(PHARM) Study Guide Exam (3) Chapters 6, 7, 8, 13, 15 Flashcards
(for pain management).
Dose of fentanyl?
Dose of Morphine:?
Dose is 1mcg/kg given in incremental doses of 25-50mcg. May
repeat every 5 min to a max of 200mcg total
Dose is 2-5mg increments IV until pain is relieved MAX of 20mg
only administer if blood pressure is >90 sbp
What is the drug and dose for IV treatment of seizures
(Lorazepam)
1st line drug for IV administration. Dose is 0.1 mg/kg SIVP. Max
single dose is 4mg
What is the drug and dose for IM treatment of seizures
(Midazolam)
: 1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.
if less than 40kg max dose is 5mg. If more than 40kg max dose is 10mg.
Dose of fentanyl? (for pain management).
50-100mcg
Dose of morphine? (for pain management).
2-4mg
Midazolam
1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.
if less than 40kg max dose is 5mg.
If more than 40kg max dose is 10mg.
Lorazepam
1st line drug for IV administration. Dose is 0.1 mg/kg SIVP.
Max
single dose is 4mg
GENERIC NAME (ATROPINE) What is Trade Name?
Classification for (ATROPINE)
NONE
Anticholinergic •Parasympathetic blocker• Antidote
Generic Name (EPINEPHRINE) What is Trade Name?
Classification for (EPINEPHRINE)
Adrenalin
Sympathomimetic
Generic Name(DIPHENHYDRAMINE) What is Trade Name?
Classification for (DIPHENHYDRAMINE)
Benadryl
•Antihistamine• Anticholinergic
Generic Name Methylprednisolone
What is Trade name?
Classification for Methylprednisolone
Solu-Medrol®
- Corticosteroid
- Glucocorticoid
- Anti-inflammatory
Generic Name Midazolam
Classification for Midazolam
Versed®
- Benzodiazepine
- Anticonvulsant
- Sedative
- Hypnotic
Generic Name Lorazepam
What is Trade Name?
Classification for Lorazepam?
ADULT DOSAGES?
Ativan
- Benzodiazepine
- Anticonvulsant
- Sedative
- Hypnotic
ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg
Generic Name (DIAZEPAM) What is Trade Name?
Classification for (DIAZEPAM)
Adult Dose?
Valium
•Benzodiazepine• Anticonvulsant• Sedative• Hypnotic
ADULT DOSAGES
• 2.0 mg increments over 2 minutes
Generic Name Midazolam
Classification for Midazolam
ADULT DOSAGES?
Versed®
- Benzodiazepine
- Anticonvulsant
- Sedative
- Hypnotic
ADULT DOSAGES
• Seizure IV/IO: 0.1 mg/kg
• Maximum dosage: 4.0 mg
• Seizure IM: 0.2 mg/kg
• Maximum dosage: 10 mg
Generic Name Lorazepam
What is Trade Name?
Classification for Lorazepam?
ADULT DOSAGES?
Ativan
- Benzodiazepine
- Anticonvulsant
- Sedative
- Hypnotic
ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg
(Anaphylaxis)
Epinephrine 1:1000:
Diphenhydramine
Solu-medrol
Epinephrine 1:1000: 1ST line medication for anaphylaxis.
Dose is 0.3-0.5mg
IM injection
Dose is 50mg IV/IM
Dose is 125mg IV/IM
What is chronotropic
The heart rate and rhythm
What is dromotropic
Affects the conduction speed
(in fact the magnitude of delay) in the AV node,
What is inotropic
Affect the force of cardiac contraction
What class of drug is used for seizures?
Benzodiazepines.
What is the most common cause of death from anaphylaxis
(Drugs) such as penicillin
Insect Bites
First line medication for cardiac arrest?
epinephrine
What is status epilepticus ?
A Single seizure lasting longer than 5min. or
Having more than one seizure within a 5 minute period
with no full recovery in-between seizures.
If left untreated permanent brain damage or death may
occur.
What chemicals is released during anaphylaxis?
Histamine, Serotonin, Bradykinin
(Stable) VS (Unstable) Angina
typically occurs during stress or
activity. .. Usually lasts 2 to 5 min, no more than 20
min. .. then resolves with rest.
Chest pain/discomfort that occurs with minimal
exertion or at rest
Caused by coronary artery spasm at rest
• Pain is often severe
• Occurs between midnight and early morning hours
What is an NSAID?
what is a common one given in the hospital?
Nonsteroidal Anti-Inflammatory Drugs.
Aspirin and ibuprofen
Common NSAID used IV in the hospital
(for kidney stones)?
Ketorolac (Toradol
Propofol
(mothers milk)
Sedative agent administered to intubated patients being
transported from one facility to another
(Effects) and (Antidote) of tricyclic antidepressant overdose
Depressed level of consciousness
Wide-complex cardiac arrhythmias
Hypotension
Seizures
If patient has wide-complex QRS rhythm, treat with
sodium bicarbonate (helps resolve metabolic acidosis)
Antiemetics
Treat nausea and vomiting
Common adverse effects of narcotic administration
Treatment for organophosphate poisoning
Must secure airway
Use atropine
Reverses effects of muscarinic receptors
Use pralidoxime for nicotinic effects
What is anterograde amnesia?,
what drugs cause it?
The inability to recall events that occur after the onset of amnesia.
What are analgesics?
compounds that relieve pain.
Why are antiemetics sometimes necessary in the treatment of pain?
What is an antiemetic drug we carry?
To reduce vomiting.
Ondansetron (Zofran®)
What is the antidote for beta-blocker overdose
Glucagon
First line drug for sever Anaphylaxis and the Adult IM dose
Epi- 0.3-0.5 IM
Effect morphine has on vasculature and why it lowers blood pressure
release of histamine which causes vasodilation lowers blood pressure
