Respiratory Drugs Flashcards

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
Morphine Sulfate | -dose (adults)
2-4 mg
26
Morphine Sulfate | - dose (pediatrics)
.1 - .2 mg/kg
27
Nitroglycerin | -alternative name (3)
Nitro stat Isordil Nitro bid
28
Nitroglycerin | -classification
Vasodilator
29
Nitroglycerin | -effects (3)
Decrease: ischemic chest pain, preload, oxygen demand Dilates coronary arteries Increase Venus capacitance
30
Nitroglycerin | -onset
2-5 mins
31
Nitroglycerin | -indications (4)
Angina Head trauma AMI CHF
32
Nitroglycerin | -contraindications (4)
Allergy Anemia BP <90 Viagra type drug in last 24 hours
33
Nitroglycerin | -route
Sublingual
34
Nitroglycerin | -dose
.4 mg tablet three times as needed
35
Albuterol sulfate | -alternative name
Proventil | Ventolin
36
Albuterol sulfate | -classification (3)
Sympathomimetic Bronchodilator Selective beta 2 adrenergic stimulator
37
Albuterol sulfate | -indications (3)
Asthma Emphysema Allergy
38
Albuterol sulfate | -contraindications
History: seizures, diabetes, hyperthyroidism
39
Albuterol sulfate | -onset
5-15 mins
40
Albuterol sulfate | -side effects (5)
``` Tremors Increase: heart rate, BP Dizziness Dysrhythmias Nausea ```
41
Albuterol sulfate | -route (2)
Nebulizer | MDI
42
Albuterol sulfate | -dose (adults)
2.5 mg/3 ml | Every 15 mins
43
Albuterol sulfate | -dose (pediatrics)
.03 ml/kg of .5% solution
44
Ipratropium Bromide | -alternative name
Atrovent
45
Ipratropium Bromide | -classification
Anticholinergic
46
Ipratropium Bromide | -effects (3)
Inhibits acetylcholine from effecting muscarinic receptors Bronchodilation Drying of secretions
47
Ipratropium Bromide | -indications (2)
Asthma | COPD
48
Ipratropium Bromide | -contraindications (4)
Allergy to: ipratropium, atropine, peanuts, soybeans
49
Ipratropium Bromide | -side effects (4)
Dry mouth Blurred vision Tachycardia Headache
50
Ipratropium Bromide | -onset
10-15 mins
51
Ipratropium Bromide | -route
Combined with albuterol via nebulizer or MDI
52
Ipratropium Bromide | -dose (adults)
.5 mg/3ml | Repeat as needed
53
Ipratropium Bromide | -dose (pediatrics)
.125- .250 mg /3ml
54
Age limit for ipratropium bromide
>12
55
Metaproterenol sulfate | - alternative name (2)
Alupent | Metaprel
56
Metaproterenol sulfate | -classification (2)
Bronchodilator | Beta 2 adrenergic stimulator
57
Metaproterenol sulfate | -effect
Relaxes bronchial smooth muscle
58
Metaproterenol sulfate | -indication (3)
Asthma Emphysema Chronic bronchitis
59
Metaproterenol sulfate | -contraindications
Allergy
60
Metaproterenol sulfate | -caution (4)
History of: seizures, diabetes, hyperthyroidism, arrhythmias
61
Metaproterenol sulfate | -side effect (5+)
``` Tremors Restlessness Anxiety Cough Tachycardia Hypertension ```
62
Metaproterenol sulfate | - what can antagonize effects
Beta blockers
63
Metaproterenol sulfate | -route (2)
Nebulizer | MDI
64
Metaproterenol sulfate | -dose (adults+pediatrics)
2.5ml of 4% solution | Repeat 4-6 hours
65
Metaproterenol sulfate | -age limit
>6 years
66
Methylprednisolone sodium succinate | -alternative name
Solu-medrol
67
Methylprednisolone sodium succinate | -classification (2)
Steroid | Synthetic glucocorticoid
68
Methylprednisolone sodium succinate | -effect
Anti inflammater
69
Methylprednisolone sodium succinate | -onset
1-2 hours
70
Methylprednisolone sodium succinate | -indication (3)
Asthma Anaphylaxis Acute spinal cord injury
71
Methylprednisolone sodium succinate | -contraindications (3)
Allergy Active ocular herpes simplex infection System fungal infection
72
Methylprednisolone sodium succinate | -caution (4)
Hyperthyroidism Seizures Cirrhosis Thrombotic disorder
73
Methylprednisolone sodium succinate | -side effect (4)
Myopathy Headache Vertigo Increased blood glucose
74
Methylprednisolone sodium succinate | -route
IV
75
Methylprednisolone sodium succinate | -dose (adults)
40-125mg
76
Methylprednisolone sodium succinate | -dose (pediatrics)
1-2 mg/kg
77
Terbutaline | -alternate name (2)
Brethine | Bethaire
78
Terbutaline | -classification
Bronchodilator
79
Terbutaline | -effect (2)
Beta 2 adrenergic stimulation | Relaxation of smooth muscle
80
Terbutaline | -indications (2)
Asthma | COPD
81
Terbutaline | -contraindication
Allergy
82
Terbutaline | -onset
5-15 mins
83
Terbutaline | -caution (5)
``` History of: Seizures Diabetes Hyperthyroidism Tachycardia Hypertension ```
84
Terbutaline | -route (2)
Subcutaneous | MDI
85
Terbutaline | -dose (adult+pediatrics)
.25 mg Repeat 15-30 mins Over 12
86
Terbutaline | -age limit
>12
87
Magnesium sulfate | -classification
Mineral
88
Magnesium sulfate | -effect (2)
Calcium channel blocker | Blocks neuromuscular transmission
89
Magnesium sulfate | -indications (4)
Bronchospasms Refractory v-fib V-tach Torsode de points
90
Magnesium sulfate | -contraindications (5)
``` Shock Dialysis Hypocalcemia Hypertension 3rd degree heart block ```
91
Magnesium sulfate | -side effect (4)
Flushing Sweating Bradycardia Drowsiness
92
Epinephrine hydrochloride 1:1000 | -alternative name
Adrenaline