Drug Profiles Flashcards by Sean McDowell

Q

ALBUTEROL SULFATE

-Generic name

A

Same

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Q

ALBUTEROL SULFATE

-Class (2)

A

Sympathomimetic

Bronchodilator

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Q

ALBUTEROL SULFATE

-Indications (2)

A

Tx of bronchospasm

Tx of hyperkalemia

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Q

ALBUTEROL SULFATE

-Contraindications (2)

A

Synergistic with other sympathomimetics

Use caution in pts with hx of diabetes, hyperthydroidism, and CVA

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Q

ALBUTEROL SULFATE

-Dosage (ad, ped)

A

Adult: SVN, 2.5 mg of premixed solution
Peds: SVN, 2.5 mg of premixed solution (max of 5 mg)

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Q

IPRATROPIUM BROMIDE (ATROVENT)
-Generic name

A

Same

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Q

IPRATROPIUM BROMIDE (ATROVENT)
-Class (2)

A

Anticholinergic

Bronchodilator

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Q

IPRATROPIUM BROMIDE (ATROVENT)
-Indications (2)

A

Tx of bronchospasm assoc. w/ COPD (emphysema and chronic bronchitis)
Alone or in combo w/ other bronchodilators especially beta adrenergics (e.g. albuterol)

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Q

IPRATROPIUM BROMIDE (ATROVENT)
-Contraindications (2)

A

Hypersensitivity to IB or atropine and derivatives

Use w/ caution in pts with narrow angle glaucoma

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Q

IPRATROPIUM BROMIDE (ATROVENT)
-Dosage (ad, ped)

A

Adult: SVN, 500 mcg in 2.5 ml normal saline, may mix one vial IB with one vial albuterol
Peds: SVN, 500 mcg in 2.5 ml normal saline, DO NOT REPEAT

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Q

BUMETANIDE (BUMEX)

-Generic name

A

Same

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Q

BUMETANIDE (BUMEX)

-Class (1)

A

Loop diuretic

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Q

BUMETANIDE (BUMEX)

-Indications (2)

A

Pulmonary edema

CHF

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Q

BUMETANIDE (BUMEX)

-Contraindications (5)

A

Hypersensitivity
Anuria
Electrolyte deficiencies
Hepatic coma
Caution w/ cirrhosis, ascites, gout, hypersensitivity to furosemide

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Q

BUMETANIDE (BUMEX)

-Dosage (ad)

A

Adult: IV, 0.5 to 1.0 mg slowly over 1-2 min, or IM

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Q

DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)

-Generic name

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A

Same

Q

DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)

-Class (2)

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A

Synthetic adrenocorticoid/glucocorticoid

Anti-inflammatory

Q

DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)

-Indications (3)

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A

Reactive airway disease (acute bronchial asthma)
Anaphylaxis
Cerebral edema (non-trauma)

Q

DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)

-Contraindications (3)

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A

Systemic fungal infections
Hypersensitivity
Preterm infants

Q

DEXAMETHASONE SODIUM PHOSPHATE (DECADRON)

-Dosage (ad, ped)

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A

Adult: reactive airway disease/anaphylaxis 8-24 mg
or cerebral edema 1-5 mg/kg
Peds: reactive airway disease/anaphylaxis 0.25-0.5 mg/kg
or cerebral edema 0.5-1.5 mg/kg

Q

ATROPINE SULFATE

-Generic name

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A

Same

Q

ATROPINE SULFATE

-Class (5)

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A

Anticholinergic agent
Antiarrhythmic
Antimuscarinic
Antidote
Antispasmodic agent

Q

ATROPINE SULFATE

-Indications (2)

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A

Symptomatic bradycardia - monitored patient only

Acetylcholinesterase inhibitor poisoning (organophosphate)

Q

ATROPINE SULFATE

-Contraindications (7)

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A

Hypersensitivity
Narrow-angle glaucoma
Tachycardia
Mobitz type II or 3rd degree heart blocks
Asthma
Obstructive GI disease
Hepatic/renal disease

ATROPINE SULFATE | -Dosage (ad, ped)

Adult: (brady) IV/IO 0.5 mg every 5 min, max 3 mg (organo poi) IV/IO 1-5 mg, double every 5 min until symptoms abate Pediatric: (brady) IV/IO 0.02 mg/kg every 5 min, max 1 mg (organo poi) IV/IO 0.03-0.05 mg/kg every 10-20 min until symptoms abate

ADENOSINE | -Generic name

Same

ADENOSINE | -Class (2)

Antiarrhythmic | Endogenous nucleoside

ADENOSINE | -Indications (2)

Conversion of SVT (no known a-fib or a-flutter) | Undifferentiated wide-complex tachycardia

ADENOSINE | -Contraindications (5)

``` Sick sinus syndrome/2nd or 3rd degree AV blocks Asthma Cardiac transplant patients vulnerable Known a-fib or a-flutter Pregnancy ```

ADENOSINE | -Dosage (ad, ped)

Adult: 6 mg rapid IV bolus over 1-3 sec, follow with 20 ml normal saline flush, repeat 12 mg dosage if needed Ped: 0.1 mg/kg rapid IV bolus over 1-3 sec, follow with 2-3 ml normal saline flush, repeat double dose if needed (only once)

LIDOCAINE HCL | -Generic name

Same

LIDOCAINE HCL | -Class (2)

Antiarrhythmic | Local anesthetic

LIDOCAINE HCL | -Indications (3)

Suppression of ventricular arrhythmias (v-tach, v-fib, PVC's) Prophylaxis against recurrence after conversion from v-tach or v-fib Pain management after IO insertion in conscious pts

LIDOCAINE HCL | -Contraindications (3)

Hypersensitivity Use extreme caution in pts with conduction disturbance (2nd and 3rd degree heart block) Do not treat ectopic beats if rate

LIDOCAINE HCL | -Dosage (ad, ped)

Adult: (pulseless VF/VT) IV initial bolus of 1.0-1.5 mg/kg every 3-5 min, max 3 mg/kg, then maintenance drip of 2-4 mg/min (antidysrhythmic) Boluses of 0.5-0.75 mg/kg every 5-10 min, max 3 mg/kg, with return of rhythm, drip at 2-4 mg/min (IO pain mgmt) 20-40 mg, very slow IO push Ped: 1 mg/kg, repeat max 1 time in 3-5 min for pulseless VF/VT or in 15 min for dysrhythmias (IO pain mgmt) 0.1 mg/kg, very slow IO push