Drug quiz 1 Flashcards Preview

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Flashcards in Drug quiz 1 Deck (86):
1

0.9% NaCl brand name

Normal saline

2

saline classification

isotonic crystalloid solution

3

saline MOA

volume, water, electrolyte replacement

4

saline onset of action

immediate

5

saline peak effects

immediate

6

saline duration of effect

until excretion

7

saline half life

n/a

8

saline indications

dehydration, hypovolemia, DKA

9

saline contraindications

hypertension, pulmonary edema

10

saline side effects

pulmonary edema in Pt's w/ CHF

11

saline dose adult

200-250cc until BP>100, max dose 2000cc

12

saline pedi dose

20cc/kg for >1 mos; 10cc/kg for <1 mos

13

saline precautions

depletion of other electrolytes, consider dopamine if hypotension persists after 2000cc

14

saline drug interactions

none

15

5% dextrose in water brand name

D5W

16

D5W classification

hypotonic dextrose containing solution

17

D5W MOA

provides sugar

18

D5W onset of action

varies

19

D5W peak effects

N/A

20

D5W duration of effect

N/A

21

D5W half life

N/A

22

D5W indications

dilution of concentrated IV meds

23

D5W contraindications

hypovolemia requiring volume replacement, Pt w/ head injury or stroke

24

D5W side effects/adverse reactions

rare/none

25

D5W dose adult/pedi

KVO

26

D5W precautions

venous irritation, extravasation may cause tissue necrosis, monitor for circulatory overload

27

D5W drug interactions

do not use with dilantin or inocor

28

Lactated Ringer's brand name

Hartmann's solution

29

Ringer's classification

isotonic crystalloid solution

30

Ringer's MOA

volume, water, electrolyte replacement

31

Ringer's onset of action

immediate

32

Ringer's peak effects

immediate

33

Ringer's duration of effect

varies depending upon disease process

34

Ringer's half-life

N/A

35

Ringer's indications

hypovolemia, burns

36

Ringer's contraindications

CHF or renal failure, hypersensitivity to sodium lactate

37

Ringer's side effects

pulmonary edema in Pt's with CHF

38

Ringer's adult dose

wide open until systolic>100, then 100ml/hr

39

Ringer's pedi dose

20cc/kg

40

Ringer's precautions

monitor for circulatory overload

41

Ringer's interactions

additive effects with K sparing drugs, may cause hyperkalemia

42

Diazepam trade name

Valium

43

Diazepam classification

anticonvulsant/sedative/benzo/anxiolytic

44

diazepam MOA

positive allosteric modulator for GABAa receptors

45

Diazepam onset of action

1-5 min IV, 15-30 min IM

46

Diazepam peak effects

10 min IV, 30-45 min IM

47

Diazepam duration of effect

15-60 min

48

Diazepam half life

20-50 hrs

49

Diazepam indications

seizures, anxiety, pre-med for cardioversion

50

Diazepam contraindications

hypersensitivity

51

Diazepam side effects

hypotension, tachycardia, hallucinations, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V

52

Diazepam adult dose (anxiety)

2-5mg IV

53

Diazpeam adult seizure dose

5-10mg IV

54

Diazepam adult amnesia dose

5-15mg IV

55

Diazepam PEDI dose

0.1-0.2mg/kg IV, max dose of 5mg

56

Diazepam Precautions

venous irritation, don't push faster than 1ml/min, have benzo antagonist available

57

Diazpeam drug interactions

additive effects with CNS depressents and alcohol

58

Lorazepam trade name

Ativan

59

Lorazepam drug class

anticonvulsant/sedated/hypnotic/benzo

60

Lorazepam MOA

positive allosteric modultar for GABAa receptors

61

Lorazepam onset of action

1-5 min IV, 15-30 IM

62

Lorazepam peak effects

15-20 min IV, 2 hr IM

63

Lorazepam duration of effect

6-8 hrs

64

Lorazepam half life

10-20 hrs

65

Lorazepem indications

seizures/anxiety/cardioversion

66

Lorazepam contraindications

hypersensitivity

67

Lorazepam side effects

hypotension, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V

68

Lorazepam adult dose

0.5mg-2mg IV, 1-4 mg IM (0.1mg/kg)

69

Lorazepam pedi dose

0.05 mg/kg IV

70

Lorazepam precautions

have benzo antagonist available

71

Lorazepam interactions

additive effects with CNS depressants and alcohol

72

Midazolam trade name

Versed

73

Midazolam drug classification

benzo/anticonvulsant/sedative/hypnotic

74

Midazolam MOA

positive allosteric modulator for GABAa receptors

75

Midazolam onset of action

3-5 min IV, 15 min IM

76

Midazolam peak effects

20-60 min

77

Midazolam duration of effect

<2 hrs IV, 1-6 hours IM

78

Midazolam half life

1-4 hrs

79

Midazolam indications

seizure, pre-medication for cardioversion and TCP, post intubation sedation

80

Midazolam contraindications

Hx of narrow angle glaucoma, shock, depressed vitals, alcoholic coma

81

Midazolam side effects

laryngospasm, bronchospasm, dyspnea, respiratory depression/arrest, drowsiness, amnesia, AMS, tachycardia, bradycardia, PVC's, retching

82

Midazolam adult dose

2-5mg (0.5mg/kg) IV slow

83

Medazolam pedi dose

0.2 mg/kg slow iV, max dose of 10

84

Midazolam precautions

have resuscitative equipment available, increased risk of respirator depression/arrest, have benzo antagonist available

85

Midazolam drug interactions

additive effects with CNS depressants and alcohol

86

Saline pedi dose for cardiogenic shock

5-10cc/kg