Medication Classification Action Side effects Nursing

responsibility

Diazepam ‫يستخدم‬ Anti-Anxiety / 1- Depresses the Dizziness, Assess BP, pulse

‫ج الصرع والقلق‬1‫لع‬ Skeletal muscle CNS, probably by drowsines Assess IV site:
‫ويستخدم قبل الجراحة‬ relaxants potentiating GABA, an Blurred vision frequently, watch
‫ت‬1‫?سترخاء العض‬ inhibitory slurred speech, for phlebitis
‫والهيكل العظمي‬
neurotransmitter. Evaluate
decreased anxiety
and restlessness
Teach patient that
product may be
taken with food

levothyroxine‫؛‬ Thyroid Increases metabolic insomnia, 1. Administer in

Treatment of hormones rate; controls protein Tachycardia the morning on
hypothyroidism, synthesis; increases Tremors an empty
pituitary thyroid- car- diac output, renal Angina stomach, 30
stimulating blood flow, O2 Anxiety min before
hormone (TSH) consumption, body food.
suppression. temperature, blood 2. Monitor drug
Myxedema coma. volume, growth response
‫ج قصور الغدة الدرقية‬1‫ع‬ carefully at the
‫ قمع هرمون الغدة‬، start of therapy.
‫( الدرقية‬TSH) 3. Monitor
‫خاطية‬R‫غيبوبة الوذمة ا‬. cardiac
response, as
increased basal
metabolic rate
4. Evaluate
therapeutic
response:
absence of
depression,
cold intolerance

Hydralazine Antihypertensiv Vasodilates arteriolar anorexia 1. Assess BP

‫لساء‬%‫ ارخاء العض(ت ا‬e smooth muscle by Headache q15min × 2 hr, then
‫ويستخدم من اجل ع(ج‬ direct relaxation; Dizziness q1hr × 2 hr, then
‫فرط ضغط الدم‬ reduction in blood Tachycardia q4hr after IV dose
pressure with reflex 2. Assess weight
increases in heart rate, daily,I&O
stroke volume, cardiac 3. Evaluate
output decreased BP
(Direct vasodilating 4. Teach pt to rise
effects on arterioles.) slowly to prevent
‫ختصر‬%‫ با‬B‫ القوس‬B‫الي ب‬ orthostatic
hypotension
Medication Classification Action Side effects Nursing
responsibility

ipratropium Anticholinergic, Inhibits interaction of Cough 1. Assess

bromide bronchodilator ace- tylcholine at Cramps respiratory
‫اﻟدواء اﻟذي ﯾﺧﻔف ﻣن‬ receptor sites on the Nausea status before
‫ ھو دواء‬.‫اﻟﺗﺷ ّﻧﺞ اﻟﻘﺻﺑﻲ‬
‫ﻣن ﻣﺿﺎدات اﻟﻛوﻟﯾن‬ bronchial smooth Vomiting and after
‫ﯾُﺳﺗﺧدم ﻟﻌﻼج ﻣرض‬ muscle, thereby administration,
‫اﻻﻧﺳداد اﻟرﺋوي اﻟﻣزﻣن‬ resulting in decreased 2. Assess
‫ ﯾُﺣﺻر‬.‫واﻟرﺑو اﻟﺣﺎد‬ Palpitations
cGMP and
‫اﻹﺑراﺗروﺑﯾوم ﺑروﻣﯾد‬ 3. Evaluate ability
‫ﻣﺳﺗﻘﺑﻼت اﻷﺳﺗﯾل ﻛوﻟﯾن‬ bronchodilation
‫اﻟﻣﺳﻛﺎرﯾﻧﯾﺔ ﻓﻲ اﻟﻌﺿﻼت‬ to breathe
،‫اﻟﻣﻠﺳﺎء ﻓﻲ ﻗﺻﺑﺎت اﻟرﺋﺗﯾن‬ adequately
.‫ﻣو ّﺳﻌًﺎ اﻟﻘﺻﺑﺎت‬ 4. instruct patient
in proper use of
nasal spray.

Tramadol Analgesic Binds to μ-opioid 1. Confusion 1- Check RR if less

‫توسطه‬%‫م ا‬II‫لع(ج ا‬ receptors, inhibits 2. Anxiety than 10 do not
‫زمنة‬%‫والشديدة و ا‬ reuptake of 3. Tachycardia administer.
norepinephrine, 4. Vasodilation 2- Assess pain
serotonin 3- Assess Bowl
pattern
4. Evacuate
decrease in pain

Last drug study ! " "