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Drug Cards > Guy Chapter 13 > Flashcards

Guy Chapter 13 Flashcards

0
Q

Activated Charcoal indication

A

Toxic ingestion

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1
Q

Activated Charcoal action

A

Bind with toxins

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2
Q

Activated Charcoal contraindications

A

Ingestion of acids, alkaline, ethanol, methanol, cyanide, ferrous sulfate, or other iron salts, lithium, coma, GI obstruction

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3
Q

Activated Charcoal dose

A

Oral: 50 to 100 g

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4
Q

Sodium Bicarbonate action

A

Counteracts existing acidosis

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5
Q

Sodium Bicarbonate indication

A

Acidosis, drug intoxication

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6
Q

Sodium Bicarbonate contraindications

A

Metabolic alkalosis, hypocalcemia

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7
Q

Sodium Bicarbonate dose

A

IV: 1 mEq/kg may repeat at 0.5 mEq/ in 10 minutes

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8
Q

Phenylephrine/ Neo-synephrine action

A

Stimulates alpha receptors

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9
Q

Phenylephrine/ Neo-synephrine indication

A

Neurogenic shock, spinal shock, drug induced hypotension

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10
Q

Phenylephrine/ Neo-synephrine contraindications

A

AMI, angina, arrhythmias, hypertension, coronary artery disease, pheochromocytoma, narrow angle glaucoma, cardiomyopathy, MAOI therapy, known sensitivity to phenylephrine or sulfites

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11
Q

Phenylephrine/ Neo-synephrine dose

A

IV: 100-180 mcg/min once bp stabilizes reduce to 40 to 60 mcg/min

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12
Q

Norepinephrine/ Levophed action

A

Alpha 1, alpha 2, and beta 1 agonist

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13
Q

Norepinephrine/ Levophed indication

A

Cardiogenic shock, septic shock, severe hypotension

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14
Q

Norepinephrine/ Levophed contraindications

A

Takin MAOI’s know sensitivity

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15
Q

Norepinephrine/ Levophed dose

A

IV: add 4 mg to 250 ml of D5W or D5NS. 0.5 to 1 mcg titrate to maintain systolic more than 80. Refractory shock 30 mcg/min

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16
Q

Phenytoin/ Dilantin action

A

Depresses seizures by affecting the movement of sodium and calcium into neural tissue

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17
Q

Phenytoin/ Dilantin indication

A

Generalized tonic- clonic seizures

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18
Q

Phenytoin/ Dilantin contraindications

A

Bradycardia, sinus block, Adams- Stokes syndrome, know sensitivity to hydantions

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19
Q

Phenytoin/ Dilantin dose

A

IV: 15 to 20 mg/kg slow not to exceed 50 mg/min

20
Q

Atropine Sulfate action

A

Competes with acetylcholine at the muscarinic unix receptor

21
Q

Atropine Sulfate indications

A

Symptomatic bradycardia, a systole, PEA, nerve agent exposure, organophosphate poisoning

22
Q

Atropine Sulfate contraindications

A

AMI, myasthenia gravis, GI obstruction, closed angle glaucoma, sensitivity to belladonna alkaloids, or sulfites

23
Q

Atropine Sulfate dose for bradycardia

A

IV: 0.5 mg ever 3 to 5 minutes max of 3 mg

24
Q

Atropine Sulfate Organophosphate poisoning

A

IV/ IM: 2 to 4 mg repeat if needed ever 20 to 30 minutes

25
Q

Glucagon action

A

Hypoglycemia, beta blocker overdose

26
Q

Atropine Sulfate contraindications

A

Pheochromocytoma, insulinoma

27
Q

Atropine Sulfate hypoglycemia dose

A

IV/ IM/ Sub-Q: 1 mg

28
Q

Atropine Sulfate beta blocker OD dose

A

IV: 2 to 5 mg, follow by second dose of 10 mg if does work or symptoms come back

29
Q

Haloperidol action

A

Selectively blocks postynaptic dopamine receptors

30
Q

Haloperidol indication

A

Psychotic disorders, agitation

31
Q

Haloperidol contraindications

A

Depressed mental status, Parkinson’s disease

32
Q

Haloperidol dose

A

Oral\IM: 0.5 to 10 mg

33
Q

Nitroglycerin indication

A

Ischemic chest pain, hypertension, myocardial ischemia cause by cocaine intoxication

34
Q

Nitroglycerin action

A

Relaxes smooth muscle

35
Q

Nitroglycerin contraindications

A

Hypotension, extreme bradycardia or tachycardia, intracranial bleeding, takin erectile dysfunction meds, sensitivity to nitrates

36
Q

Nitroglycerin dose

A

Sublingual: 0.4 mg 5 minute intervals max of 3

37
Q

Phenolamine/ Regitine action

A

Blocks alpha receptors

38
Q

Phenolamine/ Regitine indication

A

Hypertensive emergencies, cocaine induced vasoapasm

39
Q

Phenolamine/ Regitine contraindications

A

Known sensitivity

40
Q

Phenolamine/ Regitine dose

A

IV/IM: 5 to 15 mg

41
Q

Thiamine action

A

Vitamin

42
Q

Thiamine indication

A

Wernicke-Korasakoff syndrome, beriberi, nutritional supplement

43
Q

Thiamine contraindications

A

Known sensitivity

44
Q

Thiamine dose

A

IV: 100mg

45
Q

Pralidoxime/ 2- Pam/ Protopam action

A

Reactivates cholinesterase

46
Q

Pralidoxime/ 2- Pam/ Protopam indications

A

Toxicity from nerve agents

47
Q

Pralidoxime/ 2- Pam/ Protopam contraindications

A

Myasthenia gravis, renal failure, inability to control airway

48
Q

Pralidoxime/ 2- Pam/ Protopam dose

A

IV: 1 to 2 g diluted in 100ml of water over 15 to 30 minutes

Drug Cards (6 decks)

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