Respiratory Drugs

Question 1

Albuterol Sulfate

Class:

Dosage:

Answer 1

Sympathomimetic, bronchodilator

Give 2.5 mg of premixed solution for inhalation (0.083%) via SVN with a mouth piece, or in-line with a ventilation device. Repeated according to medical control preference.

Question 2

Dexamethasone Sodium Phosphate (Decadron)

Class:

Dosage:

Answer 2

Synthetic adrenocorticoid/glucocorticoid with a predominance of glucocorticoid action, anti-inflammatory

Reactive Airway Disease, Anaphylaxis: 8-24mg

Cerebral Edema: 1-5mg/kg

Question 3

Epinephrine HCL

Class:

Dosage:

Answer 3

Sympathomimetic
Anaphylaxis and asthma: Give 0.3-0.5 mg of 1:1,000 solution IM (preferred), SC, or inject SL, may repeat every 15 to 20 minutes; or in extreme cases only, may be asked to use 1:10,000 solution and give 0.1mg every 5 minutes IV/IO or continuous IV/IO infusion of 1-4 mcg/min to prevent need for multiple injections.

Question 4

Ipratropium Bromide (Atrovent)

Class:

Dosage:

Answer 4

Anticholinergic, bronchodilator

Give 500 mcg in 2.5ml normal saline (1 unit dose vial) via SVN with a mouth piece or in-line with a ventilation device. Repeat according to medical control preference. May mix one dose vial of ipratropium with one unit dose vial of albuterol.

Question 5

Methylprednisolone Sodium Succinate (Solu-Medrol)

Class:

Dosage:

Answer 5

Corticosteroid, glucocorticoid, steroid, anti-inflammatory

Reactive Airway Disease, Anaphylaxis, Burns Potentially Involving the Airway: usual dose 125 mg slow IV bolus (much larger dose can be used).

Question 6

Morphine Sulfate

Class:

Dosage:

Answer 6

Narcotic agonist

IV Dose: administer 1-3 mg increments slow IV PUSH (over 1-5 minutes) until desired effect.

-CNS side effects (including respiratory depression) can be reversed by naloxone.

Question 7

Racemic Epinephrine

Class:

Dosage:

Answer 7

Sympathomimetic

0.5ml (2.25%) in 2.5 to 4.5 mL normal saline via nebulizer.

Question 8

Magnesium Sulfate

Class:

Dosage:

Answer 8

Electrolyte, tocolytic

Respiratory/Sever Asthma: Initial infusion (field) 2 Gm Magnesium Sulfate mixed in 50 ml NS or D5W to be infused IV using microdrip tubing over 5 to 10 minutes. Stop infusion if hypotension, respiratory depression or bradycardia develop.

Question 9

Diphenhydramine HCL

Class:

Dosage:

Answer 9

Antihistamine; anticholinergic

Anaphylaxis: 25-50 mg slow IV push or deep IM