A Note On Drugs

Submitted By eileenarellano
Words: 1153
Pages: 5
Open Document
DRUG
FACTS
ACTION
INDICATION
CONTRA -INDICATION
ADVERSE EFFECT
INTERACTION
NURSING IMPLICATION
ANAESTHETICS
*GENERAL
-↓LOC

*LOCAL/REGIONAL
-specific area
-no ↓LOC

*Types:
-inhaled
-injectable-IV
-balanced-combi

*Types:
-topical
-parenteral IV/CNS spinal inject
(-caine) lidocaine
-central intrathecal/epidural
-peripheral nerve block

* ↓ CNS funxn / sensory
*Overton-Meyer Theory
↑fat solubility = ↑effect

*NEUROMUSCULAR BLOCKING DRUGS
-muscle paralysis
- (+)mechvent- d/t respi paralysis
- (+)paralyze, Conscious
-controlled ventilation during surgical procedure
-Diagnostic drug: Myasthenia G.

*MODERATE SEDATION
-conscious/procedural sedation
-IV benzodiazepine + opiate
-↓pt’s anxiety, mem of procedure
-for dx procedure
-rapid recovery time

*surgical procdre
-rapid onset

*surgical, dental, diagnostic

*drug allergy
*pregnancy
*glaucoma

*ophthalmic use
*drug allergy

*myocardial depression
*malignant hyperthermia (>40c)

*paralysis
Auto-Sensory-Motor (onset)
Motor-Sensory-Auto (recovery)
*spinal headache
Treat: epidural blood patch

*drug-to-drug:
-antihypertensives
-b-blockers
-tetracyclines

*epinephrine,
Bupicavaine, etc
=>dysrthymias

*assess:
-hx of surgeries
-allergies, meds
-alcohol use, illicit drugs
-VS (intra, peri, post)
-ABCs
-watchout ↑Temp
-re orient
-pre-op teaching
Postop turning, coughing,
Deep breathing
-NMBAs: Pt paralyzed, but awake
ANTIANXIETY
-tx mental, emotional health disorders

*ANXIETY
-neurotransmitter imbalance
>CATECHOLAMINES
Dopa. norEpi
>INDOLAMINES
Serotonin, Histamine

*Types:
-Benzodiazipines
(-lam/-pam) diazepam

-Antihistamine
-MIsc: BuSpar

*BARBITURATES CARBAMATES
- prev used to tx anxiety

-↓Brainstem, Limbic actv

-↓CNS sedation, allergc
-non-sedating

*anxiety
*sedation
*seizure control
*adjuvant:depress
*alcohol withdrwl

*sedatives
*alcohol=FATAL

*↓CNS activities
*hypotension
*drowsiness
*N/V

FLUMAZENIL
-txt benzo overdose

*assess:
-phx and emo state
-baseline VS –posturalBP
-LOC
-position slowly-postural hypotension and injury
-drug+psycho tx= effctiv
-alcohol=FATAL
-therapeutic effect:
Mental alertness

SEDATIVES and
HYPNOTICS
-CNS depressants

*SEDATIVE-HYPNOTICS- DOSE DEPENDENT
-↓dose= (-)sleep
-↑dose= (+) Sleep
•SEDATIVES

•HYPNOTICS

*Types:
-Barbiturates
(-bital) phenobarbital

-↓nervousness, ↓ excitability (-) SLEEP

-(+) SLEEP

-↓nerve impulse to cerebral cortex
-act on BrainStem primarily
*txt insomnia => sedation
*↓dose=sedative
*↑dose=hypnotic
*enzyme inducer
(liver enzyme to breakdown drugs)

*sedative
*hypnotic
*anticonvulsant
*anesthesia-surg

*respi difficulty
*severe liver dse
*REM (rapideyemovt) rebound –d/t discontinuing txt

*CNS-drowsiness, lethargy
*Respi- Res dpresn, apnea
*GI-N/V, diarrhea, consti
*Other-StevenJohnson Syn
*REM=>agitation

*TOXCITY/OVRDOSE
-respi arrest
-coma=>death

*↑CNS depression
*Inhibit metabolism -MAOIs prolong effects of barbirurates
*↑metabolism
-↑clot formation

DRUG
FACTS
ACTION
INDICATION
CONTRA -INDICATION
ADVERSE EFFECT
INTERACTION
NURSING IMPLICATION
SEDATIVES and
HYPNOTICS
(continuation)
*Types:
-Benzodiazipines Most frequently prescribed. d/t Safety,efficacy
*Classification:
>SEDATIVE-HYPNOTIC
>ANXIOLYTIC- ↓ anxiety

-Non-Barbiturate Non-Benzo

-↓CNS activity
- no REM suppression
-(+) calming effect
-muscle relaxation

*agitation
*depression
*epilepsy
*mod conscious sedation
*same as above under antianxiety

*glaucoma
*pregnancy

*headache
*drowsiness, vertigo
*fall hazard
*hangover effect

*CNS depressants
*kava/valerian=↓CNS
*Grapefruit/GFJuice
-alter absorption

*15-30min before bed
*REM rebound-caution!
*NO Alcohol
*rebound insomnia 3-4wks after d/c
*SAFETY:
-siderails up, bed alarms

ANTI
DEPRESSANTS
-tx mood dsorder

*MANIA- emotion
*DEPRESSION-↓emotion
*BIPOLAR-mania+depress

*AMINES:
-dopamine
-Serotonin
-norepinephrine

•ANTIMANIC
*Lithium-DOC
-serum level: 0.6-o.8mmol/L

•ANTIDPRESSANTs
*Types:
-Newer-Gen >SSRIs >2nd /3rd Gen
Show More

Related Documents: A Note On Drugs

Research Paper On Kid's Addiction

A Parent's Guide for Battling Their Kid's Addiction Introduction For parents, witnessing their children struggle with drug addiction can one of the most disturbing experiences. A young person who was once full of life, productive, promising and happy has suddenly become disrespectful, defiant and lost the world. Due to their involvement in alcohol and drugs, they have lost focus in school, and cannot even concentrate on their hobbies or similar interests. To deal with this problem, you first need…

Words 731 - Pages 3

Essay on Drug Abuse

Krause 1 Drug Abuse People have been using drugs and “home remedies” to cure or lessen the effects of certain things. But then people realized that you have a different feeling when they take them. This leads to addictions and drug abuse. Today there are many drugs that are for the most part easy to get their hands on in this country. One popular drug in the US is marijuana. With some of the states legalizing the use of it, Mary Jane has been put into the national spotlight. The most common way to…

Words 487 - Pages 2

War on Drugs Essay

The War on Drugs Renee Bailly CJA/394 April 22, 2015 Jeremy Barnett The War on Drugs “The ‘war on drugs’ that was declared in the early 1980s has been a primary contributor to the enormous growth of the prison system in the U.S. [Spell out United States here....may abbreviate after that] since that time and has affected all aspects of the criminal justice system” ("Drug Policy And The Criminal Justice System", 2001). [Remove quotations from the source information at the end...quotes…

Words 1178 - Pages 5

Essay on Pharmacology and Textbook Dose Range

Reaction Common: soreness, redness or swelling at the injection site. Toxicity signs/Overdose & Antidote: ? Administration parameters: IM Assessment needed: allergic to eggs Patient education to do: side effects Reference(s) Davis Drug Guide 13th edition page 1438 Other: CDC website Generic Name/Brand Name: Flu vaccine Dose/Route/Frequency Ordered: 0.5mL Is this route appropriate for patient: Depends High alert? no Classification (therapeutic/pharmacologic): T:…

Words 416 - Pages 2

Summary: The Six Rights Of Medication

One aspect of medication safety is proper medication administration. The Six Rights of Drug Administration are used to prevent medication errors. The Six Rights of Drug administration are right drug, right dose, right time, right patient, right route, and right documentation. Nurses should always verify the medication that are administering with the order that is given. Many drugs have similar names. The order may be written with the drug’s brand name, but only generic names are available in Pyxis…

Words 656 - Pages 3

Proposition 64 Research Paper

illegal according to federal law, this bill is California attempting to convince the federal government the legitimacy of marijuana through the passing of this legislation. Prop. 64 was designed to allot revenue from the taxes on marijuana to be spent on drug research, treatment, enforcement, health and safety grants addressing marijuana, youth programs, and prevent environmental damage stemming from illegal marijuana production (California Secretary of State,…

Words 530 - Pages 3

The Legalization of Cannabis Essay example

and other things. Cannabis Campaigners’ Guide Information and News Pages said: Hemp is the English name for the plant cannabis, also known as marijuana. Most people think of cannabis as a drug; the law calls it a dangerous drug and has thrown cannabis and its supply into the hands of criminals often involved with hard drugs. Cannabis cannot truly be considered as a drug - it is NOT ADDICTIVE, NOT HARMFUL and does NOT LEAD TO USE OF DRUGS. Cannabis, unlike drugs, IS NOT POISONOUS - there is no fatal…

Words 969 - Pages 4

Antidepressants: Selective Serotonin Reuptake Inhibitor and Serotonin Essay

Serotonin is in fact the chemical these drugs are after. This idea was confirmed in The Antidepressant Fact Book by Dr. Peter Breggin where a statement reads as follows: When it [Serotonin] was also found to function as a neurotransmitter in the brain, Eli Lilly and Co. decided to make a drug aimed at increasing Serotonin in the brain. The drug company was inspired by highly theoretical speculations about the role of Serotonin in the brain. Eli Lilly and Co. anticipated that creating a drug to selectively s…

Words 1570 - Pages 7

Essay about Drug Information For Teens

Drug Information for Teens Drug information for teens comes with a variety of information of different types of drugs and their dangerous effects. From this book, I learned a whole more information I wasn’t aware of before. This book truthfully opened my eyes to a whole new world a teen had “never” visited before. This book covers everything from head to toe, that’s how loaded this book is. If you have any questions about drugs and you really are looking forward to an answer, I recommend you…

Words 1035 - Pages 5

Methamphetamine Effects Essay

family apart. While methamphetamine abuse has classically been seen as a problem of the individual, their lives are not the only ones at risk. All too often, the addict lives in a family setting. ”Studies show that 12 million Americans have tried the drug, with 1.5 million described as regular users” (Denee, 2014). Methamphetamine abuse is usually associated with child abuse, neglect, and domestic violence; it can also lead to the breakdown of a marriage and/or family. Family members who have to deal…

Words 1642 - Pages 7