benzodiazepines/antidotes

Question 1

name/classification

activated charcoal

Answer 1

actidose

absorbent

Question 2

name/classification

actidose

Answer 2

activated charcoal

absorbent

Question 3

description
activated charcoal
actidose

Answer 3

in a specially prepared charcoal that will absorb and bind toxins from the gastrointestinal tract

Question 4

indications
activated charcoal
actidose

Answer 4

acute ingested poisoning

Question 5

precautions
activated charcoal
actidose

Answer 5

administer only after emesis or in those cases where emesis is contraindicated

Question 6

dosage/route
activated charcoal
actidose

Answer 6

1g/kg mixed with at least 6-8 oz of water then PO or via ng tube

Question 7

name/classification

naloxone

Answer 7

Narcan

narcotic antagonist

Question 8

name/classification

Narcan

Answer 8

naloxone

narcotic antagonist

Question 9

description
naloxone
narcan

Answer 9

naloxone is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression

Question 10

indications
naloxone
narcan

Answer 10

narcotic and synthetic narcotic overdose, coma of unknown origin

Question 11

contraindictions
naloxone
narcan

Answer 11

hypersensitivity to the drug

non-narcotic induced respiratory depression

Question 12

precautions
naloxone
narcan

Answer 12

possible dependency(including new borns) it has a half life that is shorter than that of most narcotics hence the PT might return to the overdose state

Question 13

dosage/route
naloxone
narcan

Answer 13

0.4-2mg IV/IM/IN repeat 2-3 min as needed up to 10 mg

Question 14

pedi dosage/route
naloxone
narcan

Answer 14

0.01 mg IV/IM repeated 2-3 min as needed up to 10 mg

Question 15

name/class
flumazenil

Answer 15

Romazicon

benzodiazapine antagonist

Question 16

name/class
romazicon

Answer 16

flumazenil

benzodiazepine antagonist

Question 17

description
romazicon
flumazenil

Answer 17

is a benzodiazepine antagonist used to reverse the sedative, recall and psychomotor effects of diazepam, midazolam and other benzodiazepines

Question 18

indications
romazicon
flumazenil

Answer 18

respiratory depression secondary to the benzodiazepines

Question 19

contraindictions
romazicon
flumazenil

Answer 19

hypersensitivity to the drug or benzodiazepines, PT’s that take drugs for status epilepticus or seizures, seizure prone PT’s during labor and delivery, tricyclic antidepressent overdose

Question 20

precautions
romazicon
flumazenil

Answer 20

hepatic impairment, elderly, pregnancy, nursing mothers, head injury, alcohol and drug dependency and physical dependence on benzodiazepines

Question 21

dosage/route
romazicon
flumazenil

Answer 21

0.2 mg IV over 30 sec/min up to 1mg

Question 22

name/class
lorazepam

Answer 22

ativan

sedative

Question 23

name/class
ativan

Answer 23

lorazepam

sedative

Question 24

description
lorazepam
ativan

Answer 24

lorazepam is the most potent benzodiazepine available. it has a strong anti-anxiety,sedative,hypnotic, and skeletal muscle relaxant properties, and a relatively short half life

Question 25

indications
lorazepam
ativan

Answer 25

sedation for cardioversion and status epilepticus

Question 26

contraindictions
lorazepam
ativan

Answer 26

sensitivity to benzodiazepines

Question 27

precautions
lorazepam
ativan

Answer 27

narrow angle glaucoma, depression or psychosis, coma, shock, acute alcohol intoxication, renal or hepatic impairment, organic brain syndrome, myasthenia gravis, GI disorders, elderly,debilitated, limited pulmonary reserve

Question 28

sedation dosage/route
lorazepam
ativan

Answer 28

2-4 mg IM

0.5-2 mg IV

Question 29

pedi sedation dosage/route
lorazepam
ativan

Answer 29

0.03-0.5 mg/kg IV/IM/PR up to 4 mg

Question 30

status epilepticus dosage/route
lorazepam
ativan

Answer 30

2 mg slow IV/PR (2mg/min)

Question 31

pedi status epilepticus dosage/route
lorazepam
ativan

Answer 31

0.1 mg/kg slow IV/PR (2-5 min)

Question 32

name/class
midazolam

Answer 32

versed

sedative

Question 33

name/class
versed

Answer 33

midazolam

sedative

Question 34

description
midazolam
versed

Answer 34

midazolam is a short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant and anterograde amnestic effects

Question 35

indications
midazolam
versed

Answer 35

to induce sedation before cardioversion or intubation, seizures

Question 36

contraindictions
midazolam
versed

Answer 36

hypersensitivity to benzodiazepines, narrow angle glaucoma, shock, coma, or acute alcohol intoxication

Question 37

precautions
midazolam
versad

Answer 37

COPD
Renal impairment
CHF
Elderly

Question 38

dosage/route
midazolam
versed

Answer 38

1-5 mg slow IV

Question 39

pedi dosage/route
midazolam
versed

Answer 39

0.05-0.2 mg/kg IV
0.1-0.15 mg/kg IM
3 mg intranasal

Question 40

name/class
diazepam

Answer 40

valium

antianxirty, hypnotic, anticonvulsant, sedative

Question 41

name/class
valium

Answer 41

diazepam

antianxirty, hypnotic, anticonvulsant, sedative

Question 42

description
valium
diazepam

Answer 42

diazapam is a benzodiazepine sedative and skeletal muscle relaxant that reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures. it relaxes muscle spasms in orthopedic injuries and produces amnesia for painful procedures like cardioversion

Question 43

indications
valium
diazepam

Answer 43

major motor seizures, status epilepticus, pre medication before cardio version, muscle tremors due to injury and acute anxirty

Question 44

contraindictions
valium
diazepam

Answer 44

shock,coma, acute alcoholism, depressed vital signs, obstretric patients. Neonates

Question 45

precautions
valium
diazepam

Answer 45

psychoses, depression, myasthenia gravis, due to a short half life of the drug seizure activity may recur

Question 46

dosage/route
valium
diazepam

Answer 46

seizures:5-10 mg IV/IM
acute anxiety: 2-5 mg IV/IM
Pedi: 0.5-2 mg IM
premedication: 5-15 mg IV
Pedi: 0.2-0.5 mg/kg IV