MED CARDS Flashcards
Adult Dose: 0.2 to 1 mg
IVP Rate of Administration: 0.2 to 1 mg every 2-3 hrs given slowly over 2-3 minutes
Purpose: to relieve severe pain
S/E: SOB, constipation, urine retention, anxiety, orthostatic hypotension
Considerations:
- use cautiously on patients whose ability to maintain normal BP because of side effect of hypotension
- Monitor patient especially within first 72 hours for resp. depression
Dilaudid
- analgesic
- controlled substance
pg 595
Adult Dose: 0.8 to 10 mg / hr IVP Rate of Administration: 0.8 to 80 mg / hr Purpose: to relieve pain S/E: agitation, bradycardia, vasodilation, thrombocytopenia, resp. depression, withdrawal symptoms Considerations: - Monitor resp. status - dilute drug w/ D5W - drug dependence & withdrawal
Morphine
- analgesic
- controlled substance
pg 817
Adult Dose: 0.05 to 0.1 mg
IVP Rate of Administration: 0.05 to 0.1 mg slowly over 1-2 mins
Purpose: induce & maintain anesthesia, for severe pain
contraindication: asthma, myasthenia gravis
S/E: agitation, bradycardia, asystole, hypoventilation, resp. depression
Considerations
- interaction w/ grapefruit juice (increases blood fentanyl levels)
- 100 mcg fentanyl = potency of 10 mg of morphine
- Monitor patient’s resp. status especially during the first 24-72 hours
- Monitor closely after therapy ends for 24 hrs due to the residual drug being detected up to 6 hours after IV dose
Fentanyl
- opioid
- analgesic
pg 491
Adult Dose: 100 mg
IVP Rate of Administration: 100 mg infused over 2 hours
Purpose: treat MI, pulmonary embolism
contraindications: Internal Bleeding & head trauma
S/E: arrhythmias, bradycardia, edema, anaphylaxis
Considerations:
- for stroke must be given within 3 hours after onset
- monitor HR, BP, & rhythm frequently before & after therapy
tPA (Tissue Plasminogen Activator)
Alteplase
- thrombolytic
pg 47
Adult Dose: three 0.15mg/kg
IVP Rate of Administration: 3 0.15 mg/kg over 15 minutes
Purpose: to prevent nausea and vomiting
contraindication: congenital long QT syndrome
S/E: arrhythmias, prolonged QT interval, tachycardia, SOB, edema, elevated liver enzymes
Considerations:
- if hypo/hyperkalemia, treat before administering ondasteron
- Monitor patients ECG/EKG
- Teach the patient to report signs of hypersensitivity immediately
- if transient blindness resolves few minutes to 48 hrs
Zofran
Ondansetron
- antiemetic
pg 899
Adult Dose: 25 to 50 mg
IVP Rate of Administration: 25 mg/ min
Purpose: to provide nighttime, pre & post-op sedation
S/E: restlessness, hyperglycemia, bradycardia, dry mouth, tachycardia
Considerations:
- monitor resp. the function can cause thickening of bronchial secretions & suppress the cough reflex
- rapid IV admin. can result in a drop in BP
Phenergan
promethazine
- antiemetic, antihistamine
pg 1024
Adult Dose: 40 mg daily
IVP Rate of Administration: 40 mg infused over 2 or 15 minutes
Purpose: to treat erosive esophagitis associated w/ GERD
S/E: elevated triglycerides, hypercholesterolemia, hyperlipidemia, dry mouth, angioedema
Considerations:
- ensure continuity of gastric acid suppression from the transition from oral to IV because can lead to serious complications
- Flush line w D5W before & after giving drug
- monitor urine output
Protonix
Pantoprazole
- PPI & antiulcer
pg 934
Adult Dose: 0.01 to 0.05 mg/kg
IVP Rate of Administration: 0.01 to 0.05 mg/kg infused over several minutes
Purpose: to relieve agitation & anxiety in mechanically ventilated patients
interaction: w/ grapefruit juice ( increased blood midazolam levels)
S/E: tachycardia, hypotension, SOB, shallow breathing, edema
Considerations:
- keep resuscitating drugs & equipment at hand
- monitor cardiac & resp. function
- assess level of consciousness frequently
versed (Midazolam)
- Benzodiazepine
pg 791
Adult Dose: 0.2 mg
IVP Rate of Administration: 0.2 mg given over 30 sec followed by 0.3 mg after 30 sec if the response is inadequate then 0.5 mg given over 30 sec at 1 -min intervals
Purpose: reverse benzo toxicity or overdose
S/E: hot flashes, agitation, hypo/hyperventilation
Considerations:
- Assess for increased anxiety or stress which can increase the patient’s BP
- monitor for signs of hypoventilation or resedation for at least 2 hrs after administering
romazicon
Flumazenil
- benzo antidote
pg 515
Adult Dose: 0.4 to 2 mg
IVP Rate of Administration: 0.4 to 2 mg repeated every 2-3 min (for up to 10 mins)
Purpose: treat known or suspected opioid overdose
S/E: HTN, Hypotension, SOB, withdrawal symptoms
Considerations:
- keep resuscitation equipment ready
- watch for opioid withdrawal symptoms ( anxiety, abdominal cramps, confusion, fever, irritability, sensation of crawling skin, tremors)
Narcan
Naloxone
- opioid antagonist
pg 838
Adult Dose: 4 mg
IVP Rate of Administration: 4 mg at a rate of 2mg/min, repeat in 10-15 min if seizures don’t subside
Purpose: to treat status epilepticus
S/E: drowsiness, vertigo, hyperkinesia, tachycardia, dry mouth, w/drawal symptoms
Considerations:
- risk for dependence
- give slowly & monitor the patient’s resp. every 5-15 min
- taper patients off
Ativan Lorazepam - Benzo - antianxiety, anticonvulsant, sedative pg 720
Adult Dose: 2.8 to 130 mcg/kg/min
IVP Rate of Administration: 2.8 to 130 mcg/kg/min
Purpose: to provide SEDATION
S/E: bradycardia, hypotension, involuntary muscle movement, apnea, anaphylaxis
Considerations:
- taper the patient off
- expect patient to recover from sedation w/in 8 mins
- can cause hyperkalemia & cardiac & renal Failure
Propofol
- sedative-hypnotic
pg 1029
Adult Dose: 0.6 to 1.2 mg/kg
IVP Rate of Administration: 0.6 to 1.2 mg/kg
Purpose: for rapid sequence intubation
S/E: bronchospams, rash
Considerations:
- Assess resp. status continuously
- Monitor ECG, HR, & BP throughout administration
Rocuronium - (For rapid sequence intubation)
-paralytic
neuromuscular blocking agent
Davis Drug Book
Adult Dose: 0.08-0.1 mg/kg/min
IVP Rate of Administration: 0.08-0.1 mg/kg/min
Purpose: facilitation of compliance during mechanical ventilation
S/E: bronchospasm, rash
Considerations:
- Assess resp. status continuously
- Monitor ECG, HR, & BP throughout administration
- monitor IV line
Norcuron (paralytic)
Vecuronium
neuromuscular blocking agent
Davis Drug Book
Adult Dose: IVP Rate of Administration: Purpose: rapid sequence intubation S/E: Considerations
Anectine (Succinylcholine) - for rapid sequence intubation
neuromuscular blocking agent
Davis Drug Book
