Misc Meds Flashcards
Benzocaine Spray
Name
Hurricane
Benzocaine Spray
Class
Topical Anesthetic
Benzocaine Spray
Description
Stabilizes neuronal membrane, which blocks the initiation and conduction of nerve impulses
Benzocaine Spray
Indications
Used as a lubricant and topical anesthetic to facilitate passage of diagnostic and treatment devices. Suppresses the pharyngeal and tracheal gag reflex
Benzocaine Spray
Dosage/Route
0.5-1 second spray, repeat as needed
Pedi: 0.25-0.5 second spray, repeat as needed
Thiamine
Name
Thiamine
Thiamine
Class
Vitamin
Thiamine
Description
Thiamine is vitamin B1, which is required to convert glucose into energy. It is not manufactured by the body and must be constantly provided from ingested foods
Thiamine
Indications
Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremens
Thiamine
Contraindications
None
Thiamine
Precatutions
known hypersensitivity to the drug
Thiamine
Dosage/Route
100mg IV/IM
Pedi: 10-25 mg IV/IM
Sodium Bicarbonate
Name
NaHCO3
Sodium Bicarbonate
Class
Alkalizing agent
Sodium bicarbonate
Description
Sodium bicarb provides vascular bicarbonate to assist the buffer system in reducing the effects of metabolic acidosis and in the treatment of some overdoses
Sodium bicarbonate
Indication
Tricyclic antidepressant and barbituate overdose, refractory acidosis, or hyperkalemia
Sodium bicarbonate
Contraindications
None when used in severe hypoxia or late cardiac arrest
Sodium bicarbonate
Precautions
May cause alkalosis if given in too large a quantity. It may also deactivate vasopressors and may precipitate with calcium chloride
Sodium bicarbonate
Dosage/Route
1mEq/kg IV, then 0.5 mEq/kg/10 min
Pedi: 1mEq/kg IV, then 0.5 mEq/kg/10 min (may be given IO)
Timoptic
Name
Timoptic
Timoptic
Class
beta blocker
Timoptic
Description
Timoptic is a non-selective beta-adrenergic receptor blocking agent
Timoptic
Indication
HTN, MI, elevated ocular pressure
Timoptic
Contraindications
Asthma, severe COPD, sinus brady, 2nd or 3rd degree AV block, cardiogenic shock
Timoptic
Precautions
readily absorbed
Timoptic
Dosage/Route
ophthalmic: one drop per eye BID
Tetracaine
Name
Tetracaine
Tetracaine
Class
ophthalmic, anesthetics
Tetracaine
Description
After topical application to the eye, local anesthetics penetrate to sensory nerve endings in the corneal membranes permeability to sodium ions, This reversibly stabilizes the membrane and inhibits depolarization, resulting in failure of a propagated action potential and subsequent conduction blockade
Tetracaine
Indication
Eye injuries, or foreign body
Tetracaine
Contraindications
Hypersensitivity
Tetracaine
Precautions be monitored
Hyperthyroid disease, cardiac diseases
Tetracaine
Dosage/Route
1-2 drops in each eye
Phenytoin
Name
Dilantin
Phenytoin
Class
Anticonvulsant
Phenytoin
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
Phenytoin
Indications
seizures, status epilepticus, or cardiac dysrhythmias secondary to digitalis toxicity
Mannitol
Name
Osmitrol
Mannitol
Class
Osmotic Diuretic
Mannitol
Description
mannitol is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis
Mannitol
Indications
Cerebral edema
Mannitol
Contraindications
hypersensitivity, pulmonary edema or severe dehydration
Mannitol
Precautions
must give slow with filter tubing
Mannitol
Dosage/Route
1.5-2 g/kg slow IV
Pedi: 0.25-0.5g/kg over 60 min
Calcium Chloride
Name
calcium chloride
Calcium Chloride
Class
Electrolyte
Calcium chloride
Description
Calcium chloride increases myocardial contractile force and increases ventricular automaticity
Calcium Chloride
Indication
hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity
Calcium Chloride
Contraindications
Ventricular fibrillation, hypercalcemia, and possible digitalis toxicity
Calcium Chloride
Precautions
It may precipitate toxicity in patients taking digitoxin, Ensure the IV is in a large vein and flushed before using and after calcium
Calcium Chloride
Dosage/Route
5-10 cc of (10%solution/1gram-10cc)/10min as needed or 8mg/kg
