Drug Study 2

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MECHANISM

DRUG DATA INDICATIONS / CONTRAINDICATION NURSING RESPONSIBILITIES


OF ACTION / SIDE EFFECTS
Generic name: Mechanism of action: Indication: Observe the 10 rights of medication:
 N-acetylcysteine
Before:
Splits linkage of mucoproteins, reducing Bronchodilators should be
Brand name: viscosity of pulmonary secretions.  Assess pretreatment respirations for rate, depth,
given 10–15 min before acetylcysteine.
 Mucomyst rhythm.
Therapeutic Effect: Facilitates removal of
pulmonary secretions by coughing, postural During:
Classification: drainage, mechanical means. Protects against Contraindication:
 Mucolytic Agent, acetaminophen overdose induced hepatotoxicity  If bronchospasm occurs, discontinue treatment,
Mucolytics  Large doses may produce severe notify physician; bronchodilator may be added to
nausea/vomiting. (Less than 2%): Serious therapy. Monitor rate, depth, rhythm, type of
Patient’s Dose: Side effects: anaphylactoid reactions including cough, respiration (abdominal, thoracic).
 10% (100 mg/ml) wheezing, stridor, respiratory distress,
Route:  Stickiness on face, transient unpleasant bronchospasm, hypotension, and death After:
 Inhalation, odor. have been known to occur with IV  document and record.
nebulization (NAS)  Occasional: Inhalation: Increased administration.  Check sputum for color, consistency, amount.
bronchial secretions, throat irritation,
Frequency: nausea, vomiting, rhinorrhea.
 q6h  Rare: Inhalation: Rash.

Adverse effects:

 Large doses may produce severe nausea/


 vomiting.
 (Less than 2%): Serious anaphylactoid
reactions including cough, wheezing,
stridor, respiratory distress,
bronchospasm, hypotension, and death
MECHANISM
DRUG DATA INDICATIONS / CONTRAINDICATION NURSING RESPONSIBILITIES
OF ACTION / SIDE EFFECTS
Generic name: Mechanism of action: Indication: Observe 10 rights of medication
 dornase alfa
Before:
Brand name: Recombinant human DNase 1,  Dornase alfa is indicated for daily
 Pulmozyme digests neutrophil DNA administration in conjunction with  Mucolytic: Assess pretreatment respirations for rate, depth,
deposited in the pulmonary standard therapies for the management of rhythm.
Classification: mucosa thereby reducing cystic fibrosis (CF) patients to improve
pulmonary function. During:
 Enzymes, Mucolytic mucosal viscoelasticity
Agent  Do not use any other inhaled medicines in the nebulizer at the
Side effects: Contraindication: same time. Keep all other inhaled medication systems completely
Patient’s Dose:
separate from Pulmozyme.
 1mg/mL (2.5mL)  Urticaria, mild to  Hypersensitivity to dornase alfa or Chinese
Route: moderate, and mild skin hamster ovary cell products  Do not use a mask. Use the mouthpiece provided with each
 Inhalation, rash nebulizer kit.
nebulization
After:

Frequency:  document and record.


 q6h

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