GENERIC NAME DRUG CLASSIFICATION MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NSG.

RESPONSIBILITIES

Atrophine Cholinergic blocking Blocks acetylcholine -Symptomatic Ophthalmic use: Most common After instillation of
sulfate drug effects on bradycardia, infants less than 3 ophthalmic ointment,
postganglionic bradyarrhyth months of age, Systemic use: compress lacrimal sac
cholinergic receptors mia primary glaucoma Dry mouth, by digital pressure for
BRAND NAME in smooth muscle, (junctional or or a tendency urinary 1-3 min to decrease
cardiac muscle, escape toward glaucoma, hesitancy, systemic effects.
Minims exocrine glands, rhythm) adhesions between headache,
Atropine urinary bladder, and the iris and the flushing,
the AV and SA node in lens, geriatric constipation, Have physostigmine
DOSAGE the heart. -Antidote for clients and others heartburn, N available in the event
Ophthalmologically, anticholineste where and V. of overdose.
Adult: 0.5- blocks acetylcholine rase- undiagnosed
1mg I.V. push, effects on the insecticide glaucoma or Opthalmic use:
repeated q 3-5 sphincter muscle of poisoning excessive pressure Blurred vision, Use the AtroPen
min. to the iris and the in the eye may be stinging, Auto-injector as soon
maximum of 2 accommodation present, in children increased as symptoms of
mg p.r.n. muscle of the cilliary -Preopera- who have had a intraocular organophosphorus or
Children and body. This results in tively to previous sever pressure. carbamate poisoning
Adolescents: dilation of the pupil diminish systemic reaction appear. In moderate
0.02 mg/kg and paralysis of the secretions and to atropine. to severe poisonoing,
I.V., with muscles required to block cardiac use of more than 1
minimum accommodate for vagal reflexes AtroPen may br
dose of 0.1 mg close vision. required until
and maximum atropinization is
single dose of achieved.
0.5 mg in
children/ 1mg
in
adolescents.
GENERIC NAME DRUG CLASSIFICATION MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NSG. RESPONSIBILITIES

Epinephrine Sympathomimetic, Causes marked -Broncho- Narrow-angle Most Common: ADMINISTRATION/

direct-acting stimulation of alpha, spasm, glaucoma. Use STORAGE
beta-1, and beta-2 hypersensiti- when wearing soft When used for
receptors, causing vity reactions, contact lenses broncho- The 1:1,000 solution
BRAND NAME sympathomimetic anaphylaxis (may discolor dilation: may be given IM or
stimulation, pressor lenses). Alphakia. Palpitation, SC. The 1:10,000
Vaponefrin effects, cardiac Lactation. tachycardia, solution is given by
stimulation, -Hemostasis PVCs, IV injection or, in
bronchodilation, and dizziness/ cardiac arrest, by
decongestion. It vertigo, intracardiac injection
DOSAGE crosses the placemta -Acute asthma nervousness, into the left
but not the blood- attacks headache, ventricular chamber
Adults: 0.1-0.5 brain barrier. insomnia, or via endotracheal
ml of 1:1000 NandV , tube directly into the
sol I.M. or -To prolong sweating, bronchial tree.
subcutaneous- local anorexia.
ly. Repeat q anesthetic
10-15 min, effect When used Briskly massage site
p.r.n. Or, 0.1- opthalically: of SC or IM injection
0.25 ml of transient to hasten drug action.
1:1000 sol I.V. -To restore stinging/ Do not expose drug
slowly over 5- cardiac burning, eye to heat, light, or air,
10 min. may rhythm in pain/ache, as this causes
repeat q 5-15 cardiac arrest headache, deterioration.
min, p.r.n., or brow ache,
follow with conjunctival
continuous hyperemia.
I.V. infusion,
starting at 1
mcg/min and
increasing to 4
mcg/min,
p.r.n.

Children: 0.01
ml/kg of
1:1000 sol
subcutaneous-
ly ; repeat q
20 min to 4
hours, p.r.n.
maximum
single dose
shouldn’t
exceed 0.5mg.
GENERIC NAME DRUG CLASSIFICATION MECHANISM OF ACTION INDICATION CONTRAINDICATION ADVERSE EFFECT NSG. RESPONSIBILITIES

Sodium Alkalinizing agent, The antacid action is -Metabolic Chloride loss to Most Common: Hypertonic solutions
bicarbonate Antacid, Electrolyte due to neutralization acidosis vomiting or from Rebound must be administered
of hyrochloric acid by continuous GI hyperacidity, by trained personnel.
forming sodium suction. With milk-alkali Avoid extra vacation
chloride and carbon -Systemic diuretics known to syndrome. as tissue irritation or
BRAND NAME dioxide. Provides or urinary produce a cellulitis may result.
Neut temporary relief of alkalinizatio hypochloremic
peptic ulcer pain and n alkalosis.
of discomfort Metabolic and Determine IV dose by
associated with respiratory arterial blood Ph, Pco2
DOSAGE indigestion. Although -Antacid alkalosis. , and base deficit; may
widely used by the Hypocalcemia in be given IV push in
Adult and public, sodium which alkalosis arrest situation or
Children : bicarbonate is rarely -Cardiac may cause tetany. diluted in dextrose or
dosage prescribed as an arrest Hypertension, saline solution and
depends on antacid because of its convulsions, CHF, given over 4-8 hours.
blood carbon high sodium content, and other
dioxide short duration of situations where
content, Ph, action, and ability to administration of Administer isotonic
and patient’s cause alkalosis. Is also sodium can be solutions slowly; too
condition; a systemic and urinary dangerous. rapid administration
usually, 2-5 alkalinizer by may result in death
mEq/kg I.V. increasing plasma and due to cellular acidity.
infused over urinary bicarbonate, Check rate of flow
4-8 hour respectively. frequently.
period