Quiz 2: Naloxone, Albuterol, and Ipatropium Bromide Flashcards

1
Q

Naloxone: Brand Name

A

Narcan

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2
Q

Naloxone: Classification

A

Narcotic Antagonist

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3
Q

Naloxone: Pharmacokinetics

A

Effects: IV ~2 minutes // IN ~3-4 minutes

Duration: 30-90 minutes

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4
Q

Naloxone: Mechanism of Action

A

Naloxone has a higher affinity to narcotic receptor sites and displaces narcotics

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5
Q

Naloxone: Indications for Field Use

A

Respiratory depression related to opiate abuse.
Diagnosis of coma of unknown origin.

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6
Q

Naloxone: Contraindication

A

None

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7
Q

Naloxone: Side/Adverse Effect

A

Related to narcotic withdrawal: tremors, sweating, N/V, agitation, seizures

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8
Q

Naloxone: Routes of Administration

A

IV push, intranasal, SQ, IM, IO

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9
Q

Naloxone: How Supplied

A

2mg preloaded syringe with 1 mg/mL; 2mg ampule or multi-dose vial containing 1mg/mL

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10
Q

Naloxone: Dosages

A

Adults: 0.4mg - 2mg (titrated)

Pediatric: 0.1mg/kg (max dose 2mg)

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11
Q

Naloxone: Special Considerations

A

Repeat as needed

Dose is titrated to desired effect

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12
Q

Albuterol: Brand Name

A

Proventil, Ventolin

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13
Q

Albuterol: Classification

A

Sympathomimetic (selective beta-2 agonist)

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14
Q

Albuterol: Pharmacokinetics

A

Effects: 5 minutes

Duration: 3-6 hours

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15
Q

Albuterol: Mechanism of Action

A

Bronchodilation (relaxation of bronchial smooth muscle) selective beta-2 agonist

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16
Q

Albuterol: Indications for Field Use

A

Dyspnea consistent with bronchoconstriction

17
Q

Albuterol: Contraindications

A

Known hypersensitivity; administer with caution to cardiovascular patients

18
Q

Albuterol: Side/Adverse Effects

A

Minimal, may include palpitations, dizziness, tremors, nervousness, N/V, HA, HTN

19
Q

Albuterol: Routes of Administration

A

Inhaled (nebulizer)

20
Q

Albuterol: How Supplied

A

Bullets: 2.5mg in 3mL

21
Q

Albuterol: Dosages

A

Adult: 2.5 mg

Pedi: 2.5 mg

22
Q

Albuterol: Special Considerations

A

Wheezing may or may not be evident
Consider side effect when re-dosing

23
Q

Ipratropium Bromide: Brand Name

A

Atrovent

24
Q

Ipratropium Bromide: Classification

A

Short-Acting Muscarinic Antagonists (SAMA)

25
Q

Ipratropium Bromide: Pharmacokinetics

A

Effects: 15 min

Duration: 4-6 hours

26
Q

Ipratropium Bromide: Mechanism of Action

A

Blocking muscarinic cholinergic receptors

27
Q

Ipratropium Bromide: Indications for Field Use

A

Dyspnea consistent with bronchoconstriction

28
Q

Ipratropium Bromide: Contraindications

A

Known hypersensitivity

29
Q

Ipratropium Bromide: Side/Adverse Effects

A

Minimal. May include HA, dry mouth, cough, nausea

30
Q

Ipratropium Bromide: Routes of Administration

A

Inhalation

31
Q

Ipratropium Bromide: How Supplied

A

Bullets: 0.5 mg in 2.5 ml

32
Q

Ipratropium Bromide: Dosages

A

Adult: 0.5 mg

Pedi: 0.5 mg

33
Q

Ipratropium Bromide: Special Considerations

A

Wheezing may or may not be evident
Consider side effects when re-dosing