PHARM RSI and Respiratory

Question 1

Albuterol Dose (Adult)

Answer 1

2.5-5mg (neb) diluted in 3ml of NS. May repeat 20-30 mins (ma dose 3 doses/hr)

Question 2

Albuterol dose Peds

Answer 2

1.25-2.5mg (NEB) diluted in 3ml of NSMay repeat 20-30 mins (ma dose 3 doses/hr)

Question 3

Albuterol MOA

Answer 3

selective beta 2 agonist that stimulates the adrenergic receptor of the sympathomimetic nervous system. –> BRONCHODIALATION and IMPROVED AIRFLOW

Question 4

Albuterol indications and contraindications

Answer 4

Indications: asthma or copd exacerbation, acute bronchospasm

contraindications:
hyper sensitivity
hyper thyroidism

Question 5

methylprednisolone
solu-medrol DOSE Adult /peds

Answer 5

ADULT-125-250 mg (iv/im) slow bolus, followed by NS flush if given iV

PREDS-1-2 mg/kg (iv/im) slow bolus, followed by ns flush if given iv

Question 6

albuterol class

Answer 6

bronchodilator, sympathomimetic

Question 7

methylprednisolone
solu-medrol Class

Answer 7

corticosteroid

Question 8

methylprednisolone
solu-medrol MOA

Answer 8

binds to glucocorticoid receptors in cells, which leads to the activation of inflammatory and immunosupressive pathways. REDUCES INFLAMMATION

Question 9

methylprednisolone
solu-medrol Indications / contraindications

Answer 9

Indications: asthma or copd
anaphylaxis

contraindications:
hyper sensitivity
systemic fungal infection

Question 10

ipratropium (Atrovent) DOSE

Answer 10

adult- .25-.5mg NEB
.5mg/2.5ml NL may repeat after 15-20 mins (max 3 doeses)

peds - same as adult

Question 11

ipratropium (Atrovent) CLASS

Answer 11

bronchodilator, anticholinergic

Question 12

ipatropium MOA

Answer 12

blocks the action of acetylcholine at the muscarinic receptors in the airway, leading to bronchodilation.

Question 13

ipatropium INCICATIONS/CONTRAINIDCATIONS

Answer 13

INDICATIONS-COPD, ASTHMA
CONTRAINDICATIONS- PEANUT AND SOY ALLERGY

Question 14

ipatropium Onset and duration

Answer 14

10-20 min onset
1-4 hr duration

Question 15

albuterol onset and duration

Answer 15

onset- 5-15min
duration- 3-4 hrs

Question 16

solumedrol onset and duration

Answer 16

30-60 min onset
8-24 hr duration

Question 17

magnesium sulfate moa

Answer 17

calcium antagonist, leads to smooth muscle relaxation, bronchodialation

Question 18

magnesium sulfate dose

Answer 18

adults- 1-4g/kg MAX 6g
lungs=2g
peds- 25-50mg/kg max 2g

Question 19

magnesium sulfate class

Answer 19

electrolyte, anticonvulsant, bronchodilator

Question 20

Magnesium sulfate duration and onset

Answer 20

onset-1-2 mins
duration- 30-45 min

Question 21

Epinephrine moa

Answer 21

activates alpha 1 receptors causing vasoconstriction increase bp, improve perfusion.

Question 22

Epinephrine class

Answer 22

vasopressor, inotropic agent, sympathomimmetic

Question 23

Epinephrine dose

Answer 23

anaphylaxis - adult- .3-.5 mg IM
may repeat after 5-15
peds- 0.01 mg/kg IM (1;1000)

Question 24

Epinephrine onset and duration

Answer 24

onset- 1-5 min
duration 5-20

Question 25

nitroglycerin class

Answer 25

vasodilator

Question 26

nitroglycerin dose

Answer 26

adult-.4mg SL may repeat after 3-5 min (maX dose 1.2mg) peds- NOT RECOMMENDED

Question 27

nitroglycerin ONSET AND DURATION

Answer 27

onset 1-3 min duration 20-30 min

Question 28

nitroglycerin moa

Answer 28

releases nitric oxide into the lungs, resulting in relaxation and dilates the vessels

Question 29

Diphenhydramine class

Answer 29

anti-histamine

Question 30

Diphenhydramine moa

Answer 30

blocks h1 histamine receptors, helping alleviate symtoms of allergic reactions.

Question 31

Diphenhydramine onset and duration

Answer 31

10-30 mins onset duration 3-12hrs

Question 32

Diphenhydramine dose

Answer 32

adult-25-50mg IV/IM bolus followed by NS flush may repeat after 4-6hrs if given by iv. max dose 400mg peds- 1-2mg/lg may repeat every 4-6hr max total 300mg

Question 33

dexamethasone class

Answer 33

cortiocosteroid, hormone

Question 34

dexamethasone dose

Answer 34

adult- 5-10 mg IV/IM peds- 0.1-0.5 mg/kg IV/IM

Question 35

dexamethasone MOA

Answer 35

helps supress the immune response and reduce inflammation

Question 36

dexamethasone onset and duration

Answer 36

onset-15-30mins duration 24-72 hours

Question 37

succinylcholine class

Answer 37

depolarizing neuromuscular blocker

Question 38

succinylcholine dose

Answer 38

adults- 1-2mg/kg IV/IO, rapid bolus followed by a NS FLUSH peds- 1-2mg/kg IV/IO

Question 39

succinylcholine ONSET/ DURATION

Answer 39

onset- 30-60 sec duration- 5-10min

Question 40

succinylcholine moa

Answer 40

depolarization that initally leads to muscle contraction, but followed by a prolonged depolarization that results in skeletal muscle paralysis.

Question 41

Etomidate dose

Answer 41

adults- 0.2-0.6 mg/kg IV/IO Followed by a NS flush max dose 40mg peds- 0.1-0.4 mg/kg IV/IO max dose 20mg

Question 42

Etomidate moa

Answer 42

sedation and unconciousness

Question 43

Etomidate class

Answer 43

anesthesic, sedative

Question 44

Etomidate onset and duration

Answer 44

onset- 30-60 sec duration- 5-10min

Question 45

midazolam dose

Answer 45

adults- 2-5mg IV/IM/IN bolus followed by a NS FLUSH repeat after 5-10 min max dose 10mg peds- 0.1-0.3 mg/kg IV/IM/IN MAX dose 10mg

Question 46

midazolam moa

Answer 46

binds to and enhances the activity of the gaba receptor, raising the seizure threshold.

Question 47

midazolam class

Answer 47

benzodiaphene, anticonvulsant, sedative

Question 48

midazolam onset and duration

Answer 48

onset- 1-3min duration- 2-4hrs

Question 49

ketamine dose

Answer 49

PEDS AND ADULT-.5-2mg/kg IV/IO SLOW BOLUS

Question 50

ketamine class

Answer 50

analgesic, sedative

Question 51

ketamine MOA

Answer 51

reduces the perception of pain by blocking NMDA receptors in the CNS

Question 52

ketamine onset

Answer 52

30-60sec duration - 20-60min

Question 53

morphine sulfate class

Answer 53

opiod analgesic

Question 54

morphine sulfate moa

Answer 54

binds to the mu-opiod receptors in the CNS, producing potent analgesic and sedative effects.

Question 55

morphine sulfate dose

Answer 55

adult- 2-5mg IV/IO may. repeat after 15min, max total 15mg peds- 0.1-.02 mg/kg IO/IV MAX TOATAL 10MG

Question 56

morphine sulfate onset and duration

Answer 56

onset- 3-5min duration- 2-5hrs