University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

240

Pages:

2
Author:

gewoekerdodx

ANISTREPLASE (APSAC) ASPIRIN ATENOLOL Name/Class: ANISTREPLASE (APSAC) (Eminase)/Thrombolytic Description: Anistreplase causes thrombolysis by converting plasminogen into plasmin, which then dissolves the fibrin and fibrinogen of the clot. Indications: To reduce infarct size in acute MI. Contraindications: Active internal bleeding, suspected aortic dissection, traumatic CPR, recent hemorrhagic stroke, intracranial or intraspinal surgery or trauma, tumors, pregnancy, hypertension, hypersensitivity to anistreplase or streptokinase. Precautions: Recent major surgery, cerebral vascular disease, recent GI or GU bleeding, recent trauma, hypertension, patients over 75 years, current oral anticoagulants, or hemorrhagic ophthalmic conditions. Dosage/Route: 30 units IV over 2 to 5 min. Name/Class: ASPIRIN (Acetylsalicylic Acid) (Alka-Seltzer, Bayer, Empirin, St. Joseph Children’s)/Analgesic, Antipyretic, Platelet Inhibitor, Antiinflammatory Description: Aspirin inhibits agents that cause the production of inflammation, pain, and fever. It relieves mild to moderate pain by acting on the peripheral nervous system, lowers body temperature in fever, and powerfully inhibits platelet aggregation. Indications: Chest pain suggestive of an MI. Contraindications: Hypersensitivity to salicylates, active ulcer disease, asthma. Precautions: Allergies to other NSAIDs, bleeding disorders, children or teenagers with varicella or influenza-like symptoms. Dosage/Route: 160 to 325 mg PO (chewable). Name/Class: ATENOLOL (Tenormin)/Antidysrhythmic, Antihypertensive Description: Atenolol is a selective beta-blocker that reduces the rate and force of cardiac contraction and lowers cardiac output and blood pressure. Indications: Non–Q-wave MI and unstable angina. Contraindications: Sinus bradycardia, 2nd- or 3rd-degree heart block, CHF, cardiogenic failure or shock. Precautions: Asthma, COPD, or CHF controlled by digitalis and diuretics. Dosage/Route: 5 mg slow IV (over 5 min), if tolerated, then after 10 min repeat. Ped: 0.8 to 1.5 mg/kg/day PO (max 2 mg/kg/day).