Week 7 Flashcards
aspirin
aspirin Antiplatelet-Anti inflammatory
Brand: Bayer
MOA: Prevents platelet aggregation. Prevents clot formation (Non-sticky), Anti pyretic
IND: Cardiac Chest Pain.
CON: Sensitivity, bleeding disorder (GI, hemorrhagic stroke), ulcers.
Adverse: Angioedema, bronchospasm, bleeding, stomach irritation, n/v.
Dose/Route 81-324mg non-coated chewable PO
Pedi not indicated
Special: Pregnancy Class D
nitroglycerin
nitroglycerin Nitrate-Vasodilator
Brand: Nitrostat
MOA: Relaxes Vascular smooth muscle; dilates peripheral arteries & veins. Decreases venous return decreases preload. Decreases ventricular systolic wall tension, decreased afterload
IND: Acute coronary syndrome, CHF. Acute pulmonary edema
CON: Hypotension, ED drugs (24-48 hours), sensitivity, hypovolemia, severe Brady/Tachycardia, increased ICP, right side ventricle infarct
Adverse: Hypotension, headache, bradycardia, syncope, nausea vomiting
Dose/Route: 0.4mg SL at 3-5 min. intervals max of 3 doses
1-2” of 2% Transdermal
Special: Photophobic, Pregnancy Class C, avoid when damaged by light
morphine sulfate
morphine sulfate Narcotic Opiate Agonist
MOA: Binds with opioid receptors; depression of vasomotor centers of the brain (CNS depression). Reduces sympathetic nervous system (HR, cardiac workload, oxygen demand).
IND: Moderate-Severe pain. CHF & Pulmonary edema, decreases workload.
CON: Sensitivity, shock, respiratory depression, hypotension, head injury.
Adverse: respiratory depression, hypotension, n/v, dizziness, bradycardia, syncope, bradypnea
Dose/Route: cardiac 2mg q 5min titrated
Pain 2mg-10mg slow IV/IO
Pedi: 0.1-0.2mg/kg
**Until pain dissipates or respiratory drive is compromised.
SPCL: Pregnancy Class C, Narcan used for OD, Schedule II Narcotic
naloxone HCL
naloxone HCL Opioid Antagonist
Brand: Narcan
MOA: Binds with opiate receptors; blocks effects of opiates
IND: Respiratory depression due to OD of opiates.
CON: Sensitivity.
Adverse: N/V, restlessness, seizures, cardiac arrest, withdrawal
Dose/Route: 0.4-2mg, IV/IO/ET/IM/IN
Pedi: 0.1mg/kg
Special: Pregnancy Class C
