicated skin/skin structure infections, UTI, acute pyelonephritis, caused by susceptible bacteria.

Dose - 500mg q24h PO adult

Contraindications - Hypokalemia, tendon pain, pregnancy.

Nursing implications - Do C&S test prior to beginning therapy and periodically. Avoid exposure to excess sunlight or artificial UV light. Avoid NSAIDS while taking this drug.

Side Effects - Forgien body sensation, cartilage erosion, decreased vision.

Generic - Lactulose

Trade - Cephulac, Chronulac, Constulose, Duphalac, Enulose.

Class - GI Agent, Hypersmotic Laxitive.

Action - Reduces blood ammonia; appears to involve metabolism of lactose to organic acids by resident intestinal bacteria.

Indications - Prevention and treatment of portal-systemic encephalopathy, including stages of hepatic precoma and coma, and by prescription for relief of chronic constipation.

Dose - 30-45mL t.i.d PO adult

40-90mL/d PO Child

2.5-10mL/d PO Infant

Contraindications - Low galactose diet, pregnancy, and cautious use with DM.

Nursing Implications - Discontinue use in children if diarrhea is persisitant. Promote fluid intake during drug therapy for constipation. Do not medicate with another laxitive due to slow onset of drug action (24-48h).

Side Effects - Flatulence, abdominal cramps, hypernatremia.

Generic - Cefazolin

Trade - Ancef, Kefzol, Zolicef

Class - Antiinfective, Antibiotic, First-Generation cephalosporin

Action - Antibiotic activity similar to that of cefazolin. Activity against gram negative organisms is limited.

Indications - Effective treatment for bone and joint infections, biliary tract infections, endocarditis prophylaxis and treatment, respiratory and genital tract infections, septicemia and skin infections, and surgicla prophylaxis.

Dose - 250mg-2g q8h IV/IM Adult

25-100 mg/kg/d IV/IM Child

40mg/kg/d IV Neonate

Contraindications - Hypersensitivity to any cephalosporin and related antibiotics, pregnancy, and lactation.

Nursing Implications - Determine hypersensitivity to cephalosporins, PCN, and other drugs before therapy is indicated. Perform culture and sensitivity testing prior to and during therapy. Be alert to changes in BUN, serum creatine.

Side Effects - Seizure, superinfections, eosinophillia.

Generic - Diltiazem

Trade - Cardizem, Cardizem CD, Cardizem LA, Cardizem SR, Cartia XT, Dilacor XR, Diltia XT, Tiazac

Class - Cardiovascular agent, Calcium channel blocking agent, Antihypertensive.

Action - Inhibits calcium ion influx through slow channels into cell of myocardial and arterial smooth muscle. Slows SA and AV node conduction without affecting normal arterial action potential or intraventricular conduction.

Indications - Vasospastic angina, chronic stable angina, essential HTN, A-Fib, atrial flutter, supreventricular tachycardia.

Dose - 30mg q.i.d PO Adult Angina

60-120mg PO Adult Hypertension

0.25mg/kg IV bolus over 2 min Adult A-Fib

Contraindications - Sick sinus syndrome, Second or Third degree AV blocks, Severe Hypotension.

Nursing implications - Check BP and ECG before initiation of therapy and moniter particularly during dosage adjustment period. Do baseline and periodic liver and renal function tests. Moniter for and report S/S of CHF.

Side Effects - Incoordination, Hypotension, dysuria.

Generic - pantoprazole

Trade - Protonix

Class - GI Agent, Proton Pump Inhibitor

Action - Gastric acid pump inhibitor; Belongs to a class of antisecretory compounds.

Indications - Short-term treatrment of erosive esophagitis associated with GERD.

Dose - 40mg q.d. PO Adult

40mg q.d. IV Adult

Contraindications - Hypersensitivity to pantoprazole or other proton pump inhibitors, severe hepatic insufficiency, cirrhosis.

Nursing Implications - Monitor for and report immediately S/S of angioedema or a severe skin reaction. Urea breath test 4-6 wk after completion of therapy. Do not breastfeed while taking this drug.

Side Effects - Diarrhea, flatulence, Abd Pain, Headache, Insomnia, Rash.

Generic - Simvastatin

Trade - Zocor

Class - Cardiovascular agent, Antilipemic, HMG-CoA Reductase Inhibitor (Statin).

Action - Inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase.

Indications - Hypercholesterolemia. Reduces the risk of coronary death and nonfatal MI.

Dose - 5-40mg q.d. PO Adult

Contrainications - Hypersensitivity to simvastin, active liver disease, and pregnancy.

Nursing Implications -  Asses for and report unexplained muscle pain. Moderate intake of grapefruit juice while on this medication. Moniter coagulation studies with Pt's receiving concurrent warfarin therapy. PT may be prolonged.

Side Effects - Angina, Rhinitis, elevation in liver transminases.

Generic - Magnesium Sulfate

Trade - Epsom Salt

Class - GI Agent, Saline Cathartic, Replacement Agent, Anticonvulsant

Action - Acts as a laxative by osmotic retention of fluid, increases water content of feces, and causes mechanical stimulation of bowel activity.

Indications- Orally to relieve acute constipation and to evacuate bowel in preparation for x-ray of intestines. Parenterally to control seizures in toxemia of pregnancy, epilepsy and acute nephritis and for prophylaxis and treatment of hypomagnesemia. Topically to reduce edema, inflammation, and itching.

Dose - 10-15g PO Adult Laxative

1g q6h IM/IV Adult Seizures

20-100mg/kg q4-6h IV Child Seizures

Contraindications - Myocardial damage, cardiac arrest, heart block.

Nursing Implications - Observe constantly when given IV, Check BP and pulse q10-15 min or more often if indicated. Have cacium gluconate readily available in case of magnesium sulfate toxicity. Monitor respiratory rate closely report immediately if rate falls below 12.

Side Effects - Extreme thirst, sedation, depressed or no reflexes.

Generic - Ketorolac Tromethamine

Trade -Toradol, Acular, Acular LS

Class - CNS agent, NSAID, Analgesic, Antipyretic

Action - It inhibits synthesis of prostaglandins and is peripherally acting analgesic. Ketorolac does not have any known effects on opiate receptors.

Indications - Short-term management of pain, ocular itching due to seasonal allergic conjuctivitis,reduction of post-operative pain and photophobia after refractive surgery.

Dose - IV loading dose 30mg Adult

IV loading dose 15mg Geriatric

Contraindications - Individuals with complete or partial syndrome of nasal polyps, angioedema, and bronchiospastic reaction to ASA or other NSAIDs.

Nursing Implications - Correct Hypovolemia prior to administration of ketorolac, Monitor fluid retention and edema in Pt's with a history of CHF, Watch for S/S of GI ulceration and bleeding during long-term therapy.

Side Effects - Dizziness, headache, dyspepsia, GI Pain, hemorrhage, edema, and sweating.

Generic - Furosemide

Trade - Lasix, Lo-Aqua

Class - Electrolytic and water balance agent, loop diuretic.

Action - Rapid-acting potent sulfonamide diuretic and hypertensive with pharmacologic effects and uses almost identical to those of erthacrynic acid. Exact mode of action clearly not defined, decrease renal vascular resistance and may increase renal blood flow.

Indications - Treatment of edema associated with CHF, cirrhosis of liver, and kidney disease, including nephrotic syndrome. May be used for management of hypertension.

Dose - 20-80mg PO adult

2mg/kg PO Child

1-4mg/kg PO Neonate

Contraindications - Increasing oliguria, anuria, fluid and electrolyte depletion states; hepatic coma; pregnancy and lactation.

Nursing Implications - Monitor for S/S of hypokalemia, Monitor BP during periods of diuresis and through period of dosage adjustment, Monitor I & O ratio and pattern. Report any unsual increase or decrease immediately.

Side Effects - Acute hypotensive episodes, hypovolemia, anemia

Generic - metformin
Trade - Fortamet, Glucophage, Glucophage XR, Glumetza, Riomet

Class - Hormones and synthetic substitutes, Antidiabetic agent, Biguanides

Action - Improves tissue sensitivity to insulin, increases glucose transport into skeletal muscles and fat thus lowering blood glucose levels.

Indications - Treatment of DM type 2 in Pts not controlled with diet alone. May be used with an oral sulfonylurea.

Dose - 500mg  q.d. PO adult

Contraindications - Hepatic or cardiopulmonary insufficiency, diabetic ketoacidosis, cardiogenic shock

Nursing Implications - Monitor known or suspected alcoholics for decreased liver function, Monitor cardiopulmonary status throughout course of therapy, Do not breast feed while taking this drug

Side effects - Lactic acidosis, headache, abdonimal pain

Generic - Docusate

Trade - Aqualax, Calube, Colace, Colace Micro-Enema, Correctol Softgel Extra Gentle, DC-240, Dialose, Diocto, Dioctocal, Dioctosoftez, Dioctyn, Dionex, Doc-Q-Lace, Docu Soft, Docucal, Doculax, Docusoft S, DOK, DOS, Doss-Relief, DSS, Ex-Lax Stool Softener, Fleet Sof-Lax, Genasoft, Kasof, Modane Soft, Octycine-100, Regulax SS, Sulfalax Calcium, Sur-Q-Lax, Surfak Stool Softener, Therevac-SB

Class - GI agent, stool softener

Action - anionic surface-active agent with emulsifying and wetting properties

Indications - Prophylactically in Pts who should avoid straining during defecation and for treatment of constipation associated with hard dry stools.

Dose - 50-500mg/d PO adult

50-100mg added to enema fluid PR adult

10-40mg/d PO child

Contraindications - Atonic constipation, fecal impaction, intestinal perforation

Nursing Implications - Withhold drug if diarrhea develops and notify Dr. Do not take concomitantly with mineral oil. Therapeutic effectiveness usually apparent 1-3 days after first dose.

Side effects - Mild abd cramps, diarrhea, rash

Generic - sodium polystyrene sulfonate

Trade - Kayexalate, Kionex

Class - Electrolyte and water balance agent, cation exchange

Actions - Removes potassium from body by exchanging sodium ion for potassium through the large intestine.

Indications - Hyperkalemia

Dose - 15g PO adult

Contraindications - Hypokalemia, hypersensitivity to kayexalate, caution use with chronic kidney failure

Nursing Implications - Determine serum potassium levels daily through out therapy. Usually a mild laxative is prescribed to prevent constipation. Serum potassium levels do not always reflect intracellular potassium deficiency.

Side effects - Constipation, hypokalemia, hypocalcemia, hypomagnesemia

Generic - acetaminophen and oxycodone

Trade - Endocet, Narvox, Percocet 10/650, Percocet 2.5/325, Percocet 5/325, Roxicet, Roxilox, Tylox

Class - Autonomic Drugs, Cardiovascular-Renal Drugs, Drugs with Important Actions on Smooth Muscle, Drugs That Act in the Central Nervous System

Actions - The principal ingredient, oxycodone, is a semisynthetic opioid analgesic with multiple actions qualitatively similar to those of morphine; the most prominent of these involve the CNS and organs composed of smooth muscle. The principal actions of therapeutic value of the oxycodone in Percocet are analgesia and sedation

Indications - The relief of moderate to moderately severe pain, including conditions accompanied by fever.

Dose - 2.5-10mg q6h PO adult

Contraindications - Status asthmaticus, pre-existing respiratory depression or convulsive states, hypersensitivity to oxycodone or acetaminophen.

Nursing Implications - Monitor for S/S of constipation, Be alert for increased risk for falls, Monitor for altered mental status.

Side Effects - light-headedness, dizziness, sedation, nausea, and vomiting, constipation and pruritus.

Generic - Metoclopramide

Trade - Clopra

Class - GI Stimulant

Action - Increases resting tone of esophageal sphincter, and tone and amplitude of GI contractions.

Side effects - diarrhea, sedation, fatigue,restlessness.

Dosage - PO 10-15 mg q.i.d a.c  and h.s.

Nursing Implications - MOniter closely for hypernatremia and hypokalemia.

Generic - Levalbuterol

Trade - Xopenex

Class - Bronchiodilator

Action - Decreases airway resistance. Facilitates mucous drainage, and increases vital capacity.

Side Effects - Paradoxical bronchospasm, Migrane, dizziness, nervouseness.

Dosage - Inhalation 0.63mg by neb q6-8h

Nursing Implications - Monitor for S & S of cardiovascular stimulation eg BP, HR, and resp status.

Generic - Insulin Aspart

Trade - Novolog

Class - Hormone and synthetic substitute

Action - Recombinant insulin analog that is more rapidly absorbed than human insulin with a more rapid onset and shorter duration than human insulin

Side effects - Hypoglycemia hypokalemia pruritus

Dosage - sc 0.25-0.7units/kg/d

Nursing Implications - Moniter for S & S of hypoglycemia intitial response is within 15 min and peaks at 45-90 min.

Generic - Enoxaparin

Trade - Lovenox

Class - Anticoagulant

Action - low molecular weight heparin with antithrombotic properties does not affect PT does affect Thrombin time (TT)

Side Effects - Angioedema, hemorrhage, abnormal liver function test.

Dosage - sc 30mg b.i.d

Nursing Implications - Monitor pt for S & S of hemmorhage eg bp pulses and skin condition.

Generic - Ipratropium Bromide

Trade - Atrovent

Class - Bronchodilator

Action - Bronchodilation inhibits acetylcholine at its receptor sites, thereby blocking cholinergic bronchomotor tone; also abolishes vagally mediated reflex bronchospasm triggered by nonspecific agents such as smoke dust and cold air.

Side Effects - blurred vision, cough, urinary retention

Dose - inhalation 2.5ml q4h

Nursing Implications - Allow 30-60 sec between puffs for maximun effect.

Generic - Vancomycin

Trade - Vancocin

Class - antibiotic

Action - Active against many gram positive organisms including group a strep, staph, pneumococci, cornye bacteria.

Side Effects - ototoxicity, nephrotoxicity leading to uremia and transient leukopenia.

Dosage - IV Piggyback 1Gm b.i.d

Nursing Implications - Monitor BP and HR continuously during drug administration.

Generic - Famotidine

Trade - Pepcid

Class - GI Agent

Action - Reduces parietail cell output of hydrochloric acid; thus detrimental effects of acid on gastric mucosa are diminished.

Dose - IV PIggyback 20mg b.i.d

Nursing Implications - Monitor for improvement in GI distress and for S & S of GI bleed.