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Medic 15 Drugs > Endocrine > Flashcards

Endocrine Flashcards

1
Q

Dextrose 50% (D50W)

Class

A

Carbohydrate

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2
Q

Dextrose 50% (D50W)

Description

A

Simple sugar that the body can rapidly metabolize to create energy

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3
Q

Dextrose 50% (D50W)

Indication

A

Hypoglycemia

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4
Q

Dextrose 50% (D50W)

Contraindication

A

None in hypoglycemia

Avoid in christen less than 2y/o

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5
Q

Dextrose 50% (D50W)

Dosage

A

Adult:

Pedi:

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6
Q

Glucagon (GlucaGen)

Class

A

Hormone, Anti-hypoglycemia

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7
Q

Glucagon (GlucaGen)

Description

A

Protein secreted by pancreatic cells that causes a breakdown of glycogen into glucose

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8
Q

Glucagon (GlucaGen)

Indication

A

Hypoglycemia without IV access and to reverse beta-blocker and Calcium Channel Blocker overdose

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9
Q

Glucagon (GlucaGen)

Contraindication

A

None

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10
Q

Glucagon (GlucaGen)

Precaution

A

Cardiovascular or renal impairment. Effective only if there are sufficient stores of glycogen in the liver

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11
Q

Glucagon (GlucaGen)

Dosage Hypoglycemia

A

Adult: 1mg IM repeat every 10-20mins
Pedi: 0.1mg/kg IM/SC/IV child < 10kg

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12
Q

Glucagon (GlucaGen)

Dosage Beta-blocker/CCB OD

A

Adult: 3mg IV over 1 min
Pedi: 50-150 mcg/kg IV over 1 min

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13
Q

Metoclopramide (Reglan)

Class

A

Antiemetic

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14
Q

Metoclopramide (Reglan)

Description

A

Dopamine antagonist similar to procainamide but with few antidysrhythmic or anesthetic properties. Its antiemetic properties stem from rapid gastric emptying and desensitization of the vomiting reflex

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15
Q

Metoclopramide (Reglan)

Indication

A

Nausea and vomiting

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16
Q

Metoclopramide (Reglan)

Contraindication

A

Hypersensitivity, seizure disorders, GI obstruction or proforation, and breast cancer

17
Q

Metoclopramide (Reglan)

Precautions

A

CHF, hypokalemia, renal impairment, GI hemorrhage, intermittent porphyria

18
Q

Metoclopramide (Reglan)

Dosage

A

Adult only

5-10mg IV/IO/IM

Avoid with diarrhea

19
Q

Zofran

Class

A

Antiemetic

20
Q

Zofran

Description

A

Selective blocking agent of the serotonin5-HT3 receptor type

21
Q

Zofran

Indication

A

Prevention of nausea and intractable vomiting

22
Q

Zofran

Contraindication

A

None

23
Q

Zofran

Precaution

A

May mask a progressive ileus and/or gastric distension, Long QT syndrome

24
Q

Zofran

Adult dose

A

4mg IVP/IO/IM or single 4mg tablet ODT

25
Q

Zofran

Pedi dose

A

0.2 mg/kg IV/IO/IM/ODT, max 4mg

Do not give if age<3 months

26
Q

Droperidol

Indication

A

Nausea/Vomiting

27
Q

Droperidol

Adult dose

A

1.25 mg IV/IO/IM

28
Q

Prochlorperazine (Phenergan)

Indication

A

Nausea/Vomiting

29
Q

Prochlorperazine (Phenergan)

Adult dose

A

10mg IV/IO/IM

Deep IM, caustic in subcutaneous tissue

IV, dilute with 10cc flush

30
Q

Promethazine

Indication

A

Nausea/Vomiting

31
Q

Promethazine

Adult dose

A

12.5mg IV/IO/IM

If age >65, 6.25mg

Medic 15 Drugs (12 decks)

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