Misc/burns

Question 1

Midazolam

Answer 1

Benzodiazepine. Tonsillectomy and adenoidectomy. Sedation, anxiety reduction, amnesia, reduce secretions, antiemetic. SE- agitation, hiccups, n/v.

Question 2

Trimethobenzamide hydrochloride (tigan)

Answer 2

Antiemetic. Drowsiness and dizziness.

Question 3

Urokinase

Answer 3

For clotted IV lines

Question 4

Isoniazid (INH)

Answer 4

Antitubercular drug prescribed as mono therapy to tx latent tb infection. Combined with other drugs also used for active tb tx. SE- hepatotoxicity and peripheral neuropathy. Avoid alcohol. Take pyridoxine (B6) to prevent neuropathy. Avoid aluminum containing antacids (maalox) within 1 hr of INH. Report vision changes, dark urine, jaundice, neuropathy.

Question 5

Rifampin

Answer 5

Antitubercular drug. Causes red-orange discoloration of body fluids (urine, sweat, saliva, tears).

Question 6

Cromolyn (opticrom)

Answer 6

Tx bilateral conjunctivitis. Should not wear contact lens when using this med.

Question 7

Folic acid

Answer 7

Pregnancy, alcoholism, liver disease

Question 8

St. John’s wart

Answer 8

Herbal used as antidepressant, antiviral, and antimicrobial. Don’t take with digoxin, warfarin dec effectiveness. Potentiate effects of hydromorphone. With citalopram SSRI drug inc risk of serotonin syndrome

Question 9

Burns (two drugs)

Answer 9

Sutilanis (travase) and collagenase (santyl) enzymatic drug that eats dead tissue. Don’t use on face, if pregnant, over large nerves, or if area is opened to a body cavity

Question 10

Whirlpool

Answer 10

Hydrotherapy is also used to debrede. Give pain meds before. Worry about cross contamination

Question 11

Burn drug

Answer 11

Silver sulfadiazine (can lower WBC, rash). Mafenide acetate (can cause acid base problems, stings). Silver nitrate (keep dressings wet, electrolyte problems). Povidone iodine (stings, stains, allergies, acid base problems).