MODULE 4 MEDICATIONS Flashcards

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1
Q

CALCIUM CHLORIDE

CLASSIFICATION

A
  • ELECTROLYTE
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2
Q

CALCIUM CHLORIDE

INDICATIONS

A
  • HYPERKALEMIA
  • HYPERCALCEMIA
  • HYPOCALCEMIA
  • CRUSH SYNDROME
  • CALCIUM CHANNEL BLOCKER OVERDOSE
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3
Q

CALCIUM CHLORIDE

CONTRAINDICATIONS

A
  • NOT INDICATIED IN CARDIAC ARREST EXCEPT WHEN HYPERKALEMIA, HYPOCALCEMIA, OR CALCIUM CHANNEL TOXICITY IS HIGHLY SUSPECTED
  • PATIENT TAKING DIGITALIS W/ SUSPECTED CALCIUM CHANNEL OVERDOSE
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4
Q

CALCIUM CHLORIDE

ADVERSE EFFECTS

A
  • BRADYCARDIA
  • HYPOTENSION
  • SYNCOPE
  • CARDIAC ARREST
  • ARRHYTHMIA
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5
Q

CALCIUM CHLORIDE

DOSAGE (PEDIATRIC)

A
  • 20MG/KG @ 100MG/MIN
  • MAX DOSE 0.5G OR 5ML
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6
Q

CALCIUM CHLORIDE

DOSAGE (ADULT)

A
  • 2 - 4G SLOW IV/IO @ 100MG/MIN EVERY 10MIN
  • EVERY 2 MIN IN CARDIAC ARREST SETTING
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7
Q

DEXTROSE (D5W)

CLASSIFICATION

A
  • MONOSACCHARIDE
  • HYPERGLYCEMIC AGENT
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8
Q

DEXTROSE (D5W)

INDICATION

A
  • HYPOGLYCEMIA
  • SEIZURE
  • CARDIAC ARREST
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9
Q

DEXTROSE (D5W)

CONTAINDICATION

A
  • KNOWN HYPERGLYCEMIA
  • INTERCRANIAL HEMORRHAGE
  • CVA
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10
Q

DEXTROSE (D5W)

DOSAGE (ADULT)

A
  • D50W = 25G IV
  • D10W = 100ML BOLUS
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11
Q

DEXTROSE (D5W)

DOSAGE (PEDIATRIC)

A
  • 0.5 - 1 G/KG
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12
Q

GLUCAGON

CLASSIFICATIONS

A
  • PANCREATIC HOROMONE
  • HYPERGLYCEMIC AGENT
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13
Q

GLUCAGON

INDICATIONS

A
  • HYPOGLYCEMIC UNCONSCIOUS PATIENT
  • CALMCIUM CHANNEL BLOCKER OD
  • STEAKHOUSE SYNDROME
  • BRADYCARDIA SECONDARY TO BETA BLOCKER OD
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14
Q

GLUCAGON

CONTRAINDICATIONS

A
  • KNOWN HYPERSENSITIVITY
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15
Q

GLUCAGON

DOSAGE (ADULT)

A
  • 1MG IM
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16
Q

GLUCAGON

DOSAGE (PEDIATRIC)

A
  • 1MG >20KG
  • 0.5MG <20KG
17
Q

GLUCAGON

DOSAGE (BETA BLOCKER / CALCIUM CHANNEL BLOCKER OD)

A
  • 1-3MG IVP FOLLOWED BY 3MG/HR INFUSION
18
Q

SODIUM BICARBONATE

CLASSIFICATION

A
  • ALKALINIZING AGENT
19
Q

SODIUM BICARBONATE

INDICATION

A
  • HPYERKALEMIA
  • METABOLIC ACIDOSIS
  • PHENOBARBIITAL OVERDOSE
  • TRICYCLIC OVERDOSE
  • PHOPHYLAXIS (PRIOR TO RELEASE IN CRUSH INJURY)
20
Q

SODIUM BICARBONATE

CONTRAINDICATION

A
  • PRE -EXISTING ALKALOSIS
21
Q

SODIUM BICARBONATE

ADVERSE EFFECTS

A
  • METABOLIC ALKALOSIS
  • ACUTE HYPOKALEMIA
  • HYPEROSMOLALITY
  • POSSIBLE CHF
  • EXASTERBATION OF CENTRAL VENOUS ACIDOSIS
  • INHIBIT THE RELEASE OF EXCESSIVE OXYGEN IN TISSUES
22
Q

SODIUM BICARBONATE

DOSAGE

A
  • 1 MEQ/KG IV/IO
23
Q

SODIUM BICARBANATE

DOSAGE (ADULT & PEDIATRIC CRUSH)

A
  • ADULT: 50MEQ/250CC D5W (1ML/MIN INFUSION)
  • PEDIATRIC: 0.5MEQ/KG
24
Q

THIAMINE (VITAMAN B12)

CLASSIFICATION

A
  • VITAMIN B1
25
Q

THIAMINE (VITAMAN B12)

INDICATION

A
  • MALNOURISHED OR ALCOHOLIC HYPOGLYCEMIC PATIENTS
26
Q

THIAMINE (VITAMAN B12)

CONTRAINDICATION

A
  • HYPERSENSITIVITY
27
Q

THIAMINE (VITAMAN B12)

ADVERSE EFFECTS

A
  • NAUSEA
  • VOMITING
  • DIZZINESS
  • TREMORS
  • NERVOUSNESS
  • PALPATIONS
  • TACHYCARDIA
28
Q

THIAMINE (VITAMAN B12)

DOSAGE

A
  • 100MG IM/ SLOW IV/IO PUSH
29
Q

TORADOL (KETOROLAC)

CLASSIFICATION

A
  • NONSTEROIDAL ANTI-INFLAMMATORY (NSAID)
30
Q

TORADOL (KETOROLAC)

INDICATION

A
  • MODERATE TO SEVERE PAIN
  • MUSCULOSKELRTAL PAIN/SPASM
  • PT W/ HX OF NARCOTIC ABUSE
31
Q

TORADOL (KETOROLAC)

CONTRAINDICATION

A
  • CVA
  • HEAD TRAUMA
  • RENAL FAILURE/DIALYSIS
  • BLEEDING DISORDER
  • ALLERGY TO ASA/NSAIDS
  • PREGNANCY
  • PEPTIC ULCERS
32
Q

TORADOL (KETOROLAC)

ADVERSE EFFECTS

A
  • ANAPHYLAXIS SECONDARY TO HYPERSENSITIVITY
  • EDEMA
  • SEDATION
  • BLEEDING
  • RASH
  • NAUSEA
  • VOMITING
33
Q

TORADOL (KETOROLAC)

DOSAGE (ADULT)

A
  • 30MG SLOW IV/IO/IM
34
Q

TORADOL (KETOROLAC)

DOSAGE (PEDIATRIC)

A
  • 0.5MG/KG IV/IO/IM
  • MAX OF 30 MG