Other Flashcards
1
Q
Aspirin
- Functional Class
A
- Salicylate
- Analgesic
- Antiplatelet
- Antipyretic
2
Q
Aspirin
- Mechanism of Action
A
- Blocks production of cyclooxygenase (COX), the precursor to Thromboxane A2 (Induces platelet aggregation).
- Anti-inflammatory properties from blocking prostaglandin synthesis, which contributes to analgesic effects.
- Also reduces fever by central-mediated peripheral vasodilation and sweat.
3
Q
Aspirin
- Indications
A
- Suspected MI
- C/P
- ACS
4
Q
Aspirin
- Contraindications
A
- Hypersensitivity
5
Q
Aspirin
- Precautions
A
- Peptic Ulcer Disease
- Asthma
6
Q
Aspirin
- Side Effects
A
- OD may result in toxicity w/ > Dizz, N/V > Thrombocytopenia > Easy Bruising > Metabolic Acidosis
7
Q
Aspirin
- Interactions
A
- Incompatible with uricosuric agents
- Anticoagulations increase risk of bleeding
8
Q
Aspirin
- Dosage/Route
A
- 160-325mg PO Tablets
9
Q
Dextrose
- Functional Class
A
- Carbohydrate
10
Q
Dextrose
- Mechanism of Action
A
- Principle form of glucose used by the body to create energy
11
Q
Dextrose
- Indications
A
- Hypoglycemia
12
Q
Dextrose
- Contraindications
A
- None with documented hypoglycemia
13
Q
Dextrose
- Precautions
A
- Caution with ICP as added glucose may worsen cerebral edema.
- Monitor glucose before and after administration
- Local venous irritation
14
Q
Dextrose
- Side Effects
A
- Tissue Necrosis
- Phlebitis
- Pain at injection site
15
Q
Dextrose
- Interactions
A
- None
16
Q
Dextrose
- Dosage/Route
A
- Adult: 25g of 50% solution IVP prn
- Pedi: 0.5g/kg IVP/IO of 25% solution, <10kg use 10% solution
17
Q
Diphenhydramine (Benedryl)
- Functional Class
A
- Antihistamine
18
Q
Diphenhydramine (Benedryl)
- Mechanism of Action
A
- Blocks H1 (Bronchoconstriction, periph vasodilation) and Acetylcholine (Anticholinergic) receptors sites
- Reverse dsytonic reactions caused by anti-psychotic meds that block histamine receptors
19
Q
Diphenhydramine (Benedryl)
- Indications
A
- Anaphylaxis
- Moderate-severe allergic reactions
- Acute extrapyramidal (dsytonic) reactions
20
Q
Diphenhydramine (Benedryl)
- Contraindications
A
- Hypersensitivity
- Newborns
- Nursing Mothers
21
Q
Diphenhydramine (Benedryl)
- Precautions
A
- Not the primary drug for severe allergic reactions or anaphylaxis
- Cautions w/ narrow angle glaucoma
22
Q
Diphenhydramine (Benedryl)
- Side Effects
A
- Hypotension
- N/V, dry mouth
- Tachycardia
- Bradycardia
- Sedation
- Palpitations
- Disturbed coordination
23
Q
Diphenhydramine (Benedryl)
- Interactions
A
- Potentiated by other CNS depressants, antihistamines, narcs, and alcohol
- MAOI’s may prolong or intensify anticholinergic effects
24
Q
Diphenhydramine (Benedryl)
- Dosage/Route
A
- Adult: 25-50mg IVP/MI q 6-8 hrs
- Pedi: 1mg/kg IV/IO, Max single dose of 50mg, q 6-8 hrs
25
Furosemide (Lasix)
- Functional Class
- Loop Diuretic
26
Furosemide (Lasix)
- Mechanism of Action
- Rapid-acting loop diuretic
- Inhibits Na+ and Chl- reabsorbtion in the loop of henle
- Has vasodilatory properties
27
Furosemide (Lasix)
- Indications
- CHF
| - Acute Pulmonary Edema
28
Furosemide (Lasix)
- Contraindications
- Hypersensitivity
- Hypotension
- Dehydration
- Electrolyte Depletion
29
Furosemide (Lasix)
- Precaution
- Use in preg pts should be limited to life-threatening emergencies, can cause fetal abnormalities
- Protect form light
- Renal/hepatic insufficiencies
30
Furosemide (Lasix)
- Side Effects
- Hypotension
- C/P
- Hypochloremia/kalemia/natremia/calcemia/magnesemia
- Hyperglycemia
- Ototoxicity
- Dizz, N/V, Dry mouth
- Tinnitus with fast push
31
Furosemide (Lasix)
- Interactions
- Digitalis and lithium toxicity
32
Furosemide (Lasix)
- Dosage/Route
- 0.5-1mg/kg slow IVP (1-2 min)
| - General Dosing: 40-120 mg Slow IVP
33
Haloperidol (Haldol)
- Functional Class
- Antipsychotic
34
Haloperidol (Haldol)
- Mechanism of Action
- Sedation by decreasing nerve impluse transmission by blocking dopamine and serotonin receptors of the CNS
35
Haloperidol (Haldol)
- Indications
- Behavioral emergencies w/ violent tendencies, including suicide
36
Haloperidol (Haldol)
- Contraindications
- Hypersensitivity
- Children
- Alcohol Intoxication
- Coma
37
Haloperidol (Haldol)
- Precautions
- Hx of seizures and parkinsons disease
38
Haloperidol (Haldol)
- Side Effects
- Dsytonic reactions
- Sedation
- Dizz, N/V, Dry mouth
- Hypotension
- Constipation
- Decreases seizure threshold
39
Haloperidol (Haldol)
- Interactions
- Increased sedation with narc agonists, benzos, TCA's, alcohol and antihistamines
40
Haloperidol (Haldol)
- Dosage/Route
- Adult: 5mg IM, may repeat once in 5 min.
41
Methylprednisone (Solu-Medrol)
- Functional Class
- Corticosteroid
42
Methylprednisone (Solu-Medrol)
- Mechanism of Action
- Intermediate-acting, synthetic adrenal corticosteroid
- Decreases inflammation by reversing cap permeability
- This suppresses migration of leukocytes and fibroblast to the site of the injury
- Stabilizes Lysosomes
43
Methylprednisone (Solu-Medrol)
- Indications
- Severe Asthma
- Anaphylaxis
- COPD
44
Methylprednisone (Solu-Medrol)
- Contraindications
- None in the management of anaphylaxis
45
Methylprednisone (Solu-Medrol)
- Precautions
- Peptic Ulcer Disease
- CHF
- TB
46
Methylprednisone (Solu-Medrol)
- Side Effects
- Hypotension
- CHF
- Hyperglycemia
- Hypokalemia
- Circulatory Collapse
- CNS Depression
- H/A, N/V, delayed wound healing
47
Methylprednisone (Solu-Medrol)
- Interactions
- Caution w/ salicylates, phenytoin, rifampin, theophylline, furosemide, and thiazide diuretics
48
Methylprednisone (Solu-Medrol)
- Dosage/Route
- Adult: 125-250mg IVP/IM
| - Pedi: 1mg/kg IVP
