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Pharmacology and the Nursing Process

✍ Scribed by Linda Lane Lilley RN PhD, Shelly Rainforth Collins PharmD, Julie S. Snyder MSN RN-BC


Publisher
Mosby
Year
2022
Tongue
English
Leaves
963
Edition
10
Category
Library

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✦ Synopsis


Gain the pharmacology knowledge and skills you need to administer medications safely! Pharmacology and the Nursing Process, 10th Edition provides practical, easy-to-use pharmacology information, emphasizing the application of the nursing process and prioritization throughout the book. Coverage begins with pharmacology basics, then discusses drugs by body systems and drug functions. Hundreds of full-color illustrations show how drugs work in the body and depict key steps in medication administration. Written by pharmacology experts Linda Lane Lilley, Shelly Rainforth Collins, and Julie S. Snyder, this bestselling textbook makes it easy to understand and apply pharmacology concepts and provide safe, quality nursing care.

    • Focus on need-to-know information includes discussions of what nurses may encounter during drug administration in a variety of health care settings, providing accounts of real-life medication errors and tips for avoiding those errors.
    • The Nursing Process is applied to each category of drugs, ensuring that you administer medications accurately and safely, and includes the steps of assessment, human need statements, planning, implementation, and evaluation.
    • Emphasis on drug classes describes key similarities and differences among the drugs in each class, making it easier to understand how individual drugs work in the body.
    • Consistent presentation for each drug group includes the mechanism of action, indications, contraindications, adverse effects, interactions, and dosages, concluding with drug profiles of individual drugs in the class or group.
    • High-alert icons identify medications that pose a greater risk to patient safety.
    • Focus on prioritization includes prioritized nursing diagnoses along with a corresponding prioritization of goals and outcomes, to help you learn to connect nursing diagnoses with goals and outcomes.
    • Ease of readability makes difficult content more understandable.
    • Photo atlas features more than 100 drawings and photographs showing drug administration techniques.
    • Dosages tables summarize generic and trade names, pharmacologic class, normal dosage ranges, and indications for the drugs.
    • Learning features at the beginning of each chapter include objectives and key terms, and at the end of each chapter, key points, critical thinking questions, review questions, and a list of resources available on the Evolve website.
    • QSEN coverage includes the use of human need theory with human need statements, case studies featuring collaboration and teamwork content, Preventing Medication Errors boxes, and a discussion of the QSEN initiative as it relates to the safety and quality of patient care.
      • NEW! Updated drug content reflects the latest FDA drug approvals, withdrawals, and therapeutic uses, and includes updated nursing content.

      ✦ Table of Contents


      Front Cover
      IFC
      BRIEF CONTENTS
      ABOUT THE AUTHORS
      Pharmacology and the Nursing Process
      Copyright
      Contributors to Teaching/Learning Resources
      PREFACE
      ACKNOWLEDGMENTS
      TO THE STUDENT
      NURSING PROCESS
      Assessment
      Human Need Statements
      Planning: Outcome Identification
      Implementation
      Evaluation
      VOCABULARY
      TEXT NOTATION
      ENHANCED TYPEFACE
      STUDY TIME
      LEARNING STYLES
      USE OF APPLICATIONS
      FLASH CARDS
      STUDY GROUPS
      CHAT ROOMS AND DISCUSSION GROUPS
      TIME MANAGEMENT
      PRACTICE QUESTIONS
      APPLICATION OF PHARMACOLOGY AND MAKING CONNECTIONS
      STUDYING FOR TESTS
      TEST-TAKING STRATEGIES
      PERFORMANCE EVALUATION
      FUTURE APPLICATION
      IFC
      1 -
      Pharmacology Basics
      1 -
      The Nursing Process and Drug Therapy
      ASSESSMENT
      Analysis of Data
      IDENTIFICATION OF HUMAN NEED STATEMENTS
      PLANNING: OUTCOME IDENTIFICATION
      IMPLEMENTATION
      Nine Rights of Medication Administration
      Right Drug
      Right Dose
      Right Time
      Right Route and Form
      Right Patient
      Right Documentation
      Right Reason or Indication
      Right Response
      Right to Refuse
      Medication Errors
      EVALUATION
      REFERENCES
      2 - Pharmacologic Principles
      OVERVIEW
      PHARMACEUTICS
      PHARMACOKINETICS
      Absorption
      . Drugs administered by the sublingual route are absorbed into the highly vascularized tissue under the tongue—the oral mucosa. ...
      . Injections into the fatty subcutaneous tissues under the dermal layer of skin are referred to as subcutaneous injections. Inje...
      . Transdermal drug delivery through adhesive patches is an elaborate topical route of drug administration that is commonly used ...
      . Inhalation is another type of topical drug administration. Inhaled drugs are delivered to the lungs as micrometer-
      sized drug ...
      Distribution
      Metabolism
      Excretion
      Half-
      Life
      Onset, Peak, and Duration
      PHARMACODYNAMICS
      Mechanism of Action
      PHARMACOTHERAPEUTICS
      Acute Therapy
      Maintenance Therapy
      Supplemental Therapy
      Palliative Therapy
      Supportive Therapy
      Prophylactic Therapy and Empirical Therapy
      Monitoring
      PHARMACOGNOSY
      PHARMACOECONOMICS
      TOXICOLOGY
      SUMMARY
      REFERENCES
      3 -
      Lifespan Considerations
      DRUG THERAPY DURING BREASTFEEDING
      CONSIDERATIONS FOR NEONATAL AND PEDIATRIC PATIENTS
      Physiology and Pharmacokinetics
      Pharmacodynamics
      Dosage Calculations for Pediatric Patients
      CONSIDERATIONS FOR OLDER ADULT PATIENTS
      ISSUES IN CLINICAL DRUG USE IN THE OLDER ADULT
      Physiologic Changes
      Pharmacokinetics
      Absorption
      Distribution
      Metabolism
      Excretion
      Problematic Medications for the Older Adult
      ?Nursing Process
      ?Assessment
      ?Human Need Statements
      ?Planning: Outcome Identification
      ?Implementation
      ?Evaluation
      REFERENCES
      4 -
      Cultural, Legal, and Ethical Considerations
      CULTURAL CONSIDERATIONS
      Influence of Ethnicity and Genetics on Drug Response
      Cultural Considerations Related to Drug Therapy and Nursing Practice
      LEGAL CONSIDERATIONS
      US Drug and Related Legislation
      New Drug Development
      US Food and Drug Administration Drug Approval Process
      Preclinical Investigational Drug Studies
      Four Clinical Phases of Investigational Drug Studies
      . Phase I studies usually involve small numbers of healthy subjects rather than those who have the disease that the new drug is ...
      . Phase II studies involve small numbers of volunteers who have the disease that the drug is designed to diagnose or treat. Stud...
      . Phase III studies involve large numbers of patients who are followed by medical research centers and other types of health car...
      . Phase IV studies are postmarketing studies that are voluntarily conducted by pharmaceutical companies to obtain further proof ...
      Legal Considerations Related to Drug Therapy and Nursing Practice
      ETHICAL CONSIDERATIONS AS RELATED TO DRUG THERAPY AND NURSING PRACTICE
      ?Nursing Process
      ?Assessment
      Maintaining Health
      Protecting Health
      Restoring Health
      ?Human Need Statements
      ?Planning: Outcome Identification
      ?Implementation
      ?Evaluation
      REFERENCES
      5 -
      Medication Errors: Preventing and Responding
      MEDICATION ERRORS
      ISSUES CONTRIBUTING TO ERRORS
      Preventing Medication Errors
      Responding to, Reporting, and Documenting Medication Errors
      Notification of Patients Regarding Errors
      Possible Consequences of Medication Errors
      ERRORS RELATED TO THE TRANSITION OF CARE
      SUMMARY
      REFERENCES
      6 -
      Patient Education and Drug Therapy
      OVERVIEW
      ASSESSMENT OF LEARNING NEEDS RELATED TO DRUG THERAPY
      HUMAN NEED STATEMENTS RELATED TO LEARNING NEEDS AND DRUG THERAPY
      PLANNING: OUTCOME IDENTIFICATION AS RELATED TO LEARNING NEEDS AND DRUG THERAPY
      IMPLEMENTATION RELATED TO PATIENT EDUCATION AND DRUG THERAPY
      EVALUATION OF PATIENT TEACHING RELATED TO DRUG THERAPY
      SUMMARY
      REFERENCES
      7 - Over-the-Counter Drugs and Herbal and Dietary Supplements
      OVER-THE-COUNTER DRUGS
      HERBALS AND DIETARY SUPPLEMENTS
      History
      Consumer Use of Dietary Supplements
      Safety
      Level of Use
      ?Nursing Process
      ?Assessment
      Over-the-Counter Drugs
      Herbal Products and Dietary Supplements
      ?Human Need Statements
      ?Planning: Outcome Identification
      ?Implementation
      ?Evaluation
      REFERENCES
      8 -
      Gene Therapy and Pharmacogenomics
      OVERVIEW
      BASIC PRINCIPLES OF GENETIC INHERITANCE
      DISCOVERY, STRUCTURE, AND FUNCTION OF DNA
      Protein Synthesis
      Human Genome Project
      GENE THERAPY
      Background
      Regulatory and Ethical Issues Regarding Gene Therapy
      PHARMACOGENETICS AND PHARMACOGENOMICS
      APPLICATION OF THE NURSING PROCESS AS RELATED TO GENETIC PRINCIPLES
      REFERENCES
      9 -
      Photo Atlas of Drug Administration
      PREPARING FOR DRUG ADMINISTRATION
      ENTERAL DRUGS
      Administering Oral Drugs
      Administering Drugs Through a Nasogastric or Gastrostomy Tube
      Administering Rectal Drugs
      PARENTERAL DRUGS
      Preparing for Parenteral Drug Administration
      Removing Medications From Ampules
      Removing Medications From Vials
      Injections Overview
      Intradermal Injections
      Subcutaneous Injections
      Intramuscular Injections
      Preparing Intravenous Medications
      Infusions of Intravenous Piggyback Medications
      Intravenous Push Medications
      TOPICAL DRUGS
      Administering Eye Medications
      Administering Eardrops
      Administering Inhaled Drugs
      Administering Medications to the Skin
      Administering Nasal Medications
      Administering Vaginal Medications
      REFERENCES
      2 -
      Drugs Affecting the Central Nervous System
      10 - Analgesic Drugs
      OVERVIEW
      TREATMENT OF PAIN IN SPECIAL SITUATIONS
      PHARMACOLOGY OVERVIEW
      OPIOID DRUGS
      Chemical Structure
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Laboratory Test Interactions
      Dosages
      Opioid Agonists
      Opioid Agonists-Antagonists
      Opioid Antagonists
      NONOPIOID AND MISCELLANEOUS ANALGESICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      DRUG PROFILES
      NONOPIOIDS
      Opioids
      Opioid Agonists-Antagonists
      Opioid Antagonists
      Nonopioids
      Opioids
      Opioid Agonists-Antagonists
      Opioid Antagonist
      General Considerations
      REFERENCES
      11 - General and Local Anesthetics
      OVERVIEW
      GENERAL ANESTHETICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      nitrous oxide
      sevoflurane
      DRUGS FOR MODERATE SEDATION
      LOCAL ANESTHETICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      lidocaine
      NEUROMUSCULAR BLOCKING DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      Depolarizing Neuromuscular Blocking Drugs
      Nondepolarizing Neuromuscular Blocking Drugs
      ?Nursing Process
      12 - Central Nervous System Depressants and Muscle Relaxants
      12
      OVERVIEW
      PHYSIOLOGY OF SLEEP
      BENZODIAZEPINES AND MISCELLANEOUS HYPNOTIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Benzodiazepines
      Nonbenzodiazepines
      Orexin Receptor Antagonists
      BARBITURATES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      OVER-THE-COUNTER HYPNOTICS
      MUSCLE RELAXANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ?Nursing Process
      13 -
      Central Nervous System Stimulants and Related Drugs
      Overview
      ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
      NARCOLEPSY
      OBESITY
      MIGRAINE
      ANALEPTIC-RESPONSIVE RESPIRATORY DEPRESSION SYNDROMES
      DRUGS FOR ATTENTION-DEFICIT/HYPERACTIVITY DISORDER AND NARCOLEPSY
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ?DRUG PROFILES
      Amphetamines and Related Stimulants
      ANOREXIANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ANTIMIGRAINE DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Serotonin Receptor Agonists
      Ergot Alkaloids
      DRUGS FOR SPECIFIC RESPIRATORY DEPRESSION SYNDROMES: ANALEPTICS
      Mechanism of Action and Drug Effects
      INDICATIONS
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      REFERENCES
      14 -
      Antiepileptic Drugs
      EPILEPSY
      ANTIEPILEPTIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Barbiturates
      Hydantoins
      Iminostilbenes
      Succinimide
      Miscellaneous Drugs
      REFERENCES
      15 - Antiparkinson Drugs
      PATHOPHYSIOLOGY OF PARKINSON’S DISEASE
      TREATMENT OF PARKINSON’S DISEASE
      PHARMACOLOGY OVERVIEW
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      rasagiline and selegiline
      DOPAMINE MODULATOR
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Drug Effects
      Drug Interactions
      Dosage
      amantadine
      CATECHOL ORTHO-METHYLTRANSFERASE INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      entacapone
      DIRECT-ACTING DOPAMINE RECEPTOR AGONISTS
      NONDOPAMINE DOPAMINE RECEPTOR AGONISTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      bromocriptine
      pramipexole
      DOPAMINE REPLACEMENT DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      carbidopa-levodopa
      ANTICHOLINERGIC DRUGS
      ?Nursing Process
      ?Assessment
      ?Implementation
      REFERENCES
      16 - Psychotherapeutic Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      Benzodiazepines
      alprazolam
      diazepam
      lorazepam
      Miscellaneous Drug
      buspirone
      AFFECTIVE DISORDERS
      MOOD-STABILIZING DRUGS
      ANTIDEPRESSANT DRUGS
      TRICYCLIC ANTIDEPRESSANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      amitriptyline
      MONOAMINE OXIDASE INHIBITORS
      SECOND-GENERATION ANTIDEPRESSANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      bupropion
      citalopram
      duloxetine
      fluoxetine
      mirtazapine
      trazodone
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Butyrophenone
      haloperidol
      Atypical Antipsychotics
      aripiprazole
      clozapine
      risperidone
      Anxiolytic Drugs
      Mood-Stabilizing Drugs
      Antidepressants
      Antipsychotics
      ?Implementation
      Anxiolytic Drugs
      Mood-Stabilizing Drugs
      Antidepressants
      Antipsychotics
      REFERENCES
      17 -
      Substance Use Disorder
      OVERVIEW
      OPIOIDS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Management of Withdrawal, Toxicity, and Overdose
      STIMULANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Management of Withdrawal, Toxicity, and Overdose
      DEPRESSANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Management of Withdrawal, Toxicity, and Overdose
      ALCOHOL
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      Interactions
      Management of Withdrawal, Toxicity, and Overdose
      NICOTINE
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      Management of Withdrawal, Toxicity, and Overdose
      ?Nursing Process
      ?Assessment
      REFERENCES
      3 -
      Drugs Affecting the Autonomic Nervous System
      18 - Adrenergic Drugs
      OVERVIEW
      SYMPATHETIC NERVOUS SYSTEM
      ADRENERGIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Respiratory Indications
      Indications for Topical Nasal Decongestants
      Ophthalmic Indications
      Overactive Bladder Indications
      Cardiovascular Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Laboratory Test Interactions
      Dosages
      Vasoactive Adrenergics
      dobutamine
      fenoldopam
      midodrine
      mirabegron
      ?Assessment
      ?Implementation
      REFERENCES
      19 -
      Adrenergic-ŁBlocking Drugs
      ALPHA BLOCKERS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      phentolamine
      tamsulosin
      BETA BLOCKERS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      atenolol
      carvedilol
      esmolol
      labetalol
      metoprolol
      propranolol
      sotalol
      REFERENCES
      20 -
      Cholinergic Drugs
      CHOLINERGIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Direct-Acting Drugs
      Indirect-Acting Drugs
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      bethanechol
      donepezil
      memantine
      pyridostigmine
      21 -
      Cholinergic-ŁBlocking Drugs
      PARASYMPATHETIC NERVOUS SYSTEM
      Cholinergic-Blocking Drugs
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      atropine
      dicyclomine
      glycopyrrolate
      oxybutynin
      scopolamine
      tolterodine
      REFERENCES
      4 -
      Drugs Affecting the Cardiovascular and Renal Systems
      22 - Antihypertensive Drugs
      ANATOMY, PHYSIOLOGY, AND PATHOPHYSIOLOGY OVERVIEW
      PHARMACOLOGY OVERVIEW
      REVIEW OF AUTONOMIC NEUROTRANSMISSION
      ADRENERGIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Alpha2-Adrenergic Receptor Stimulators (Agonists)
      Alpha1 Blockers
      doxazosin
      Dual-Action Alpha1 and Beta Receptor Blockers
      Beta Receptor Blocker
      nebivolol
      ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ANGIOTENSIN II RECEPTOR BLOCKERS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      CALCIUM CHANNEL BLOCKERS
      DIURETICS
      VASODILATORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      MISCELLANEOUS ANTIHYPERTENSIVE DRUGS
      ?Assessment
      REFERENCES
      23 -
      Antianginal Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      NITRATES AND NITRITES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      isosorbide dinitrate
      isosorbide mononitrate
      nitroglycerin
      BETA BLOCKERS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      DRUG PROFILES
      atenolol
      metoprolol
      CALCIUM CHANNEL BLOCKERS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      diltiazem
      amlodipine
      Miscellaneous Antianginal Drug
      ranolazine
      SUMMARY OF ANTIANGINAL PHARMACOLOGY
      REFERENCES
      24 -
      Heart Failure Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
      ANGIOTENSIN II RECEPTOR BLOCKERS
      valsartan
      valsartan/sacubitril
      BETA BLOCKERS
      ALDOSTERONE ANTAGONISTS
      Miscellaneous Heart Failure Drugs
      hydralazine/isosorbide dinitrate
      dobutamine
      ivabradine
      PHOSPHODIESTERASE INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      milrinone
      CARDIAC GLYCOSIDES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      digoxin
      digoxin immune fab
      ?Human Need Statements
      REFERENCES
      25 - Antidysrhythmic Drugs
      DYSRHYTHMIAS AND NORMAL CARDIAC ELECTROPHYSIOLOGY
      Electrocardiography
      Common Dysrhythmias
      ANTIDYSRHYTHMIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      Class Ia Drugs
      procainamide
      quinidine
      Class Ib Drugs
      Class Ic Drugs
      flecainide
      propafenone
      Class II Drugs
      atenolol
      metoprolol
      Class III Drugs
      ibutilide
      dofetilide
      sotalol
      Class IV Drugs
      diltiazem
      verapamil
      Unclassified Antidysrhythmic
      adenosine
      26 - Coagulation Modifier Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      ANTICOAGULANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      ANTIPLATELET DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      aspirin
      clopidogrel
      THROMBOLYTIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      ANTIFIBRINOLYTIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      aminocaproic acid
      desmopressin
      tranexamic acid
      ?Implementation
      REFERENCES
      27 -
      Antilipemic Drugs
      OVERVIEW
      LIPIDS AND LIPID ABNORMALITIES
      Primary Forms of Lipids
      Cholesterol Homeostasis
      ATHEROSCLEROTIC PLAQUE FORMATION
      CHOLESTEROL AND CORONARY HEART DISEASE
      HYPERLIPIDEMIAS AND TREATMENT GUIDELINES
      HYDROXYMETHYLGLUTARYL–COENZYME A REDUCTASE (HMG-COA REDUCTASE) INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      BILE ACID SEQUESTRANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      NIACIN
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      niacin
      FIBRIC ACID DERIVATIVES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      MISCELLANEOUS ANTILIPEMIC DRUGS
      Cholesterol Absorption Inhibitor
      PSCK-9 INHIBITORS
      ?Implementation
      REFERENCES
      28 - Diuretic Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      CARBONIC ANHYDRASE INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      acetazolamide
      LOOP DIURETICS
      Mechanism of Action and Drug Effects
      SUMMARY OF MAJOR DRUG EFFECTS OF LOOP DIURETICS
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      OSMOTIC DIURETICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      mannitol
      POTASSIUM-
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      spironolactone
      THIAZIDES AND THIAZIDE-
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      hydrochlorothiazide
      ?Nursing Process
      REFERENCES
      29 -
      Fluids and Electrolytes
      OVERVIEW
      CRYSTALLOIDS
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      Interactions
      Dosage
      sodium chloride
      COLLOIDS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      albumin
      dextran
      BLOOD PRODUCTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      packed red blood cells
      fresh frozen plasma
      PHYSIOLOGY OF ELECTROLYTE BALANCE
      POTASSIUM
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      sodium polystyrene sulfonate (potassium exchange resin)
      SODIUM
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      sodium chloride
      conivaptan
      ?Planning: Outcome Identification
      ?Implementation
      5 -
      Drugs Affecting the Endocrine and Reproductive Systems
      30 -
      Pituitary Drugs
      PITUITARY DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      octreotide
      somatropin
      ?Nursing Process
      ?Implementation
      REFERENCES
      31 -
      Thyroid and Antithyroid Drugs
      PATHOPHYSIOLOGY OF HYPOTHYROIDISM
      PATHOPHYSIOLOGY OF HYPERTHYROIDISM
      THYROID REPLACEMENT DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ANTITHYROID DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      propylthiouracil
      Planning: Outcome Identification
      ?Evaluation
      REFERENCES
      33 -
      Adrenal Drugs
      ADRENAL SYSTEM
      ADRENAL DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Corticosteroids
      fludrocortisone
      prednisone
      methylprednisolone
      ?Nursing Process
      REFERENCES
      34 -
      Women’s Health Drugs
      FEMALE REPRODUCTIVE FUNCTIONS
      FEMALE SEX HORMONES
      Estrogens
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      estrogen
      Progestins
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      medroxyprogesterone
      megestrol
      CONTRACEPTIVE DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Contraceptive Drugs
      DRUGS FOR OSTEOPOROSIS
      Mechanism of Action and Drug Effects
      . The bisphosphonates work by inhibiting osteoclast-mediated bone resorption, which in turn indirectly enhances bone mineral den...
      . Raloxifene helps prevent osteoporosis by stimulating estrogen receptors on bone and increasing bone density in a manner simila...
      . Like the natural thyroid hormone, calcitonin directly inhibits osteoclastic bone resorption
      . In contrast to the other therapies described thus far, which inhibit bone resorption, teriparatide was the first drug availabl...
      . Denosumab (Prolia) is a monoclonal antibody that blocks osteoclast activation, thereby preventing bone resorption. It is given...
      Indications
      Contraindications
      . Contraindications to bisphosphonate use include known drug allergy, hypocalcemia, esophageal dysfunction, and the inability to...
      . The use of SERMs is contraindicated in women with a known drug allergy, in women who are or may become pregnant, and in women ...
      . Contraindications to calcitonin use include known drug allergy or allergy to salmon (the drug is salmon derived)
      . Contraindications to the use of teriparatide include known drug allergy
      . Contraindications to the use of denosumab are hypocalcemia, renal impairment, pregnancy, and infection
      Adverse Effects
      Interactions
      Dosages
      alendronate
      raloxifene
      calcitonin
      DRUGS RELATED TO PREGNANCY, LABOR, DELIVERY, AND THE POSTPARTUM PERIOD
      Fertility Drugs
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      clomiphene
      1397256787Uterine Stimulants
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      dinoprostone
      methylergonovine
      Drugs for Preterm Labor Management
      ?NURSING PROCESS
      35 -
      Men’s Health Drugs
      MALE REPRODUCTIVE SYSTEM
      ANDROGENS AND OTHER DRUGS PERTAINING TO MEN’S HEALTH
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ?Nursing Process
      Implementation
      REFERENCES
      6 -
      Drugs Affecting the Respiratory System
      36 - Antihistamines, Decongestants, Antitussives, and Expectorants
      OVERVIEW
      ANTIHISTAMINES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Nonsedating Antihistamines
      loratadine
      Traditional Antihistamines
      diphenhydramine
      DECONGESTANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      oxymetazoline
      ANTITUSSIVES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      benzonatate
      codeine
      dextromethorphan
      EXPECTORANTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      guaifenesin
      ?Implementation
      REFERENCES
      37 -
      Respiratory Drugs
      OVERVIEW
      PATHOPHYSIOLOGY OF DISEASES OF THE RESPIRATORY SYSTEM
      Asthma
      Chronic Obstructive Pulmonary Disease
      TREATMENT OF DISEASES OF THE LOWER RESPIRATORY TRACT
      BRONCHODILATORS
      BETA-ADRENERGIC AGONISTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      albuterol
      salmeterol
      ANTICHOLINERGICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Drug Interactions
      Dosages
      ipratropium
      XANTHINE DERIVATIVES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      theophylline
      NONBRONCHODILATING RESPIRATORY DRUGS
      LEUKOTRIENE RECEPTOR ANTAGONISTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      montelukast
      CORTICOSTEROIDS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      fluticasone propionate
      methylprednisolone
      PHOSPHODIESTERASE-4 INHIBITOR
      MONOCLONAL ANTIBODY ANTIASTHMATICS
      REFERENCES
      7 -
      Antiinfective and Antiinflammatory Drugs
      38 - Antibiotics Part 1
      MICROBIAL INFECTION
      Health Care–Associated Infection
      PHARMACOLOGY OVERVIEW
      ANTIBIOTICS
      SULFONAMIDES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      sulfamethoxazole-trimethoprim (co-trimoxazole)
      BETA-LACTAM ANTIBIOTICS
      PENICILLINS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Natural Penicillins
      penicillin G and penicillin V potassium
      Penicillinase-Resistant Penicillins
      nafcillin
      Aminopenicillins
      amoxicillin
      ampicillin
      Extended-Spectrum Penicillins
      CEPHALOSPORINS
      Dosages
      DRUG PROFILES
      First-Generation Cephalosporins
      cefazolin
      cephalexin
      Second-Generation Cephalosporins
      cefoxitin
      cefuroxime
      Third-Generation Cephalosporins
      ceftriaxone
      ceftazidime
      Fourth-Generation Cephalosporins
      cefepime
      Fifth-Generation Cephalosporins
      ceftaroline
      CARBAPENEMS
      MONOBACTAMS
      MACROLIDES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      erythromycin
      azithromycin and clarithromycin
      TETRACYCLINES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      demeclocycline
      doxycycline
      tigecycline
      ?NURSING PROCESS
      ?1397256787Planning: Outcome Identification
      REFERENCES
      39 -
      Antibiotics Part 2
      OVERVIEW
      PATHOPHYSIOLOGY OF RESISTANT INFECTIONS
      AMINOGLYCOSIDES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      amikacin
      gentamicin
      tobramycin
      neomycin
      QUINOLONES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ciprofloxacin
      levofloxacin
      MISCELLANEOUS ANTIBIOTICS
      clindamycin
      colistimethate
      daptomycin
      linezolid
      metronidazole
      nitrofurantoin
      quinupristin and dalfopristin
      telavancin
      vancomycin
      ?NURSING PROCESS
      ?1397256787Human Need Statements
      REFERENCES
      40 - Antiviral Drugs
      GENERAL PRINCIPLES OF VIROLOGY
      OVERVIEW OF VIRAL ILLNESSES AND THEIR TREATMENT
      HERPES SIMPLEX VIRUS AND VARICELLA-ZOSTER VIRUS INFECTIONS
      Herpes Simplex Viruses
      Varicella-Zoster Virus
      HEPATITIS
      ANTIVIRALS (NON–HUMAN IMMUNODEFICIENCY VIRUS)
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      amantadine and rimantadine
      acyclovir
      entecavir
      ganciclovir
      oseltamivir and zanamivir
      ribavirin
      sofosbuvir
      HIV INFECTION AND AIDS
      DRUGS USED TO TREAT HUMAN IMMUNODEFICIENCY VIRUS INFECTION
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      enfuvirtide
      indinavir
      maraviroc
      nevirapine
      raltegravir
      tenofovir
      zidovudine
      CORONAVIRUS
      ?NURSING PROCESS
      Implementation
      REFERENCES
      41 -
      Antitubercular Drugs
      ANTITUBERCULAR DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      bedaquiline
      ethambutol
      isoniazid
      pyrazinamide
      rifabutin
      rifampin
      rifapentine
      streptomycin
      ?NURSING PROCESS
      REFERENCES
      42 -
      Antifungal Drugs
      FUNGAL INFECTIONS
      ANTIFUNGAL DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      amphotericin B
      caspofungin
      fluconazole
      nystatin
      terbinafine
      voriconazole
      ?NURSING PROCESS
      REFERENCES
      43 -
      Antimalarial, Antiprotozoal, and Anthelmintic Drugs
      PATHOPHYSIOLOGY OF MALARIA
      ANTIMALARIAL DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      chloroquine and hydroxychloroquine
      mefloquine
      primaquine
      pyrimethamine
      OTHER PROTOZOAL INFECTIONS
      ANTIPROTOZOAL DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      atovaquone
      metronidazole
      pentamidine
      HELMINTHIC INFECTIONS
      ANTHELMINTIC DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      praziquantel
      pyrantel
      ?NURSING PROCESS
      REFERENCES
      44 -
      Antiinflammatory and Antigout Drugs
      OVERVIEW
      NONSTEROIDAL ANTIINFLAMMATORY DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      Salicylates
      aspirin
      Acetic Acid Derivatives
      indomethacin
      ketorolac
      ibuprofen
      Cyclooxygenase-2 Inhibitors
      celecoxib
      Enolic Acid Derivatives
      ANTIGOUT DRUGS
      allopurinol
      colchicine
      lesinurad
      probenecid
      ?NURSING PROCESS
      ?Evaluation
      REFERENCES
      8 -
      Chemotherapeutic Drugs and Biologic and Immune Modifiers
      45 -
      Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs
      OVERVIEW
      Etiology of Cancer
      Age-Related and Sex-Related Differences
      Genetic and Ethnic Factors
      Oncogenic Pathogens
      Occupational and Environmental Carcinogens
      Radiation
      Immunologic Factors
      Cell Growth Cycle
      Cancer Drug Nomenclature
      TARGETED DRUG THERAPY
      CELL CYCLE–SPECIFIC ANTINEOPLASTIC DRUGS
      Antimetabolites
      Mechanism of Action and Drug Effects
      . The antimetabolite methotrexate is an analogue of folic acid. It inhibits the action of dihydrofolate reductase, an enzyme res...
      . The purine bases present in DNA and RNA are adenine and guanine (see the discussion in Chapter 46), and they are required for ...
      . The pyrimidine bases cytosine and thymine occur in the structure of DNA molecules, and cytosine and uracil are part of the str...
      Indications
      Adverse Effects
      Interactions
      Folate Antagonist
      methotrexate
      Purine Antagonists
      cladribine
      fludarabine
      Pyrimidine Antagonists
      capecitabine
      cytarabine
      fluorouracil
      gemcitabine
      Mitotic Inhibitors
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      . Most of the mitotic inhibitor antineoplastics are administered intravenously, and extravasation of these drugs is potentially ...
      Interactions
      Alkaloid Topoisomerase II Inhibitors
      Selected Mitotic Inhibitors and Etoposide
      etoposide
      paclitaxel
      vincristine
      Topoisomerase I Inhibitors
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      Interactions
      irinotecan
      topotecan
      Antineoplastic Enzymes
      Indications
      Interactions
      Adverse Effects
      asparaginase
      pegaspargase
      ?NURSING PROCESS
      REFERENCES
      46 -
      Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs
      OVERVIEW
      CELL CYCLE–NONSPECIFIC ANTINEOPLASTIC DRUGS
      Alkylating Drugs
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      Interactions
      cisplatin
      cyclophosphamide
      mechlorethamine
      Cytotoxic Antibiotic Antineoplastic Drugs
      Mechanism of Action and Drug Effects
      Indications
      Adverse Effects
      . Severe cases of cardiomyopathy are associated with large cumulative doses of doxorubicin. Routine monitoring of cardiac functi...
      Interactions
      doxorubicin
      mitoxantrone
      MISCELLANEOUS ANTINEOPLASTICS
      bevacizumab
      hydroxyurea
      imatinib
      mitotane
      octreotide
      HORMONAL ANTINEOPLASTICS
      REFERENCES
      47 - Biologic Response–Modifying and Antirheumatic Drugs
      OVERVIEW OF IMMUNOMODULATORS
      Immune System
      Humoral Immune System
      Cell-Mediated Immune System
      PHARMACOLOGY OVERVIEW
      Hematopoietic Drugs
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      filgrastim
      sargramostim
      Interferons
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Interferon Alfa Products
      interferon alfa-2a, interferon alfa-2b, interferon alfa-n3, peginterferon alfa-2a, peginterferon alfa-2b
      Interferon Beta Products
      interferon beta-1a, interferon beta-1b
      Interferon Gamma Product
      interferon gamma-1b
      Monoclonal Antibodies
      Mechanism of Action, Drug Effects, and Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      adalimumab
      alemtuzumab
      belimumab
      bevacizumab
      certolizumab
      cetuximab
      golimumab
      ibritumomab
      infliximab
      natalizumab
      rituximab
      trastuzumab
      Interleukins and Related Drugs
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      aldesleukin
      anakinra
      tocilizumab
      secukinumab
      Miscellaneous Immunomodulating Drugs
      Rheumatoid Arthritis
      Disease-Modifying Antirheumatic Arthritis Drugs
      Mechanism of Action, Indications, and Adverse Effects
      Contraindications
      abatacept
      etanercept
      leflunomide
      methotrexate
      ?NURSING PROCESS
      REFERENCES
      48 -
      Immunosuppressant Drugs
      IMMUNOSUPPRESSANT DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      azathioprine
      basiliximab
      cyclosporine
      glatiramer acetate
      mycophenolate mofetil
      sirolimus and tacrolimus
      ?NURSING PROCESS
      REFERENCES
      49 - Immunizing Drugs
      IMMUNITY AND IMMUNIZATION
      Active Immunization
      Toxoids
      Vaccines
      Passive Immunization
      IMMUNIZING DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Active Immunizing Drugs
      diphtheria and tetanus toxoids and acellular pertussis vaccine (adsorbed)
      Haemophilus influenzae type b conjugate vaccine
      hepatitis B virus vaccine (inactivated)
      influenza virus vaccine
      measles, mumps, and rubella virus vaccine (live)
      meningococcal vaccine
      pneumococcal vaccine, polyvalent and 13-
      poliovirus vaccine (inactivated)
      rabies virus vaccine
      human papillomavirus vaccine
      herpes zoster vaccine
      varicella virus vaccine
      Passive Immunizing Drugs
      hepatitis B immunoglobulin
      immunoglobulin
      Rh0(D) immunoglobulin
      rabies immunoglobulin
      tetanus immunoglobulin
      varicella-
      ?Nursing Process
      REFERENCES
      9 -
      Drugs Affecting the Gastrointestinal System and Nutrition
      50 -
      Acid-Controlling Drugs
      OVERVIEW
      ACID-RELATED PATHOPHYSIOLOGY
      Antacids
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      antacids, general
      H2 RECEPTOR ANTAGONISTS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      cimetidine
      famotidine
      PROTON PUMP INHIBITORS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      INTERACTIONS
      Dosages
      omeprazole
      lansoprazole
      pantoprazole
      MISCELLANEOUS ACID-CONTROLLING DRUGS
      sucralfate
      misoprostol
      simethicone
      ?NURSING PROCESS
      REFERENCES
      51 -
      Bowel Disorder Drugs
      ANTIDIARRHEALS
      MECHANISM OF ACTION AND DRUG EFFECTS
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Adsorbents
      bismuth subsalicylate
      Anticholinergics
      belladonna alkaloid combinations
      Opiates
      diphenoxylate with atropine
      loperamide
      Probiotics
      Lactobacillus
      LAXATIVES
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Bulk-Forming Laxatives
      methylcellulose
      psyllium
      Emollient Laxatives
      docusate salts
      mineral oil
      Hyperosmotic Laxatives
      glycerin
      lactulose
      polyethylene glycol 3350
      Saline Laxatives
      magnesium salts
      Stimulant Laxatives
      bisacodyl
      senna
      DRUGS FOR IRRITABLE BOWEL SYNDROME
      ?NURSING PROCESS
      REFERENCES
      52 -
      Antiemetic and Antinausea Drugs
      ANTIEMETIC DRUGS
      Mechanism of Action and Drug Effects
      Anticholinergic Drugs
      Antihistamines
      Antidopaminergic Drugs
      Neurokinin Blockers
      Prokinetic Drugs
      Serotonin Blockers
      Tetrahydrocannabinoids
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Anticholinergic
      scopolamine
      Antihistamines
      meclizine
      Antidopaminergics
      prochlorperazine
      Neurokinin Receptor Antagonists
      aprepitant
      Prokinetic Drugs
      metoclopramide
      Serotonin Blockers
      ondansetron
      Tetrahydrocannabinoid
      dronabinol
      Miscellaneous Antinausea Drug
      phosphorated carbohydrate solution
      ?NURSING PROCESS
      ?Evaluation
      REFERENCES
      53 - Vitamins and Minerals
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      FAT-SOLUBLE VITAMINS
      Vitamin A
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . The major toxic effects of vitamin A result from ingestion of excessive amounts, which occurs most commonly in children. A few...
      Interactions
      Dosages
      vitamin A
      Vitamin D
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . The major toxic effects from ingesting excessive amounts of vitamin D occur most commonly in children. Discontinuation of vita...
      Interactions
      Dosages
      calcifediol
      calcitriol
      ergocalciferol
      Vitamin E
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Dosages
      vitamin E
      Vitamin K
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . Toxicity is primarily limited to use in the newborn. Hemolysis of red blood cells (RBCs) can occur, especially in infants with...
      Dosages
      vitamin K1
      WATER-SOLUBLE VITAMINS
      Vitamin B1
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      thiamine
      Vitamin B2
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Dosages
      riboflavin
      Vitamin B3
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Dosages
      niacin
      Vitamin B6
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      pyridoxine
      Vitamin B12
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      cyanocobalamin
      Vitamin C
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      ascorbic acid
      MINERALS
      Calcium
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . Long-term excessive calcium intake can result in severe hypercalcemia, which can cause cardiac irregularities, delirium, and c...
      Interactions
      Dosages
      calcium
      Magnesium
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . Toxic effects are extensions of symptoms caused by hypermagnesemia, a major cause of which is the long-term use of magnesium p...
      Interactions
      ?magnesium
      Phosphorus
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      . Toxic reactions to phosphorus are extremely rare and usually occur only after ingestion of the pure element
      Interactions
      phosphorus
      Zinc
      ?NURSING PROCESS
      REFERENCES
      54 -
      Anemia Drugs
      ERYTHROPOIESIS
      TYPES OF ANEMIA
      ERYTHROPOIESIS-STIMULATING DRUGS
      IRON
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Toxicity and Management of Overdose
      Interactions
      Dosages
      ferrous fumarate
      ferrous sulfate
      iron dextran
      ferric gluconate
      iron sucrose
      FOLIC ACID
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      folic acid
      OTHER ANEMIA DRUGS
      REFERENCES
      55 -
      Nutritional Supplements
      OVERVIEW
      ENTERAL NUTRITION
      Mechanism of Action and Drug Effects
      Dosages
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Elemental Formulations
      Polymeric Formulations
      Modular Formulations
      carbohydrate formulation
      fat formulation
      protein formulation
      Altered Amino Acid Formulations
      PARENTERAL NUTRITION
      Peripheral Total Parenteral Nutrition
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Central Total Parenteral Nutrition
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Dosages
      Amino Acids
      amino acid solutions
      Carbohydrates
      Fat
      lipid emulsions
      Trace Elements
      ?NURSING PROCESS
      REFERENCES
      10 -
      Dermatologic, Ophthalmic, and Otic Drugs
      56 - Dermatologic Drugs
      OVERVIEW
      PHARMACOLOGY OVERVIEW
      ANTIMICROBIALS
      General Antibacterial Drugs
      bacitracin
      neomycin and polymyxin B
      mupirocin
      silver sulfadiazine
      Antiacne Drugs
      benzoyl peroxide
      clindamycin
      isotretinoin
      tretinoin
      Antifungal Drugs
      clotrimazole
      miconazole
      Antiviral Drugs
      ANESTHETIC, ANTIPRURITIC, AND ANTIPSORIATIC DRUGS
      Topical Anesthetics
      Topical Antipruritics and Antiinflammatories
      Antipsoriatic Drugs
      tazarotene
      tar-containing products
      anthralin
      calcipotriene
      MISCELLANEOUS DERMATOLOGIC DRUGS
      Ectoparasiticidal Drugs
      permethrin
      Hair Growth Drugs
      minoxidil
      Sunscreens
      Antineoplastic Drugs
      fluorouracil
      Immunomodulators
      pimecrolimus
      imiquimod
      WOUND CARE DRUGS
      SKIN PREPARATION DRUGS
      ?NURSING PROCESS
      REFERENCES
      57 - Ophthalmic Drugs
      OVERVIEW
      Lacrimal Glands
      Layers of the Eye
      Pathophysiology of Glaucoma
      PHARMACOLOGY OVERVIEW
      ANTIGLAUCOMA DRUGS
      Cholinergic Drugs (Miotics)
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Direct-Acting Miotics
      acetylcholine
      pilocarpine
      Indirect-Acting Miotic
      echothiophate
      Sympathomimetics (Mydriatics)
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      apraclonidine
      dipivefrin
      Beta-Adrenergic Blockers
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      betaxolol
      timolol
      Carbonic Anhydrase Inhibitors
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      dorzolamide
      Osmotic Diuretics
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      glycerin
      mannitol
      Prostaglandin Agonists
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      latanoprost
      ANTIMICROBIAL DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      Dosages
      Aminoglycosides
      gentamicin
      Macrolide Antibiotics
      erythromycin
      Polypeptide Antibiotics
      bacitracin
      Quinolone Antibiotics
      ciprofloxacin
      Sulfonamides
      sulfacetamide
      Antifungal Drug
      natamycin
      Antiviral Drugs
      trifluridine
      ANTIINFLAMMATORY DRUGS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Corticosteroid
      dexamethasone
      Nonsteroidal Antiinflammatory Drugs
      flurbiprofen
      ketorolac
      TOPICAL ANESTHETICS
      Mechanism of Action and Drug Effects
      Indications
      Contraindications
      Adverse Effects
      Interactions
      tetracaine
      DIAGNOSTIC DRUGS
      Cycloplegic Mydriatics
      atropine sulfate
      cyclopentolate
      Ophthalmic Dye
      fluorescein
      MISCELLANEOUS DRUGS
      Antihistamines
      olopatadine
      Mast Cell Stabilizers
      cromolyn
      Decongestants
      tetrahydrozoline
      Lubricants and Moisturizers
      artificial tears
      ?NURSING PROCESS
      REFERENCES
      58 -
      Otic Drugs
      TREATMENT OF EAR DISORDERS
      ANTIBACTERIAL AND ANTIFUNGAL OTIC DRUGS
      Antibacterial Products
      Antifungal Products
      EARWAX EMULSIFIERS
      ?NURSING PROCESS
      REFERENCES
      Pharmaceutical Abbreviations
      Answers to Review Questions
      Index
      Special Features


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