Quiz 2: Naloxone, Albuterol, and Ipatropium Bromide Flashcards
Naloxone: Brand Name
Narcan
Naloxone: Classification
Narcotic Antagonist
Naloxone: Pharmacokinetics
Effects: IV ~2 minutes // IN ~3-4 minutes
Duration: 30-90 minutes
Naloxone: Mechanism of Action
Naloxone has a higher affinity to narcotic receptor sites and displaces narcotics
Naloxone: Indications for Field Use
Respiratory depression related to opiate abuse.
Diagnosis of coma of unknown origin.
Naloxone: Contraindication
None
Naloxone: Side/Adverse Effect
Related to narcotic withdrawal: tremors, sweating, N/V, agitation, seizures
Naloxone: Routes of Administration
IV push, intranasal, SQ, IM, IO
Naloxone: How Supplied
2mg preloaded syringe with 1 mg/mL; 2mg ampule or multi-dose vial containing 1mg/mL
Naloxone: Dosages
Adults: 0.4mg - 2mg (titrated)
Pediatric: 0.1mg/kg (max dose 2mg)
Naloxone: Special Considerations
Repeat as needed
Dose is titrated to desired effect
Albuterol: Brand Name
Proventil, Ventolin
Albuterol: Classification
Sympathomimetic (selective beta-2 agonist)
Albuterol: Pharmacokinetics
Effects: 5 minutes
Duration: 3-6 hours
Albuterol: Mechanism of Action
Bronchodilation (relaxation of bronchial smooth muscle) selective beta-2 agonist
Albuterol: Indications for Field Use
Dyspnea consistent with bronchoconstriction
Albuterol: Contraindications
Known hypersensitivity; administer with caution to cardiovascular patients
Albuterol: Side/Adverse Effects
Minimal, may include palpitations, dizziness, tremors, nervousness, N/V, HA, HTN
Albuterol: Routes of Administration
Inhaled (nebulizer)
Albuterol: How Supplied
Bullets: 2.5mg in 3mL
Albuterol: Dosages
Adult: 2.5 mg
Pedi: 2.5 mg
Albuterol: Special Considerations
Wheezing may or may not be evident
Consider side effect when re-dosing
Ipratropium Bromide: Brand Name
Atrovent
Ipratropium Bromide: Classification
Short-Acting Muscarinic Antagonists (SAMA)
