Question

·
The Instructor will assign ten      (10) drug cards per week, in specific areas. Each card will be worth 1      point. You will not receive the points for the cards if they are not submitted      within the week when due.

· Cards must be handwritten,      legible, and on ruled index cards.

· All information required on the      card must be completed or you will not receive the point for the card.

· The following information must      be on the Drug Card for Each Drug:

• Generic and Trade /Brand Names       ( American Only )
• Classifications:
  • Therapeutic
  • Pharmacological
• Indications/Uses
• Contraindications
• Adverse reactions by all       systems
• Safe dosage range
• 3 nursing implications
• Action

Celexia

Remeron

epinephrine

cymbalta

Answer 1

Drug name	generic and trade name	safe dose range	Classification	Action	indication	contraindication	adverse effects	nursing implications
Celexa	Generic name - Citalopram hydrobromide Trade name- Celexa	10 mg, 20 mg, 40 mg in tablet form Oral solution 10mg/5ml	Antidepressant drug class which is known as a selective serotonin reuptake inhibitor	Inhibit serotonin uptake by CNS neuron	Depression	pregnancy, lactating mother, allergy to the drug	nervous system- blurred vision, dizziness, fainting, seizure Skin- rashes, allergy Respiration- trouble in breathing Gastro system- nausea, vomiting Musculoskeletal- tiredness and weakness renal system- Urinary system- painful urination, Hematology- bleeding	assess for the patient condition calculate the correct and administered check for side effects after 30 minutes of the administration
Remeron	Generic name- mirtazapine Trade name- Remeron	15 mg, 30 mg, 45 mg orally	Antidepressant drug. It is nonadrenergic and specific serotonergic antidepressants	It acts on the alpha 2 autoreceptor and alpha 2 heteroreceptor and also blocks HT2 and 5HT3 receptors.	Major depressive disorder	hepatic impairment, pregnancy, lactating mother, hypersensitivity	Skin -rashes nervous system- Convulsion, drowsiness, abnormal dreams gastrointestinal system- dry mouth, constipation, abdominal pain, nausea, vomiting Metabolic- dehydration, weight loss Cardiovascular- heart failure, hypertension, orthostatic hypotension, palpitation Musculoskeletal- back pain, myalgia Respiration- dyspnea Genitourinary- frequent urination Hepatic- cholecystitis, cirrhosis Renal- renal calculi hematologic system- enlargement of lymph nodes endocrine- goiter, hypothyroidism	- patient with antidepressant drugs treatment have increased risk of suicidal tendency so need to watch properly Do not leave the patient alone Any side effects then immediately informed to the consulting doctor.
Epinephrine	Generic name-Epinephrine trade name0 adrenaline. Epipen	0.3 mg0.5mg subcutaneously or IM Children 0.01 mg/kg/dose	This act as both alpha and beta receptor	This stimulate beta and alpha receptor and cause vasoconstriction, increase heart rate, bronchodilation, and effect on histamine.	Anaphylactic reaction, cardiac arrest, asthma, superficial bleeding	nil	Cardiovascular- angina, hypertension, palpitation neurologic- impaired memory, tingling sensation, disorientation psychic- anxiety, restlessness, Skin- pallor gastrointestinal- nausea, vomiting Musculoskeletal- weakness	Check for the side effects Check the blood glucose level for the patient who is taking this drugs because it increases the glucose level.
Cymbalta	generic name- Duloxetine trade name- Cymbalta	20mg, 30 mg, 6o mg oral capsule	It is an antidepressant drug.This drug belongs to the serotonin-norepinephrine reuptake receptor	It increases dopamine in prefrontal cortex because of few dopamine pump reuptake and inhibits norepinephrine reuptake pump	Depression, anxiety disorder	Hypersensitivity, pregnancy, lactating mother	skin- skin rashes, itching, swelling neurological - dizziness, headache cardiovascular- palpitation, hypertension Gastrointestinal- Nausea, vomiting, dry mouth Respiratory system- shortness of breath Genitourinary- difficulty in urination Musculoskeletal- weakness, tremors	Check for any allergic reaction to the drugs check the blood sugar level for the diabetic patient so regular blood glucose levels should be checked. If any side effect arises, informed the doctor.