Drug Profiles Flashcards
ALBUTEROL SULFATE
-Generic name
Same
ALBUTEROL SULFATE
-Class (2)
Sympathomimetic
Bronchodilator
ALBUTEROL SULFATE
-Indications (2)
Tx of bronchospasm
Tx of hyperkalemia
ALBUTEROL SULFATE
-Contraindications (2)
Synergistic with other sympathomimetics
Use caution in pts with hx of diabetes, hyperthydroidism, and CVA
ALBUTEROL SULFATE
-Dosage (ad, ped)
Adult: SVN, 2.5 mg of premixed solution
Peds: SVN, 2.5 mg of premixed solution (max of 5 mg)
IPRATROPIUM BROMIDE (ATROVENT) -Generic name
Same
IPRATROPIUM BROMIDE (ATROVENT) -Class (2)
Anticholinergic
Bronchodilator
IPRATROPIUM BROMIDE (ATROVENT) -Indications (2)
Tx of bronchospasm assoc. w/ COPD (emphysema and chronic bronchitis)
Alone or in combo w/ other bronchodilators especially beta adrenergics (e.g. albuterol)
IPRATROPIUM BROMIDE (ATROVENT) -Contraindications (2)
Hypersensitivity to IB or atropine and derivatives
Use w/ caution in pts with narrow angle glaucoma
IPRATROPIUM BROMIDE (ATROVENT) -Dosage (ad, ped)
Adult: SVN, 500 mcg in 2.5 ml normal saline, may mix one vial IB with one vial albuterol
Peds: SVN, 500 mcg in 2.5 ml normal saline, DO NOT REPEAT
BUMETANIDE (BUMEX)
-Generic name
Same
BUMETANIDE (BUMEX)
-Class (1)
Loop diuretic
BUMETANIDE (BUMEX)
-Indications (2)
Pulmonary edema
CHF
BUMETANIDE (BUMEX)
-Contraindications (5)
Hypersensitivity Anuria Electrolyte deficiencies Hepatic coma Caution w/ cirrhosis, ascites, gout, hypersensitivity to furosemide
BUMETANIDE (BUMEX)
-Dosage (ad)
Adult: IV, 0.5 to 1.0 mg slowly over 1-2 min, or IM
DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)
-Generic name
Same
DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)
-Class (2)
Synthetic adrenocorticoid/glucocorticoid
Anti-inflammatory
DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)
-Indications (3)
Reactive airway disease (acute bronchial asthma)
Anaphylaxis
Cerebral edema (non-trauma)
DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)
-Contraindications (3)
Systemic fungal infections
Hypersensitivity
Preterm infants
DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)
-Dosage (ad, ped)
Adult: reactive airway disease/anaphylaxis 8-24 mg
or cerebral edema 1-5 mg/kg
Peds: reactive airway disease/anaphylaxis 0.25-0.5 mg/kg
or cerebral edema 0.5-1.5 mg/kg
ATROPINE SULFATE
-Generic name
Same
ATROPINE SULFATE
-Class (5)
Anticholinergic agent Antiarrhythmic Antimuscarinic Antidote Antispasmodic agent
ATROPINE SULFATE
-Indications (2)
Symptomatic bradycardia - monitored patient only
Acetylcholinesterase inhibitor poisoning (organophosphate)
ATROPINE SULFATE
-Contraindications (7)
Hypersensitivity Narrow-angle glaucoma Tachycardia Mobitz type II or 3rd degree heart blocks Asthma Obstructive GI disease Hepatic/renal disease
ATROPINE SULFATE
-Dosage (ad, ped)
Adult: (brady) IV/IO 0.5 mg every 5 min, max 3 mg
(organo poi) IV/IO 1-5 mg, double every 5 min until symptoms abate
Pediatric: (brady) IV/IO 0.02 mg/kg every 5 min, max 1 mg
(organo poi) IV/IO 0.03-0.05 mg/kg every 10-20 min until symptoms abate
ADENOSINE
-Generic name
Same
ADENOSINE
-Class (2)
Antiarrhythmic
Endogenous nucleoside
ADENOSINE
-Indications (2)
Conversion of SVT (no known a-fib or a-flutter)
Undifferentiated wide-complex tachycardia
ADENOSINE
-Contraindications (5)
Sick sinus syndrome/2nd or 3rd degree AV blocks Asthma Cardiac transplant patients vulnerable Known a-fib or a-flutter Pregnancy
ADENOSINE
-Dosage (ad, ped)
Adult: 6 mg rapid IV bolus over 1-3 sec, follow with 20 ml normal saline flush, repeat 12 mg dosage if needed
Ped: 0.1 mg/kg rapid IV bolus over 1-3 sec, follow with 2-3 ml normal saline flush, repeat double dose if needed (only once)
LIDOCAINE HCL
-Generic name
Same
LIDOCAINE HCL
-Class (2)
Antiarrhythmic
Local anesthetic
LIDOCAINE HCL
-Indications (3)
Suppression of ventricular arrhythmias (v-tach, v-fib, PVC’s)
Prophylaxis against recurrence after conversion from v-tach or v-fib
Pain management after IO insertion in conscious pts
LIDOCAINE HCL
-Contraindications (3)
Hypersensitivity
Use extreme caution in pts with conduction disturbance (2nd and 3rd degree heart block)
Do not treat ectopic beats if rate
LIDOCAINE HCL
-Dosage (ad, ped)
Adult: (pulseless VF/VT) IV initial bolus of 1.0-1.5 mg/kg every 3-5 min, max 3 mg/kg, then maintenance drip of 2-4 mg/min
(antidysrhythmic) Boluses of 0.5-0.75 mg/kg every 5-10 min, max 3 mg/kg, with return of rhythm, drip at 2-4 mg/min
(IO pain mgmt) 20-40 mg, very slow IO push
Ped: 1 mg/kg, repeat max 1 time in 3-5 min for pulseless VF/VT or in 15 min for dysrhythmias
(IO pain mgmt) 0.1 mg/kg, very slow IO push