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PACU Pharmacology > Antiemetics > Flashcards

Antiemetics Flashcards

1
Q

What class of medication is Zofran?

A

Serotonin antagonist

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2
Q

What is the typical dose for IV or PO Zofran?

A

4 mg

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3
Q

What side effects should you educate your patient about for Zofran?

A

Drowsiness, constipation

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4
Q

What anti-emetics can prolong the QT interval?

A

Zofran, Phenergan, Haldol, Reglan

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5
Q

What class of medication is Phenergan?

A

Anti-histamine

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6
Q

What side effects should you educate your patient about for Phenergan?

A

Drowsiness, dizziness, dry mouth

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7
Q

How must IV Phenergan be diluted to prevent thrombophlebitis?

A

Dilute 12.5 mg dose in 50mL 0.9% normal saline and give through large-bore IV over 15 minutes

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8
Q

What class of medication is Haldol?

A

Dopamine antagonist/anti-psychotic

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9
Q

Prolonged QT interval can lead to what life-threatening arrythmia?

A

Torsades de Pointes

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10
Q

What class of medication is Scopolamine?

A

Anti-cholinergic

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11
Q

What common side effect should you educate your patient about for Scopolamine?

A

Dry mouth, dizziness, constipation

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12
Q

What class of medication is Emend?

A

NK1 Receptor Antagonist

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13
Q

True or false: Emend can be used to treat nausea and vomiting

A

False-Emend is only used as a preventative measure for nausea/vomiting; it does not treat active symptoms

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14
Q

What do you need to educate your patient about when receiving Emend?

A

Emend decreases efficacy of hormonal birth control and a back-up form of birth control must be used for 30 days

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15
Q

What class of medication is Reglan?

A

Dopamine antagonist

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16
Q

What serious adverse reactions can occur with Reglan?

A

Neuroleptic malignant syndrome and tardive dyskinesia

17
Q

What class of medication is Decadron?

A

Corticosteroid

18
Q

How must IV Decadron be diluted?

A

Dilute to 0.5 mg/mL concentration in normal saline and give slowly

19
Q

Diluting IV Decadron prevents what side effect?

A

Perineal pruritis

PACU Pharmacology (12 decks)

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