ECART MEDS

DRUG INDICATION/DESIRED EFFECT NURSING RESPONSIBILITIES

1. Aeknil - provides relief from pain and fever in a • Determine the nature of the pain and its
short time period impact to the resident
- excellent effect in the treatment of fever • Document pain assessment and
of unknown origin intervention noted here in to reflect use of
- first Paracetamol solution for injection in nursing process
the world • Make sure the plan of care describes pain
assessment and management
2. Atropine SO4 amp - used in the treatment of bradycardia, • Monitor apical pulse prior to administration
showing low heart rate, asystole and • Cardiac monitor should be used on patients
pulseless electrical activity (PEA) in cardiac receiving atropine with boluses
arrest. • Monitor temperature in infants and
children for “atropine fever”
3. Cardepine amp - used to treat high blood pressure and to • Close monitoring of BP and HR
control angina (chest pain). It lowers • Avoid systematic hypotension when
blood pressure by relaxing the blood administering the drug to patients who
vessels so the heart does not have to have cerebral infarction or hemorrhage
pump as hard. It controls chest pain by
increasing the supply of blood and oxygen
to the heart
4. Calcium gluconate vial - used to treat conditions such as • The drug should be given slowly e.g. 1.5mL
magnesium sulfate overdose, over a period of one minute
hypocalcemia, neonatal tetany, cardiac • It should be given through a small needle
resuscitation into a large vein in order to avoid rapid
increase in serum calcium and extravasation
of calcium solution into the surrounding
tissue
• Rapid injection of calcium gluconate may
cause vasodilation, decreased BP,
decreased HR, cardiac arrhythmia, syncope
and cardiac arrest
5. Cordarone amp - -used for the treatment of ventricular • Monitor BP and apical pulse prior to
arrhythmia (irregular heartbeats) administration
• Cardiac monitor should be used on patients
receiving therapy
• Encourage patient to wear sunglasses for
photosensitivity
6. Diphenhydramine amp - for allergic reaction • Assess patient for allergies
• Explain to the patient the side effects of
medication such as dizziness, drowsiness, or
blurry vision
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• Instruct patient to avoid using

machines/vehicles after administration
7. Dobutamine vial - is indicated when parenteral therapy is • Monitor BP, HR, ECG, Pulmonary capillary
necessary for inotropic support in the wedge pressure, cardiac output, CVP and
short-term treatment of adults with urinary output continuously during
cardiac decompensation due to depressed administration, report any sudden change.
contractility resulting either from organic • Palpate peripheral pulses and assess
heart disease or from cardiac surgical appearance of extremities routinely
procedures. throughout administration. NOTIFY
PHYSICIAN if quality of pulses deteriorates
or extremities become cold or mottled
• Monitor potassium concentration during
therapy, may cause hypokalemia.
8. Dopamine - indicated for the management of • Monitor BP, urine output and cardiac
cardiogenic shock and any circulatory output
shock syndrome associated with systemic • Assess and educate patient to report any
vasodilation (e.g., septic shock). pain or swelling around the IV site
• Ensure if infused into a large vein to avoid
extravasation
9. Epinephrine amp - treatment for anaphylaxis, hypotension • Assess for hypersensitivity to medication
associated with septic shock, acute • Avoid exposing the medication from light,
asthmatic attacks to relieve heat or freezing environments, medication
bronchospasm not controlled by should be clear and colorless when given
inhalation or subcutaneous administration • Always prepare a rapid acting alpha-
of other solution and prophylaxis of adrenergic blocker (phentolamine) or a
cardiac arrest and attacks of transitory vasodilator (nitrate) in case of hypertensive
atrioventricular (A-V) heart block with reaction
syncope seizure used to treat severe or • Advise patient to report any chest pain,
serious bacterial infections.res (Stokes- dizziness, insomnia, weakness when being
Adams Syndrome) administered with epinephrine
10. Gentamicin amp - Used to treat severe or serious bacterial • Obtain specimen for culture and sensitivity
infections before initiating therapy
• Monitor I&O and assess daily weight to
assess hydration and renal status
• Missed doses should be taken as soon as
possible if not almost time for next dose, do
not double dose.
11. Hemostan 500mg/4ml - For the treatment and control of excessive • Medication should be taken during
amp bleeding in various surgical and medical menstrual period
conditions including: Surgical; General • Can be taken with or without meals
surgical cases; Cardiovascular surgery;
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Coronary artery bypass graft surgery • Informe the client to report immediately If
(CABG) (especially in aspirin-treated they experience:
patients) Valvular heart surgery; - Allergic reaction
Correction of congenital heart disease; - Calf pain
Thoracic aortic surgery - Chest pain
- Confusion
12. Isoket 10mg/10ml amp - used to prevent chest pain (angina) in • Assess for allergies
patients with certain heart condition • Seek emergency treatment if experiencing
(coronary artery disease) early symptoms of heart attack
13. Konakion 10mg/1ml - contains the active ingredient • Check for allergic reaction
amp phytomenadione, which is also called • Inform the physician if you’re pregnant
vitamin K1
- belongs to a group of medicines called
hemostatic agents, meaning they assist
with blood clotting problems
- is used to prevent or treat blood clotting
problems and works by reversing some of
the causes of excessive bleeding.
14. Lanoxin amp - for the treatment of heart failure and • Before administration get baseline VS
atrial fibrillation (a heart rhythm disorder • Do not give if patient has low BP (Take
of the atria, the upper chambers of the Apical pulse)
heart that allow blood to flow into the • Contraindicated for patient who have
heart). hypersensitivity to drug
15. Lasix amp - a diuretic agent, prescribed for fluid • Monitor for renal, cardiac, neurologic, G.I.
retention in people with congestive heart manifestation of hypokalemia
failure, liver disease or kidney disorder. It • Monitor for CNS hyperactive reflexes
helps the kidney to get rid of unwanted • Monitor urine output
water from the body. • Best given in the morning, to prevent sleep
disturbances at night
16. Levophed SF amp - For the treatment of acute hypotension, • Monitor BP and apical pulse
cardiogenic shock, sepsis, or septic shock. • Assess patient for headache, chest pain,
toxicity
• Cardiac monitor should be used on the
patient receiving IV infusions
17. Lidocaine vial 50ml - - For the treatment of perfusing • Monitor ECG, BP and respiratory status
ventricular arrhythmias including • Monitor electrolyte test as well serum
ventricular fibrillation (VF) and ventricular lidocaine levels
tachycardia (VT) that may result during • Signs of toxicity:
acute myocardial infarction or cardiac - Confusion
manipulation (e.g., cardiac surgery). - Blurred vision
- For endotracheal intubation
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18. Magnesium SO4 vial - for the treatment of eclampsia, • Monitor BP, Pulse, RR and ECG
hypomagnesemia, torsades de pointes • Monitor I&O
• Monitor serum magnesium levels and renal
function
• Monitor neurologic status
19. Midazolam amp - a water-soluble benzodiazepine available • Assess level of sedation and consciousness
as a sterile, nonpyrogenic before administration
parenteraldosage form for intravenous or • Monitor BP, pulse and RR continuously
intramuscularinjection. • Effects can be reversed with flumazenil
- use for continuous intravenous infusion
for sedation of intubated and
mechanically ventilated patients as a
component of anesthesia or during
treatment in a critical care setting.
20. Morphine SO4 amp - for the treatment of severe pain, • Assess type, location and intensity of pain
pulmonary edema, pain associated with • Patient on continuous infusion should have
MI additional bolus doses provided 15-30
minutes as needed
• Assess level of consciousness, BP, pulse and
RR during administration
21. Naloxone HCl - used to treat known or suspected opioid • Monitor RR, rhythm and depth, PR, BP and
400ug/1ml (narcotic) overdose level of consciousness frequently for 3-4
hours
• Assess patient for level of pain
• Assess for signs and symptoms of opioid
withdrawal (vomiting, restlessness and
abdominal cramps)
22. Nubain amp - indicated for the relief of moderate to • Assess type, location and intensity of pain
severe pain • Assess BP, PR and RR
23. Plasil 10mg/2ml amp - For the treatment of gastroesophageal • Given orally for better absorption allow 30
reflux disease (GERD) mins – 1 hour before eating
• Assess GI complaints such as nausea,
vomiting and constipation
• Assess Extrapyramidal symptoms and
Tardive Dyskinesia
24. Potassium chloride vial - Treatment of severe hypokalemia • Monitor serum potassium concentration
• Watch IV site for signs of irritation and
phlebitis
• Continuous cardiac monitoring is
mandatory for IV replacement especially for
central infusions
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25. Sodium bicarbonate - for the treatment of metabolic acidosis • symptoms of fluid overload should be
vial reported such as hypertension, edema,
DOB, crackles or fruity sputum
• Assess client’s fluid balance throughout the
therapy (I&O, weight, edema, lung sounds)
• Signs of acidosis should be assessed such as
disorientation, headache, weakness,
dyspnea and hyperventilation