(Ambien) zolpidem Classification: Sedative / hypnotic
Therapeutic Effects: Sedation and induction of sleep
Adverse Reactions & side effects: Amnesia, daytime drowsiness, drugged feeling, physical &
psychological dependence, tolerance, GI effects
Nursing Implications & teaching: Assess sleep, mental status, potential for dependence. Don't use more
than 7-10 days. Avoid ETOH & other CNS depressants
Albuterol Aerosol Class: Bronchodilator Beta 2 agonist
Therapeutic Effects: Bronchodilation for asthma, COPD, acute bronchospasm
S/E: Nervousness, restlessness, tremor, chest pain, palpitations.
Nursing Implications & teaching: Assess lung sound before & after TX. Observe for paradoxical
bronchospasm (wheezing). Consider aerochamber. Monitor K+ and glucose. Rinse mouth with water to
minimize dry mouth.
(Ativan) lorazepam Classification: Antianxiety Sedative / hypnotic. Benzodiazepine.
Therapeutic Effects:Management of anxiety, insomnia, Status Epilepticus. Preoperative sedation.
Postoperative amnesia
Adverse Reactions & side effects: Dizziness, drowsiness, lethargy, APNEA, CARDIAC ARREST with rapid
IVP
Nursing Implications & teaching: Assess anxiety, mental status,. Avoid ETOH & other CNS depressants
(Avandia) rosiglitazone Classification: Antidiabetic. Thiazolidinediones
Therapeutic Effects: Decrease insulin resistance
Adverse Reactions & side effects: Edema, anemia, wt gain, increased cholesterol
, Nursing Implications & teaching: Monitor for fluid retention, hypoglycemia. Check PLFTs & CBC High
Alert Medication!
(Cardiazem ) diltiazem Classification: Antianginal antiarrhythimics (class IV) antihypertensive. CA++
channel blocker
Therapeutic Effects: Decreased blood pressure. Coronary vasodilation. Antiarrhythimic
Adverse Reactions & side effects: Arrhythmias. CHF. Peripheral edema, Postural hypotension
Nursing Implications & teaching: Assess for signs of CHF. Monitor BP &P, notify < 50 bpm. May cause
drowsiness of dizziness. Caution patient to avoid driving until response to medication is known. Gingival
hyperplasia-teach good oral care
(Celebrex ) celecoxib Classification:NSAIDs, COX-2 inhibitor
Therapeutic Effects: Analgesic, anti- inflammatory, & anti- pyretic
Adverse Reactions & side effects: GI BLEEDING, dermal rash, GI effects
Nursing Implications & teaching: Assess pain, ROM and swelling. Do not give if allergic to sulfonamides,
aspirin or NSAIDs. Watch for tarry stools.
(Cozaar) losartan Classification: Angiotensin II receptor blocker
Therapeutic Effects: Antihypertensive. Decreases risk of stroke.
Adverse Reactions & side effects: Orthostatic hypotension, diarrhea. Dizziness, ANGIOEDEMA. Use
cautiously in CHF
Nursing Implications & teaching: Assess orthostatic blood pressures. Use care when changing positions
to prevent orthostatic hypotension. Monitor BUN/Creatinine for possible early renal failure.
Therapeutic Effects: Sedation and induction of sleep
Adverse Reactions & side effects: Amnesia, daytime drowsiness, drugged feeling, physical &
psychological dependence, tolerance, GI effects
Nursing Implications & teaching: Assess sleep, mental status, potential for dependence. Don't use more
than 7-10 days. Avoid ETOH & other CNS depressants
Albuterol Aerosol Class: Bronchodilator Beta 2 agonist
Therapeutic Effects: Bronchodilation for asthma, COPD, acute bronchospasm
S/E: Nervousness, restlessness, tremor, chest pain, palpitations.
Nursing Implications & teaching: Assess lung sound before & after TX. Observe for paradoxical
bronchospasm (wheezing). Consider aerochamber. Monitor K+ and glucose. Rinse mouth with water to
minimize dry mouth.
(Ativan) lorazepam Classification: Antianxiety Sedative / hypnotic. Benzodiazepine.
Therapeutic Effects:Management of anxiety, insomnia, Status Epilepticus. Preoperative sedation.
Postoperative amnesia
Adverse Reactions & side effects: Dizziness, drowsiness, lethargy, APNEA, CARDIAC ARREST with rapid
IVP
Nursing Implications & teaching: Assess anxiety, mental status,. Avoid ETOH & other CNS depressants
(Avandia) rosiglitazone Classification: Antidiabetic. Thiazolidinediones
Therapeutic Effects: Decrease insulin resistance
Adverse Reactions & side effects: Edema, anemia, wt gain, increased cholesterol
, Nursing Implications & teaching: Monitor for fluid retention, hypoglycemia. Check PLFTs & CBC High
Alert Medication!
(Cardiazem ) diltiazem Classification: Antianginal antiarrhythimics (class IV) antihypertensive. CA++
channel blocker
Therapeutic Effects: Decreased blood pressure. Coronary vasodilation. Antiarrhythimic
Adverse Reactions & side effects: Arrhythmias. CHF. Peripheral edema, Postural hypotension
Nursing Implications & teaching: Assess for signs of CHF. Monitor BP &P, notify < 50 bpm. May cause
drowsiness of dizziness. Caution patient to avoid driving until response to medication is known. Gingival
hyperplasia-teach good oral care
(Celebrex ) celecoxib Classification:NSAIDs, COX-2 inhibitor
Therapeutic Effects: Analgesic, anti- inflammatory, & anti- pyretic
Adverse Reactions & side effects: GI BLEEDING, dermal rash, GI effects
Nursing Implications & teaching: Assess pain, ROM and swelling. Do not give if allergic to sulfonamides,
aspirin or NSAIDs. Watch for tarry stools.
(Cozaar) losartan Classification: Angiotensin II receptor blocker
Therapeutic Effects: Antihypertensive. Decreases risk of stroke.
Adverse Reactions & side effects: Orthostatic hypotension, diarrhea. Dizziness, ANGIOEDEMA. Use
cautiously in CHF
Nursing Implications & teaching: Assess orthostatic blood pressures. Use care when changing positions
to prevent orthostatic hypotension. Monitor BUN/Creatinine for possible early renal failure.
