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Analgesics
· Pain reliever w/o loss of consciousness
· Tylenol/acetaminophen
Anesthetics
· Loss of sensation/ general or local
· Propofol
Antianxiety Agents (benzodiazepines)
· Mild tranquilizer
· Valium or Versed
Anti- arrhythmics
· Treats abnormal heart rhythms
· Adenosine
Anticonvulsants
· Prevents and/or controls seizures
· Carbamazepine
Antibiotics
· Destroys microorganisms
· PCN or Cipro
Anticholinergics (antispasmodics)
· Reduces GI motility or secretions in the respiratory/bronchodilator group
· Prevents involuntary movement of smooth muscles
· Ditropan
Anticoagulants
· Inhibits blood clotting
· Heparin, Coumadin
Antidepressants
· Stimulates for brain chemicals (serotonin, dopamine)
· Mood altering
· Zoloft, Paxil, Cybalta
Antihistamines
· Blocks excess histamine secretion
· Benadryl and Claritin
Antiulcer agents
· Suppresses gastric acid and/or treats helicobacter pylori which causes infections that result in repeat ulcers
· Pepcod, Prevacid, Zantac
Antihypertensives
· Reduces high blood pressure
· Lopressor, Lisinopril
Anti-inflammatory’s (NSAID)
· Reduces inflammation
· Advil/ibroprofen, Motrin, Aleve/naproxen
Antipsychotics
· Used to treat severe mental disorders (schizophrenia) heavy “calming” effect
· Haldol, Seroqel
Bronchodilators
· Relaxes and dilates the respiratory pathways allowing for easier breathing
· Albuterol, saravent, Advair, epinephrine
Corticosteroids
· Anti-inflammatory (steroidal hormone)
· Solu-Cortef, Decadron
Coagulant- control hemorrhage
· Clot formation (thickens the blood)
· Mephyton
Diuretics
· Increases urine output
· Lasix
Antiemetics
· Prevent nausea and vomiting
· Zofran, Reglan
Hormones
· Increases secretion of activity
· Premarin
Laxatives
· Promotes bowel movement
· Dulcolax
Sedatives
· Induces relaxation and calmness
· Diazepam, Ativan
Stimulants
· Dopamine stimulates the myocardium for increased cardiac output
· Ritalin, Adderall
Thrombolytics
· Dissolve blood clots
· Activase
Vasoconstrictors
· Constricts blood vessels; raises blood pressure
· Norepinephrine
Vasodilators
· Dilates blood vessels
· Also lowers blood pressure
· Nitroglycerin
· Patient age
· Health status
· Time of day
· Emotional state
· Other drugs in the body
· Genetic variations
· Disease state of the body
Factors that influence Drug Action
Minimal sedation
- Pt will respond normally to verbal commands
Moderate sedation
also conscious sedation- depressed response but will respond normally to verbal commands
Deep sedation-
patient cannot be easily aroused, will respond purposefully after repeated painful stimuli
General anesthesia
LOC, cannot be trusted to keep breathing
· Right drug
· Right amount
· Right patient
· right time
· Right route (Orally, needle injection, etc)
· (Right documentation)
The 6 rights of drug administration
Cap
Capsule
Gtt
Drop
Elix
Elixir (fluid medicine)
Supp
Suppository (up the butt or vagina)
Susp
Suspension (in some kind of liquid, powder added to it) have to shake it
Tab
Tablet (can be broken into halves)
TOP
topical (ointment)
R
rectal
Subcu
Subcutaneous (just under the skin)
Transdermal
through the skin (patches)(wear gloves)
Oral
needs to go through the intestine, GI tract
Solutions
- Iv bag, IV injections, sterilization
Intramuscular
90 degrees into the muscle
Subcutaneous
angle at 45 degrees
ID (intradermal)-
within the dermis, 10-15 degrees
Epidural
- to have a baby to numb
Intraosseous
into the bone
Intraventricular
- injection into the heart or brain
Intracapsular (arthrograms)-
injecting contrast into the capsule of the joint
Buccal
should rest inside the pocket of the cheek or mouth
Sublingual
capsule under the tongue
· Patient name, room number, address, and ID number
· Drug name
· Dosage
· Dosage form
· Route of administration
· Date order is written
· Signature of prescriber
Characteristics of Valid Prescription