Respiratory Drugs Flashcards

1
Q

Oxygen Class

A

Element

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2
Q

Oxygen Actions

A

Oxidises glucose to produce ATP

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3
Q

Oxygen Indications

A

Hypoxia, CP, Hypoperfusion, Resp. insufficiency, CO poisoning

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4
Q

Oxygen Contraindications

A

none

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5
Q

Oxygen Adult Dose

A

Hi: 10-15 lpm/nrb Lo: 1-4 lpm/nc

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6
Q

Oxygen Ped Dose

A

Hi: 10-15 lpm/nrb Lo: 1-4 lpm/nc

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7
Q

Oxygen SE

A

decreased LOC and respiratory depression in pt with chronic CO2 retention

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8
Q

Albuterol Class

A

Sympathomimetic, bronchodialator, β2-agonist

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9
Q

Albuterol Actions

A

lung smooth muscle relaxant, bronchodialation

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10
Q

Albuterol Indications

A

relief or prevention of bronchospasm

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11
Q

Albuterol Contraindications

A

tachycardic dysthrythmia

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12
Q

Albuterol Adult Dose

A

2.5 mg / neb; up to 3x

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13
Q

Albuterol Pediatric Dose

A

0.1 mg/kg neb; up to 3x

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14
Q

Albuterol SE

A

restlessness, dizzziness, palpitations, tachycardia, dyrythmia, angina

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15
Q

Abuterol brand name

A

Proventil

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16
Q

Ipatroprium Bromide class

A

Anticholinergic bronchodialator

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17
Q

Ipatroprium Bromide actions

A

inhibits acetylcholine at receptor sites on bronchial smooth muscle

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18
Q

Ipratroprium Bromide Indications

A

persistent bronchospasm, COPD

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19
Q

Ipratroprium Bromide adult dose

A

500 ug up to 3x

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20
Q

Ipratroprium Bromide pediatric dose

A

125-250 ug up to 3x

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21
Q

Ipratroprium Bromide SE

A

N/V, Coughing, HA, Tachycardia, dry mouth, blurred vision

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22
Q

Ipratroprium Bromide brand name

A

Atrovent

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23
Q

Methylprednisolone actions

A

supresses inflammation;β-adrenergic agonist vascular smooth muscle relaxant

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24
Q

Methylprednisolone indications

A

Anaphylaxis, unresponsive asthma

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25
Q

Methylprednisolone contraindications

A

caution with GI bleed, diabetes mellitus, severe infection

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26
Q

Methylprednisolone adult dose

A

125 mg IV/IM

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27
Q

Methylprednisolone pediatric dose

A

2 mg/kg IV/IM up to 125 mg

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28
Q

Methylprednisolone SE

A

HA, HTN, Na+ and H20 Retention, Hypokalemia, Alkalosis

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29
Q

Methylprednisolone brand name

A

Solu-Medrol

30
Q

Metaproterenol class

A

Sympathomimetic / adrenergic bronchodialator

31
Q

Metaproterenol indications

A

acute asthma, COPD Bronchospasm

32
Q

Metaproterenol contraindications

A

hs

33
Q

Metaproterenol actions

A

relaxes smooth muscles of the bronchial treee & peripheral vasculature

34
Q

Metaproterenol adult dose

A

2-3 inh/3-4h -OR- 10-15 mg 5% / neb / q4-6h

35
Q

Metaproterenol pediatric dose

A

2-3 inh/3-4h -OR- 0.5-1 mg/kg 5% / neb / q4-6h

36
Q

Metaproterenol SE

A

restlessness, dizzziness, palpitations, tachycardia, dyrythmia, angina, n/v, PE

37
Q

Metaproterenol brand name

A

Aluepent

38
Q

Aminophylline class

A

Xanthine bronchodialator

39
Q

Aminophylline actions

A

lung smooth muscle relaxant, bronchodialation

40
Q

Aminophylline indications

A

Acute Bronchospasm, Acute Asthma, Anaphylaxis, apnea

41
Q

Aminophylline contraindications

A

hs to caffeine

42
Q

Aminophylline adult dose

A

5mg/kg IV/20-30 min –> 0.5-0.8 mg/kg/hr

43
Q

Aminophylline pediatric dose

A

5mg/kg IV/20-30 min –> 0.5-0.8 mg/kg/hr

44
Q

Aminophylline SE

A

restlessness, sz, tachycardia, flushing, hypotension, n/v

45
Q

Aminophylline brand name

A

Quibron & Theodur

46
Q

ipratroprium contraindications

A

hs

47
Q

methylprednisolone class

A

synthetic glucocorticosteroid

48
Q

terbutaline class

A

Sympathomimetic / adrenergic agonist

49
Q

terbutaline actions

A

stimulates β2 adrenergic receptors, relaxes uterine and smooth muscle, relieves bronchospasm

50
Q

terbutaline indications

A

acute asthma, COPD Bronchospasm, delays labor

51
Q

terbutaline contraindications

A

hs to sympathomimetics

52
Q

terbutaline adult dose

A

Bronchospasm: 0.25 mg SQ/rpt in 15-30m -OR- 1mg/3ml neb

preterm labor: 2.5 - 10 mcg/min IV infusion/increase up to 30 mcg/min

53
Q

terbutaline pediatric dose

A

NR

54
Q

terbutaline SE

A

HA, restlessness, dizzziness, palpitations, tachycardia, dyrythmia, n/v, heartburn

55
Q

terbutaline brand name

A

Brethine

56
Q

epi 1:1000 class

A

Sympathomimetic / natural catecholamine

57
Q

epi 1:1000 actions

A

α - effects: vasoconstriction, bronchial arteriole constriction - reduced edema
β - effects - +HR, contractility, automaticity

58
Q

epi 1:1000 indications

A

cardiac arrest, acute asthma, anaphylaxis, refractory adult brady, pediatric brady, pediatric non-hypovolemic shock

59
Q

epi 1:1000 contraindications

A

narrow angle glaucoma, hypovolemia, HTN

60
Q

epi 1:1000 adult dose

A

Asthma: 0.3 - 0.5 mg SQ q20m, IV in severe

Allergic Rx: 0.3 mg SQ q20m; IV slow if severe, poor perfusion, hypotension

61
Q

epi 1:1000 pediatric dose

A

Asthma: 0.01 mg/kg SQ q20m

Allergic Rx: 0.01 mg/kg SQ up to 0.3 mg; IV slow if severe

62
Q

epi 1:1000 SE

A

anxiety, HA, dysthrythmias, hyperglycemia

63
Q

epi 1:1000 brand name

A

Adrenaline

64
Q

Diphenhydramine class

A

antihistamine

65
Q

Diphenhydramine actions

A

blocks histamine at H1 binder site, anticholinergic, sedative effect

66
Q

Diphenhydramine indications

A

allergic reactions, anaphylactic shock

67
Q

Diphenhydramine contraindications

A

nursing, pregnancy, acute asthma, MAOI w/in 2w

68
Q

Diphenhydramine adult dose

A

25-50 mg IV slow, repeat to 100 mg total

69
Q

Diphenhydramine pediatric dose

A

1-2 mg/kg IV very slow to 50 mg

70
Q

Diphenhydramine SE

A

drowsiness, HA, NV, hypotension, dry membranes

71
Q

Diphenhydramine brand name

A

benadryl

72
Q

Respiratory and Allergic Reaction Drugs

A

Oxygen, Albuterol, Ipratroprium, Methylprednisolone, Aminophylline, Terbutaline, Epinephrine 1:1000, Diphenhydramine