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

1.CELEXIA

Brand name:Celexa

Generic name:Citalopram

Pharmacological classification: Selective Serotonin Reuptake Inhibitor (SSRI)

Therapeutic classification: antidepressants

Action:SSRI antidepressants are a type of antidepressant that work by increasing levels of serotonin within the brain.Serotonin is a neurotransmitter that is often referred to as the “feel good hormone”. It carries messages between brain cells and contributes to well-being, good mood, appetite, as well as helping to regulate the body’s sleep-wake cycle and internal clock.

Indications: Anxiety,stress, depression, postpartum depression.

Contraindications:bleeding or blood clotting disorder,liver or kidney disease,narrow-angle glaucoma,seizure or epilepsy,Heart disease,bipolar disorder.

Side effects:drowsiness, ejaculatory disorder, nausea, insomnia, and diaphoresis ,suicidal tendencies, agitation, diarrhea, impotence, sinusitis, anxiety, confusion, exacerbation of depression, lack of concentration, tremor, vomiting, anorexia, and xerostomia.

Dose:20 mg once daily

Nursing implications:1)do not give it with MAO inhibitor.

2)patient may have suicidal tendency so always stay alert

3) worsening of symptoms should be referred to doctor.

2.REMERON

Brand name:Remeron

Generic name:Mirtazapine

Classification: Antidepressants

Action:not fully understood

Indications: anxiety, stress, depression

Contraindications:low WBC count,glaucoma,liver or kidney disease.

Side effects:severe sedation, constipation, drowsiness, increased serum cholesterol, weight gain, fatigue, insomnia, increased appetite, xerostomia, and decreased appetite,dizziness, increased serum triglycerides, tremor, dyspepsia,

Dose:15 mg/day

Nursing implications:1)Do not give with MAO inhibitor

2) patient may have suicidal tendency so always stay alert

3) worsening of symptoms should be referred to doctor.