allergy meds Flashcards

1
Q

Dexamethasone

Name

A

Decadron

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2
Q

Dexamethasone

Class

A

Steroid

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3
Q

Dexamethasone

Description

A

Dexamethasone is a long-acting synthetic adrenocorticoid with intense anti-inflamatory activity. It prevents accumulation of inflammation generating cells at the sites of infection or injury

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4
Q

Dexamethasone

Indications

A

Anaphylaxis, asthma, COPD, spinal cord edema

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5
Q

Dexamethasone

Contraindications

A

No absolute contraindications in the emergency setting. Relative contraindications: systemic fungal infections, acute infections, tuberculosis, varicella, or vaccinia or live virus vaccinations

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6
Q

Dexamethasone

Precautions

A

Herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hyporthyroidism, and GI ulceration

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7
Q

Dexamethasone

Dosage/Route

A

4-24 mg IV/IM

Pedi: 0.5-1 mg/kg

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8
Q

Diphenhydramine

Name

A

benadryl

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9
Q

Diphenhydramine

Class

A

Antihistamine

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10
Q

Diphenhydramine

Description

A

Diphenhydramine blocks histamine release, thereby reducing bronchoconstriction, vasodilation and edema

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11
Q

Diphenhydramine

Indications

A

Anaphylaxis, allergic reaction and dystonic reactions

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12
Q

Diphenhydramine

Contraindications

A

Asthma and other lower respiratory diseases

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13
Q

Diphenhydramine

Precautions

A

May induce hypotension, headache, palpitation, tachycardia, sedation, drowsiness and/or disturbed coordination

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14
Q

Diphenhydramine

Dosage/Route

A

25-50 mg IV/IM

Pedi: 1-2 mg/kg

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15
Q

Methylprednisolone

Name

A

Solu-Medrol

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16
Q

Methylprednisolone

Class

A

Corticosteroid/ anti inflammatory

17
Q

Methylprednisolone

Description

A

Methylprednisolone is a synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in management of allergic reactions and in some cases shock. it is sometimes used in the treatment of spinal cord injury

18
Q

Methylprednisolone

Indications

A

Spinal cord injury, asthma, severe anaphylaxis, COPD

19
Q

Methylprednisolone

Contraindications

A

No major contraindications in the emergency setting

20
Q

Methylprednisolone

Precautions

A

Only 1 dose should be given in the prehospital setting

21
Q

Methylprednisolone

Dosage/Route

A

Asthma/COPD/anaphylaxis: 125-250 mg IV/IM
Pedi: 1-2mg/KG/dose IV/IM

Spinal cord injury: 30 mg/kg IV over 15 mins

22
Q

Epinepherine

Name

A

Adrenalin

23
Q

Epinepherine

Class

A

Sympathomimetic

24
Q

Epinepherine

Description

A

Epinepherine is a naturally occurring catecholamine that increases heart rate, cardiac contractile force, myocardial electrical activity, systemic vascular resistence and systolic blood pressure and decreases overall airway resistance and automaticity. it also, through bronchial artery constriction may reduce pulmonary congestion and increase tidal volume and vital capacity

25
Q

Epinepherine

Indications

A

To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia 3rd line except in peds

26
Q

Epinepherine

Contraindications

A

Narrow angle glaucoma; hemorrhagic, traumatic or cardiac shock

27
Q

Epinepherine

Dosage/Route

Anaphylaxis

A

0.3-0.5 mg of 1:1,000 IM or 0.05-0.1 mg of 1:10,000 IV if IM doe ineffective or severe reaction. Consider IV drip 2-10mcg/min if severe

Pedi: 0.01 mg/kg (max 0.15) of 1:1,000 or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe

28
Q

Famotidine

Name

A

Pepcid

29
Q

Famotidine

Class

A

Anti-Ulcer agent, H2 receptor antagonist

30
Q

Famotidine

Description

A

Famotidine is a histamine-2 blocker. It works by decreasing the amount of acid the stomach produces

31
Q

Famotidine

Indications

A

Upper GI bleed, anaphylaxis

32
Q

Famotidine

Contraindications

A

Hypersensitivity, Long QT syndrome

33
Q

Famotidine

Precautions

A

Asthma, COPD

34
Q

Famotidine

Dosage/Route

A

20 mg IV