OUR LADY OF THE PILLAR COLLEGE – CAUAYAN

San Fermin, Cauayan City, Isabela

College of Nursing and Midwifery
DRUG NAME MECHANISM DOSAGE INDICATION CONTRAINDICATIONS ADVERSE NURSING
OF ACTION REACTION/SIDE RESPONSIBILITIES
EFFECTS
GENERIC Benzodiazepin DOSAGE Anxiety  Monitor patients for Therapeutic Baseline v/s and level
NAME es act Initial dose: disorder signs and symptoms doses may cause of anxiety
selectively on 0.25 mg - 0.5  Contraindicated in drowsiness,
Benzodiazepines polysypnatic mg patients impaired motor • Check for hepatic
nueronal hypertensive to function, diseases
BRAND NAME: pathways these drugs, in those constipation,
• Determine if pt. is
throughout the ROUTE with acute angle- diarrhea,
pregnant or
Alprazolam CNS. Pre sites Oral closure glaucoma, vomiting, altered
and and in those appetite, urinary breastfeeding mother
mechanism of depressive neuroses changes, visual • Habitual Benzo may
action aren’t FREQUENCY or psychotic disturbances, and result in physical
fully known. T.I.D reactions in which CV irregularities.
dependence
However, anxiety isn’t Toxic does may
benzodiazepin prominent cause continuing • Teach patient who
es enhance or  Avoid use in patients problems with take long term benzo
facilitate the suicidality and in short term to do not stop taking
action of patients who have a memory, benzo rapidly
GABA, an history of drug confusion, severe
inhibitory abuse. If drug is depression, • Check for s/sx of
neurotransmitt necessary, monitor shakiness, withdrawal like
er in the CNS. patient carefully vertigo, slurred
These drug  Use cautiously in speech, Restlessness
appear to act patients with chronic staggering, Worsening of anxiety
at the limbic, pulmonary bradycardia,
talamic, and insufficiency or sleep respiratory Insomnia
hypothalamic apnea in and in depression,
levels of the those with those respiratory arrest, Tremor
CNS to hepatic or renal or severe

BUNGAG, PRECIOUS KHATE PAGGAO.

 OUR LADY OF THE PILLAR COLLEGE – CAUAYAN
San Fermin, Cauayan City, Isabela
College of Nursing and Midwifery
produce insufficiency weakness. Muscle tension
anxiolytic,  Benzodiazepines Prolonged or
sedative, increase risk of frequent use can Increased HR
hypnotic, congenital cause physical Auditory
skeletal malformation if taken dependency, and hypersensitivity
muscle in the first trimester. withdrawal
relaxant, and Use during labor syndrome when Delirium and tonic-
anticonvulsant may cause neonatal drug is stopped. clonic seizures
effects. flaccidity. A neonate
whose mother took a
benzodiazepines
during pregnancy
may have
withdrawal
symptoms.
Benzodiazepines
appear in human
milk; patients
shouldn’t breastfeed
during therapy. In
order adults,
benzodiazepines
elimination may be
prolonged; consider
a lower dosage

DRUG NAME MECHANISM DOSAGE INDICATION CONTRAINDICATION ADVERSE NURSING

BUNGAG, PRECIOUS KHATE PAGGAO.

 OUR LADY OF THE PILLAR COLLEGE – CAUAYAN
San Fermin, Cauayan City, Isabela
College of Nursing and Midwifery
OF ACTION S REACTION/SIDE RESPONSIBILITIES
EFFECTS
GENERIC NAME Cholinergic DOSAGE For patients  Contraindicated in CNS: asthenia,  Monitor patient
parasympatho 5 mg with patients diziness, for signs and
Pilocarpine mimetic that moderate hypersensitive to headache, fever, symptoms of
hydrochloride increases hepatic pilocarpine, in tremor, pain toxicity:
secretion of ROUTE impairment those with somnolence, headache, visual
BRAND NAME: salivary Oral uncrontolled taste perversion. disturbance,
glands, asthma, and in
lacrimation,
Salagen eliminating those for whom
diaphoresis,
drynesss. FREQUENC miosis is
THERAPEUTIC Y undesiraable, as in respiratory
CLASS: B.I.D acute iritis or angle distress, GI
- closure spasm, nausea,
Cholinergic agonist glaucoma. vomiting,
 Use in severe diarrhea, AV
PHARMACOLOGI hepatic block,
CLASS: impairement isn’t tachycardia,
recommended bradycardia,
Cholinergic agonist  Safety and hypotension,
effectiveness in HTN, shock,
children haven’t mental confusion,
been established
arrythmia, and
trmors.
Immeadiately
report suspected
toxicity
 Monitor patient
for dehydration
from diaphoresis

BUNGAG, PRECIOUS KHATE PAGGAO.

OUR LADY OF THE PILLAR COLLEGE – CAUAYAN
San Fermin, Cauayan City, Isabela
College of Nursing and Midwifery
and poor fluid
intake
 Look alike-
sound alike:
don’t confuse
salagen with
salageline

BUNGAG, PRECIOUS KHATE PAGGAO.

OUR LADY OF THE PILLAR COLLEGE – CAUAYAN
San Fermin, Cauayan City, Isabela
College of Nursing and Midwifery

BUNGAG, PRECIOUS KHATE PAGGAO.