Published Jan 18, 2003
I'm just asking everyone to give me a hand. I am trying to group the most common used drugs by clinical area. The 6 areas i'm grouping are ortho, neuro, cardio/respiratory, maternity and psych. What do you guys administer the most in these areas?Please feel free to add newer drugs or drugs with unique properties (not normally considered in a certain area). I REALLY appreciate all your help on this matter. You guys are great!
Tweety, BSN, RN
In neuro common drugs are anticoagulants like Heparin, comadin and Plavix
On my unit- ortho and neuro- we give a bit of everything. neuro: aggrenox( I think that is spelled correctly), aspirin, heparin, coumadin, lovenox, ritalin, many more.... ortho- every narcotic you can think of:cool: - oxycontin, ms contin, percocet, vicodin, dilaudid, mso4 (iv/im,pca), demerol, fentanyl, bupivacaine( epidural), narcan, zofran, benadryl, pericolace, colace,coumadin, lovenox, the new blood thinner- can't remember the name. I could go on for a few days- but my brain is fried at the monent:imbar
Not that common, yet, but I'm currently working with the Anti-dementia drugs, Aricept, (Donepezil) Exelon (Rivastigmine), and Reminyl. (Galantamine) Ebixa (Memantine) is not yet freely available, but definitely coming up fast.
neneRN, BSN, RN
Work in ER, so see a bit of everything. There may be a difference for ER with some as most of our pts are seen with acute exacerbations of disease rather than maintenance meds.
Cardiac: NTG gtts, Heparin, Plavix, ASA, Morphine, Lasix, and Cardizem
Respiratory: Solumedrol (subbing Decadron now with the shortage), Albuterol/Atrovent Nebs
Neuro: Heparin, ASA
Psych: Ativan, Haldol
Ortho: narc of doc's choice; usually Morphine or Demerol along with Phenergan; Brevitol when reducing a dislocation
Maternity:no clue, they get shipped straight to OB!
P_RN, ADN, RN
"dazed and confused" beat me to it. We once gave out over 100 Tylox in one shift. The pharmacist came up to investigate!!! Thank goodness for the Pyxis.....
Psych-Prozac,Paxil Lexapro,Celexa, Zoloft. SSRI's
Geodon, Risperdal, Seroquel,Zyrexa, Clozaril. Antipsychotics.
Klonopin, Xanax Ativan. Anxiolytics
These are the most common-But there are many many more and we have loads of diabetic pts.,pts with seizure disorders,lupus,hep C ETC.
And Oh yes- antimania: Depakote Lithium and Topamax, 2 of which are also used to treat seizure disorders.
Hey donmurray dont they also use galantamine to tx schizophrenia?
I think this is the med I stumbled across in my reading-It's not available in the US?
I work on a cardiothoracic ICU, & the drugs I see the most of are are heparin, NTG, nipride, dopamine, dobutamine, amiodarone (lots of amiodarone), lidocaine (not as commonly), lopressor, cardizem, milrinone, EPI, levophed, KCl, MgSO4, lasix and bumex. Other drugs we use a lot (for pain control & sedation) are propofol, MSO4, ativan, versed, and fentanyl.
ShandyLynnRN, BSN, RN
OB: pitocin, brethine, MG, KCL, Stadol, Nubain, Morphine(after delivery or antepartum sometimes), MS or Demerol PCA's, toradol post op c section, surfak, darvocet, prenatals, Maalox, tylenol, ambien, Ancef, Ampicillin, erythromycin, narcan, benadryl, phenergan, and I'm sure there are others
To OB I'd have to add methergine, hemabate, prostin gel, cytotec and on all our neonates - aquamephyton and erythromycin opthalmic ointment.
...more post-partum...Revex, Tylox, Vicodin, Anaprox DS, Zofran, Colace, Procardia, Labetalol, Iron Supplement, Tucks, Benzacaine Spray, Epifoam, Lansinoh breast cream, ibuprofen...
Of course it depends on what is in your formulary...
Pain meds, anti-inflammatories (the best for PP cramping), antibiotics, blood pressure meds, meds to control PP hemorrhage, anti-emetic, anti-itch meds, vitamin/mineral supplements, meds for constipation, gas or indigestion, and sleep meds are the kind of meds we use most. We don't use narcan much, but it is good to have on hand.
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