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Drug Cards > Guy Chapter 14 > Flashcards

Guy Chapter 14 Flashcards

0
Q

Albuterol/ Proventil/ Ventolin Mechanism

A

Binds and simulates beta2 receptors, resulting in relaxation of bronchial smooth muscle

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1
Q

Albuterol/ Proventil/ Ventolin Indication

A

Asthma, bronchitis with bronchospasm, COPD

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2
Q

Albuterol/ Proventil/ Ventolin Contraindications

A

Angioedema, sensitivity to Albuterol or levalbuterol,

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3
Q

Albuterol/ Proventil/ Ventolin dose

A

Nebulizer: 2.5 to 5 mg every 20 minutes max 3 doses. After 3 doses continuous neb at 10 to 15 mg an hour

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4
Q

Levalbuterol/Xopenex Action

A

Beta agonist, stimulates beta 2 receptors resulting in relaxation of smooth muscle in lungs, uterus, and vasculature that supply skeletal muscle

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5
Q

Levalbuterol/Xopenex indication

A

Acute bronchospasm or bronchospasm prophylaxis in pt with asthma

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6
Q

Levalbuterol/Xopenex contraindications

A

Angioedema,sensitivity to Albuterol or levalbuterol,cardiac disorders or arrhythmias, taking phenothiazines or sotalol

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7
Q

Levalbuterol/Xopenex dose

A

Nebulizer: 1.25 to 2.5 mg every 20 min up to 3 doses, then 1.25 to 5 every one to 4 hours as needed

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8
Q

Ipratropium bromide/ Atrovent action

A

Antagonizes the acetylcholine receptor on bronchial smooth muscle, producing bronchodilation

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9
Q

Ipratropium bromide/ Atrovent indication

A

Asthma, bronchospasm associated with COPD

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10
Q

Ipratropium bromide/ Atrovent dose

A

Nebulizer: 0.5 mg every 6 to 8 hours

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11
Q

Ipratropium bromide/ Atrovent contraindications

A

Closed angle glaucoma, bladder neck obstruction, prostatic hypertrophy, sensitivity to peanuts, soy, atropine, or atropine derivatives

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12
Q

Albuterol Ipratropium/ Combivent action

A

Binds and stimulates beta 2 receptors, resulting in relaxation of bronchial smooth muscle and antagonizes the acetylcholine receptor, producing bronchodilation

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13
Q

Albuterol Ipratropium/ Combivent indication

A

Second line treatment for COPD or severe acute onset asthma exacerbations during medical transport

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14
Q

Albuterol Ipratropium/ Combivent contraindications

A

Allergic to soy or peanuts, sensitivity to Albuterol or atropine derivatives, closed angle glaucoma, cardiovascular disease

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15
Q

Albuterol Ipratropium/ Combivent dose

A

Inhaler: 2 puffs inhaled every 6 hours by MDI. Max 12 puffs a day

16
Q

Methylprednisolone Sodium Succinate/ Solu-medrol action

A

Corticosteroid reduces inflammation by multiple mechanisms

17
Q

Methylprednisolone Sodium Succinate/ Solu-medrol indications

A

Anaphylaxis, asthma, COPD

18
Q

Methylprednisolone Sodium Succinate/ Solu-medrol contraindications

A

Cushing’s syndrome, fungal infection, measles, varicella, sensitivity to sulfites

19
Q

Methylprednisolone Sodium Succinate/ Solu-medrol dose for asthma/COPD

A

IV: 40 to 80 mg

20
Q

Methylprednisolone Sodium Succinate/ Solu-medrol dose for anaphylaxis

A

IV: 1 to 2 mg/kg

21
Q

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef action

A

Reduces inflammation by multiple mechanisms. As a steroid it replaces steroids that lack adrenal insufficiency

22
Q

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef contraindications

A

Cushing’s syndrome, know sensitivity to benzyl alcohol, hypertension, CHF, systemic fungal infection, renal disease, idiopathic thrombocytopenia,psychosis, seizure disorder, gi disease, glaucoma

23
Q

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef indications

A

Adrenal insufficiency, allergic reaction, anaphylaxis, asthma, COPD

24
Q

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef dose

A

IV/IM: 100 to 500 mg

25
Q

Aminophylline action

A

Relaxes smooth muscle of the bronchial airways and pulmonary blood vessels. May also have anti inflammatory properties

26
Q

Aminophylline indication

A

Bronchospasm

27
Q

Aminophylline contraindications

A

Know sensitivity

28
Q

Aminophylline dose

A

IV: 5mg/kg over 20 to 30 minutes. Follow with infusion of 0.4 mg/kg/hr. For smokers 0.8 mg/kg/hr. For CHF 0.2 mg/kg/hr

29
Q

Magnesium Sulfate action

A

Needed for neuro chemical transmission and excitability. Controls seizures by blocking peripheral neuro muscular transmission. Peripheral dilator and inhibitor of platelet function

30
Q

Magnesium Sulfate indications

A

Torsades de Pointes, cardiac arrhythmias associated with hypo magnesium, eclampsia, status asthmaticus

31
Q

Magnesium Sulfate contraindications

A

AV block, GI obstruction,

32
Q

Magnesium Sulfate dose for Torsades and hypo magnesium

A

IV: 1 to 2 mg in 10 ml of d5w administered over 15 min.

33
Q

Magnesium Sulfate dose for eclampsia

A

IV: 4 to 6 g followed by infusion of 1 to 2g an hour

34
Q

Magnesium Sulfate dose for status asthmaticus

A

IV: 1.2 to 2 g slow over 20 minutes

35
Q

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 action

A

Stimulates both alpha and beta receptors, causing vasoconstriction, reduced mucosal edema, and bronchodilation

36
Q

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 indications

A

Bronchial asthma, croup

37
Q

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 contraindications

A

Glaucoma, elderly, cardiac disease, hypertension, thyroid disease, diabetes, sensitivity to sulfites

38
Q

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 dose

A

Nebulizer: 0.5 ml

Drug Cards (6 decks)

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