DRUG STUDY
Medical Diagnosis: hydrocephalus, status post- shunt insertion
Category:
                                 Indication/           Mechanism of Action          Side Effects/ Adverse   Nursing Considerations
                              Contraindication                                             Effects
                          INDICATIONS:                Increases        electrical    • GI disturbances         • Monitor vital
Generic Name:             Local or regional           stimulation threshold of       • Bradycardia           signs and notify the
lidocaine                 anesthetic. Management      ventricle     and     His-     • Hypotension           physician of
                          of acute ventricular        Purkinje system by             • Convulsion            abnormalities.
Brand Name:               arrhythmias during          direct action on tissues,      • Numbness of             • Assess patient’s
                          cardiac manipulation.       resulting to decrease          tongue                  condition before
                          Control of status           depolarization,                                        therapy and reassess
                                                                                     • Muscle twitching
Classification:           epilepticus refractory to   automaticity           and                             regularly thereafter to
Cardiovascular Drug       other treatments.           excitability in ventricles     • Restlessness
                                                                                                             monitor drug’s
                                                      during diastolic phase.        • Nervousness
                                                                                                             effectiveness.
Dosage:                   CONTRADICTIONS:                                            • Dizziness
                                                                                                               • Monitor for
0.5 ml                    Heart block or other                                       • Blurred vision        possible adverse drug
                          conduction disturbances.                                   • Lightheadedness       reactions.
Frequency:                Hypovolemia and                                            • Drowsiness              • Assess for renal
NOW                       hypersensitivity to                                        • Euphoria              and urinary status.
                          amide local anesthetics.                                   • Vomiting                • Monitor CNS
Route:                    Infection or                                                                       function.
Intraosseous              inflammation in the area
                                                                                                               • Monitor blood
                          of injection.
                                                                                                             levels and report
                                                                                                             abnormal results.