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

2022
Views:

495

Pages:

2
Author:

Nesbyenvkk

DROPERIDOL ENOXAPARIN EPINEPHRINE Name/Class: DROPERIDOL (Inapsine)/Antiemetic Description: Droperidol is related to haloperidol and antagonizes the emetic properties of morphine-like analgesics. It may also produce hypotension and mild sedation. Indications: Nausea and vomiting (second line), to produce a tranquilizing effect, and in some cases as an antipsychotic. Contraindications: Intolerance. Precautions: Elderly, debilitated, hypotension, and hepatic, renal, or cardiac impairment and Parkinson’s disease. Dosage/Route: 2.5 to 10 mg IV. Ped: 0.088 to 0.165 mg/kg IV. Name/Class: ENOXAPARIN (Lovenox)/Anticoagulant Description: Enoxaparin is a heparin derivative that prevents the conversion of fibrinogen to fibrin. Indications: To inhibit clot formation in unstable angina and non–Q-wave myocardial infarction. Contraindications: Hypersensitivity to the drug, pork products or heparin, major active bleeding, or thrombocytopenia. Precautions: Dosage/Route: Unstable angina and non–Q wave MI: 1 mg/kg subcutaneously. Pulmonary embolism: 0.5 mg/kg IV. Name/Class: EPINEPHRINE (Adrenalin)/Sympathomimetic Description: Epinephrine is a naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also, through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity. Indications: To restore rhythm in cardiac arrest and severe allergic reactions. Contraindications: Hypersensitivity to sympathomimetic amines, narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock; coronary insufficiency; dysrhythmias; organic brain or heart disease; or during labor. Precautions: Elderly, debilitated patients, hypertension, diabetes, hyperthyroidism, Parkinson’s disease, tuberculosis, asthma, emphysema, and in children < 6 years. Dosage/Route: Arrest: 1 mg of 1:10,000 IV/3 to 5 min (ET: 2 to 2.5 mg 1:1,000). Ped: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses 0.1 mg/kg IV/IO. Allergic reactions: 0.3 to 0.5 mg of 1:1,000 subcutaneously/5 to 15 min as needed or 0.5 to 1 mg of 1:10,000 IV if subcutaneous dose ineffective or severe reaction. Ped: 0.01 mg/kg of 1:1,000 subcutaneously/10 to 15 min or 0.01 mg/kg of 1:10,000 IV if subcutaneous dose ineffective or severe.