benzodiazepines/antidotes Flashcards

1
Q

name/classification

activated charcoal

A

actidose

absorbent

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2
Q

name/classification

actidose

A

activated charcoal

absorbent

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3
Q

description
activated charcoal
actidose

A

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

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4
Q

indications
activated charcoal
actidose

A

acute ingested poisoning

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5
Q

precautions
activated charcoal
actidose

A

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

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6
Q

dosage/route
activated charcoal
actidose

A

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

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7
Q

name/classification

naloxone

A

Narcan

narcotic antagonist

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8
Q

name/classification

Narcan

A

naloxone

narcotic antagonist

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9
Q

description
naloxone
narcan

A

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

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10
Q

indications
naloxone
narcan

A

narcotic and synthetic narcotic overdose, coma of unknown origin

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11
Q

contraindictions
naloxone
narcan

A

hypersensitivity to the drug

non-narcotic induced respiratory depression

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12
Q

precautions
naloxone
narcan

A

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

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13
Q

dosage/route
naloxone
narcan

A

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

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14
Q

pedi dosage/route
naloxone
narcan

A

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

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15
Q
name/class
flumazenil
A

Romazicon

benzodiazapine antagonist

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16
Q
name/class
romazicon
A

flumazenil

benzodiazepine antagonist

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17
Q

description
romazicon
flumazenil

A

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

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18
Q

indications
romazicon
flumazenil

A

respiratory depression secondary to the benzodiazepines

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19
Q

contraindictions
romazicon
flumazenil

A

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

20
Q

precautions
romazicon
flumazenil

A

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

21
Q

dosage/route
romazicon
flumazenil

A

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

22
Q
name/class
lorazepam
A

ativan

sedative

23
Q
name/class
ativan
A

lorazepam

sedative

24
Q

description
lorazepam
ativan

A

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

25
indications lorazepam ativan
sedation for cardioversion and status epilepticus
26
contraindictions lorazepam ativan
sensitivity to benzodiazepines
27
precautions lorazepam ativan
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
28
sedation dosage/route lorazepam ativan
2-4 mg IM | 0.5-2 mg IV
29
pedi sedation dosage/route lorazepam ativan
0.03-0.5 mg/kg IV/IM/PR up to 4 mg
30
status epilepticus dosage/route lorazepam ativan
2 mg slow IV/PR (2mg/min)
31
pedi status epilepticus dosage/route lorazepam ativan
0.1 mg/kg slow IV/PR (2-5 min)
32
``` name/class midazolam ```
versed | sedative
33
``` name/class versed ```
midazolam | sedative
34
description midazolam versed
midazolam is a short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant and anterograde amnestic effects
35
indications midazolam versed
to induce sedation before cardioversion or intubation, seizures
36
contraindictions midazolam versed
hypersensitivity to benzodiazepines, narrow angle glaucoma, shock, coma, or acute alcohol intoxication
37
precautions midazolam versad
COPD Renal impairment CHF Elderly
38
dosage/route midazolam versed
1-5 mg slow IV
39
pedi dosage/route midazolam versed
0.05-0.2 mg/kg IV 0.1-0.15 mg/kg IM 3 mg intranasal
40
``` name/class diazepam ```
valium | antianxirty, hypnotic, anticonvulsant, sedative
41
``` name/class valium ```
diazepam | antianxirty, hypnotic, anticonvulsant, sedative
42
description valium diazepam
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
43
indications valium diazepam
major motor seizures, status epilepticus, pre medication before cardio version, muscle tremors due to injury and acute anxirty
44
contraindictions valium diazepam
shock,coma, acute alcoholism, depressed vital signs, obstretric patients. Neonates
45
precautions valium diazepam
psychoses, depression, myasthenia gravis, due to a short half life of the drug seizure activity may recur
46
dosage/route valium diazepam
``` 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 ```