Side Effects-Table 1

Question 1

Question

Answer 1

Answer

Question 2

Oxygen

Answer 2

none

Question 3

Diazepam (valium)

Answer 3

Hypotension; drowsiness; tachycardia; ataxia; amnesia; slurred speech; edema; headache; dizziness; N/V; blurred vision; respiratory depression.

Question 4

Lorazepam

Answer 4

Anterograde amnesia, sedation, hypertension or hypotension, blurred vision, N/V, confusion

Question 5

Midazolam (Versed)

Answer 5

N/V, blurred vision, retrograde amnesia, excessive amnesia, apnea, hypotension, PVCs

Question 6

Succinylcholine (Anectine)

Answer 6

Apnea, malignant hyperthermia, dysrhythmias, bradycardia, HTN, hypotension, tachycardia, cardiac arrest, increased intraocular pressure, fasciculations, exacerbation of hyperkalemia in trauma patients

Question 7

Epinephrine (Adrenalin)

Answer 7

Increases myocardial oxygen demand; Can cause palpitations, anxiety, headache, CVA, syncope, HTN, tachydysrhythmias, tissue necrosis with repeated injections or extravasation of IV.

Question 8

Vasopressin

Answer 8

N/V, abdominal cramps, HTN, bradycardia, PAC’s MI

Question 9

Lidocaine

Answer 9

ALtered mental status including confusion, bradycardias, hypotension, seizures

Question 10

Amiodarone

Answer 10

CHF, angioedema, hypotension, AV Block, hepatotoxicity, cardiogenic shock, fatigue, bradycardia, sinus arrest, permanent blindness, N/V, prolongs the QT interval

Question 11

Atropine Sulfate

Answer 11

Blurred vision, dilated pupils, dry mouth, tachycardia, drowsiness, convulsions, HTN or hypotension, palpitations, paradoxical bradycardia (if given too slowly), AV dissociation, urinary retention

Question 12

Adenosine (Adenocard)

Answer 12

Syncope, dizziness, dyspnea, N/V, headaches, palpitations, chest pain, hypotension, and dysrhythmias. Side effects are usually self-limiting due to short half-life.

Question 13

Diltiazem (Cardizem)

Answer 13

Chest pain, bradycardia, hypotension, syncope, CHF, dysrhythmias, N/V, headache, sweating, dizziness and dyspnea, 2nd and 3rd Degree AV block, palpitations

Question 14

Metoprolol (Lopressor, Toprol XL)

Answer 14

Bronchospasm, bradycardia, palpitations, edema, CHF, reduced peripheral circulation, drowsiness, insomnia

Question 15

Dopamine (Intropin)

Answer 15

Dysrhythmias, palpitations, tachycardia, bradycardia, headaches, anxiety, N/V, tissue sloughing may result from dopamine extravasation, dyspnea, HTN

Question 16

Dobutrex (Dobutamine)

Answer 16

Tachycardia, HTN, dyspnea, dysrhythmias, palpitations, chest pain, headaches, anxiety, N/V

Question 17

Aspirin

Answer 17

Overdose may result in considerable toxicity with dizziness, N/V, abdominal pain, thrombocytopenia, easy bruising, and/ or metabolic acidosis

Question 18

Nitroglycerin

Answer 18

Hypotension, palpitations, tachycardia, syncope, dry mouth, N/V, headache, dizziness, skin rash

Question 19

Sodium Bicarbonate (NaHCO3)

Answer 19

Severe tissue damage if extravasation occurs. May produce paradoxical acidosis that can depress cerebral and cardiac function. May cause extracellular alkalosis, which may reduce the concentration of ionized calcium, decrease plasma potassium, and induce a left shift of the oxyhemoglobin curve which may inhibit oxygen release to the tissues and induce malignant arrhythmias

Question 20

Magnesium Sulfate

Answer 20

Hypotension, sedation, confusion, N/V, bradycardia, pruritis, arrhythmias, decreased deep tendon reflexes, respiratory depression/ paralysis, drowsiness, muscle weakness, complete heart block
When used prior to delivery, it can cause fetal hypoxia, asphyxia, arrhythmias, and possible fetal intracranial bleeding

Question 21

Oxytocin

Answer 21

Hypotension, anxiety, N/V, dysrhythmias, HTN, seizures, dyspnea, coma in mother, intracranial bleeding

Question 22

Albuterol

Answer 22

Tremors, anxiety, HTN, tachycardia, headache, palpitations, seizures, N/V, dizziness, rash

Question 23

Atroven

Answer 23

N/V, cramps, dry mouth, blurred vision, worsening bronchospasm, drying of bronchial secretions, cough, epistaxis

Question 24

Methylprednisolone (Solu-medrol)

Answer 24

Hypertension, CHF, delayed wound healing, hyperglycemia, hypokalemia, headache, peptic ulcer, circulatory collapse, N/V, CNS depression

Question 25

50% Dextrose in water (D50W or D50)

Answer 25

Tissue necrosis, phlebitis, pain at injection site

Question 26

Glucagon (GlucaGen)

Answer 26

Hypotension, headache, dizziness, n/v, hyperglycemia, hypokalemia

Question 27

Diphenhydramine

Answer 27

Hypotension, N/V, tachycardia, bradycardia, sedation, palpitations, drowsiness, disturbed coordination, dry mouth.

Question 28

Haloperidol (Haldol)

Answer 28

Dystonic reactions, sedation, dizziness, n/v, hypotension, dry mouth, constipation, decreases seizure threshold

Question 29

Naloxone (Narcan)

Answer 29

N/V, HTN, ventricular arrhythmias, tachycardia, hyperventilation, tremors, seizures

Question 30

Furosemide (lasix)

Answer 30

Hypotension, dizziness, chest pain, dry mouth, hypochloremia, hypokalemia, hyponatremia, hypomagnesemia, hypocalcemia, N/V, ototoxicity, hyperglycemia, tinnitus if pushed too rapidly

Question 31

CyanoKit

Answer 31

Hypertension, pruritis, headache, chromaturia (up to 5 weeks)

Question 32

Calcium Chloride

Answer 32

Arrhythmias including bradycardia or cardiac arrest, syncope, N/V, hypotension, necrosis with extravasation

Question 33

Activated Charcoal

Answer 33

N/V, abdominal cramps, abdominal bloating, constipation or diarrhea

Question 34

Morphine Sulfate

Answer 34

Dizziness, N/V, cramps, blurred vision, altered mental status, miosis, headache, seizures, drowsiness, bradycardia, respiratory depression, syncope, palpitations, hypotension, dry mouth

Question 35

Fentanyl Citrate

Answer 35

May result in severe respiratory depression, bronchoconstriction, chest wall rigidity, sedation, bradycardia, diaphoresis, N/V, miosis, blurred vision, hypotension, cardiac arrest

Question 36

Ketorolac (toradol)

Answer 36

GI bleeding, inhibition of platelet aggregation, acute renal failure, N/V, diarrhea, upset stomach

Question 37

Acetaminophen (tylenol, APAP)

Answer 37

N/V, dizziness, hepatotoxicity, renal failure, hypoglycemia

Question 38

Ibuprofen (Advil, Motrin, Nuprin)

Answer 38

nausea, abdominal pain, diarrhea, dizziness, tinnitus

Question 39

Procainamide (Pronestyl)

Answer 39

Bradycardia, AV block, tachycardia, hypotension, VF, seizures, N/V, confusion, thrombocytopenia, prolonged QRS and QT duration