misc meds

Question 1

name/class
benzocaine spray

Answer 1

hurricane

topical anesthetic

Question 2

name/class
hurricane

Answer 2

benzocaine spray

topicaal anesthetic

Question 3

description
benzocaine spray
hurricane

Answer 3

stabilizes neuronal membrane which blocks the initiation and conduction of nerve impulses

Question 4

indications
benzocaine spray
hurricane

Answer 4

used as a lubricant and topical anesthetic to facilitate passage of diagnostic and treatment devices. suppresses the pharyngeal and tracheal gag reflex

Question 5

dosage/route
benzocaine spray
hurricane

Answer 5

0.5-1 second spray,repeat as needed

Question 6

pedi dosage/route

Answer 6

0.25-0.5 second spray, repeat as needed

Question 7

name/class
thiamine

Answer 7

thiamine

vitamin

Question 8

description

thiamine

Answer 8

thiamine is vitamin b1 which is required to convert glucose to energy. it is not manufactured by the body and must be constantly provided from injested food

Question 9

indications

thiamine

Answer 9

chronic aoholism with associated coma
coma of unknown origin
delirium tremens

Question 10

contraindictions

thiamine

Answer 10

none

Question 11

precautions

thiamine

Answer 11

known hypersensitivity to the drug

Question 12

dosage/route

thiamine

Answer 12

100 mg IV/IM

Question 13

pedi dosage/route

thiamine

Answer 13

10-25 mg IV/IM

Question 14

name/class
sodium bicarbonate

Answer 14

NaHCO3

alkalizing agent

Question 15

name/class
NaHCO3

Answer 15

sodium bicarbonate

alkalizing agent

Question 16

description
sodium bicarbonate
NaHCO3

Answer 16

sodium bicarbonate provides vascular bicarbonate to assist the buffer system in reducing the effects of metabolic acidosis and in the treatment of some overdoses

Question 17

Indications
Sodium Bicarbonate
NaHCO3

Answer 17

tricyclic antidepressent and barbiturate overdose, refractory acidosis or hyperkalemia

Question 18

contraindictions
Sodium Bicarbonate
NaHCO3

Answer 18

none when used in severe hypoxia or late cardiac arrest

Question 19

precautions
Sodium Bicarbonate
NaHCO3

Answer 19

may cause alkalosis if given in too large a quanity. it may also deactivate vasopressors and may precipitate with calcium chloride

Question 20

dosage/route
Sodium Bicarbonate
NaHCO3

Answer 20

1 mEq/kg IV, then 0.5 mEq/kg/10 min

Question 21

pedi dosage/route
Sodium Bicarbonate
NaHCO3

Answer 21

same as adult

1 mEq/kg IV, then 0.5 mEq/kg/10 min

Question 22

name/class
timopatic

Answer 22

timopatic

beta blocker

Question 23

description

timopatic

Answer 23

timopatic is a non selective beta adrenergic receptor blocking agent

Question 24

indications

timopatic

Answer 24

HTN, MI, Elevated ocular pressure

Question 25

Contraindictions | timopatic

Answer 25

``` asthma severe COPD sinus brady 2nd/3rd degree AV Block cardiogenic shock ```

Question 26

precautions | timopatic

Answer 26

readily absorbed

Question 27

dosage/route | timopatic

Answer 27

opthalmic: one dropper eye BID

Question 28

``` name/class tetracaine ```

Answer 28

opthalmic | anesthetics

Question 29

``` name/class opthalmic ```

Answer 29

tetracaine | anesthetics

Question 30

description tetracaine ophthalmic

Answer 30

after topical application to the eye, local anesthetics penetrate to sensory nerve endings in the corneal tissue. these medications block both the initiation and conduction of nerve impulses by the neuronal membranes permeability to sodium ions. this reversibility stabilizes the membrane and inhibits depolarization resulting in the failure of a propagated action potential and subsequent conduction blockade

Question 31

indications tetracaine ophthalmic

Answer 31

eye injuries or foreign objects

Question 32

contraindictions tetracaine ophthalmic

Answer 32

hypersensitivity

Question 33

dosage/route tetracaine ophthalmic

Answer 33

1-2 drops in each eye

Question 34

``` name/class phenytoin ```

Answer 34

dilantin | anti convulsant

Question 35

``` name/class dilantin ```

Answer 35

phenytoin | anti convulsant

Question 36

description phenytoin dilantin

Answer 36

phenytoin is a derivative related to phenobarbital that reduces the spread of electrical discharges in the motor cortex and inhibits seizures it also has antidysrhythmias properties that counteract the effect of digitalis

Question 37

indications phenytoin dilanti

Answer 37

seizures status epilepticus cardiac dysrthythmias secondary to digital toxicity

Question 38

contraindictions phenytoin dilantin

Answer 38

seizures due to hypoglycemia sinus bradycardia heart block adams stroke syndrome

Question 39

precautions phenytoin dilantin

Answer 39

``` hepatic or renal impairment alcoholism cardiogenic shock elderly bradycardia respiratory depression ```

Question 40

seizures dosage/route phenytoin dilantin

Answer 40

status epilepticus: 10-15 mg/kg slow IV no more than 50 mg/min

Question 41

pedi seizures dosage/route phenytoin dilantin

Answer 41

8-10 mg/kg slow IV

Question 42

dysrhythmias dosage/route phenytoin dilantin

Answer 42

100 mg slow IV(over 5 min) to a maximum 1000 mg

Question 43

pedi dysrhythmias dosage/route phenytoin dilantin

Answer 43

3-5 mg/kg slow IV

Question 44

``` name/class mannitol ```

Answer 44

osmitrol | osmotic diuretic

Question 45

``` name/class osmitrol ```

Answer 45

mannitol | osmotic diuretic

Question 46

description mannitol osmitrol

Answer 46

mannitol is an osmotic diuretic that draws water into the intravascular space through it's hypertonic effects then causes diuresis

Question 47

indications mannitol osmitrol

Answer 47

cerebral edema

Question 48

contraindictions mannitol osmitrol

Answer 48

hypersensitivity pulmonary edema severe dehydration

Question 49

precautions mannitol osmitrol

Answer 49

must give slow with filter tubing

Question 50

dosage/route mannitol osmitrol

Answer 50

1.5 to 2 g/kg slow IV

Question 51

pedi dosage/route mannitol osmitrol

Answer 51

0.25 to 0.5 g/kg over 60 min

Question 52

``` name/class calcium chloride ```

Answer 52

calcium chloride | electrolyte

Question 53

description | calcium chloride

Answer 53

calcium chloride increases myocardial contractile force and increases ventricular automaticity

Question 54

indications | calcium chloride

Answer 54

hyperkalemia hypercalcemia hypermagnesemia calcium channel blocker toxicity

Question 55

precautions | calcium chloride

Answer 55

it may precipitate toxicity in patients taking digoxin, ensure the IV line is in a large vein and flushed before and after using calcium

Question 56

dosage/route | calcium chloride

Answer 56

5-10cc of(10% solution/ 1g-10cc)/10 min as needed or 8 mg/kg