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Drug Study Drug Mechanism of Action/side Effects Indication/ Contraindication Nursing Responsibilities Brand Name

Marcaine (bupivacaine) is an epidural medication used for orthopedic surgery, vascular surgery, hernia repair, and other procedures. It works as a local anesthetic. Common side effects include bruising, dizziness, nausea, and lowering of blood pressure. Nurses must verify medication orders, check for allergies or contraindications, educate patients, observe for side effects, and ensure safe administration for the intended patient.

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Dominic Jose
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1K views2 pages

Drug Study Drug Mechanism of Action/side Effects Indication/ Contraindication Nursing Responsibilities Brand Name

Marcaine (bupivacaine) is an epidural medication used for orthopedic surgery, vascular surgery, hernia repair, and other procedures. It works as a local anesthetic. Common side effects include bruising, dizziness, nausea, and lowering of blood pressure. Nurses must verify medication orders, check for allergies or contraindications, educate patients, observe for side effects, and ensure safe administration for the intended patient.

Uploaded by

Dominic Jose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DRUG STUDY

Drug Mechanism of action/Side effects Indication/ Nursing responsibilities


Contraindication
Brand name: Adverse Effects •Verify any medication order and make
Marcaine Indications sure it's complete.
 Visible bruising  Orthopedic surgery on the •Check the patient's medical record for
Generic name:  Dizziness pelvis, hip, femur, knee, tibia, an allergy or contraindication to the
Bupivacaine  Nausea and ankle, including arthroplasty prescribed medication.
 Lowering of the mother's blood and joint replacement. •Prepare medications for one patient at
Classification: pressure. The use of epidural  Vascular surgery on the legs. a time.
Epidural medications fall anesthesia increases the risk of  Endovascular aortic aneurysm •Educate patients about their
into a class of drugs vacuum- or forceps-assisted repair. medications.
called local anesthetics, vaginal delivery.  Hernia (inguinal or epigastric) •Make sur the patient has already
such as bupivacaine,  severe headache after delivery,  Hemorrhoidectomy. taken his/her medication.
chloropropane, or  difficulty urinating or walking  Nephrectomy and cystectomy in •Observe for possible side effects.
lidocaine. after delivery, combination with general
 and fever. anesthesia.
Route:
 A rare side effect is seizure.
Injected into the Contraindications
epidural space around
the spinal cord.
 Patient refusal
 Infection at the site of injection
Dosage:
Each 2-mL ampule  Uncorrected hypovolemia
contains 15 mg  Allergy
bupivacaine HCL with  Increased intracranial pressure
165 mg dextrose

Frequency:
1 shot as needed or
prescribed by OB
DRUG STUDY

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