Respiratory Drugs Flashcards
Epinephrine hydrochloride 1:1000
-classification (2)
Sympathomimetic
Alpha and beta agonist
Epinephrine hydrochloride 1:1000
- effects (4)
Vasoconstriction
Increase BP
Increase contractility
Relieves bronchospasms
Epinephrine hydrochloride 1:1000
- route
Subcutaneous
Intramuscular
Epinephrine hydrochloride 1:1000
- onset
5-10 minutes
Epinephrine hydrochloride 1:1000
-indications (2)
Asthma
Anaphylaxis
Epinephrine hydrochloride 1:1000
-contraindications (3)
Hypertension
Hyperthyroidism
Narrow angle glaucoma
Epinephrine hydrochloride 1:1000
-side effects (5+)
Headache Restlessness Palpitations Tachycardia Angina Disarhythmias
Epinephrine hydrochloride 1:1000
-dose (adults)
0.3mg
Epinephrine hydrochloride 1:1000
- dose (pediatrics)
.01 mg/kg
Furosemide
-alternative name
Lasix
Furosemide
-classification
Loop diuretic
Furosemide
-effects (2)
Inhibits reabsorption of sodium chloride in proximal tubules of loop of Henle
Reduces cardiac preload and after load by increasing venous capacitance
Furosemide
-indications (2)
CHF
Acute pulmonary edema
Furosemide
-contraindications (3)
Anuria
Hypovolemia
Allergy
Furosemide
-side effects (5)
Headache Tinnitus Dizziness Hypotension Dehydration
Furosemide
-route
Slow IV push
Furosemide
-dose (adults)
20-40mg
.5 - 1 mg/kg
Furosemide
-dose (pediatrics)
1 mg/kg
Morphine Sulfate
-classification (2)
Narcotic opioid analgesic
Opiate receptor agonist
Morphine Sulfate
-effects (4)
Decrease: pain, anxiety, myocardial oxygen demand
Decrease preload and afterload in pulmonary edema
Morphine Sulfate
-route
Slow IV push
Morphine Sulfate
-indications
Pain management for burns/AMI
Pulmonary edema
Morphine Sulfate
-contraindications (5)
Allergy Asthma Upper respiratory airway obstruction CNS depression Head injury with ICP
Morphine Sulfate
-side effects (5+)
Dizziness Hypotension Bradycardia Respiratory depression Sedation Nausea Sweating Euphoria Bronchospasm Arrhythmia Lowers cough reflex Potentiates other CNS depressants
Morphine Sulfate
-dose (adults)
2-4 mg
Morphine Sulfate
- dose (pediatrics)
.1 - .2 mg/kg
Nitroglycerin
-alternative name (3)
Nitro stat
Isordil
Nitro bid
Nitroglycerin
-classification
Vasodilator
Nitroglycerin
-effects (3)
Decrease: ischemic chest pain, preload, oxygen demand
Dilates coronary arteries
Increase Venus capacitance
Nitroglycerin
-onset
2-5 mins
Nitroglycerin
-indications (4)
Angina
Head trauma
AMI
CHF
Nitroglycerin
-contraindications (4)
Allergy
Anemia
BP <90
Viagra type drug in last 24 hours
Nitroglycerin
-route
Sublingual
Nitroglycerin
-dose
.4 mg tablet three times as needed
Albuterol sulfate
-alternative name
Proventil
Ventolin
Albuterol sulfate
-classification (3)
Sympathomimetic
Bronchodilator
Selective beta 2 adrenergic stimulator
Albuterol sulfate
-indications (3)
Asthma
Emphysema
Allergy
Albuterol sulfate
-contraindications
History: seizures, diabetes, hyperthyroidism
Albuterol sulfate
-onset
5-15 mins
Albuterol sulfate
-side effects (5)
Tremors Increase: heart rate, BP Dizziness Dysrhythmias Nausea
Albuterol sulfate
-route (2)
Nebulizer
MDI
Albuterol sulfate
-dose (adults)
2.5 mg/3 ml
Every 15 mins
Albuterol sulfate
-dose (pediatrics)
.03 ml/kg of .5% solution
Ipratropium Bromide
-alternative name
Atrovent
Ipratropium Bromide
-classification
Anticholinergic
Ipratropium Bromide
-effects (3)
Inhibits acetylcholine from effecting muscarinic receptors
Bronchodilation
Drying of secretions
Ipratropium Bromide
-indications (2)
Asthma
COPD
Ipratropium Bromide
-contraindications (4)
Allergy to: ipratropium, atropine, peanuts, soybeans
Ipratropium Bromide
-side effects (4)
Dry mouth
Blurred vision
Tachycardia
Headache
Ipratropium Bromide
-onset
10-15 mins
Ipratropium Bromide
-route
Combined with albuterol via nebulizer or MDI
Ipratropium Bromide
-dose (adults)
.5 mg/3ml
Repeat as needed
Ipratropium Bromide
-dose (pediatrics)
.125- .250 mg /3ml
Age limit for ipratropium bromide
> 12
Metaproterenol sulfate
- alternative name (2)
Alupent
Metaprel
Metaproterenol sulfate
-classification (2)
Bronchodilator
Beta 2 adrenergic stimulator
Metaproterenol sulfate
-effect
Relaxes bronchial smooth muscle
Metaproterenol sulfate
-indication (3)
Asthma
Emphysema
Chronic bronchitis
Metaproterenol sulfate
-contraindications
Allergy
Metaproterenol sulfate
-caution (4)
History of: seizures, diabetes, hyperthyroidism, arrhythmias
Metaproterenol sulfate
-side effect (5+)
Tremors Restlessness Anxiety Cough Tachycardia Hypertension
Metaproterenol sulfate
- what can antagonize effects
Beta blockers
Metaproterenol sulfate
-route (2)
Nebulizer
MDI
Metaproterenol sulfate
-dose (adults+pediatrics)
2.5ml of 4% solution
Repeat 4-6 hours
Metaproterenol sulfate
-age limit
> 6 years
Methylprednisolone sodium succinate
-alternative name
Solu-medrol
Methylprednisolone sodium succinate
-classification (2)
Steroid
Synthetic glucocorticoid
Methylprednisolone sodium succinate
-effect
Anti inflammater
Methylprednisolone sodium succinate
-onset
1-2 hours
Methylprednisolone sodium succinate
-indication (3)
Asthma
Anaphylaxis
Acute spinal cord injury
Methylprednisolone sodium succinate
-contraindications (3)
Allergy
Active ocular herpes simplex infection
System fungal infection
Methylprednisolone sodium succinate
-caution (4)
Hyperthyroidism
Seizures
Cirrhosis
Thrombotic disorder
Methylprednisolone sodium succinate
-side effect (4)
Myopathy
Headache
Vertigo
Increased blood glucose
Methylprednisolone sodium succinate
-route
IV
Methylprednisolone sodium succinate
-dose (adults)
40-125mg
Methylprednisolone sodium succinate
-dose (pediatrics)
1-2 mg/kg
Terbutaline
-alternate name (2)
Brethine
Bethaire
Terbutaline
-classification
Bronchodilator
Terbutaline
-effect (2)
Beta 2 adrenergic stimulation
Relaxation of smooth muscle
Terbutaline
-indications (2)
Asthma
COPD
Terbutaline
-contraindication
Allergy
Terbutaline
-onset
5-15 mins
Terbutaline
-caution (5)
History of: Seizures Diabetes Hyperthyroidism Tachycardia Hypertension
Terbutaline
-route (2)
Subcutaneous
MDI
Terbutaline
-dose (adult+pediatrics)
.25 mg
Repeat 15-30 mins
Over 12
Terbutaline
-age limit
> 12
Magnesium sulfate
-classification
Mineral
Magnesium sulfate
-effect (2)
Calcium channel blocker
Blocks neuromuscular transmission
Magnesium sulfate
-indications (4)
Bronchospasms
Refractory v-fib
V-tach
Torsode de points
Magnesium sulfate
-contraindications (5)
Shock Dialysis Hypocalcemia Hypertension 3rd degree heart block
Magnesium sulfate
-side effect (4)
Flushing
Sweating
Bradycardia
Drowsiness
Epinephrine hydrochloride 1:1000
-alternative name
Adrenaline