Question

What are the 1. Use 2. Side effects 3. Adverse reactions and contraindications 4. nursing intervention/responsibilities before, during and after administration.  

of these Drugs

1. Digoxin

2. Furosemide

3. Naloxone

4. Nifedipine

5. Propranolol/ atenolol

6. Celecoxib

7. Insulin

8. Alendronate

9. Iron

10. Warfarin

11. Nitroglycerin

12. Nitroglycerin

13. Nitrofurantoin

14. Rifampicin

15. Lactulose

16. Allopurinol

17. Theophylline

18. Methimazole

19. Levothyroxine

20. Spironolactone

21. Albuterol

22. corticosteroids

Answer 1

Digoxin Use - To treat heart failure and atrial fibrillation Side effects - diarrhea dizziness headache Adverse reactions and contradictions - Certain Allergic reactions such as swelling of lips, tongue, face; skin irritation or rashes, itching, blurred eye vision, anxiety, depression, hallucinations, lightheadedness or faint headache, nausea or vomiting, diarrhea, stomach pain, and weakness Nursing interventions and responsiblities - To check the dose and prevent overdose in children or pregnant women or interaction with various other drugs such as fungal drugs or cancer drugs. Furosemide Use - To treat hypertension and also used to treat edema Side effects - headache stomach ache dizziness nausea or vomiting diarrhea constipation blurred vision itching or rash Adverse reactions and contradictions - abnormal heartbeat feeling of thirst dry mouth weight gain dryness of hair and skin increased feelings of being cold drowsiness muscle pains urinating less Damage to liver and hearing problems Nursing interventions and responsiblities - To check the dose and prevent overdose in children or pregnant women or patients suffering from liver problems, diabetes or heart problems or interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. To check for allergic reactions. To instruct avoiding alcohol. Naloxone Use - to treat a narcotic overdoses and to diagnose overdose of an opioid. Side effects -nausea, vomiting, diarrhea, stomach pain, weakness, increased heart rate. In infants of 4 weeks old stiffness, crying, and stiffness. Adverse reactions and contradictions - nausea, vomiting, diarrhea, stomach pain; fever, sweating, body aches, weakness, increased heart rate, increased blood pressure, restlessness, Nursing interventions and responsiblities - To check the dose and prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. To check for allergic reactions. To instruct avoiding alcohol. To not use the medicine if it has changed colors. Nifedipine Use - To treat hypertension and chest pains. Side effects- headache, weakness, body pain, nausea, dizziness, cramps, constipation, reddening of the skin, swelling in the legs or feet. Adverse reactions and contradictions - Liver damage, difficulty in breathing and swallowing, and swelling of the face, eyes, and mouth. Nursing interventions and responsibilities - Before To check the dose for every patient depending upon the conditions. To prevent overdose in children or pregnant women (especially if breastfeeding) or patients suffering from liver problems, diabetes or heart problems or older patients. To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. After To check for allergic reactions. To instruct the patient to avoid alcohol and To instruct the patient to complete the course of medication. Propranolol Use - To treat high blood pressure and to control heart rhythm in atrial fibrillation, to treat chest pain and also to treat migraines. Side effects - headache, weakness, body pain, nausea, dizziness, slow heart rate, dry eyes, hair loss. Adverse reactions and contradictions - Itching, difficulty in breathing and swallowing, swelling of the face, eyes, and mouth, change in blood sugar, sleeping problems, hallucinations. Nursing interventions and responsiblities - Before To check the dose for every patient depending upon the conditions. To prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or older patients. To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. After To check for allergic reactions. To instruct patient to avoid alcohol and To instruct patient to complete the course of medication. To instruct to carry medications during travelling. To direct routine check-up. Celecoxib Use -   To treat rheumatoid arthritis, osteoarthritis, spondylitis and menstrual cramps Side effects - nausea, vomiting, dizziness, headache, stomach pain, constipation, and diarrhea. Adverse reactions and contradictions - Itching, difficulty in breathing and swallowing, swelling of the face, eyes, and mouth, heart attack, Stroke, blurred vision, swelling in your arms and legs. Nursing interventions and responsiblities - Before To check the dose for every patient depending upon the conditions. To prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or older patients. To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. After To check for allergic reactions. To instruct patient to avoid alcohol and To instruct patient to complete the course of medication. To instruct to carry medications during travelling. To direct routine check-up. Alendronate Use -   To treat osteoporosis and also used to treat Paget’s disease. Side effects - diarrhea, nausea, stomach ache, constipation and muscle and joint pain Adverse reactions and contradictions - Ulcers, heartburn, teeth loss, pain in jaws, pain while swallowing, chest pain, Pain in hips or thighs. Nursing interventions and responsiblities - Before To check the dose for every patient depending upon the conditions. To prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or older patients. To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. After To check for allergic reactions. To instruct patient to avoid alcohol and To instruct patient to complete the course of medication. To instruct to carry medications during travelling. To direct routine check-up. Warferin Use - To treat blood clots. Side effects - nosebleeds, bruises, bleeding of gums, vaginal bleeding, vomiting of blood. Adverse reactions and contradictions - pain inthe body and change in body temperature and pain and purple or dark color in your toes. Nursing interventions and responsiblities - Before To check the dose for every patient depending upon the conditions. To prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or older patients. To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics. After To check for allergic reactions. To instruct patient to avoid alcohol and To instruct patient to complete the course of medication. To instruct to carry medications during travelling. To direct routine check-up.

10 INSULIN

USE- Diabetes

SIDE AFFECTS-Injection site reaction(pain, redness, irritation)

  ADVERSE REACTION AND CONTRAINDICATION- Rash, itching Trouble breathing

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-Before have to check blood sugar

11 IRON

USE- Iron deficiency anemia

SIDE AFFECTS- Constipation, dark stool

  ADVERSE REACTION AND CONTRAINDICATION-Nausea, flatulence, abdominal pain

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-Check ferritin concentration

12 NITROGLYCERIN

USE- To treat chest pain.

SIDE AFFECTS-vomiting nausea weakness

ADVERSE REACTION AND CONTRAINDICATION-blurry mission, dizziness

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-

Before

To check the dose for every patient depending upon the conditions.

To prevent overdose in children or pregnant women (especially if breast feeding) or patients suffering from liver problems, diabetes or heart problems or older patients.

To check interaction with various other drugs such as fungal drugs, cancer drugs or certain antibiotics.

After

To check for allergic reactions.

To instruct patient to avoid alcohol and

To instruct patient to complete the course of medication.

To instruct to carry medications during travelling.

To direct routine check-up.

13 NITROFURANTOIN

USE-to treat urinary tract infection

SIDE AFFECTS-nausea vomiting loss of apetite diarrhea body pain

  ADVERSE REACTION AND CONTRAINDICATION-fever, chest pain muscle weakness pale skin

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-Same as above

14 RIFAMPCIN

USE- to treat tuberculosis

SIDE EFFECTS sore throat, skin rash, hives

  ADVERSE REACTION AND CONTRAINDICATION-drowsiness vomiting,numbness,change in behavuior

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION

15 LACTULOSE

USE treatment of constipationand hepatic enchepalitis

SIDE EFFECTS- flatulence,abdominal discomfort

ADVERSE REACTION AND CONTRAINDICATION

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION

16 ALLOPURINOL

USE gout, kidney stones

SIDE AFFECTS-jaundice

  ADVERSE REACTION AND CONTRAINDICATION abnormal liver function test headache

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-same as above

17 THEOPHYLLINE  

USE bronchodilators(xanthine derivative)

SIDE EFFECTS Central nervous system, Diarrhea nausea

  ADVERSE REACTION AND CONTRAINDICATION dizziness, numbness , body pain

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-Same as above

18 METHIMAZOLE  

USE To treat hyperthyroidism

SIDE EFFECTS Sore throat, bleeding,

  ADVERSE REACTION AND CONTRAINDICATION dizziness, numbness

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION same as above

19 LEVOTHYROXINE  USE To treat hypothyroidism

SIDE effects increase appetite, trouble sleeping

  ADVERSE REACTION AND CONTRAINDICATION chest pain shortness of breath

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION same as above

  

20 SPIRONOLACTONE   USE-Water pills (maintain potassium) treat heart failure, high blood pressure or hypokalemia

  SIDE AFFECTS-Constipation,diarrhea ,dizziness

  ADVERSE REACTION AND CONTRAINDICATION-Constipation, diarrhea ,dizziness

   NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-history of patients like Addision disease, high level of potassium, kidney problems and age group

21 ALBUTEROL USE It is a bronchodilator that relaxes muscles in the airways.

SIDE AFFECTS-Shakiness of legs, arms, and hands

ADVERSE REACTION AND CONTRAINDICATION-vomiting,sweating, muscle pain headache anxiety

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-Check bp and heart rate, need to assess amount color and consistency of sputum

22 Corticosteroids  USE- Provide relief for inflamed areas Eg; swelling, redness, itching and allergic reactions

SIDE AFFECTS- Osteoporosis, hypertension

ADVERSE REACTION AND CONTRAINDICATION-Dizziness, nervousness, facial flushing insomnia

NURSING INTERVENTION BEFORE, DURING, AFTER ADMINISTRATION-To instruct patient properly oral medication or IV,doses should be given appropriately after checking past history , Monitoring the patient also.