In: Nursing
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:
1. Quidine
2. Procainamide
3. Cialis
4. Nadolol
5. Ranexa
6. Adenosine
7. Xarelto
8. Eliquis
9. Pradaxa
10. Urokinase
11 Celexia
12 Remeron
`13 epinephrine
14 cymbalta
15 Naproxen
Drug:- |
Quidine |
Generic:- |
Quinidine Gluconate |
trade name:- |
Cardioquin Tablets |
Classification:- |
Anti-arrhythmic drug |
Therapeutics:- |
prevent ventricular arrhythmias |
Pharmacological:- |
Half- life of 6-8 hours Quinidine acts as a blocker of voltage-gated sodium channels. Quinidine's effect on (sodium) INa is known as a 'use dependent block'. This means at higher heart rates, the block increases, while at lower heart rates, it decreases |
Indications/uses:- |
ventricular pre-excitation and cardiac dysrhythmias |
Contraindications:- |
Complete AV block, severe intra-ventricular conduction defects, left bundle-branch block, or ventricular ectopic. |
Adverse reactions:- |
· Diarrhoea. · Nausea. · Vomiting. · Loss of appetite. · Stomach pain/cramps. · A burning feeling in throat or chest (e.g., heartburn) · Light headedness. · Headache. |
Safe dosage range:- |
100 mg/1 and 324 mg/1 in extended release |
Nursing implications |
· Avoid eating grapefruit or drinking grapefruit juice while being treated with this medication · Take this medication by mouth with or without food with a full glass of liquid (8 ounces/240 millilitres) · Do not crush or chew extended-release tablets |
Drug:- |
Procainamide |
Generic:- |
Apo-procainamide |
trade name:- |
Procan SR |
Classification:- |
Sodium channel blocker |
Therapeutics:- |
prevent ventricular arrhythmias |
Pharmacological:- |
Half- life of 2.5-4.5 hours This drug induces rapid block of the batrachotoxin (BTX)-activated sodium channels of the heart muscle and acts as antagonist to long-gating closures. |
Indications/uses:- |
Ventricular arrhythmias: ventricular ectopic and tachycardia and supraventricular arrhythmias: atrial fibrillation, and re-entrant and automatic supraventricular tachycardia. |
Contraindications:- |
· High levels of potassium in the blood. · Low amount of potassium in the blood. · Decreased blood platelets. · Very low levels of granulocytes. · A type of white blood cell. · Myasthenia gravis. · A skeletal muscle disorder. · Heart attack within the last 30 days |
Adverse reactions:- |
Nausea, vomiting, loss of appetite, diarrhoea, bitter taste in the mouth, dizziness, tired feeling, flushing (warmth, redness, or tingly feeling), and itching or rash. |
Safe dosage range:- |
250 mg/1 and 500 mg/1 in extended release |
Nursing implications |
· Drug interacts with diabetes medicine · Drug sometimes interacts with vitamins · It could also cause systemic lupus erythematous · Can cause respiratory depression |