Drug Profiles Flashcards
(29 cards)
Class for atropine sulfate?
Anticholinergic, parasympathetic blocker
Brand name for atropine sulfate?
Atropine
MOA for atropine sulfate?
Increased HR, decreased mucous production, bronchodilation.
Supply for atropine sulfate?
1mg/10ml prefilled syringe
8mg/20 ml multi dose vial
indications for Atropine Sulfate
Symptomatic bradycardia: hypotension, ventricular ectopy, chest pain, ALOC; Asystole: after epi; PEA: if bradycardia, after epi; Organophosphate poisoning; Refractory bronchospasm: 2 or 3 line
Contraindications for Atropine Sulfate
Acute narrow angle glaucoma (relative contraindication); Pediatric drowning [relative (pupillary reaction)]
Adverse Reactions from Atropine Sulfate are :
Tachydysrhythmias, vent. irritability, angina, dry mouth.
special considerations for Atropine Sulfate are :
Administering too small doses or administering too slowly may cause paradoxical bradycardia. Organophosphate poisoning: (SLUDGE) salivation, lacrimation, urination, defecation, GI, emmesis, bradycardia, coma
Peds dose for Atropine Sulfate with symptomatic bradycardia :
Symptomatic Brady 0.02 mg / kg (minimum 0.1 mg) IVP after epi. May repeat one time Max single dose Child: 0.5 mg Adolescent: 1 mg
Adult dose: Symptomatic bradycardia and Organophosphate poisoning for atropine sulfate
0.5 – 1 mg rapid IVP or via ETT q 3-5 min. to a max dose of 3 mg; Asystole or bradycardic PEA: 1 mg rapid IVP or via ETT q 3-5 min. to a max dose of 3 mg; Organophosphate poisoning: 2-5 mg IV, may repeat q 5 min. No max dose.
Brand name for Adenosine :
Adenocard
Class for Adenosine:
Antiarrhythmic, endogenous nucleoside
MOA for Adenosine:
Slows conduction through AV node, interrupts re-entry pathways, slows sinus rate
supply for adenosine
6 mg / 2 ml vial or prefilled syringe
12 mg / 2 ml vial or prefilled syringe
Indications for adenosine:
Conversion of SVT (not atrial flutter or a-fib)
Wide complex tachycardia of uncertain origin unresponsive to Lidocaine.
Contraindications for adenosine:
Sick sinus syndrome, 2nd or 3rd degree AV blocks; Caution in patients with known asthma; Patients on theophylline, Persantine, Tegretol; A-fib and a-flutter; Pregnancy.
Adult dose for adenosine:
Initial: 6 mg rapid RIVP with 20 cc/NS flush (AC) preferred, port closest to IV catheter, Constant ECG monitoring required. Repeat: 12 mg two times in 1-2 minutes.
Peds dose for adenosine:
0.1 mg/kg IVP(rapid) with 2-3 cc NS flush. May repeat one time @ 0.2 mg/kg RIVP with 2-3 cc NS flush (max dose 12mg do not exceed). Infants with SVT associated with shock Adenocar may proceed DC cardiovertion.
Adverse reactions for adenosine:
CV: transient dysrhythmias (asystole, bradycardia, PVCs) Palpitations, chest pain, hypotension, facial flushing, sweating; Resp: dyspnea, hyperventilation, tightness in throat, bronchospasm; CNS: dizzy, lightheaded, headache, paresthesia, blurred vision; GI: nausea, metallic taste.
Acetylsalicylic Acid names are :
Aspirin and bufferin
What is the class for acetylsalicylic acid ?
Analgesic, anti-pyretic and anti-inflammatory.
What is the MOA for acetylsalicylic acid ?
Decreased platelet aggregation.
What is the packing for acetylsalicylic acid ?
81 and 325 mg tablets
What is the name of Dopamine?
Intropin
