Meds

Question 1

Midazolam

Answer 1

Quick onset
Conscious sedation with opioids (morphine/fentanyl)
IV push (wait 1-2 mins before pushing more)
Respiratory depression —> monitor VS constantly

Question 2

Propofol

Answer 2

Quick on, quick off
Unconsciousness less than 60 sec after injection, lasts 3-5 mins
Rn cannot push
Profound respiratory depression
Must monitor VS and have resuscitation equipment
High risk for infection, formulated in lipid base medium
Open vials discarded within 6 hours

Question 3

Lidocaine

Answer 3

Med will be injected into immediate area of surgery

Question 4

Lidocaine with epinephrine

Answer 4

Epi decreases blood flow and delays absorption
Will be obvious warning that epi is in vial
Epi is contraindicated for fingers/nose/other body parts with end arteries

Question 5

Malignant hyperthermia

Answer 5

Drug of choice is dantrolene

Question 6

Spinal epidural/nerve block

Answer 6

Priority assessment is respiratory
Block in back—> legs and feet numb
Assess numbed parts after about 12 hours

Question 7

What drugs cause nausea?

Answer 7

Gases / inhalants

Question 8

Fentanyl is measured in

Answer 8

Mcg

Question 9

Opioids

Answer 9

Respiratory depression
Constipation
Sedation
Confused
Nausea

Question 10

Check for what with opioids

Answer 10

BM especially in elderly

Question 11

NSAIDS

Answer 11

contraindicated with peptic ulcer/bleeding disorders
Renal impairment
Give with food

Question 12

NSAID + GI issues =

Answer 12

Bleed

Question 13

Motrin causes

Answer 13

Gastric issues