Name of Drug Classification Mechanism of Action Indication Contraindication Side effect Nursing
Responsibilities
Acetylcysteine Therapeutic class: Facilitates the Acetaminoph Contraindicat CNS: fever, Monitor pt for
injection Mucolytics removal of en toxicity ed in patients drowsiness bronchospas
(Acetadote) pulmonary secretions with CV: chest m especially
200mg/ml by coughing, postural tightness,
hypersensitiv if patient has
drainage, mechanical flushing,
means. e to drug. tachycardia, asthma.
Use edema Alert: Drug is
cautiously in EENT: used for
Reduces the viscosity elderly or rhinorrhea, acetaminoph
Pharmacologic class: of pulmonary debilitated pharyngitis, en overdose
L-cysteine derivatives secretions by patients with throat within 24hrs
splitting disulfide tightness
severe of ingestion.
linkages between GI: N/V,
mucoprotein respiratory stomatitis Start drug
molecular complexes. insufficiency Respi: immediately;
Also restore liver use IV form bronchospas don't wait for
stores of glutathione cautiously in m cough, results of
to treat patients with dyspnea, acetaminoph
acetaminophen asthma or a rhonchi en level. Give
toxicity. Skin:
history of within 10
clamminess,
bronchospas pruritus, hours of
m, in those rash, urticaria acetaminoph
weighing less Other: en ingestion
than 40kg, anaphylactoi to minimize
and in d reaction, hepatic
patients chills, injury.
hypersensitivi
requiring fluid Obtain
ty reaction
restriction baseline INR
Alert: serious and AST, ALT,
anaphylactoi bilirubin,
d reactions, BUN,
including rash creatinine,
, glucose and
hypotension, electrolyte
dyspnea and levels.
wheezing
have been
reported.
Reactions
usually occur
30-60 mins
after start of
infusion and
may require
treatment
and drug
discontinuati
on.
Hyoscine Therapeutic class: Relaxes smooth Motion Myasthenia Hypotension, Monitor HR,
butylbromide Antispasmodic muscle of the organs sickness, gravis increased urinary
20mg/2ml of the abdominal and n/v , vertigo Narrow-angle IOP, output, temp
pelvic cavities.
Gastrointesti glaucoma drowsiness and IOP
nal tract Tachycardia Bradycardia
spasm, Megacolon Hypersalivaio
Hyoscine is a tertiary
genitourinary
PHARMACOLOGIC amine antimuscarinic hypersensitivi n, diarrhea,
spasm
class: agent. It blocks the ty dry mouth
Belladonna alkaloids- action of Muscle
antimuscarinics acetylcholine in the weakness
smooth muscles of
the gastrointestinal, Flushing,
biliary and urinary sweating,
tracts, in secretory rash
glands and in the
CNS, thus exhibiting
spasmolytic actions
on smooth muscles
and inhibit
secretions. It also
blocks transmission
of cholinergic
impulses from the
vestibular nuclei to
the CNS, thus
preventing motion-
induced nausea and
vomiting.
ipratropium Therapeutic class: help control the bronchospas Contraindicat CNS: if patient
(Atrovent HFA, bronchodilators symptoms of lung m in chronic ed in patients dizziness, uses a face
ipravent) diseases such as bronchitis with headache mask for a
500mcg/2ml asthma, chronic
and hypersensitiv CV: nebulizer,
bronchitis and
emphysema emphysema e to drug, palpitations, take care to
atropine, or chest pain prevent
its derivative EENT: blurred leakage
Inhibits vagally Use vision, around the
PHARMACOLOGIC: mediated reflexes by cautiously in epistaxis, mask
anticholinergics antagonizing patient with rhinitis, nasal because eye
acetylcholine at
angle-closure pain or
muscarinic receptors glaucoma, dryness temporary
on bronchial smooth prostatic GI: nausea, blurring of
muscle. hyperplasia dyspepsia, vision may
or bladder- dry mouth, occur.
neck bitter taste Instruct
obstruction Skin: rash patient to
Alert: drug sniff deeply
isn't indicated after each
for initial spray and to
treatment of breathe out
acute through
episodes of mouth tell
bronchospas patient to tilt
m, for which head
rescue backward to
therapy is allow drug to
required for spread to
rapid back of nose.
response
