Below is a list of commonly used drugs. Discuss the following five points for each of the drugs listed.

Points:
The major drug group/class
Common route/s of administration (there may be more than one)
Mode of action
Common adverse reactions
Nursing implications.

Drugs:
Glyceryl Trinitrate
Warfarin
Actrapid Insulin

DrugMajor drug group/classCommon routes for administrationMode of actionAdverse ReactionsNursing Considerations
(what you need to know as a nurse administering this drug, both for you and the client)
Glyceryl TrinitrateAntianginalOrally
Injection
Reduces pulmonary vascular resistance by causing vasodilationDifficulty in breathing, dizziness, fainting, headache, coma, seizures, flushing, blurred vision, nausea, and vomitingCheck for history of allergy
Avoid alcohol consumption
Not to be given to breastfeeding mothers
WarfarinAnticoagulantIntravenous, orallyInhibits the vitamin K-dependent synthesis of biologically active forms of the calcium-dependent clotting factors II, VII, IX, and X, as well as the regulatory factors protein C, protein S, and protein ZNausea, vomiting, loss of appetite, swelling, discomfort, easy bruising, prolonged bleeding, dizziness, tiredness, weakness, severe headache, chest pain, shortness of breath, bloody stool, pink or dark urine, unusual menstrual flowCheck for allergies
Check for history of blood disorders, bleeding problems, blood vessel disorders, recent surgeries, kidney and liver diseases, and use of alcohol.
Actrapid InsulinInsulinSubcutaneous injectionFacilitates uptake of glucose
It also inhibits glucose output by the liver
Hypoglycaemia, oedema, inflammation, redness, pain, and itching at the site of injection
Skin rash, difficulties in breathing, cold sweats, fatigues, nervousness, drowsiness, excessive hunger, nausea, headache, vomiting, lipodystrophy.
Check for history of allergies, establish the blood sugar levels, the usage of other drugs, and alcoholism.
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