Drug Memorization N-Z Flashcards

Question

Pralidoxime Chloride (2-PAM) indication

Answer 1

Second drug given for the treatment of poisoning due to organophosphate pesticides and chemical nerve agents. (after atropine) Primary indication for pralidoxime administration is muscle weakness or respiratory depression in these patients.

Answer 2

No absolute contraindications

Answer 3

600mg (1 autoinjector) 1800mg (3 autoinjectors) - standing order.

Answer 4

Tachycardia, laryngospasm, muscle rigidity if IV and infused too quickly Mild to moderate pain at the injection site Blurred or double vision, dizziness, loss of coordination, headache drowsiness, hypertension, and tachycardia.

Answer 5

Suppress ectopy in ventricular tissue and reduce ventricular dysrhythmias such as: Refractory and recurrent Vfib Pulseless Vtach Stable monomorphic or polymorphic Vtach w/ a pulse Wide complex tachydysrhythmias of uncertain type. Malignant refractory PVCs I-C suppress ectopy in atrial tissue and reduce supra ventricular dysrhythmias such as PACs, PAT, afib, aflutter, and WPW.

Answer 6

TCA overdose previous use of amioderone 2nd and 3rd degree heart block.

Answer 7

IV infusion 20 - 30mg/min IV infusion titrate to effect Max dose up to 17mg/kg Add 1 gram procainamide to 250ml NS use 10 gets/min drop set.

Answer 8

Hypotension 2nd or 3rd degree AV block Widening of the QRS complex

Answer 9

Acute bronchospasm in reactive airway disease such as: acute asthma attack acute exacerbation of COPD Allergic reaction unresponsive to other treatment Croup

Answer 10

Hypersensitivity Pregnancy (except in life threatening situation) Racemic Epinephrine epiglottitis

Answer 11

Inhaled/nebulized: 0.5ml of 2.25% solution in 2.5ml NS every 4 hours prn.

Answer 12

Tachycardia Restlessness/nervousness/tremors Hypertension

Answer 13

TCA OD hyperkalemia or acidosis prolonged CPR DKA Rhabdomyolysis compartment syndrome

Answer 14

alkalosis PE abdominal pain w/ unknown origin hypocalcemia

Answer 15

acidosis hypoxia tissue sloughing seizures hypernatremia inc. PCO2

Answer 16

To facilitate intubation

Answer 17

Burn injuries within 12 hours. Inability to control airway acute rhabdomyolysis.

Answer 18

Relax 0.3-1.1mg/kg RSI 1-1.5mg/kg

Answer 19

Respiratory depression bradycardia dysrhythmias allergic reaction

Answer 20

acute bronchospasm in reactive airway disease such as acute asthma attack, acute exacerbation of COPD, and allergic reaction unresponsive to other treatment.

Answer 21

Hypersensitivity and pregnancy (except in life threatening situation.)

Answer 22

Subcutaneous: 0.25mg subQ may repeat once in 15 min if no response.

Answer 23

Tachycardia restlessness/nervousness/tremors hypertension

Answer 24

Vitamin required to convert glucose to energy. Must be ingested, body does not manufacture.

Answer 25

History of sensitivity to thiamine or to any of the ingredients in this drug is a contraindication.

Answer 26

IVP/IM 50mg IVM may repeat total of 100mg

Answer 27

SVT aflutter w/RVR afib atrial tachycardia unstable angina

Answer 28

Hypersensitivity bradycardia

Answer 29

initial: 2.5-5mg repeat 5-10mg bolus every 15 minutes

Answer 30

dizziness headache N/V hypotension bradycardia

Answer 31

Long term muscle paralysis to facilitate endotracheal intubation

Answer 32

Hypersensitivity

Answer 33

IV/IO 1mg/kg onset 60-90 seconds and lasts 45-70 minutes

Answer 34

Hypotension or hypertension Tachycardia or bradycardia Patients with neuromuscular disease - MS Hepatic or renal impairment.

Answer 35

Prevention of N/V

Answer 36

Hypersensitivity Pedi <2 years of age No not administer phenergan and zofran to the same pt.

Answer 37

2mg to max of 4mg

Answer 38

dizziness burning at injection site drowsiness