medications Flashcards
problem with chronic benzos + opioids
CNS depression, leading to respiratory failure and AMS. Don’t prescribe both to patients.
duonebs
Ipratropium bromide/albuterol
other sleep med option
mirtazapine (remeron)
other meds to avoid in elderly
NSAIDS
what’s in tylenol PM
benadryl
med to give for slow VT
lidocaine
b52
B52- bendaryl 25/haldol 5/ativan 2
best sleeping med for PTSD patients
trazodone
when to be careful with ibuprofen
Kidney disease
surgery planned
GI bleed
anticoagulated
use of prazosin
PTSD nightmares
med for excessive salivation
glycopyrrolate
meds that count as inpatient anticoagulation
NOAC’s or warfarin. (Plavix does not count).
norepi
potent vasopressor with some positive inotropic properties
dopamine
its effect varies based upon the dose range administered. At low doses, it has primarily positive inotropic effects but at higher doses it stimulates alpha adrenergic receptors, resulting in vasoconstriction and increased systemic vascular resistance. ***This may produce an undesirable elevation in pulmonary capillary wedge pressure (PCWP). The minimum required dose should be used.
effect of dobutamine as a pressor
inotrope that also produces vasodilation
phenylephrine
pure alpha agonism
meds covering community acquired mrsa
clindamycin, trimethoprim/sulfamethoxazole (TMP/SMX; Bactrim, Septra), a tetracycline (doxycycline or minocycline [Minocin]), and linezolid (Zyvox)
levofed generic name
norepi
fibrinolytic drugs
tissue plasminogen activator (tPA), streptokinase (SK), and urokinase (UK)
anuria definition
less than 100CC
oliguria definition
less than 400 cc
dysphagia differential
globus vs. foreign body/food impaction (acute onset) vs. peptic or esophageal stricture vs. neuromuscular disorder vs. esophageal ring vs. functional dysphagia
acute tachycardia management
In route: 1) 12-lead 2) vitals and trend 3) access 4) get cardiac monitor → Go see pt → assess airway/breathing + O2 step-up if hypoxemic → assess for instability (under pearls/pitfalls), synchronized cardioversion if need be → look at BP/HR trend → interpret EKG.
normocytic anemia ddx
ARF (anemia of chronic renal disease) vs. dilutional vs. hospital acquired anemia (new since hospitalization) vs. ACD vs. overt blood loss
