endocrine/anti-emetics

Question 1

name/class
dextrose 50% in water

Answer 1

D50W

carbohydrate

Question 2

name/class
D50W

Answer 2

dextrose 50 in water

carbohydrate

Question 3

description
dextrose 50% in water
D50W

Answer 3

Dextrose is a simple sugar that the body can rapidly metabolize to create energy

Question 4

indications
dextrose 50% in water
D50W

Answer 4

Hypoglycemia

Question 5

contraindictions
dextrose 50% in water
D50W

Answer 5

none in hypoglycemia

Question 6

precautions
dextrose 50% in water
D50W

Answer 6

increased ICP determine blood glucose level before administration. ensure good venous access

Question 7

dosage/route
dextrose 50% in water
D50W

Answer 7

25g D50W(50 mL) IV

Question 8

pedi dosage/route
dextrose 50% in water
D50W

Answer 8

2-4 mL/kg of 25% IV (over 1 year)

10% solution for under 1 year

Question 9

name/class 
glucagon

Answer 9

Gluca Gen

Hormone, Anti-hypoglycemia

Question 10

name/class
Gluca Gen

Answer 10

glucagon

Hormone, Anti-hypoglycemia

Question 11

description
glucagon
Gluca Gen

Answer 11

glucagon is a protein secreated by pancreatic cells that cause a breakdown of stored glycogen into glucose

Question 12

indications
glucagon
Gluca Gen

Answer 12

hypoglycemia without IV access to reverse beta-blocker and calcium channel blocker overdose

Question 13

contraindication
glucagon
Gluca Gen

Answer 13

none

Question 14

precautions
glucagon
Gluca Gen

Answer 14

cardiovascular or renal impairment. effective only if there are sufficent stores of glycogen in the liver

Question 15

dosage/route hypoglycemia
glucagon
Gluca Gen

Answer 15

1 mg IM/SC repeat/ 5-20 min

Question 16

pedi dosage/route hypoglycemia
Glucagon
Gluca Gen

Answer 16

0.1 mg/kg IM/SC/IV for child < 10 kg

Question 17

dosage/route beta blocker overdose/calcium channel blocker od
glucagon
Gluca Gen

Answer 17

3 mg IV over 1 min

Question 18

pedi dosage/route beta blocker overdose/calcium channel blocker od
glucagon
Gluca Gen

Answer 18

50-150 mcg/kg IV over 1 min

Question 19

Name/class
oxytocin

Answer 19

pitocin

hormone

Question 20

name/class
pitocin

Answer 20

oxytocin

hormone

Question 21

description
oxytocin
pitocin

Answer 21

oxytocin is a natural occuring horomone that causes the uterus to contract, thereby inducing labor, encouraging delivery of the placenta, and controlling postpartum hemorrhage

Question 22

contraindictions
oxytocin
pitocin

Answer 22

hypersensitivity, prehospital administration delivery of the infant or infants

Question 23

precaution
oxytocin
pitocin

Answer 23

before delivery may induce uterine rupture and fetal dysrhythmias, hypertension, intercranial bleeding, or asphyxia. Uterine tone, ECG, and vital signs should be monitored during administration

Question 24

dosage/route
oxytocin
pitocin

Answer 24

3-10 units IM after delivery of the placenta. 10-20 units in 1000 mL of D5W or NS IV titrated to effect

Question 25

``` name/class Reglan ```

Answer 25

Metoclopromide | Antiemetic

Question 26

``` name/class metoclopramide ```

Answer 26

reglan | antiemetic

Question 27

description metoclopramide reglan

Answer 27

metoprolol is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and BP

Question 28

indications metoclopramide reglan

Answer 28

nausea | vomitting

Question 29

contraindictions metoclopramide reglan

Answer 29

hypersensitivity, seizure disorders, GI obstruction or perforation, and breast cancer

Question 30

precautions metoclopramide reglan

Answer 30

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

Question 31

dosage/route metoclopramide reglan

Answer 31

10-20 mg IM; 10 mg slow slow IV(over 2-4 min)

Question 32

pedi dosage/route metoclopramide reglan

Answer 32

1-2 mg/kg/dose

Question 33

``` name/class promethazine ```

Answer 33

phenergan | antiemetic

Question 34

``` name/class phenergan ```

Answer 34

promethazine | antiemetic

Question 35

description phenergan promethazine

Answer 35

promethazine is an anticholinergic agent that enhances the effects of analgesics and is a potent antiemetic

Question 36

indications phenergan promethazine

Answer 36

nasea and vomitting , motion sickness,to enhance the effects of analgesics and to induce sedation

Question 37

contraindictions phenergan promethazine

Answer 37

none

Question 38

precautions phenergan promethazine

Answer 38

hepatic, respiratory or cardiac impairment. asthma, hypertension, elderly, or debilitated patients

Question 39

dosage/route phenergan promethazine

Answer 39

12.5-25 mg IV/IM/PR

Question 40

pedi dosage/route phenergan promethazine

Answer 40

0.5 mg/kg IV/IM/PR

Question 41

``` name/class compazine ```

Answer 41

prochlorperazine | antiemetic

Question 42

``` name/class prochlorperazine ```

Answer 42

compazine | antimetic

Question 43

indications prochlorperazine compazine

Answer 43

severe nausea and vomiting or acute psychosis

Question 44

``` name/class zofran ```

Answer 44

zofran | antiemetic

Question 45

description | zofran

Answer 45

selective blocking agent of the serotonin 5-HT3 receptor type

Question 46

indications | zofran

Answer 46

prevention of nausea and intractible vomiting

Question 47

contraindictions | zofran

Answer 47

none

Question 48

precautions | zofran

Answer 48

may mask a progressive ileus and/or gastric distension, long QT syndrome

Question 49

dosage/route | zofran

Answer 49

4 mg IVP or single 4 mg tablet ODT