Drug Cards 11- 20 PDF

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Summary

Generic Name: Doxylamine/ pyridoxine Brand Names: (max 4) Diclegis, DiclectinClassification Antiemetics Antihistamines, vit. B6 analogueParameters Drug-Drug: ↑ risk of CNS depression with others CNS depressant (alcohol, other antihistamines, sedatives, opioids) Route- PO(Adults) 1-2 tablets at bedti...

Description

Generic Name: Doxylamine/ pyridoxine Brand Names: (max 4) Diclegis, Diclectin Classification Antiemetics Antihistamines, vit. B6 analogue

Parameters Drug-Drug: ↑ risk of CNS depression with others CNS depressant (alcohol, other antihistamines, sedatives, opioids) Route- PO(Adults) 1-2 tablets at bedtime

Action: Combination of antihistamines and vitamin B6 analogue Decrease nausea and vomiting associated with pregnancy Contraindications Hypersensitivity to Doxylamine or pyridoxine; Concurrent use of MAOIs Doxylamine enters breast milk and may cause irritability or sedation in infants

Nursing Implication/Responsibility Access for frequency and amount of emesis daily Monitor hydration status to prevent dehydration Administer on empty stomach with full glass of water Swallow whole, do not crush Evaluation Asses for decrease in frequency of nausea and vomiting

Extreme cautious: Asthma; Pedi: Safety not established Side Effects drowsiness;

Generic Name: morphine Brand Names: (max 4) Duramorph; Mitigo; Embeda Classification opioid analgesics Opioid agonist Schedule II

Action: Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression. Decrease in severity of pain. Contraindications Hypersensitivity; Some products contain tartrazine, bisulfites, or alcohol

Patient Teaching Take the dose as directed. Avoid breastfeeding!! Avoid driving, may cause drowsiness Avoid alcohol and CNS depressant, including antihistamines, tranquilizers, some cough/cold drugs

Parameters Drug-Drug: Use with extreme caution in patients receiving MAO inhibitors within 14 days prior (may result in unpredictable, severe reactions–↓ initial dose of morphine to 25% of usual dose). Concomitant use of kava-kava, valerian, or chamomile can ↑ CNS depression. ANTIDOTE: NALOXONE Nursing Implication/Responsibility High Alert: Assess level of consciousness, BP, pulse, and respirations before and periodically during administration. If respiratory rate is...