Misc Meds Flashcards
CALCIUM CHLORIDE/ Electrolyte
Description: Calcium chloride increases myocardial contractile force and increases ventricular automaticity.
Indications: hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity.
Contraindications: V-fibb, hypercalcemia, and possible digitalis toxicity.
Precautions: it may precipitate toxicity in pt’s taking digoxin. ensure the IV line is in a large vein and flushed before and after calcium.
Dose/route: 5-10cc of 10% solution/1 gram-10cc/ 10 min as needed or 6-8 mg/kg
MANNITOL (Osmitrol) osmotic diuretic
Description: Mannitol is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects then causes diuresis.
Indications: Cerebral edema.
Contraindications: hypersensitivity, pulmonary edema, or severe dehydration.
Precautions: must give slowly with filter tubing
Dose/route: 1.5-2 g/kg slow IV
pedi: 0.25-0.5 g/kg over 60 mins.
PHENYTOIN(Dilantin)/ anticonvulsant
Description: Phenytoin is a derivative related to phenobarbital that reduces the spread of electrical discharges in the motor cortex and inhibits seizures. it also has antidysrhythmic properties that counteract the effects of digitalis.
Indications: seizures, status epilepticus, or cardiac dysrhythmias secondary to digitalis toxicity.
