Drug Quiz 11

Question 0

Pitocin Drug Classification

Answer 0

Hormone / Uterine Stimulant

Question 1

Pitocin

Answer 1

Oxytocin

Question 2

Pitocin Mechanism of Actiom

Answer 2

Promotes contraction of uterine muscle and lactation

Question 3

Pitocin Pharmacokinetics

Answer 3

Onset of Action= Immediate IV, 3-7 minutes IM
Peak Effects= Varies
Duration of Effect= 1 hour IV, 2-3 hours IM
Half-Life= 3-5 minutes

Question 4

Pitocin Indications/Field Use

Answer 4

Post-partum hemorrhage

Question 5

Pitocin Contraindications

Answer 5

Baby and placenta not delivered; additional fetus present

Question 6

Pitocin Side Effects

Answer 6

Hypotension, Tachycardia, Dysrhythmias, Seizures, Coma, N+V

If given prior to fetal delivery: fetal hypoxia, fetal asphyxia, fetal intracranial bleeding

Question 7

Pitocin Dose

Answer 7

Adult: 3-30 units IM
Adult: 10-20 units in 500ml or 1000ml D5W, NS, or LR-slow IV, IO infusion

Question 8

Pitocin Precautions

Answer 8

Can cause over-stimulation of uterus and possible uterine rupture

Monitor vitals and uterine tone

Question 9

Pitocin Drug-Drug Interactions

Answer 9

HTN when given with vasoconstrictors such as NE

Question 10

Dextrose 10% Drug Classification

Answer 10

Carbohydrate

Question 11

Dextrose 10% Mechanism of Action

Answer 11

Raises Blood Glucose simply by added presence in vasculature

Question 12

Dextrose 10% Pharmacokimetics

Answer 12

Onset of Action= <1 minute
Peak Effects= Varies
Duration of Effect= Varies
Half-Life= N/A

Question 13

Dextrose 10% Indications/Field Use

Answer 13

Hypoglycemia in Neonatal Resuscitation

Question 14

Dextrose 10% Contraindications

Answer 14

Hyperglycemia

Question 15

Dextrose 10% Side Effects

Answer 15

Tissue necrosis/phlebitis at injection site

Question 16

Dextrose 10% Dose

Answer 16

Pedi: 5-10ml slow IV

Question 17

Dextrose 10% Precautions

Answer 17

Local venous irritation may occur in smaller veins

Question 18

Dextrose 10% Drug-Drug Interactions

Answer 18

None EMS

Question 19

Magnesium Sulfate Drug Classification

Answer 19

Electrolyte / Antidysrhythmic / Mineral

Question 20

Magnesium Sulfate Mechanism of Action

Answer 20

Physiologic Ca2+ channel blocker-blocks neuromuscular transmission, causes CNS depression and smooth muscle relaxation

Question 21

Magnesium Sulfate Pharmacokinetics

Answer 21

Onset of Action= Immediate IV, 1 hour IM
Peak Effects= Varies
Duration of Effect= 1 hour
Half-Life= N/A

Question 22

Magnesium Sulfate Indications/Field Use

Answer 22

Severe Asthma / Bronchospasm
Severe refractory VF or pulseless VT with hypoMg2+, and Torsades de Pointes
Post-MI prophylaxis of dysrhythmias
Eclampsia, Pre-Term Labor

Question 23

Magnesium Sulfate Contraindications

Answer 23

Pt with 3rd degree heart block
Shock
Severe/persistent hypertension
Impaired renal function
Hypocalcemia

Question 24

Magnesium Sulfate Side Effects

Answer 24

Flushing, sweating, bradycardia, decreased deep tendon reflexes, drowsiness, respiratory depression, dysrhythmias, hypotension, hypothermia, itching, rash

Question 25

Magnesium Sulfate Dose

Answer 25

Asthma (Adult): 2g in 100cc NS IV, IO infusion over 10 minutes
VT, VF Torsades-no pulse (Adult): 2g IVP (IO) over 1-2 minutes
VT/Torsades +pulse (Adult): 1-2g in 50-100cc NS, slow IVP (IO) over 5-60 minutes
Eclampsia (Adult): 2-4g slow IV, IO over 25 minutes, IM if IV access unavailable
Asthma (Pedi): 25-50mg/kg slow IV, IO infusion over 15-30 minutes, max dose 2g
VT -no pulse (Pedi): 25-50mg/kg IVP (IO), max dose 2g
VT +pulse (Pedi): 25-50mg/kg IV, IO over 10-20 minutes, max dose 2g

Question 26

Magnesium Sulfate Precautions

Answer 26

Monitor Vitals, Watch for respiratory depression, have CaCl2 available if OD

Question 27

Magnesium Sulfate Drug-Drug Interactions

Answer 27

Cardiac conduction abnormalities with digitalis