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pharmpharmpharm(drug dosages from summer quarter) Flashcards

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1
Q

What is the trade name for Acetaminophen?

A

Tylenol, Ofirmev

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2
Q

What classification does Acetaminophen fall under?

A

Non-opioid analgesic

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3
Q

What is the mechanism of action for Acetaminophen?

A

Inhibits prostaglandin synthesis

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4
Q

What are the indications for Acetaminophen?

A

Mild-moderate pain
Fever

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5
Q

What is the recommended dose for Acetaminophen?

A

325-650mg q 4 hrs. OR 1g q 6 hrs. (PO or IV)

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6
Q

What is a key contraindication for Acetaminophen?

A

Do not exceed 4g/day

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7
Q

What is the trade name for Activated charcoal?

A

Actidose

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8
Q

What classification does Activated charcoal fall under?

A

Adsorbent

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9
Q

What is the mechanism of action for Activated charcoal?

A

Adsorbs toxins, inhibits GI absorption

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10
Q

What are the indications for Activated charcoal?

A

Toxic ingestion within 1-2 Hrs.

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11
Q

What is the recommended dose for Activated charcoal?

A

25-100g PO

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12
Q

What is a key contraindication for Activated charcoal?

A

Avoid in caustic/petroleum ingestions

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13
Q

What is the trade name for Adenosine?

A

Adenocard

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14
Q

What classification does Adenosine fall under?

A

Antiarrhythmic

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15
Q

What is the mechanism of action for Adenosine?

A

Slows conduction time through AV node, causes ‘transient-asystole’

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16
Q

What is the indication for Adenosine?

A

AVNRT (Atrio-ventricular Nodal Re-entrant Tachycardia)

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17
Q

What is the recommended dose for Adenosine?

A

6mg R-IVP, repeat 12mg R-IVP

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18
Q

What is a key contraindication for Adenosine?

A

Sick sinus syndrome

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19
Q

What is the trade name for Albuterol?

A

Proventil/ Ventolin

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20
Q

What classification does Albuterol fall under?

A

Beta 2 agonist, bronchodilator

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21
Q

What is the mechanism of action for Albuterol?

A

Agonism of Beta 2 primarily (some beta 1 effects)

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22
Q

What are the indications for Albuterol?

A

Bronchial constriction, COPD/Asthma, hyperkalemia

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23
Q

What is the recommended dose for Albuterol?

A

2.5mg nebulized PRN, 180mcg MDI (2 puffs)

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24
Q

What is the trade name for Alteplase?

A

TPA

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25
What classification does Alteplase fall under?
Thrombolytic
26
What is the mechanism of action for Alteplase?
Converts plasminogen to plasmin to lyse clots
27
What are the indications for Alteplase?
Ischemic CVA, STEMI W/o Cath lab capabilities, massive pulmonary embolus
28
What is the trade name for Amiodarone?
Cordarone
29
What classification does Amiodarone fall under?
Antiarrhythmic class 3 (potassium channel blocker)
30
What is the mechanism of action for Amiodarone?
Acts on myocardium to delay repolarization and increase duration of action potential
31
What are the indications for Amiodarone?
Ventricular arrhythmias, second line agent for atrial arrhythmias
32
What is the recommended dose for Amiodarone in pulseless cases?
300mg IV/IO followed with 150 q3-5
33
What is the pregnancy class for Amiodarone?
D
34
What is the trade name for Aspirin?
Acetylsalicylic acid
35
What classification does Aspirin fall under?
Antiplatelet, non-narcotic, analgesic, antipyretic
36
What is the mechanism of action for Aspirin?
Thromboxane A2 inhibitor (prevents platelet aggregation)
37
What are the indications for Aspirin?
ACS (Acute Coronary Syndrome)
38
What is the recommended dose for Aspirin?
324 mg PO
39
What is a key contraindication for Aspirin?
GI bleed
40
What is the trade name for Atropine?
Atreza
41
What classification does Atropine fall under?
Parasympatholytic, Anti-cholinergic
42
What is the mechanism of action for Atropine?
Competes with ACH at receptor sites (mainly muscarinic, M2, sites)
43
What are the indications for Atropine?
Symptomatic bradycardia, Organophosphate poisoning
44
What is the recommended dose for Atropine?
1mg IVP, may repeat to 3mg
45
What is a key side effect of Atropine?
Paradoxical bradycardia if dose < 0.5mg
46
What is the trade name for Benadryl?
Diphenhydramine
47
What classification does Benadryl fall under?
Antihistamine, antianxiety
48
What is the mechanism of action for Benadryl?
CNS depression, binds and blocks histamine 1 receptors
49
What are the indications for Benadryl?
Anxiety, agitation, dystonia, anaphylaxis
50
What is the recommended dose for Benadryl?
25-50mg IV/IO/PO
51
What is the trade name for Calcium chloride?
CaCl2
52
What classification does Calcium chloride fall under?
Element
53
What is the mechanism of action for Calcium chloride?
Positive Inotrope, can restore trans-membrane potential in Hyperkalemia
54
What are the indications for Calcium chloride?
Antiarrhythmic due to Hyperkalemia, Arrest due to Hyper-K
55
What is the recommended dose for Calcium chloride?
1g
56
What is a key contraindication for Calcium chloride?
Do not administer in same line as Sodium bicarb
57
What is the trade name for Clopidogrel bisulfate?
Plavix
58
What classification does Clopidogrel bisulfate fall under?
Antiplatelet agent
59
What is the mechanism of action for Clopidogrel bisulfate?
Blocks Adenosine di-phosphate binding site, preventing platelet plug
60
What are the indications for Clopidogrel bisulfate?
STEMI
61
What is the recommended loading dose for Clopidogrel bisulfate?
300mg
62
What is the trade name for D50?
Dextrose
63
What classification does D50 fall under?
Carbohydrate, Hyperglycemic
64
What is the mechanism of action for D50?
Increase circulating blood sugar
65
What are the indications for D50?
Hypoglycemia
66
What is the recommended dose for D50?
12.5-25g IVP
67
What is a key contraindication for D50?
Vascular irritant
68
What is the trade name for Diazepam?
Valium
69
What classification does Diazepam fall under?
Benzodiazepine, anxiolytic
70
What is the mechanism of action for Diazepam?
GABA agonist
71
What are the indications for Diazepam?
Seizure termination, conscious sedation
72
What is the recommended dose for Diazepam in seizures?
2-5mg, double if IN
73
What is the trade name for Digoxin?
Lanoxin
74
What classification does Digoxin fall under?
Antiarrhythmic, positive Inotrope
75
What is the mechanism of action for Digoxin?
Prolongs AV node refractory period, increase cardiac contractility
76
What are the indications for Digoxin?
Afib/Aflutter with RVR, chronic heart failure, atrial tachycardia
77
What is the recommended dose for Digoxin?
0.25-0.5mg
78
What is the trade name for Diltiazem?
Cardizem
79
What classification does Diltiazem fall under?
Antiarrhythmic, Calcium Channel Blocker
80
What is the mechanism of action for Diltiazem?
Blocks transport for calcium into myocardial cells
81
What are the indications for Diltiazem?
Afib/ flutter with RVR, AVNRT
82
What is the recommended dose for Diltiazem?
0.25 mg/kg, then 0.35mg/kg
83
What is the trade name for Dopamine?
Intropin
84
What classification does Dopamine fall under?
Vasopressor, positive chronotrope, positive inotrope
85
What is the mechanism of action for Dopamine?
Stimulates alpha- and beta-adrenergic receptors
86
What are the indications for Dopamine?
Hypotension due to cardiogenic, obstructive, and distributive shock, Bradycardia
87
What is the recommended dose for Dopamine at 2-5mcg/kg/min?
Increase renal perfusion
88
What is the trade name for Droperidol?
Inapsine
89
What classification does Droperidol fall under?
Antipsychotic agent
90
What is the mechanism of action for Droperidol?
Dopaminergic blockade
91
What are the indications for Droperidol?
Psychotic episodes, Nausea, Abdominal pain, agitation
92
What is the recommended dose for Droperidol for agitation?
2.5-10mg
93
What is the trade name for Epinephrine?
Adrenaline
94
What classification does Epinephrine fall under?
Catecholamine
95
What is the mechanism of action for Epinephrine?
Alpha/ Beta agonism increases chronotropy, inotropy, and systemic vascular resistance
96
What are the indications for Epinephrine?
Hypotension, bradycardia, cardiac arrest
97
What is the recommended dose for Epinephrine in cardiac arrest?
1mg q 3-5min
98
What is the trade name for Etomidate?
Amidate
99
What classification does Etomidate fall under?
Hypnotic, anesthesia, induction agent
100
What is the mechanism of action for Etomidate?
Depresses reticular activating system (RAS) via GABA receptor activation
101
What are the indications for Etomidate?
102
What is the pregnancy class for Epinephrine?
C
103
What is a potential side effect of Epinephrine?
Headache, anxiety, fear
104
What are the main side effects of Etomidate?
Apnea, respiratory depression, hypoventilation, hyperventilation, dysrhythmia, hypotension, hypertension, nausea, vomiting, involuntary muscle movement, pain at injection site ## Footnote Etomidate is an ultra-short acting hypnotic agent used for induction.
105
What is the trade name for Fentanyl?
Sublimaze ## Footnote Fentanyl is an opiate receptor agonist used for conscious sedation and pain control.
106
What is the mechanism of action for Flumazenil?
Antagonizes benzodiazepine receptors ## Footnote Flumazenil is used primarily for benzodiazepine overdose.
107
What is the classification of Glucagon?
Hormone ## Footnote Glucagon is used to induce glycogenolysis and treat hypoglycemia.
108
What are the indications for Haloperidol?
Delirium, severe agitation ## Footnote Haloperidol is an antipsychotic agent.
109
What is the mechanism of action of Heparin?
Activates Antithrombin 3 which then inactivates thrombin ## Footnote Heparin is used as an anticoagulant.
110
What is the pregnancy class of Hydromorphone?
C ## Footnote Hydromorphone is an analgesic used for severe pain.
111
What is the dose for Ipratropium Bromide?
0.5mg q30min x3 ## Footnote Ipratropium Bromide is an anticholinergic bronchodilator.
112
What are the side effects of Ketamine?
Hypertension, dysrhythmia, bronchodilation, respiratory depression ## Footnote Ketamine is used as a general anesthetic and analgesic.
113
What is the classification of Ketorolac?
NSAID ## Footnote Ketorolac is used for moderate pain.
114
What is the mechanism of action of Furosemide?
Prevents re-uptake of potassium along with sodium and chloride in the ascending Loop of Henle ## Footnote Furosemide is a non-potassium sparing loop diuretic.
115
What is the maximum dose of Lidocaine for an adult?
1.5mg/kg ## Footnote Lidocaine is an antiarrhythmic drug used for ventricular tachycardia and fibrillation.
116
What are the indications for Lorazepam?
Seizure termination, conscious sedation ## Footnote Lorazepam is a benzodiazepine and anxiolytic.
117
What is the pregnancy class of Magnesium?
A ## Footnote Magnesium is used in the treatment of Torsades and asthma.
118
What is the mechanism of action of Mannitol?
Increases plasma osmotic pressure, drawing fluid from extravascular space to intravascular space ## Footnote Mannitol is used as an osmotic diuretic.
119
What is the classification of Methylprednisolone?
Anti-inflammatory, corticosteroid ## Footnote Methylprednisolone is used to suppress inflammatory responses.
120
What are the side effects of Metoclopramide?
Fluid retention, nausea, vomiting, headache, fatigue, somnolence, dystonic reaction ## Footnote Metoclopramide is an antiemetic.
121
What is the dose for Metoprolol in treating tachycardia?
5mg IVP q5 min x3 ## Footnote Metoprolol is a beta blocker.
122
What is the mechanism of action of Midazolam?
GABA agonist ## Footnote Midazolam is a benzodiazepine used for seizure termination and conscious sedation.
123
What is the classification of Morphine?
Analgesic ## Footnote Morphine is used for severe pain and acute pulmonary edema.
124
What is the trade name for Naloxone?
Narcan ## Footnote Naloxone is a competitive opiate antagonist used for opiate overdose.
125
What is the mechanism of action of Nitroglycerin?
Metabolized to nitric acid with resultant vasodilation ## Footnote Nitroglycerin is used for angina and acute heart failure.
126
What is the pregnancy class of Nitrous Oxide?
C ## Footnote Nitrous Oxide is used as an analgesic.
127
What are the indications for Norepinephrine?
Hypotension due to distributive, cardiogenic, and obstructive shock ## Footnote Norepinephrine is an inopressor.
128
What is the trade name for Norepinephrine?
Levophed ## Footnote Norepinephrine is commonly used in critical care settings.
129
What is the classification of Norepinephrine?
Inopressor ## Footnote Inopressors are used to manage hypotension.
130
What is the primary mechanism of action of Norepinephrine?
Primarily Alpha 1&2 agonist, also has Beta 1 effects ## Footnote This mechanism helps in increasing blood pressure and improving cardiac output.
131
What are the indications for Norepinephrine?
Hypotension due to distributive, cardiogenic, and obstructive shock ## Footnote Effective in various types of shock states.
132
What is the standard dose range for Norepinephrine?
0.01-0.5 mcg/kg/min; Standard: 30 mcg/min ## Footnote Dosing is weight-based.
133
What is a major contraindication for Norepinephrine?
Can cause tachyarrhythmias ## Footnote Monitoring of heart rhythm is crucial during administration.
134
What is the pregnancy class of Norepinephrine?
C ## Footnote Indicates that risk cannot be ruled out.
135
What are common side effects of Norepinephrine?
* Headache * Anxiety * Dizziness * Restlessness * Dyspnea * Bradycardia * Hypertension * Dysrhythmia * Chest pain * Peripheral cyanosis * Cardiac arrest * Nausea * Vomiting * Urinary retention * Renal failure * Decreased blood flow to GI/kidneys/skin/skeletal muscle * Tissue necrosis if extravasation ## Footnote Important to monitor for these effects during treatment.
136
What is the trade name for Ondansetron?
Zofran ## Footnote Commonly used as an antiemetic.
137
What is the classification of Ondansetron?
Antiemetic ## Footnote Used to prevent nausea and vomiting.
138
What is the mechanism of action for Ondansetron?
Serotonin Antagonist ## Footnote Blocks serotonin receptors involved in nausea.
139
What are the indications for Ondansetron?
Nausea and vomiting (N/V) ## Footnote Effective in various settings including post-operative and chemotherapy-induced nausea.
140
What is the standard dose of Ondansetron?
4 mg SL/PO/IV ## Footnote Can be administered via multiple routes.
141
What is a contraindication for Ondansetron?
Known sensitivity ## Footnote Caution should be exercised in patients with prior allergic reactions.
142
What is the pregnancy class of Ondansetron?
B ## Footnote Indicates no evidence of risk in humans.
143
What are common side effects of Ondansetron?
* Headache * Malaise * Wheezing * Bronchospasm * Atrial fibrillation (AF) * Abnormal ECG * Prolonged QT * ST depression * Second degree AV block * Constipation * Diarrhea * Hives * Skin rash ## Footnote Monitoring for cardiovascular effects is important.
144
What is the trade name for Procainamide?
Pronestyl ## Footnote An antiarrhythmic medication.
145
What is the classification of Procainamide?
Antiarrhythmic, class 1A sodium channel blocker ## Footnote Used to manage arrhythmias by stabilizing cardiac membrane.
146
What is the mechanism of action for Procainamide?
Extends refractory period of myocardial cells ## Footnote Helps prevent re-entrant arrhythmias.
147
What are the indications for Procainamide?
AVNRT (WPW), VT ## Footnote Effective in specific types of tachyarrhythmias.
148
What is the loading dose for Procainamide?
10-17 mg/kg administered at 20-50 mg/min ## Footnote Dosing can vary based on the urgency and patient's response.
149
What is a major contraindication for Procainamide?
Hypotension can occur ## Footnote Careful monitoring of blood pressure is essential.
150
What is the pregnancy class of Procainamide?
C ## Footnote Indicates that risk cannot be ruled out.
151
What are common side effects of Procainamide?
* Confusion * Seizures * Hypotension * Bradycardia * Reflex tachycardia * Ventricular dysrhythmia * AV block * Asystole * Widening of PR, QRS, and QT intervals * Nausea * Vomiting ## Footnote Monitoring for CNS and cardiovascular effects is crucial.
152
What is the trade name for Prochlorperazine?
Compazine ## Footnote Used as an antiemetic.
153
What is the classification of Prochlorperazine?
Antiemetic ## Footnote Commonly used to manage severe nausea and vomiting.
154
What is the mechanism of action for Prochlorperazine?
Depresses chemoreceptor trigger zone in CNS ## Footnote This action helps reduce nausea and vomiting.
155
What are the indications for Prochlorperazine?
Nausea and vomiting (N/V) ## Footnote Often used in emergency settings.
156
What is the dose range for Prochlorperazine?
2.5-10 mg PO/IV ## Footnote Dosing can be adjusted based on the severity of symptoms.
157
What is a major contraindication for Prochlorperazine?
Tardive dyskinesia ## Footnote This condition can be exacerbated by the medication.
158
What is the pregnancy class of Prochlorperazine?
C ## Footnote Indicates that risk cannot be ruled out.
159
What are common side effects of Prochlorperazine?
* Aspiration * Seizures * Prolonged QT interval * Extrapyramidal reactions ## Footnote Careful monitoring for neurological side effects is important.
160
What is the trade name for Promethazine?
Phenergan ## Footnote An antiemetic and antihistamine.
161
What is the classification of Promethazine?
Antiemetic, Antihistamine ## Footnote Used for nausea and allergy symptoms.
162
What is the mechanism of action for Promethazine?
Blocks H1, inhibits CTZ (Chemoreceptor trigger zone) ## Footnote This action reduces symptoms of nausea.
163
What are the indications for Promethazine?
Nausea and vomiting (N/V) ## Footnote Also effective for motion sickness.
164
What is the dose range for Promethazine?
12.5-25 mg ## Footnote Dosage can vary based on patient needs.
165
What is a major contraindication for Promethazine?
Neuroleptic malignant syndrome ## Footnote Caution is warranted due to this serious condition.
166
What is the pregnancy class of Promethazine?
C ## Footnote Indicates that risk cannot be ruled out.
167
What are common side effects of Promethazine?
* Headache * Dizziness * Drowsiness * Confusion * Restlessness * Wheezing * Chest tightness * Thickening of bronchial secretions * Palpitations * Bradycardia * Reflex tachycardia * QT prolongation * Hypotension * Nausea * Vomiting * Diarrhea ## Footnote Monitoring for respiratory and cardiovascular effects is necessary.
168
What is the trade name for Propofol?
Diprivan ## Footnote Commonly used as an anesthetic.
169
What is the classification of Propofol?
Anesthetic ## Footnote Used for induction and maintenance of anesthesia.
170
What is the mechanism of action for Propofol?
Produces rapid and brief state of general anesthesia ## Footnote Allows for quick recovery from anesthesia.
171
What are the indications for Propofol?
Anesthesia, Induction ## Footnote Commonly used in surgical procedures.
172
What is the induction dose for Propofol?
1.5 mg/kg IV ## Footnote Dosing may vary based on patient response.
173
What is the maintenance dose range for Propofol?
25-75 mcg/kg/min IV infusion ## Footnote Prolonged infusions may require titration.
174
What are major contraindications for Propofol?
* Hypovolemia * Sensitivity to soybean/oil/eggs ## Footnote Important to assess patient history prior to administration.
175
What is the pregnancy class of Propofol?
B ## Footnote Indicates no evidence of risk in humans.
176
What are common side effects of Propofol?
* Do not administer in same line as blood products/plasma * Be prepared to manage airway * Rapid admin may lead to hypotension * Apnea * Airway obstruction * O2 desaturation ## Footnote Monitoring airway and hemodynamics is crucial during administration.
177
What is the trade name for Rocuronium?
Zemuron ## Footnote Used as a neuromuscular blocker.
178
What is the classification of Rocuronium?
Non-depolarizing paralytic ## Footnote Used to facilitate intubation.
179
What is the mechanism of action for Rocuronium?
Antagonizes acetylcholine receptors at the neuromuscular endplate resulting in paralysis ## Footnote Provides rapid onset of paralysis.
180
What are the indications for Rocuronium?
RSI (Rapid Sequence Intubation) ## Footnote Commonly used in emergency airway management.
181
What is the dose for Rocuronium?
1.5 mg/kg (Duration 30 min, Onset 0.5-2 min) ## Footnote Dosing may vary based on clinical scenario.
182
What are contraindications for Rocuronium?
None ## Footnote Generally well tolerated.
183
What is the pregnancy class of Rocuronium?
B ## Footnote Indicates no evidence of risk in humans.
184
What are common side effects of Rocuronium?
* Bronchospasm * Wheezing * Rhonchi * Respiratory depression * Apnea * Dysrhythmia * Tachycardia * Transient hypo/hypertension * Nausea * Vomiting ## Footnote Monitoring respiratory function is essential.
185
What is the trade name for Sodium Bicarbonate?
N/A ## Footnote Commonly used as an alkalinizing agent.
186
What is the classification of Sodium Bicarbonate?
Alkalinizing agent ## Footnote Used to correct acidosis.
187
What is the mechanism of action for Sodium Bicarbonate?
Neutralizes pH by binding with hydrogen ions ## Footnote Helps restore normal acid-base balance.
188
What are the indications for Sodium Bicarbonate?
Previously for cardiac arrest with downtime > 20 min, currently not in guidelines ## Footnote Use has evolved based on evidence.
189
What is the dose for Sodium Bicarbonate?
1 mEq/kg ## Footnote Dosing may need to be adjusted based on clinical scenario.
190
What is a major contraindication for Sodium Bicarbonate?
Inability to ventilate ## Footnote This can lead to respiratory acidosis.
191
What is the pregnancy class of Sodium Bicarbonate?
C ## Footnote Indicates that risk cannot be ruled out.
192
What are common side effects of Sodium Bicarbonate?
* Hypernatremia * Metabolic alkalosis * Tissue sloughing * Cellulitis * Necrosis * Seizures * Fluid retention * Hypokalemia * Electrolyte imbalance * Tetany * Peripheral edema ## Footnote Monitoring of electrolytes is important during treatment.
193
What is the trade name for Sodium Bicarbonate in toxicology?
N/A ## Footnote Used as an alkalinizing agent in specific toxicology cases.
194
What is the mechanism of action for Sodium Bicarbonate in toxicology?
Induces alkalinization of blood resulting in increased drug binding with less bioavailability ## Footnote Also helps with sodium channel blockade.
195
What are the indications for Sodium Bicarbonate in toxicology?
Tricyclic overdose, hyperkalemia ## Footnote Effective in managing specific toxicological emergencies.
196
What is the dose for Sodium Bicarbonate in toxicology?
1 mEq/kg, repeat until QRS narrows ## Footnote Dosing is adjusted based on clinical response.
197
What is a major contraindication for Sodium Bicarbonate in toxicology?
Inability to ventilate will lead to respiratory acidosis ## Footnote Caution is warranted in patients with respiratory compromise.
198
What is the trade name for Succinylcholine?
Anectine ## Footnote Used as a depolarizing paralytic.
199
What is the classification of Succinylcholine?
Depolarizing paralytic ## Footnote Facilitates rapid sequence intubation.
200
What is the mechanism of action for Succinylcholine?
Competes with acetylcholine receptor at neuromuscular endplate resulting in paralysis ## Footnote Provides rapid onset of paralysis.
201
What are the indications for Succinylcholine?
RSI (Rapid Sequence Intubation) ## Footnote Commonly used in emergency airway management.
202
What is the dose for Succinylcholine?
2 mg/kg (duration 4-6 min, onset 0.5-1 min) ## Footnote Dosing may vary based on clinical scenario.
203
What are major contraindications for Succinylcholine?
* Recent CVA with paralysis * Burns > 72 hrs old * Hyperkalemia ## Footnote These conditions can lead to serious complications.
204
What is the pregnancy class of Succinylcholine?
C ## Footnote Indicates that risk cannot be ruled out.
205
What are common side effects of Succinylcholine?
* Apnea * Respiratory depression * Brady/tachy dysrhythmia * Cardiac arrest * Salivation * Prolonged muscle rigidity * Rhabdomyolysis * Malignant hyperthermia * Increased intraocular pressure * Hyperkalemia (trauma) ## Footnote Monitoring for respiratory and cardiac effects is essential.
206
What is the trade name for Thiamine?
Vitamin B1 ## Footnote Essential for energy metabolism.
207
What is the classification of Thiamine?
Vitamin ## Footnote Important for various biochemical processes.
208
What is the mechanism of action for Thiamine?
Oxidizes pyruvic acid allowing brain to utilize energy from glucose ## Footnote Critical for brain function and energy metabolism.
209
What are the indications for Thiamine?
Treatment/prevention of Wernicke’s encephalopathy associated with chronic alcoholism ## Footnote Important for patients with alcohol use disorder.
210
What is the dose for Thiamine?
50-100 mg IVP ## Footnote Dosing may vary based on clinical need.
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What is a major caution for Thiamine?
Administer with glucose in case of hypoglycemic alcoholic patient ## Footnote To prevent Wernicke's encephalopathy or Korsakoff syndrome.
212
What is the pregnancy class of Thiamine?
A ## Footnote Indicates no risk in humans.
213
What are common side effects of Thiamine?
* Itching * Rash * Pain at injection site ## Footnote Generally well tolerated with minimal side effects.
214
What is the trade name for Vecuronium?
Norcuron ## Footnote Used as a neuromuscular blocker.
215
What is the classification of Vecuronium?
Non-depolarizing neuromuscular blockade ## Footnote Used to facilitate intubation.
216
What is the mechanism of action for Vecuronium?
Antagonizes acetylcholine receptors at the neuromuscular endplate resulting in paralysis ## Footnote Provides controlled paralysis.
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What are the indications for Vecuronium?
RSI, prolonged paralysis ## Footnote Commonly used in surgical and critical care settings.
218
What is the dose for Vecuronium?
0.1-0.2 mg/kg (duration 45-60 min) ## Footnote Dosing may vary based on patient response.
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What are major contraindications for Vecuronium?
Known hypersensitivity ## Footnote Important to assess patient allergies.
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What is the pregnancy class of Vecuronium?
C ## Footnote Indicates that risk cannot be ruled out.
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What are common side effects of Vecuronium?
* Weakness * Prolonged neuromuscular blockade * Bronchospasm * Apnea * Dysrhythmia * Bradycardia * Tachycardia * PVC’s * Transient hypotension * Cardiac arrest * Excessive salivation ## Footnote Monitoring of neuromuscular function is essential.
222
What is the trade name for Verapamil?
Isoptin, Calan ## Footnote Used as an antiarrhythmic.
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What is the classification of Verapamil?
Antiarrhythmic, Calcium channel blocker ## Footnote Used to manage arrhythmias and hypertension.
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What is the mechanism of action for Verapamil?
Blocks transport of calcium into myocardial cells, slows AV/SA nodal cells ## Footnote Helps to reduce heart rate and myocardial contractility.
225
What are the indications for Verapamil?
Atrial fibrillation, atrial flutter with RVR, SVT/AVNRT ## Footnote Effective in controlling rapid heart rhythms.
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What is the dose for Verapamil?
5 mg IVP ## Footnote Dosing is often given slowly to avoid hypotension.
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What is a major caution for Verapamil?
Administer slowly; hypotension may occur ## Footnote Important to monitor blood pressure during administration.
228
What is the pregnancy class of Verapamil?
C ## Footnote Indicates that risk cannot be ruled out.
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What are common side effects of Verapamil?
* Dizziness * Headache * Pulmonary edema * Sinus arrest * Asystole * AV blocks * Bradycardia * Hypotension * Nausea * Vomiting * Constipation ## Footnote Monitoring for cardiovascular effects is critical.
230
What is the trade name for Ziprasidone?
Geodon ## Footnote Used as an antipsychotic.
231
What is the classification of Ziprasidone?
Antipsychotic ## Footnote Used to manage acute psychotic episodes.
232
What is the mechanism of action for Ziprasidone?
Dopamine/serotonin antagonism ## Footnote Helps to stabilize mood and reduce psychotic symptoms.
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What are the indications for Ziprasidone?
Acute psychotic episodes ## Footnote Effective in treating severe psychiatric conditions.
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What is the dose for Ziprasidone?
10 mg IM q2hrs (max 40 mg per day) OR 20 mg q4hrs x2 ## Footnote Dosing may vary based on clinical response.
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What is a major contraindication for Ziprasidone?
Long QT/elongate QT interval ## Footnote Risk of serious cardiac arrhythmias.
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What is the pregnancy class of Ziprasidone?
C ## Footnote Indicates that risk cannot be ruled out.
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What are common side effects of Ziprasidone?
* Dizziness * Suicide risk * Bradycardia * Prolonged QT * Dystonia ## Footnote Monitoring for mood changes and cardiovascular effects is important.

TCC pm pharm (4 decks)

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