NAME OF THE DRUGSPECIFIC
ACTION(s)INDICATIONCONTRA-INDICATION(s)DRUG INTERACTIONADVERSE
REACTIONSPECIFIC PRECAUTIONNURSING RESPONSIBILITIES
Generic name:Ranitidine hydrochloride
Brand name:Zantac
Dosage:50mg
Route:IVTT
Frequency:q8h
Classification:H2 receptor antagonist
-Potent anti-ulcer drug competitively and reversibly
inhibitsHistamine action at H2 receptor site on parietal cells,
thus blocking gastric acid secretion. Indirectly reduces pepsin
secretion but appears to have minimal effect on fasting and
secretion of gastric intrinsic factor.-to decrease gastric acid
secretion.-contraindicated to patient hypersensitive to drug or any
of its component.Drug-Drug:-Antacids: may interfere with ranitidine
absorption. Stagger doses if possible.
-diazepam: may decrease absorption of diazepam.
-warfarin: may interfere with warfarin clearance-CNS: Headache,
malaise dizziness, insomnia, vertigo, mental confusion,
agitation,
-GI: constipation, nausea,abdominal pain, diarrhea.
-Skin:Rash
-hematologic: reversible decrease in WBC count,
thromcytopenia.
-Other: hypersensitivity reaction, angioedema.
-use cautiously in patient using acetaminophen (Tylenol),
anticoagulant (blood thinners) such as warfarin (Coumadin),
prophanthelin, and vitamins.-all unused admixture of Zantac
injection with infusion fluid should be discarded 24 hours after
preparation
--monitor for manifestation of hypersensitivity. Discontinue
drug of hypersensitivity occurs. Report their appearance
promptly.
Name of drugMechanism of actionIndicationscontraindicationsDrug
interactionsAdverse effectsSpecific precautionsNursing
responsibility
GENERIC NAME: Ipatropium bromide
BRAND NAME:Apo-ipravent
CLASSIFICATION:AnticholinergicAntimuscuranic
agentParasympatholytic
ROUTE & DOSAGE:
>anticholinergic, chemically related to atropine, which
blocks vagally mediated reflexes by antagonizing the action of
acetylcholine>bronchodilators for maintenance treatment of
bronchospasm associated with COPD>symptomatic relief of
rhinorrhea associated with perennial rhinitis, common
cold.>hypersensitivity to atropine or its derivatives, acute
episodes of bronchospasm
CNS: nervousness, dizziness, headache, fatigue, insomniaGI:
nausea, GI distress, dry mouthRespiratory: cough, exacerbations of
symptoms, hoarseness
>use cautiously with narrow-angle glaucoma, prostatic
hypertrophy, bladder neck obstruction, pregnancy, lactation
Assess:>hypersensitivity to atropine, acute bronchospasm,
narrow-angle glaucoma, pregnancy and
lactationImplementation:>store unused vials in foil
pouch>have patient void before taking medications to avoid
urinary retentiono
Name of Student Nurse:______________________________ Clinical
Instructor:____________________________
