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Medication Administration > Med card review for class > Flashcards

Med card review for class Flashcards

1
Q

What are other names for Albuterol?

A

Proventil, Ventolin

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2
Q

MOA for Albuterol

A

Albuterol is a beta 2 agonist. Relaxes the smooth muscle in the bronchioles resulting in bronchodilation of the lungs.

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3
Q

Indications for Albuterol

A

Bronchospasm and wheezing (asthma, anaphylaxis, or COPD)

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4
Q

Contraindications for Albuterol

A

Tachycardia, hypertension, and dysrhythmias

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5
Q

Side effects for albuterol

A

tachycardia, hypertension, dysrthymias, n/v, lightheadedness, restlessness, headache, increased sputum, pulmonary edema

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6
Q

Dosage for Albuterol

A

2.5 mg in 3 ml solution.

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7
Q

Onset, peak, and duration of Albuterol

A

Onset 5-15 minutes
Peak 30 min-2hours
duration 3-4 hours

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8
Q

Other name for epinephrine

A

Adrenalin

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9
Q

Medication class for Epi

A

Sympathomimetic

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10
Q

MOA for epinephrine

A

Alpha and beta agonist. Alpha 1-vasoconstriction. Beta 1-positive inotrope, chronotropic, and dromotropic. Beta 2-bronchial smooth muscle relaxation. Blocks histamine receptors.

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11
Q

Indications for epinephrine

A

Cardiac arrest, anaphylaxis/allergic reaction, hypotension, symptomatic bradycardia, asthma

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12
Q

Contraindications for epi

A

Relative: tachycardia, hypertension, MI, hypovolemic shock.

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13
Q

Side effects of epi

A

Restlessness, tremor, headache, pulmonary edema, dysrhythmias, chest pain, hypertension, tachycardia, nausea, vomiting

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14
Q

Epi dose for adult allergic reaction and asthma

A

0.3-0.5 mg (1,1000) IM

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15
Q

Epi dose for anaphylaxis

A

0.3-0.5 (1;10,000) IV

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16
Q

Adult cardiac arrest dose for epi

A

1 mg of 1;10,000 epi IV/IO every 3-5 min

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17
Q

Pediatric cardiac arrest dose for epi

A

0.01 mg/kg (1;10,000) IV/IO every 3-5 minutes

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18
Q

Bradycardia or hypotension epi dose

A

2-10 mcg/min

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19
Q

Onset peak and duration of epi

A

Onset- immediate, peak-minutes, duration-several minutes

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20
Q

Other names for aspirin

A

ASA and acetylsalicylic acid

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21
Q

Aspirin medication class

A

Platelet inhibitor (antiplatelet) and NSAID

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22
Q

MOA for aspirin

A

Prevents platelet aggregration
(clumping). Has antipyretic and analgesic properties

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23
Q

Indications for Aspirin

A

Chest pain and suspected MI

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24
Q

Contraindications for aspirin

A

Bleeding disorders, active GI bleed, asthma.
Not recommended for peds

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25
Q

Side effects of aspirin

A

Excessive bleeding, reyes syndrome, bronchospasm, wheezes, N/V, epigastric distress

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26
Q

Dose for aspirin

A

160-324 po

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27
Q

Onset, peak, and duration of aspirin

A

Onset 5-30 minutes, peak: 1-3 hours, and duration 3-6 hours

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28
Q

Another name for amiodarone

A

Cordarone

29
Q

Medication class for amiodarone

A

Antidysrhythmic (class 3)

30
Q

MOA for amiodarone

A

Blocks sodium, potassium, and calcium channel.
Prolongs action potential and repolarization.
Decreases AV and SA node function.

31
Q

Indications of amiodarone

A

V-tach with a pulse. Cardiac arrest (pulseless v-tach or v-fib)
Stable, regular complex tachycardia following failure to convert from vagal maneuvers or adenosine.

32
Q

Contraindications for amiodarone

A

Cardiogenic shock, 2nd or 3rd degree AV block, sick sinus syndrome

33
Q

Side effects of amiodarone

A

ARDS, pulmonary edema, dyspnea, heart failure, bradycardia, hypotension, prolonged QT interval, burning at IV site, steven johnson syndrome

34
Q

Dose for amiodarone

A

Adult v-fib or pulseless v-tach; 300 mg IVP followed by 150 IVP after 3-5 minutes
Wide complex tachycardia: 150 ml in 100ml over 10 minutes
Pediatric v-fib or pulseless v-tach; 5mg/kg IVP, repeat once in 3-5 minutes

35
Q

Amiodarone Onset, peak, and duration

A

Onset-30min-2hrs. Peak-3-7 hours. Duration-Unknown, 40 day half life

36
Q

Another name for lidocaine

A

Xylocaine

37
Q

Medication class for Lidocaine

A

Anti dysrhythmic, local anesthetic

38
Q

MOA for lidocaine

A

Cardiac-Decreases automaticity by slowing rate of depolarization in phase 4

39
Q

Indications for lidocaine

A

Cardiac arrest: v-fib and pulseless v-tach
Wide complex tachycardia
Local anesthetic for procedures such as IO (2-3mg IO)

40
Q

Contraindications for lidocaine

A

2nd or 3rd degree AV block. Stokes adam syndrome

41
Q

Side effects for lidocaine

A

Respiratory arrest, hypotension, bradycardia, dysrhythmias, AV block, cardiac arrest, seizures, AMS

42
Q

Dosage for lidocaine

A

Adult cardiac arrest VT/VF: 1-1.5mg/kg IVP repeat once at 0.5-0.75mg/kg
V-tach with pulse: 1-4mg/min
Pediatric Cardiac arrest (VT/VF): 1mg/kg repeat once (not the prefered antidysrhythmic)

43
Q

Onset, peak, duration for lidocaine

A

Onset: 1-5 minutes, Peak-5-10 minutes, Duration 15min-2hrs

44
Q

Calcium chloride

A

Calcium Gluconate

45
Q

Medication class for CC/CG

A

Electrolyte

46
Q

MOA for CC/CG

A

Counteracts toxicity of hyperkalemia by stabilizing the membranes of cardiac cells

47
Q

Indications for CC/CG

A

Hyperkalemia, hypermagnesemia, hypocalcemia, beta blocker overdose, calcium channel overdose

48
Q

Contraindications for CC/CG

A

Hypercalcemia, digitalis toxicity, V-fib

49
Q

Side effects for CC/CG

A

Cardiac arrest, dysrhythmias, hypotension, bradycardia, tissue necrosis at injection site, artery spasm, and metallic taste

50
Q

Dose for CC/CG

A

Adult:500-1000 mg IV (0.5-1 gram)

51
Q

Pediatric dose for CC/CG

A

20 mg/kg IV

52
Q

Onset, peak, and duration for CC/CG

A

Onset-2 minutes, peak-varies, Duration-Chloride (25 min) and Gluconate (1 hr)

53
Q

Another name for Adenosine

A

Adenocard

54
Q

Medication class for Adenosine

A

Anti-dysrhythmic

55
Q

Mechanism of action for Adenosine

A

Slows conduction through the AV node

56
Q

Indications for Adenosine

A

Narrow complex tachycardia

57
Q

Contraindications for Adenosine

A

2nd or 3rd degree AV block, sick sinus syndrome, broncho-constrictive lung disease, drug induced tachycardia
Not effective in converting Wide complex tachycardia, a-fib, a-flutter
Wolff Parkinson White syndrome

58
Q

Side effects of Adenosine

A

Does not have an effect if pushed slowly so needs to be pushed FAST. Bronchospasm, palpitations, flushing, nausea, diaphoresis.
There will be a period of dysrhythmia or asystole

59
Q

Dosage for Adenosine

A

Adult; 6 mg fast IVP followed by 10cc flush, if no response, may repeat at 12 mg fast IVP.
Peds; 0.1 mg/kg rapid IVP. Repeat with double dose

60
Q

Onset, peak, and duration of Adenosine

A

Onset-immediate, Peak-seconds, duration-12 seconds
Half life of 10 seconds

61
Q

Medication name; Atropine

A
62
Q

Medication class for Atropine

A

Anticholinergic and vagolytic

63
Q

MOA for Atropine

A

Inhibits action of acetylcholine
Blocks vagal effects
Inhibits muscarinic receptors

64
Q

Indications for atropine

A

Bradycardia, organophosphate poisoning, nerve agent exposure, BB or CCB overdose

65
Q

Contraindications for Atropine

A

Tachycardia, MI, glaucoma, hypothermic bradycardia, hemorrhage.
If using to treat bradycardia, won’t work on transplanted heart or AV block.

66
Q

Side effects of Atropine

A

paradoxical bradycardia when too low of dose is pushed, or pushed too slow. Palpitations, headache, tachycardia, dry mouth/nose/skin, blurry vision, flushed skin

67
Q

Dosage for Atropine

A

Adult bradycardia: 1mg IV every 3-5 min up to 3 mg
Peds bradycardia:

68
Q
A

Medication Administration (3 decks)

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