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pharmacology manual > Precautions > Flashcards

Precautions Flashcards

1
Q

Oxygen Precautions

A

Use cautiously with COPD patients, monitor long term high concentration use in neonate as retrolental fibroplasia may develop, open flames

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2
Q

Diazepam (Valium) Precautions)

A

Can cause local irritation, therefore, use large vein when possible
Seizure activity may reoccur due to its lipid solubility
use with caution in patients with myastenia gravis, impaired renal or hepatic function, obstetrical patients and the elderly

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3
Q

Lorazepam (ativan) Precautions

A

Renal or hepatic impairment, myasthenia gravis, COPD

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4
Q

Midazolam (Versed) Precautions

A

Use with caution in patients with copd, CHF or renal failure

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5
Q

Succinylcholine (Anectine) Precautions

A

Never paralyze without adequate sedation

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6
Q

Epinephrine (Adrenalin) Precautions

A

Protect from light
Can be deactivated by Sodium Bicarbonate, flush IV line between administration of EPI and Bicarb
Effects can be intensified by antidepressants

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7
Q

Vasopressin (Pitressin) Precautions

A

Use with caution in patients with epilepsy, migraine, asthma, heart failure, or angina pectoris

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8
Q

Lidocaine Precautions

A

CNS depression may occur in doses greater than 300mg/hour, liver or renal disease, CHF, hypovolemia, shock, myasthenia gravis

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9
Q

Amiodarone Precautions

A

Use with caution in severe liver disease, pregnancy, nursing mothers

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10
Q

Atropine Sulfate

A

May worsen bradycardia associated with 2nd Degree Mobitz II and 3rd Degree AV blocks thus consider TCP first.
Use with caution in patients with signs and symptoms of acute myocardial ischemia, myocardial infarction, glaucoma

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11
Q

Adenosine (Adenocard) Precautions

A

Place patient in semi-fowlers. Use caution with asthma patients

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12
Q

Diltiazem (Cardizem) Precautions

A

Avoid in patients recieving oral beta blockers
Monitor for hypotension resulting from peripheral vasodilation
Use With caution in CHF

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13
Q

Metoprolol (lopressor, Toprol XL) Precautions

A

Impaired hepatic or renal function, CHF controlled by digitalis or diuretics, do not mix with iv calcium channel blockers

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14
Q

Dopamine (intropin) Precautions

A

In doses 20 mcg/kg/min or greater, its alpha effects dominate and it
causes severe vasoconstriction. Monitor BP q 3 - 5 minutes.
Can be deactivated by sodium bicarbonate

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15
Q

Dobutamine (dobutrex) Precautions

A

Can increase myocardial oxygen demand
can be deactivated by sodium bicarbonate
Preexisting HTN or A-Fib
Hypotension from hypovolemia; always try volume restoration first

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16
Q

Aspirin Precautions

A

Peptic ulcer disease, Asthma

17
Q

Nitroglycerine Precautions

A

Protect from light and air.
Monitor vitals closely as it may cause orthostatic hypotension
Phosphodiesterase-type 5 (PDE-5) inhibitors:
Viagra (sildenafil) use within the past 24 hours
Cialis (tadalafil) use within the past 48 hours
Levitra (vardenafil) use within the past 48 hours

18
Q

Sodium Bicarbonate (NaHCO3) Precautions

A

Not recommended for routine use in cardiac arrest
Dosage must be specific to prevent metabolic alkalosis and is thus
weight-based

19
Q

Magnesium Sulfate Precautions

A

Renal Failure, patients taking digoxin, concomitant use of other CNS depressants or neuromuscular blocking agents

20
Q

Oxytocin Precautions

A

Can cause over stimulation of the uterus resulting in uterine rupture thus vitals and uterine tone should be monitored

21
Q

Albuterol Precautions

A

Consider monitoring peak expiratory flow rates monitor vitals and respiratory status during treatments

22
Q

Ipatropium Bromide (Atrovent) Precautions

A

Use with caution in pregnancy and lactation

23
Q

Methylprednisololne (Solu-medrol) Precautions

A

Patients with peptic ulcer disease, CHF, and TB

24
Q

50% Dextose in Water (D50W or D50)Precautions

A

Use with caution in patients with increasing ICP as the added glucose may worsen the cerebral edema. Consider blood glucose monitoring before and after administration. Monitor for localized venous irritation.

25
Q

Glucagon (GlucaGen) Precautions

A

Glucagon is only effective if there are sufficient stores of glycogen in the liver.

26
Q

Diphenhydramine (Benedryl)Precautions

A

Not considered a primary drug for the treatment of severe allergic reactions or anaphylaxis. use with caution with pts with acute narrow angle glaucoma

27
Q

Haloperidol *haldol Precautions

A

history of seizures, parkinson’s disease

28
Q

Naloxone (narcan) Precautions

A

Use caution on narcotic physically Dependent patients as naloxone can cause abrupt reversal of narcotic effects

29
Q

Furosemide (lasix) Precautions

A

Usage in pregnancy should be limited to life-threatening solutions as furosemide may cause fetal abnormalitie. protect from light. renal or hepatic insufficiencies.

30
Q

CyanoKit Precautions

A

Transient Severe hypertension secondary to infusion

31
Q

Calcium Chloride (Precautions)

A

Flush IV line between calcium chloride and bicarb as preciptate will form. Monitor for tissue necrosis at injection

32
Q

Actidose Activated Charcoal

A

Protect airway and monitor mental status and vitals. USe caution in patients with an altered mental status unless a nasogastric tube is in place and the airway is protected

33
Q

Morphine Precautions

A

Administer slowly and titrate to effect

Undiagnosed abdominal injury

34
Q

Fentanyl Citrate (Sublimaze)Precautions

A

Increased ICP, severe respiratory disorders, hypotension, bradydysrhythmias

35
Q

Ketorolac (toradol)Precautions

A

Use cautiously with CHF and Cirrhosis patients due to renal failure

36
Q

Tylenol Precautions

A

Anemia, hepatic and renal disease alcoholism

37
Q

Ibuprofen (Advil) Precautions

A

pregnancy, peptic ulcer disease, pulmonary edema, HTN

38
Q

Procainamide (Pronestyl) Precautions

A

Do Not administer for PVC’s associated with bradycardia, hypotension, chf, MI, Hepatic or renal failure

pharmacology manual (6 decks)

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