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

2022
Views:

277

Pages:

2
Author:

kundgetanufv

CALCIUM GLUCONATE CHLORDIAZEPOXIDE CHLORPROMAZINE Name/Class: CALCIUM GLUCONATE (Kalcinate)/Electrolyte Description: Calcium gluconate increases myocardial contractile force and increases ventricular automaticity. It is more potent than calcium chloride. Indications: Hyperkalemia, hypermagnesemia, and calcium channel blocker toxicity. Contraindications: Ventricular fibrillation. Precautions: It may precipitate toxicity in patients taking digitalis, with renal or cardiac insufficiency, and immobilized patients. Dosage/Route: 5 to 8 mL of 10% solution, repeated as necessary at 10-min intervals. Name/Class: CHLORDIAZEPOXIDE (Librium)/Sedative, Hypnotic Description: Chlordiazepoxide is a benzodiazepine derivative that produces mild sedation and anticonvulsant, skeletal muscle relaxant, and prolonged hypnotic effects. Indications: Severe anxiety and tension, acute alcohol withdrawal symptoms (DTs). Contraindications: Hypersensitivity to benzodiazepines, pregnant and nursing mothers, children under 6. Precautions: Primary depressive disorders or psychoses, acute alcohol intoxication. Dosage/Route: 50 to 100 mg IV/IM. Name/Class: CHLORPROMAZINE (Thorazine)/Tranquilizer, Antipsychotic Description: Chlorpromazine is a phenothiazine derivative used to manage psychotic episodes by providing strong sedation and moderate extrapyramidal symptoms. Produces reduced initiative, interest, and affect. Indications: Acute psychotic episode, intractable hiccups, nausea/vomiting. Contraindications: Hypersensitivity to phenothiazines, coma, sedative overdose, acute alcohol withdrawal, and children < 6 months. Precautions: Agitated states with depression, seizure disorders, respiratory infection or COPD, glaucoma, diabetes, hypertension, peptic ulcer, prostatic hypertrophy, breast cancer, thyroid, cardiovascular, and hepatic impairment, and patients exposed to extreme heat or organophosphates. Dosage/Route: 25 to 50 mg IM. Ped: 0.5 mg/kg IM or 1 mg/kg PR.