Guy Chapter 7 Flashcards

0
Q

Morphine Sulfate indications

A

Moderate to severe pain, including ACS, CHF, pulmonary edema

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1
Q

Morphine Sulfate action

A

Binds to opioid receptors

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2
Q

Morphine Sulfate contraindications

A

Respiratory depression, shock, known sensitivity

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3
Q

Morphine Sulfate dose for pain

A

IV/IM/ Sub-Q: 2.5 to 15mg slow

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4
Q

Morphine Sulfate dose for ACS, CHF, pulmonary edema

A

IV: 2 to 4mg

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5
Q

Fentanyl/ Sublimaze action

A

Binds to opiate receptors

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6
Q

Fentanyl/ Sublimaze idication

A

Pain

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7
Q

Fentanyl/ Sublimaze contraindications

A

Known sensitivity

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8
Q

Fentanyl/ Sublimaze dose

A

IV/ IM: 50 to 100 mcg

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9
Q

Meperidine/ Demerol action

A

Binds to opiate receptors

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10
Q

Meperidine/ Demerol indication

A

Pain

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11
Q

Meperidine/ Demerol contraindications

A

Taken MAOI in the past 2 weeks or other CNS depressants, known sensitivity

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12
Q

Meperidine/ Demerol dose

A

IV/IM/Sub-Q: 50 to 150 mg

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13
Q

Butorphanol/ Stadol action

A

Binds to opioid receptors

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14
Q

Butorphanol/ Stadol indication

A

Pain

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15
Q

Butorphanol/ Stadol contraindications

A

Substance abuse, senesitivity

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16
Q

Butorphanol/ Stadol dose

A

IV: 0.5 to 2 mg every 3 to 4 hours

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17
Q

Nalbuphine/ Nubain action

A

Binds to opioid receptors

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18
Q

Nalbuphine/ Nubain indication

A

Pain

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19
Q

Nalbuphine/ Nubain contraindications

A

Sensitivity

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20
Q

Nalbuphine/ Nubain dose

A

IV/IM/Sub-Q: 10 mg

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21
Q

Aspirin/ ASA action

A

Prevents the formation of a chemical known as theomboxane, which causes platelets to clump together

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22
Q

Aspirin/ ASA indications

A

Chest pain

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23
Q

Aspirin/ ASA contraindications

A

GI bleed, hemorrhagic stroke

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24
Q

Aspirin/ ASA dose

A

Oral: 160 to 325 mg

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25
Q

Ibuprofen action

A

Inhibits prostaglandin synthesis by inhibiting cyclooxgenase isoenzymes, resulting in analgesic, antipyretic, and anti inflammatory effects

26
Q

Ibuprofen indication

A

Pain, fever, osteoarthritis, rheumatoid arthritis

27
Q

Ibuprofen contraindications

A

Sensitivity to NSAIDS or salicylate

28
Q

Ibuprofen dose

A

Oral: 200 to 400 mg

29
Q

Ketorolac/ Toradol action

A

Inhibits production of prostaglandin in inflamed tissue, which decreases the responsiveness of pain receptors

30
Q

Ketorolac/ Toradol indication

A

Acute pain

31
Q

Ketorolac/ Toradol contraindications

A

Ulcer, GI bleed, renal insufficiency, hypovolemia, pregnancy, sensitivity to NSAIDS or ASA, stroke, head trauma, need for surgery within 7 days

32
Q

Ketorolac/ Toradol dose

A

IV: 30mg can be given ever 6 hours not to exceed 120 mg
IM: 60 mg or 30mg every 6 hours not to exceed 120 mg

33
Q

Diazepam/ Valium action

A

Binds to benzodiazepine receptors and enhances the effects of GABA

34
Q

Diazepam/ Valium indication

A

Anxiety, skeletal muscle relaxation, alcohol withdrawal, seizures

35
Q

Diazepam/ Valium contraindications

A

Children under 6 months, acute angle glaucoma, CNS depression, alcohol intoxication

36
Q

Diazepam/ Valium dose for anxiety

A

IV/ IM: 2-10mg slow

37
Q

Diazepam/ Valium dose alcohol withdrawal

A

IV: 10 mg

38
Q

Diazepam/ Valium seizure does

A

IV: 5 to 10 mg every 10 to 15 minutes

39
Q

Midazolam/ Versed action

A

Binds to benzodiazepine receptors and enhances GABA

40
Q

Midazolam/ Versed indication

A

Sedation, anxiety, skeletal muscle relaxation

41
Q

Midazolam/ Versed contraindications

A

Acute angle glaucoma, pregnant

42
Q

Midazolam/ Versed dose

A

IV: 1 to 2.5 mg max dose 5 mg

43
Q

Lorazepam/ Ativan action

A

Binds to benzodiazepine receptors and enhances effects of GABA

44
Q

Lorazepam/ Ativan indication

A

Pre-procedure sedation, anxiety, status epilepcticus

45
Q

Lorazepam/ Ativan contraindications

A

Known sensitivity to benzodiazepines, polyethylene glycol, propylene glycol, or benzyl alcohol, COPD, sleep apnea, shock, coma, acute angle glaucoma

46
Q

Lorazepam/ Ativan sedation dose

A

IV: 2 mg or 0.44 mg/kg whichever is smaller

47
Q

Lorazepam/ Ativan seizure dose

A

IV: 4 mg over 2-5 minutes, may repeat every 10-15 minutes up to 8 mg in 12 hours

48
Q

Flumazenil/ Romazicon action

A

Competes with benzodiazepines for binding at receptor

49
Q

Flumazenil/ Romazicon indications

A

Benzodiazepine over dose

50
Q

Flumazenil/ Romazicon contraindications

A

Cyclic antidepressant OD, needs benzodiazepine,

51
Q

Flumazenil/ Romazicon dose

A

IV: 0.2 mg up to 1mg

52
Q

Naloxone/ Narcan action

A

Binds to opioid receptor

53
Q

Naloxone/ Narcan indication

A

Narcotic OD

54
Q

Naloxone/ Narcan contraindications

A

Sensitivity

55
Q

Naloxone/ Narcan dose

A

IV/IM/Sub-Q: 0.4 to 2mg up to 10mg

56
Q

Promethazine/ Phenergan action

A

Decreases nausea and vomiting by antagonizing H1 receptors

57
Q

Promethazine/ Phenergan indication

A

Nausea/ vomiting

58
Q

Promethazine/ Phenergan contraindications

A

Altered, jaundiced, bone marrow suppression

59
Q

Promethazine/ Phenergan dose

A

IV/IM: 12.5 to 25mg

60
Q

Dolasetron/ Anzemet action

A

Prevents nausea/vomiting by binding and blocking a receptor if or serotonin

61
Q

Dolasetron/ Anzemet indication

A

Nausea/ vomiting

62
Q

Dolasetron/ Anzemet contraindications

A

Sensitivity

63
Q

Dolasetron/ Anzemet dose

A

IV: 12.5 mg