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meds contraindications Flashcards

0
Q

adenosine

A

side effects Very transit Facial Flushing dizziness headache as SOB, chest pain EKG will show a sinus pause also transit;warn the pt these S/Ss may appear and be but they quickly go away

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1
Q

adenosine

A

contraindications- Second or third degree AV block;sick sinus syndrome;recognized a.fib or a.flutter; taking persantine or tegretol:

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2
Q

albuteral

A

Allergy to albuterol

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3
Q

albuteral

A

side effects palpitation anxiety dizziness, nervousness, tremor, HTN, arrhythmia chest pain, nausea, vomiting

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4
Q

albuteral

A

caution–Should be used with caution in patients with cardiac disorders arrhythmias, acute HTN, if worsening vitlas stop administration, consult radioM.D. –bronchospasm can occur immediately after administration of drug (rare)

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5
Q

Amiodorone

A

contraindication Polymorphic V.tac(torsades),cardiogenic shock low BP poor perfusion rales if question consult medical advice: symptomatic sinus bradycardia; second or third degree heart block without pacemaker immediately available

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6
Q

Amiodarone

A

cautious–beta blocker or calcium channel blocker OD (increases risk of hypotension and/or bradycardia); electrolyte imbalance particularly hypokalemia/hypomagneseima; arrhythmias due to drug overdose preferably treat those lidocaine or magnesium

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7
Q

Amiodorone

A

Adverse reactions- if hypotension occurs stop infusion consult med. adv. If no improvement give fluids and dopamine; brady stop entirely consult med. adv. If no improvement external pacer should be use: worsening of development of arrhythmias (torsade) or widening of qtc; heart failure

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8
Q

Aspirin

A

contraindication–allergy to aspirin; active gastric ulcers; GI bleed; bleeding disorders (hemophilia); children

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9
Q

asaprin

A

Adverse effects– stomach damage or GI bleeding; other internal bleeding such a stroke; allergic reactions including anaphylaxis; facial/airway edema chest tightness; itching; bronchospasm; ringing in the ears with higher doses

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10
Q

atropine

A

Contraindication-tachycardia pacing is usually preferable myocardial ischemia or infarction Adverse effects-can cause tachyarrhythmia increase cardiac ischemia worsen or cause MI

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11
Q

Benadryl

A

Contra indications allergy to drug; use a MAO inhibitors; newborn preterm neonates breast-feeding;

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12
Q

Benadryl

A

cautious use Asthma COPD or CNS depressant including alcohol

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13
Q

Benadryl

A

Adverse reaction Profound sedation and coordination; confusion; anxious; tremor; seizure; diplopia; blurred vision; N/V; thickening of secretions allergic/anaphylaxis

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14
Q

calcium chloride

A

contraindication consult radio MD if patient takes the digoxion/lanoxin; flush both before and after drug administration particularly sodium bicarbonate

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15
Q

calcium cloride

A

side effect Can cause dysrhythmias particularly bradycardia and asystole, leaking out into the surrounding tissues can cause tissue necrosis; to rapid administration may cause slowing of the heart rate or results in spasm of coronary or cerebral arteries

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16
Q

cardizem (diltiazem)

A

contraindication; BP

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17
Q

cardizem (diltiazem)

A

side effect Asymptomatic /symptomatic hypotension; localized site reaction flushing; various arrhythmias including PVCs; treat adverse reactions per protocol, consult with radio md

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18
Q

charcoal (activated)

A

Contraindications AG CS

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19
Q

charcoal (activated)

A

untoward effects Nausea or vomiting; aspiration; constipation

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20
Q

cyanokit

A

Contraindication none when indicated

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21
Q

cynokit

A

Serious side effects increase BP; allergic reactions/anaphylasix

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22
Q

cyanokit

A

untoward effects-CNS (headache dizziness restless memory problems) G.I. (nausea vomiting diarrhea stomach trouble swallowing bloody stools) circulatory (irregular/ tachycardia)respiratory (PE, rales)soft tissue (infusions site reaction swollen feet/ankles red color skin/mucous membrane)

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23
Q

dextrose

A

contraindication Head injury or CVA unless glucometer reading is 60 unless consult radio m.d. first

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24
Q

dextrose

A

adverse effects Tromobophletis; tissue necrosis; worsening of head injury/ CVA/ cerebral edma

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25
Q

dopamine

A

Contraindications trauma; hemmorhage shock unless drug is order by radio physician

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26
Q

dopamine

A

caution dopamine can cause tissue inflammation with necrosis if contact with vein; careful assessment to consider most likely underlying cause; if due to hypovolemia or sepsis treatment must start with IV fluid boluses; if low BP is caused by rapid a.fib cardioversion may be needed see appropriate protocol

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27
Q

Epi

A

contraindication– not to be given with a pulse adverse effects— can cause tachycardia with or without a pulse

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28
Q

Epi subq/im

A

contraindication– known coronary artery disease adverse effects— may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI

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29
Q

Epi drip

A

contraindication–PT having ischemia or stemi on EKG Caution(contact med advisor if needed)–may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs

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30
Q

etomidate

A

contraindication allergy; can not be given IM

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31
Q

etomidate

A

adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

How well did you know this?
1
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2
3
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32
Q

etomidate

A

this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

How well did you know this?
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2
3
4
5
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33
Q

glucagon

A

contraindication–known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals

How well did you know this?
1
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34
Q

glucagon

A

side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary

How well did you know this?
1
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2
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35
Q

glutose

A

contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume

How well did you know this?
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36
Q

hurricane spray

A

contraindication Known hypersensitivity to “caine” anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes

How well did you know this?
1
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37
Q

hurricane spray

A

side effects –diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final

How well did you know this?
1
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38
Q

lasix

A

contraindication–Hypotension; known dehydration; known in the electrolyte in balance

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39
Q

lasix

A

caution -perform careful asses.& validate that S/S are from cardiogenic PE as well as to rule out other causes rales like pneumonia, aspiration, toxic inhalation ect. discussed unexpected s/s with med.adv. before administrating frequent BP are needed between doses; protect from light

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1
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40
Q

lidocaine

A

contraindication–hypersensitivity to local anesthesia; heart blocks; ventricular originated rhythms (idioventricular); bradycardia

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41
Q

lidocaine

A

caution–monitor for toxicity; give over 1-2 minutes in pt with a pulse: do not halves boluses for those over 70y/o, or with liver diseases adverse effects—hypotension, seizure CNS effects*****never give lido to pt with escape beats(contraindication)

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42
Q

mag sulfate

A

contraindication—heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose

How well did you know this?
1
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2
3
4
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43
Q

mag sulfate

A

side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

contraindications- Second or third degree AV block;sick sinus syndrome;recognized a.fib or a.flutter; taking persantine or tegretol:

A

adenosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

side effects Very transit Facial Flushing dizziness headache as SOB, chest pain EKG will show a sinus pause also transit;warn the pt these S/Ss may appear and be but they quickly go away

A

adenosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Allergy to albuterol

A

albuteral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

side effects palpitation anxiety dizziness, nervousness, tremor, HTN, arrhythmia chest pain, nausea, vomiting

A

albuteral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

caution–Should be used with caution in patients with cardiac disorders arrhythmias, acute HTN, if worsening vitlas stop administration, consult radioM.D. –bronchospasm can occur immediately after administration of drug (rare)

A

albuteral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

contraindication Polymorphic V.tac(torsades),cardiogenic shock low BP poor perfusion rales if question consult medical advice: symptomatic sinus bradycardia; second or third degree heart block without pacemaker immediately available

A

Amiodorone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

cautious–beta blocker or calcium channel blocker OD (increases risk of hypotension and/or bradycardia); electrolyte imbalance particularly hypokalemia/hypomagneseima; arrhythmias due to drug overdose preferably treat those lidocaine or magnesium

A

Amiodarone

51
Q

Adverse reactions- if hypotension occurs stop infusion consult med. adv. If no improvement give fluids and dopamine; brady stop entirely consult med. adv. If no improvement external pacer should be use: worsening of development of arrhythmias (torsade) or widening of qtc; heart failure

A

Amiodorone

52
Q

contraindication–allergy to aspirin; active gastric ulcers; GI bleed; bleeding disorders (hemophilia); children

A

Aspirin

53
Q

Adverse effects– stomach damage or GI bleeding; other internal bleeding such a stroke; allergic reactions including anaphylaxis; facial/airway edema chest tightness; itching; bronchospasm; ringing in the ears with higher doses

A

asaprin

54
Q

Contraindication-tachycardia pacing is usually preferable myocardial ischemia or infarction Adverse effects-can cause tachyarrhythmia increase cardiac ischemia worsen or cause MI

A

atropine

55
Q

Contra indications allergy to drug; use a MAO inhibitors; newborn preterm neonates breast-feeding;

A

Benadryl

56
Q

cautious use Asthma COPD or CNS depressant including alcohol

A

Benadryl

57
Q

Adverse reaction Profound sedation and coordination; confusion; anxious; tremor; seizure; diplopia; blurred vision; N/V; thickening of secretions allergic/anaphylaxis

A

Benadryl

58
Q

contraindication consult radio MD if patient takes the digoxion/lanoxin; flush both before and after drug administration particularly sodium bicarbonate

A

calcium chloride

59
Q

side effect Can cause dysrhythmias particularly bradycardia and asystole, leaking out into the surrounding tissues can cause tissue necrosis; to rapid administration may cause slowing of the heart rate or results in spasm of coronary or cerebral arteries

A

calcium cloride

60
Q

contraindication; BP

A

cardizem (diltiazem)

61
Q

side effect Asymptomatic /symptomatic hypotension; localized site reaction flushing; various arrhythmias including PVCs; treat adverse reactions per protocol, consult with radio md

A

cardizem (diltiazem)

62
Q

Contraindications AG CS

A

charcoal (activated)

63
Q

untoward effects Nausea or vomiting; aspiration; constipation

A

charcoal (activated)

64
Q

Contraindication none when indicated

A

cyanokit

65
Q

Serious side effects increase BP; allergic reactions/anaphylasix

A

cynokit

66
Q

untoward effects-CNS (headache dizziness restless memory problems) G.I. (nausea vomiting diarrhea stomach trouble swallowing bloody stools) circulatory (irregular/ tachycardia)respiratory (PE, rales)soft tissue (infusions site reaction swollen feet/ankles red color skin/mucous membrane)

A

cyanokit

67
Q

contraindication Head injury or CVA unless glucometer reading is 60 unless consult radio m.d. first

A

dextrose

68
Q

adverse effects Tromobophletis; tissue necrosis; worsening of head injury/ CVA/ cerebral edma

A

dextrose

69
Q

Contraindications trauma; hemmorhage shock unless drug is order by radio physician

A

dopamine

69
Q

Contraindications trauma; hemmorhage shock unless drug is order by radio physician

A

dopamine

70
Q

caution dopamine can cause tissue inflammation with necrosis if contact with vein; careful assessment to consider most likely underlying cause; if due to hypovolemia or sepsis treatment must start with IV fluid boluses; if low BP is caused by rapid a.fib cardioversion may be needed see appropriate protocol

A

dopamine

71
Q

contraindication– not to be given with a pulse adverse effects— can cause tachycardia with or without a pulse

A

Epi

72
Q

contraindication– known coronary artery disease adverse effects— may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI

A

Epi subq/im

72
Q

contraindication– known coronary artery disease adverse effects— may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI

A

Epi subq/im

73
Q

contraindication–PT having ischemia or stemi on EKG Caution(contact med advisor if needed)–may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs

A

Epi drip

73
Q

contraindication–PT having ischemia or stemi on EKG Caution(contact med advisor if needed)–may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs

A

Epi drip

74
Q

contraindication allergy; can not be given IM

A

etomidate

74
Q

contraindication allergy; can not be given IM

A

etomidate

75
Q

adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

A

etomidate

75
Q

adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

A

etomidate

76
Q

this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

A

etomidate

76
Q

this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

A

etomidate

77
Q

contraindication–known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals

A

glucagon

77
Q

contraindication–known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals

A

glucagon

78
Q

side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary

A

glucagon

78
Q

side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary

A

glucagon

79
Q

contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume

A

glutose

79
Q

contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume

A

glutose

80
Q

contraindication Known hypersensitivity to “caine” anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes

A

hurricane spray

80
Q

contraindication Known hypersensitivity to “caine” anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes

A

hurricane spray

81
Q

side effects –diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final

A

hurricane spray

81
Q

side effects –diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final

A

hurricane spray

82
Q

contraindication–Hypotension; known dehydration; known in the electrolyte in balance

A

lasix

82
Q

contraindication–Hypotension; known dehydration; known in the electrolyte in balance

A

lasix

83
Q

caution -perform careful asses.& validate that S/S are from cardiogenic PE as well as to rule out other causes rales like pneumonia, aspiration, toxic inhalation ect. discussed unexpected s/s with med.adv. before administrating frequent BP are needed between doses; protect from light

A

lasix

84
Q

contraindication–hypersensitivity to local anesthesia; heart blocks; ventricular originated rhythms (idioventricular); bradycardia

A

lidocaine

85
Q

caution–monitor for toxicity; give over 1-2 minutes in pt with a pulse: do not halves boluses for those over 70y/o, or with liver diseases adverse effects—hypotension, seizure CNS effects*****never give lido to pt with escape beats(contraindication)

A

lidocaine

86
Q

contraindication—heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose

A

mag sulfate

86
Q

contraindication—heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose

A

mag sulfate

87
Q

side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)

A

mag sulfate

87
Q

side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)

A

mag sulfate

88
Q
A
89
Q
A
90
Q
A
91
Q

dopamine

A

Contraindications trauma; hemmorhage shock unless drug is order by radio physician

92
Q

Epi subq/im

A

contraindication– known coronary artery disease adverse effects— may cause tachydysrhythmias ventricular fibrilation/death; may cause cardiac ischemia or MI

93
Q

Epi drip

A

contraindication–PT having ischemia or stemi on EKG Caution(contact med advisor if needed)–may cause tachycardias, lethal arrhythmias such as a.fib(decrease or discontinue if significant PVCs occur, may cause MI decrease if new st elevation occurs

94
Q

etomidate

A

contraindication allergy; can not be given IM

95
Q

etomidate

A

adverse effects-less likely then benzodiazepines but serious cardiorespiratory effects are still possible including decreased tidal vol.; decreased resp. rate; apnea change in blood-pressure/pulse; respiratory depression airway obstruction O2 desaturation respiratory or cardiac arrest this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

96
Q

etomidate

A

this affects are usually short-lived, if they happen at all must be managed until the patient can manage their airway on their own or respond to fluids and or other shock measures

97
Q

glucagon

A

contraindication–known hypersensitivity; known history of pheochromocytoma; allergic S/Ss after initial goals

98
Q

glucagon

A

side efffects; occasional nausea and vomiting dizziness allergic reaction transit rise in pulse/BP,half-life short 3-6minutes so treatment is not usually necessary

99
Q

glutose

A

contraindication PT patient not awake and aware and or patient unable to maintain own airway patient is showing signs of gaging or vomiting or not tolerating the taste volume

100
Q

hurricane spray

A

contraindication Known hypersensitivity to “caine” anthestics; application to the area that are inflame with open wounds; application under dentures pieces of cotton or other applicators; applications to or around eyes

101
Q

hurricane spray

A

side effects –diminish or loss of gag resulting in difficulty or inability to swallow; increased risk of aspiration need for suction dry and Scarring mucous membranes will prolong contact Ray are associated with those about equal to two seconds Comptons are final

102
Q

lasix

A

contraindication–Hypotension; known dehydration; known in the electrolyte in balance

103
Q

mag sulfate

A

contraindication—heart blocks; cautious use with renal failure although when indicated with dysrhythmia it may be use with medical advisor for specific order side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, rsp depression with toxic dose

104
Q

mag sulfate

A

side effects; flushing, sweating, hyporeflexia,diaphoresis, hypotension, resp depression (with toxic dose)

105
Q
A
106
Q
A
107
Q
A
108
Q
A
109
Q
A
110
Q
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111
Q
A

meds action (3 decks)

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