Respiratory Drugs Flashcards

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1
Q

Epinephrine hydrochloride 1:1000

-classification (2)

A

Sympathomimetic

Alpha and beta agonist

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2
Q

Epinephrine hydrochloride 1:1000

- effects (4)

A

Vasoconstriction
Increase BP
Increase contractility
Relieves bronchospasms

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3
Q

Epinephrine hydrochloride 1:1000

- route

A

Subcutaneous

Intramuscular

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4
Q

Epinephrine hydrochloride 1:1000

- onset

A

5-10 minutes

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5
Q

Epinephrine hydrochloride 1:1000

-indications (2)

A

Asthma

Anaphylaxis

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6
Q

Epinephrine hydrochloride 1:1000

-contraindications (3)

A

Hypertension
Hyperthyroidism
Narrow angle glaucoma

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7
Q

Epinephrine hydrochloride 1:1000

-side effects (5+)

A
Headache 
Restlessness
Palpitations
Tachycardia
Angina
Disarhythmias
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8
Q

Epinephrine hydrochloride 1:1000

-dose (adults)

A

0.3mg

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9
Q

Epinephrine hydrochloride 1:1000

- dose (pediatrics)

A

.01 mg/kg

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10
Q

Furosemide

-alternative name

A

Lasix

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11
Q

Furosemide

-classification

A

Loop diuretic

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12
Q

Furosemide

-effects (2)

A

Inhibits reabsorption of sodium chloride in proximal tubules of loop of Henle

Reduces cardiac preload and after load by increasing venous capacitance

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13
Q

Furosemide

-indications (2)

A

CHF

Acute pulmonary edema

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14
Q

Furosemide

-contraindications (3)

A

Anuria
Hypovolemia
Allergy

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15
Q

Furosemide

-side effects (5)

A
Headache
Tinnitus
Dizziness
Hypotension
Dehydration
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16
Q

Furosemide

-route

A

Slow IV push

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17
Q

Furosemide

-dose (adults)

A

20-40mg

.5 - 1 mg/kg

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18
Q

Furosemide

-dose (pediatrics)

A

1 mg/kg

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19
Q

Morphine Sulfate

-classification (2)

A

Narcotic opioid analgesic

Opiate receptor agonist

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20
Q

Morphine Sulfate

-effects (4)

A

Decrease: pain, anxiety, myocardial oxygen demand

Decrease preload and afterload in pulmonary edema

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21
Q

Morphine Sulfate

-route

A

Slow IV push

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22
Q

Morphine Sulfate

-indications

A

Pain management for burns/AMI

Pulmonary edema

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23
Q

Morphine Sulfate

-contraindications (5)

A
Allergy
Asthma
Upper respiratory airway obstruction
CNS depression
Head injury with ICP
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24
Q

Morphine Sulfate

-side effects (5+)

A
Dizziness 
Hypotension
Bradycardia
Respiratory depression
Sedation
Nausea
Sweating
Euphoria 
Bronchospasm
Arrhythmia
Lowers cough reflex
Potentiates other CNS depressants
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25
Q

Morphine Sulfate

-dose (adults)

A

2-4 mg

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26
Q

Morphine Sulfate

- dose (pediatrics)

A

.1 - .2 mg/kg

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27
Q

Nitroglycerin

-alternative name (3)

A

Nitro stat
Isordil
Nitro bid

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28
Q

Nitroglycerin

-classification

A

Vasodilator

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29
Q

Nitroglycerin

-effects (3)

A

Decrease: ischemic chest pain, preload, oxygen demand
Dilates coronary arteries
Increase Venus capacitance

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30
Q

Nitroglycerin

-onset

A

2-5 mins

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31
Q

Nitroglycerin

-indications (4)

A

Angina
Head trauma
AMI
CHF

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32
Q

Nitroglycerin

-contraindications (4)

A

Allergy
Anemia
BP <90
Viagra type drug in last 24 hours

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33
Q

Nitroglycerin

-route

A

Sublingual

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34
Q

Nitroglycerin

-dose

A

.4 mg tablet three times as needed

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35
Q

Albuterol sulfate

-alternative name

A

Proventil

Ventolin

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36
Q

Albuterol sulfate

-classification (3)

A

Sympathomimetic
Bronchodilator
Selective beta 2 adrenergic stimulator

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37
Q

Albuterol sulfate

-indications (3)

A

Asthma
Emphysema
Allergy

38
Q

Albuterol sulfate

-contraindications

A

History: seizures, diabetes, hyperthyroidism

39
Q

Albuterol sulfate

-onset

A

5-15 mins

40
Q

Albuterol sulfate

-side effects (5)

A
Tremors
Increase: heart rate, BP
Dizziness 
Dysrhythmias
Nausea
41
Q

Albuterol sulfate

-route (2)

A

Nebulizer

MDI

42
Q

Albuterol sulfate

-dose (adults)

A

2.5 mg/3 ml

Every 15 mins

43
Q

Albuterol sulfate

-dose (pediatrics)

A

.03 ml/kg of .5% solution

44
Q

Ipratropium Bromide

-alternative name

A

Atrovent

45
Q

Ipratropium Bromide

-classification

A

Anticholinergic

46
Q

Ipratropium Bromide

-effects (3)

A

Inhibits acetylcholine from effecting muscarinic receptors
Bronchodilation
Drying of secretions

47
Q

Ipratropium Bromide

-indications (2)

A

Asthma

COPD

48
Q

Ipratropium Bromide

-contraindications (4)

A

Allergy to: ipratropium, atropine, peanuts, soybeans

49
Q

Ipratropium Bromide

-side effects (4)

A

Dry mouth
Blurred vision
Tachycardia
Headache

50
Q

Ipratropium Bromide

-onset

A

10-15 mins

51
Q

Ipratropium Bromide

-route

A

Combined with albuterol via nebulizer or MDI

52
Q

Ipratropium Bromide

-dose (adults)

A

.5 mg/3ml

Repeat as needed

53
Q

Ipratropium Bromide

-dose (pediatrics)

A

.125- .250 mg /3ml

54
Q

Age limit for ipratropium bromide

A

> 12

55
Q

Metaproterenol sulfate

- alternative name (2)

A

Alupent

Metaprel

56
Q

Metaproterenol sulfate

-classification (2)

A

Bronchodilator

Beta 2 adrenergic stimulator

57
Q

Metaproterenol sulfate

-effect

A

Relaxes bronchial smooth muscle

58
Q

Metaproterenol sulfate

-indication (3)

A

Asthma
Emphysema
Chronic bronchitis

59
Q

Metaproterenol sulfate

-contraindications

A

Allergy

60
Q

Metaproterenol sulfate

-caution (4)

A

History of: seizures, diabetes, hyperthyroidism, arrhythmias

61
Q

Metaproterenol sulfate

-side effect (5+)

A
Tremors
Restlessness
Anxiety
Cough
Tachycardia
Hypertension
62
Q

Metaproterenol sulfate

- what can antagonize effects

A

Beta blockers

63
Q

Metaproterenol sulfate

-route (2)

A

Nebulizer

MDI

64
Q

Metaproterenol sulfate

-dose (adults+pediatrics)

A

2.5ml of 4% solution

Repeat 4-6 hours

65
Q

Metaproterenol sulfate

-age limit

A

> 6 years

66
Q

Methylprednisolone sodium succinate

-alternative name

A

Solu-medrol

67
Q

Methylprednisolone sodium succinate

-classification (2)

A

Steroid

Synthetic glucocorticoid

68
Q

Methylprednisolone sodium succinate

-effect

A

Anti inflammater

69
Q

Methylprednisolone sodium succinate

-onset

A

1-2 hours

70
Q

Methylprednisolone sodium succinate

-indication (3)

A

Asthma
Anaphylaxis
Acute spinal cord injury

71
Q

Methylprednisolone sodium succinate

-contraindications (3)

A

Allergy
Active ocular herpes simplex infection
System fungal infection

72
Q

Methylprednisolone sodium succinate

-caution (4)

A

Hyperthyroidism
Seizures
Cirrhosis
Thrombotic disorder

73
Q

Methylprednisolone sodium succinate

-side effect (4)

A

Myopathy
Headache
Vertigo
Increased blood glucose

74
Q

Methylprednisolone sodium succinate

-route

A

IV

75
Q

Methylprednisolone sodium succinate

-dose (adults)

A

40-125mg

76
Q

Methylprednisolone sodium succinate

-dose (pediatrics)

A

1-2 mg/kg

77
Q

Terbutaline

-alternate name (2)

A

Brethine

Bethaire

78
Q

Terbutaline

-classification

A

Bronchodilator

79
Q

Terbutaline

-effect (2)

A

Beta 2 adrenergic stimulation

Relaxation of smooth muscle

80
Q

Terbutaline

-indications (2)

A

Asthma

COPD

81
Q

Terbutaline

-contraindication

A

Allergy

82
Q

Terbutaline

-onset

A

5-15 mins

83
Q

Terbutaline

-caution (5)

A
History of:
Seizures
Diabetes
Hyperthyroidism
Tachycardia
Hypertension
84
Q

Terbutaline

-route (2)

A

Subcutaneous

MDI

85
Q

Terbutaline

-dose (adult+pediatrics)

A

.25 mg
Repeat 15-30 mins
Over 12

86
Q

Terbutaline

-age limit

A

> 12

87
Q

Magnesium sulfate

-classification

A

Mineral

88
Q

Magnesium sulfate

-effect (2)

A

Calcium channel blocker

Blocks neuromuscular transmission

89
Q

Magnesium sulfate

-indications (4)

A

Bronchospasms
Refractory v-fib
V-tach
Torsode de points

90
Q

Magnesium sulfate

-contraindications (5)

A
Shock
Dialysis
Hypocalcemia
Hypertension
3rd degree heart block
91
Q

Magnesium sulfate

-side effect (4)

A

Flushing
Sweating
Bradycardia
Drowsiness

92
Q

Epinephrine hydrochloride 1:1000

-alternative name

A

Adrenaline