DRUG MECHANISM INDICATIONS CONTRAIN ADVERSE EFFECTS NURSING

NAME OF ACTION DI-CATION RESPONSIBILITIE

S
Generic As local • rapid acting local Contraindica CNS: confusion, • assess patient’s
Name: anesthetic: anesthetic for ted in depression, euphoria, condition
Lidocaine Blocks the procedures patients lethargy, light- before starting
Hydrochloride generation and ranging from hypersensiti headedness, muscle therapy and
conduction of infiltration to ve to amide- twitching, paresthesia, regularly
action regional nerve type local restlessness, seizure, thereafter to
Brand potentials in block anesthesia slurred speech, monitor the
Name: sensory by • antiarrhythmic in and in those somnolence, tremor drug’s
Xylocaine; reducing the treatment of with adams- effectiveness
Xylocard. sodium ventricular stroke CV: bradycardia, • monitor
permeability, arrhythmias syndrome, cardiac arrest, patient’s
Classificatio reducing • treatment of wolf- hypotension response, esp.
n: sodium status epilepticus parkinson- ECG, blood
Local permeability, (INVESTIGATIONAL white EENT: blurred or pressure and
anesthetic, reducing height ) syndrome, double vision, tinnitus electrolytes
antiarrhythmi and rate of rise • severe or severe • check for
c of the action neuropathic pain degree of RESPIRATORY: therapeutic
potential, in patients SA,AV or respiratory arrest, level
increasing unresponsive to intraventricu status asthmaticus • be alert for
excitation standard lar block in adverse effect
threshold, and medications and absence of SKIN: diaphoresis reactions and
slowing who are artificial drug interaction
conduction cognitively intact - pacemaker. OTHER: anaphylaxis, • assess patient’s
velocity. restricted to cold sensation, family about
patients in PCU soreness at injection the drug
site therapy
DRUG NAME MECHANIS INDICATIONS CONTRAIN ADVERSE NURSING
M OF DI-CATION EFFECTS RESPONSIBILITIES
ACTION
Generic Reversible • With or without Contraindica CV: prolonged • Asses for allergic reaction
Name: inhibits epinephrine: ted to cardiovascular • Assess BP, pulse, level of
Bupicavacaine nerve caudal or patients depression and consciousness and mental
conduction lumbar nerve hypersensiti arrhythmias status to check for CNS
Brand Name: by blocking block ve to the toxicity.
Marcaine sodium • With drug and its • Do not use if solution is
influx. epinephrine: component. discolored or contains
Classification dental precipitate.
: infiltration or • Discard unused portions of
Local nerve block. preparation that do not
anesthetic, contain a preservative.
analgesic, anti- • With dextrose: • Don’t chew gum
inflammatory subarachnoid • Provide safety precautions.
agents block.