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

7.Celexia

8.Remeron

9.epinephrine

10.cymbalta

Answer 1

7.Celexia

Trade name: Celexa, Cipramil

Citalopram is used to treat depression. It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI).

• Therapeutic use:

Citalopram is used to treat depression. It may improve your energy level and feelings of well-being. Citalopram is known as a selective serotonin reuptake inhibitor (SSRI).

• Pharmacological

Thismedication works by helping to restore the balance of a certain natural substance (serotonin) in the brain.

• Indications/Uses

Alcoholism (Off-label)

Binge-eating Disorder (Off-label)

Generalized Anxiety Disorder (Off-label)

Panic Disorder (Off-label)

Hot Flashes (Off-label)

Obsessive-Compulsive Disorder (Off-label)

Premenstrual Dysphoric Disorder (Off-label)

• Contraindications

• a disorder with excess antidiuretic hormone called syndrome of inappropriate antidiuretic hormone.
• low amount of magnesium in the blood.
• low amount of sodium in the blood.
• low amount of potassium in the blood.
• an increased risk of bleeding.
• manic-depression.
• suicidal thoughts

Common side effects may include:

• problems with memory or concentration;
• headache, drowsiness;
• dry mouth, increased sweating;
• numbness or tingling;
• increased appetite, nausea, diarrhea, gas;
• fast heartbeats, feeling shaky;
• sleep problems (insomnia), feeling tired;
• cold symptoms such as stuffy nose, sneezing, sore throat;

Celexa should be administered once daily, in the morning or evening, with or without food.

Initial Treatment

Celexa (citalopram) should be administered at an initial dose of 20 mg once daily, with an increase to a maximum dose of 40 mg/day at an interval of no less than one week. Doses above 40 mg/day are not recommended due to the risk of QT prolongation. Additionally, the only study pertinent to dose response for effectiveness did not demonstrate an advantage for the 60 mg/day dose over the 40 mg/day dose.

Nursing Implications

Watch closely for worsening of depression or emergence of suicidal ideations. Monitor for therapeutic effectiveness: Indicated by elevation of mood; 1–4 wk may be needed before improvement is noted.

The mechanism of action ofcitalopram HBr as an antidepressant is presumed to be linked to potentiation of serotonergic activity in the central nervous system resulting from its inhibition of CNS neuronal reuptake of serotonin (5-HT).