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Drugs > D-F > Flashcards

D-F Flashcards

1
Q

Generic- Decadron

A

Dexamethasone

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2
Q

Generic- Dextrose 10%

A

NONE

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3
Q

Generic- Diazepam

A

Valium

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4
Q

Generic- Diphenhydramine

A

Benadryl

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5
Q

Generic - Dopamnine

A

Inotropin

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6
Q

Generic- Epi 1:1000

A

Adrenalin

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7
Q

Generic- Epi 1:10,000

A

Adrenalin

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8
Q

Generic- Etomidate

A

NONE

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9
Q

Generic- Fentanyl

A

NONE

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10
Q

Decadron- INDICATION

A

Reducing swelling/inflammation due to :

*refractory bronchospasm in:
—Status Asthmaticus
—Acute exacerbation of Chronic Obstructive Pulmonary

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11
Q

Decadron- HOW IT WORKS

A

MECHANISM OF ACTION:
*Synthetic adrenal corticosteroids that”
—suppress immune response
—restores normal capillary permeability
—inhibits the formation, storage, release of histamine from mast cells

*Anti-inflammatory effect in management of:
—allergic reactions and anaphylactic shock
—sometimes used for swelling in spinal cord injury management

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12
Q

Decadron- CONTRAINDICATIONS

A

Known hypersensitivity

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13
Q

Decadron- DOSE

A

IVP
*ADULT: 4-24mg

*IV/IM PEDI: 0.2-0.5mg/kg NOT to exceed adult dosage

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14
Q

Decadron- SIDE EFFECTS

A

May produce hypertension.

RARE instance of :
* anaphylactic reactions
*exacerbation of CHF
*seizures

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15
Q

Dextrose 10% - INDICATION

A

Hypoglycemia

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16
Q

Dextrose 10% - HOW IT WORKS

A

Increases blood glucose levels

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17
Q

Dextrose 10% - CONTRAINDICATIONS

A

None in hypoglycemia.

Use caution with head injuries.

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18
Q

Dextrose 10%- DOSE

A

ADULT:
250mL D10 IV

PEDI:
5 mL/kg of 10% solution

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19
Q

Dextrose 10% - Side Effects

A

Tissue necrosis w/ infiltration

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20
Q

Diazepem - INDICATION

A

-active seizures/ status epilepticus

-premedication

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21
Q

Diazepam - HOW IT WORKS

A

CNS Depressant

Amnesia, sedation, muscle relaxant

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22
Q

Diazepam - CONTRAINDICATIONS

A

Alcohol or sedative drug use.

Head injury.

23
Q

Diazepam - DOSE

A

ADULT:

5-10mg to max 10 mg IV/IM

PEDI:
.5mg/kg max of 5mg (rectal)

.2mg/kg max of 5mg (IV)

24
Q

Diazepam - SIDE EFFECTS

A

Respiratory Depression

Hypotension

25
Q

Diphenhydramine - INDICATION

A

-Anaphylaxis
-mod/severe allergic reactions (After Epi)

26
Q

Diphenhydramine- HOW IT WORKS

A

Blocks effects of histamine

27
Q

Diphenhydramine - CONTRAINDICATIONS

A

-MAOIs
-newborns and nursing mothers

28
Q

Diphenhydramine - DOSE

A

ADULT:
25-50 mg

PEDI:
1-2mg/kg

29
Q

Diphenhydramine - SIDE EFFECTS

A

Drowsiness, dizziness, sedation

30
Q

Dopamine - INDICATION

A

Nonhypovolemic hypotension

Symptomatic Bradycardia if atropine ineffective

31
Q

Dopamine - HOW IT WORKS

A

LOW DOSE- increases perfusion to organs

MOD DOSE- increase rate and force of ventricles

HIGH DOSE- peripheral vasoconstriction

32
Q

Dopamine - CONTRAINDICATIONS

A

Hypovolemic shock

Tachydysrhythmias

VFib

33
Q

Dopamine - DOSE

A

2-20 mcg/kg/min

Effects start at 5-10mcg/kg/min

34
Q

Dopamine - Side Effects

A

Hypertension

Headache

Nausea/vomiting

35
Q

Epi 1:1000 - INDICATION

A

*Asthmatic bronchoconstriction

  • allergic/ anaphylaxis

*Profound bradycardia
(atropine, shock, dopamine have all failed)

36
Q

Epi 1:1000 - HOW IT WORKS

A

Chronotropic Effects.
*Alpha effects:
-producers peripheral vasoconstriction which:
—increases coronary and cerebral perfusion
—increases BP in anaphylaxis

*Beta-1 effects :
—increases rate, force, and contractility of ventricular contractions

*Beta-2 effects:
—Bronchodilation

37
Q

Epi 1:1000 - CONTRAINDICATIONS

A

-hypersensitivity
-hypovolemic shock
-coronary insufficiency

38
Q

Epi 1:1000 - DOSE

A

ADULT:
Asthma/Allergy: 0.3mg SubQIM

Bradycardia: 2-10mcg/min

PEDI:
.15mg SubQ or IM

39
Q

Epi 1:1000 - SIDE EFFECTS

A

-Tachycardia
-hypertension
-can worsen cardiac ischemia

40
Q

Epi 1:10,000 - INDICATION

A

Cardiac Arrest

Anaphylaxis

41
Q

Epi 1:10,000 - HOW IT WORKS

A

CHRONOTROPIC EFFECTS
*Alpha effects
-produces peripheral vasoconstriction which:
—Increases coronary and cerebral perfusion.
—Increases BP in anaphylaxis.

*Beta 1 effects:
-increases rate, force, and contractility of ventricular contractions

*Beta 2 effects:
-Bronchodilation

42
Q

Epi 1:10,000 - CONTRAINDICATIONS

A

-Hypersensitivity
-Hypovolemic shock
-Coronary insufficiency

43
Q

Epi 1:10,000 - DOSE

A

ADULT:
Cardiac Arrest: 1mg IV q 3-5 min
Anaphylaxis : 0.3mg may repeat no more than once

PEDI:
Cardiac Arrest: .01 mg/kg
Anaphylaxis : .15mg may repeat no more than once

44
Q

Epi 1:10,000 - SIDE EFFECTS

A

-palpitations
-anxiety
-tremulousness
-headache
-dizziness
-hypertension
-can worsen cardiac ischemia

45
Q

Etomidate - INDICATION

A

Induction agent before the admin of a neuromuscular blockage agent

46
Q

Etomidate - HOW IT WORKS

A

Suppresses CNS activity

47
Q

Etomidate - CONTRAINDICATIONS

A

-known hypersensitivity
-labor/delivery

48
Q

Etomidate - DOSE

A

0.3 mg/kg MAX 40mg

49
Q

Etomidate - SIDE EFFECTS

A

-N&V

-dysrhythmias

-Short of breath (SOB)

-Hypotension

-muscle twitch

50
Q

Fentanyl - INDICATION

A

-Pain control

-sedation for RSI (rapid sequence intubation) and PAI (Pre arrival instructions)

51
Q

Fentanyl - HOW IT WORKS

A

Binds with receptor in brain to produce effects

52
Q

Fentanyl - CONTRAINDICATIONS

A

-respiratory depression
-hypotension
-nausea and vomiting

53
Q

Fentanyl - DOSE

A

1-2 mcg/kg to MAX 200mcg

54
Q

Fentanyl - SIDE EFFECTS

A

-respiratory depression
-bradycardia
-hypotension/hypertension
-nausea and vomiting

Drugs (3 decks)

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