4.1 Drug Categories of Relevance to Radiography (Uses and impacts on Patient) Part 1 Flashcards
is the most frequently used antihistamine
Diphenhydramine (Benadryl)
It also has sedative and anticholinergic (drying) side effects
Diphenhydramine (Benadryl)
It can be given orally before the injection of iodinated contrast media to patients who are at risk of having an allergic reaction
Diphenhydramine (Benadryl)
may also be given intramuscularly (IM) or intravenously (IV) if the patient has an allergic reaction
Diphenhydramine (Benadryl)
Short-acting corticosteroids that are anti-inflammatory medications that may also be prescribed before the injection of contrast media
Cortisone acetate
For patients with an acute allergic reaction, _____ is administered subcutaneously (SC),IM, or IV.
epinephrine (Adrenalin)
This drug stimulates the heart and the sympathetic nervous system. To control angioedema, shock, or respiratory distress
epinephrine (Adrenalin)
When patients with a severe or incapacitating allergic response do not appear to respond to the treatment just described, it may be administered IV
Methylprednisolone (Solu-Medrol)
This long-acting corticosteroid acts as an anti-inflammatory agent, preventing or reducing edema (swelling) of the tracheobronchial tree.
Methylprednisolone (Solu-Medrol)
This treatment minimizes the possibility of respiratory arrest
Methylprednisolone (Solu-Medrol)
This category includes antiseptics such as alcohol and Betadine
Antimicrobials
an iodine compound commonly used in radiology departments for skin preparations before sterile injection procedures
Antiseptics
are medications given to treat wound infections and infectious diseases
Antibiotics
can be subclassified as antibacterial, antifungal, and so on, according to the type of organisms against which they are most effective
Antibiotics
is used to treat specific infections of the urinary tract
Bactrim
are prescribed for patients with chronic seizure disorders
Anticonvulsant
When seizures are prolonged or follow closely, IV administration of medications such as ________ may be necessary
diazepam (Valium) or fosphenytoin (Cerebyx)
also used as a tranquilizer or sedative
Diazepam
For acute attacks of ventricular tachycardia or ventricular arrhythmia
Antiarrhythmics
It is the often drug choice for acute attacks of ventricular tachycardia or ventricular arrhythmia
amiodarone (Pacerone)
is administered as an IV infusion
amiodarone (Pacerone)
Both ventricular and atrial arrhythmias may be treated with ______, and several other drugs in this class
amiodarone, lidocaine, quinidine (Quinidex)
are drugs that can relieve pain without causing a loss of consciousness
Analgesics
As a group, _____ are the most effective analgesics
Opioids
describes any drug, natural or synthetic, whose actions are similar to those of morphine
Opioids
The opioid family, whose name derives from opium, includes
morphine, codeine, and meperidine (Demerol)
is the more specific term applied only to natural opium derivatives
opiate
are drugs with a high potential for abuse and misuse and therefore are kept in a locked container
Controlled substances
Stocks of these medications must be counted daily, and when any medication is given it must be listed on forms that include the date, the patient’s name, the dose, and the name and title of the person administering the medication
Controlled substances
act by depressing the central nervous system, relieving pain, and producing drowsiness
Opioids
Among the most frequently prescribed analgesic are
morphine sulfate (MS) and hydromorophone hydrochloride (Dilaudid)
injectable medications
morphine sulfate (MS) and hydromorophone hydrochloride (Dilaudid)
another highly potent (powerful) opioid analgesic, is given to patients who are sensitive to other analgesics or to those who are not responding to such medications with adequate pain relief
Fentanyl (Sublimaze)
The action of ______ is almost immediate and lasts 30 to 60 minutes after IV administration. It is supplied at a strength of ______, and the usual dose is _____
Sublimaze,
50 micrograms per milliliter (mcg/ml),
1 to 2 ml
is a life-threatening side effect, so narcotic antagonist medication and resuscitation equipment should be immediately available
Respiratory depression
Analgesics with a low potential for side effects, such as aspirin, ibuprofen, acetaminophen, and naproxen sodium, are classed as ________ and are frequently used to alleviate discomfort
nonsteroidal anti-inflammatory drugs (NSAIDs)
exert a quieting effect, often inducing sleep
Sedatives or tranquilizers
They are not analgesics but may provide relief from pain by promoting muscle relaxation
Sedatives or tranquilizers
reduce anxiety and mental tension more effectively than sedatives and often provide some sedation as well
Tranquilizers
are tranquilizers commonly prescribed as premedication for various interventional diagnostic procedures
Lorazepam (Ativan) and diazepam (Valium)
more commonly given tranquilizers
Lorazepam
For amnesia and sedation, ______ is often used because the onset of its action occurs in only 1.5 to 5 minutes and the peak effect is almost immediate
midazolam (Versed)
are sedatives and were formerly used as preoperative medications
Phenobarbital and other barbiturates
is still used with other medications to treat patients with seizures
Phenobarbital