Drugs Flashcards
Epinephrine (adrenaline)
Class
Adrenergic agent, inotropic
Epinephrine (adrenaline)
Action
Binds with both alpha and beta receptors to produce increased blood pressure, heart rate, and bronchodialation
Epinephrine (adrenaline)
Indications
Bronchospasms, anaphylaxis, cardiac arrest
Epinephrine (adrenaline)
Adverse effects
Tachycardia, anxiety, headache, hypertension, nervousness, tremours, chest pain, nausea/vomiting
Epinephrine (adrenaline)
Contraindications
Super ventricular tachycardia, glaucoma (closed angle)
Epinephrine (adrenaline)
Special considerations
Pregnancy class C, half life 1 min
Epinephrine (adrenaline)
Adult Dosages
Cardiac arrest- 1 mg iv/io every 3 to 5 min
Bradycardia- 2-10 mcg/min drip
Asthma/anaphylaxis- 0.3 - 0.5 mg sq/im MAX dose is 1 mg
Anaphylactic SHOCK- .3-.5 mg iv push
Epinephrine (adrenaline)
Pediactric dosage
Cardiac arrest- 0.01 mg/kg iv/io every 3-5 min
Bradycardia- 0.01 mg/kg
Asthma/anaphylaxis- 0.3-0.5 mg sq max dose 0.3 ml
Anaphylactic shock- 0.01 mg/kg im
Solu-medrol
Class
Corticosteroid
Solu-medrol
Action
Reduces inflamation by multiple mechanisms
Solu-medrol
Indications
Asthma, copd, anaphylaxis
Solu-medrol
Adverse effects
Headache, restlessness, hypertension, bradycardia, nausea/vomiting, swelling, diarrhea, weakness, fluid retention, paresthesia.
Solu-medrol
Contraindications
Cushings syndrome, use with caution in active infection, renal disease, penetrating spinal cord injury, hypertension, seizures, CHF
Solu-medrol
Special considerations
Pregnancy class C, not effective in time of spinal cord injury is greater than 8 hours.
Solu-medrol
Dosage adult
125-250 mg iv/im
