Furosemide Generic Name: Furosemide Brand Name(s): Lasix

Loop Diuretics

Treatment of edema associated with renal disease and hypertension.

Hypersensitiv ity; Anuria; Hepatic Impairment

40 mg q6 TIV with BP precaution

Pancreatitis,agra nulocytosis, leukopenia, thrombocytopeni a, aplastic anemia, Elevated BUN, muscle weakness, spasm, hypokalemia, hyperglycemia thrombophlebitis,

Orthostatic hypotension, vertigo, headache,dizzine ss, restlessness, fever, rash, blurred vision, anorexia and vomiting,

- Monitor BP - Instruct to change position slowly to prevent orthostatic hypotension - Instruct to lie down if headache occurs - maintain a record of weight -Give slowly; overly rapid injection or infusion can cause ototoxicity. - Monitor BUN, uric acid, glucose and electrolyte levels. - Monitor glucose level. - Instruct patient to take drug with food. - Caution not to perform hazardous activities.

Name of drug

Classification

Indication

Dosage and route

Side effects/ adverse effect

Nursing consideration

Generic Name:

Cardiovascular agent, calcium channel blocker; antihypertensive agent.

To control hypertension

5 mg/day to 10 mg/ day PRN PO.

Side effect:

Amlodipine besylate

Dizziness, fatigue, headache

 Use amlodipine cautiously in patient with heart block, heart failure, impaired renal function, hepatic disorder, or severe aortic stenosis.

Brand Name: Adverse effect: Norvasc Anxiety, lethargy, tremor, arrhythmias, hot flashes, palpitation, pharyngitis, weight loss

 Monitor blood pressure while adjusting dosage, especially in patient with heart failure.

Name of drug

Classification

Indication

Dosage and route

Side effects/ adverse effect

Side effect: Gastrointestinal disorders, Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, or rash, Low blood pressure (faintness, dizziness), Slow or fast heartbeat, Headache, Nausea, vomiting, or diarrhea (loose BMs) Adverse effect: citicoline may exert a stimulating action of the parasympathetic, as well as a fleeting and discrete hypotensor effect

Nursing consideration

Generic Name:

Neuroprotective, CNS Drugs & Agents for ADHD

Citicoline

Cerebrovascular Diseases, accelerates the recovery of consciousness and overcoming motor deficit

Oral drops 1ml

Brand Name:

Zynapse

 Verify the doctor s order.  Assess allergy to warfarin.  Do not use rug if the patient is pregnant (use contraceptives).  Monitor closely PT ratio and INR.  Administer the drug in IV form if the client cannot take it orally.  Document the procedure.  Zynapse must not be administered in conjunction with medication containing meclofenoxate (also known as clophenoxate).

MIRASOL, EDGAR JOSEPH S. CA - 11 Medical Breakthroughs 2011

A Heart You Can Recharge
When 50-year-old Angelo Tigano received Australias first Total Artificial Heart implant, he gave new hope to the 86 people currently on the transplant waiting list. Last August, Tigano, from Sydney, had his heart removed and was fitted with a device that replaces the left and right heart ventricles, which are responsible for pumping blood. Once in place, the artificial heart can pump 9.5 litres of blood per minute. Before the operation, Tigano couldnt walk more than a few steps without gasping for breath and eventually was unable to eat or sleep. He was selected to receive the Total Artificial Heart because, without it, he may have had less than two weeks to live, says Dr Paul Jansz, his heart surgeon at St Vincents Hospital in Sydney. It is one of the most successful devices we have to bridge people to transplant, says Jansz, who plans to fit five patients a year with the artificial heart. The device will get smaller, allowing us to implant it in smaller people, and there will be a modifica-tion to the valves that will free patients from the need for blood thinners. The Total Artificial Heart is not a new device it has been implanted in more than 900 patients in the US, Canada and Europe. In Bangalore, a 54-year-old Indian diabetic patient became the first man to receive an artificial heart in Asia. He was implanted with a ventricular assist device called Ventrassist (Left Ventricular Assist Device) following a heart attack. In Singapore, a similar artificial heart device known as Heartmate II has also been used to save failing hearts and improve a patients quality of life while waiting for a heart transplant. In the past, patients who received the temporary hearts were attached to a hospital unit while they awaited a transplant. But, just as the heart became available to patients, so, too, did portable power devices that runs on electricity or batteries. The new heart and power pack have given Tigano, and two other patients who have since received the heart, a new lease on life. Im feeling good and back to my two passions gardening and cooking for my family, says Tigano, who is still waiting for a donor heart. Current Status The Total Artificial Heart and Heartmate II are available now

Could Cockroaches Save Your Life?

Yes, according to a team of researchers from the University of Nottingham in the UK. Powerful antibiotic properties in the brains of cockroaches and locusts are able to kill more than 90 percent of bacteria intruders that are often deadly to humans, including methicillin-resistant Staphlococcus aureus (MRSA) and pathogenic Escherichia coli without harming human cells. These findings, which were presented last year at a meeting in Nottingham of the Society for General Microbiology, could lead to novel treatments for multi-drug-resistant bacteria infections. Current Status Available to the public in 5 to 10 years

Printing New Skin

Imagine using similar technology to a desktop printer to print new skin cells, which could help heal burns. A team at the Wake Forest Institute for Rege-nerative Medicine in North Carolina, US, has used a bio-printer to do just that. The device contains a laser that scans a patients wound to measure its dimensions. Then a computer controls the release of skin cells, which are sprayed directly onto the wound. The bio-printer has only been tested on mice so far, but results show burn wounds healing two weeks faster than normal. Bio-printing would replace skin grafting, a painful procedure in which skin is taken from one part of the body to cover another. With a bio-printer, the subjects own skin cells can be grown and multiplied in a lab to refill the printer. You could cover the whole body after eight weeks of growing cells, explains the institutes director Dr Anthony Atala. Current Status Human trials in about 3-5 years

http://www.rdasia.com/medical-breakthroughs-2011