Drug quiz 10 - crazy person drugs Flashcards

Haldol, Zyprexa, Narcan, Romazicon, Ativan (58 cards)

1
Q

ativan generic name

A

lorazepam

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2
Q

lorazepam trade name

A

ativan

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3
Q

ativan drug class

A

benzodiazepine/sedative/anticonvulsant

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4
Q

ativan moa

A

positive allosteric modulator for GABA receptors, increases intracellular Cl- concentration leading to hyperpolarization of cell

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5
Q

ativan onset

A

1-5 min iv; 15-30 im

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6
Q

ativan peak

A

15-20 iv; 2 hrs im

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7
Q

ativan duration

A

6-8 hrs

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8
Q

ativan half life

A

10-20 hours

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9
Q

ativan indications

A

seizures, premed for cardioversion, anxiety

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10
Q

ativan contraindications

A

hypersensitivity

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11
Q

ativan SE

A

hypotension, drowsy, respiratory depression, N+V

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12
Q

ativan adult dose

A

0.5-2mg IV or 1-4 IM

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13
Q

ativan precautions

A

have benzo antagonist available

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14
Q

ativan interactions

A

additive effects with CNS depressants and alcohol

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15
Q

haloperidol trade

A

haldol

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16
Q

haldol generic

A

haloperidol

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17
Q

haldol moa

A

mesolimbic D1/D2 antagonist, depresses release of hypothalamic and hypophyseal hormones; depresses the reticular activating system

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18
Q

haldol onset

A

30-45 min

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19
Q

haldol peak

A

10-20 min

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20
Q

haldol duration

A

varies

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21
Q

haldol half-life

A

3-35 hrs

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22
Q

haldol indications

A

psychotic episode

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23
Q

haldol contraindications

A

other drugs, especially sedatives or other antipsychotics; dysophoria caused by Talwan

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24
Q

haldol SE

A

EPS, restlessness, insomnia, widened qt

25
haldol adult dose
2-5mg IM q4-8hr or PRN
26
haldol pedi dose
1-3mg IM q4hr or PRN, max of 0.15mg/kg/day
27
haldol precautions
may impair physical and mental abilities, may cause orthostatic hypotension, may cause dystonia
28
haldol interactions
with lithium may cause encephalopathic syndrome; may increase chance of hypotension when taken with antihypertensives; additive effects with depressants
29
naloxone trade
narcan
30
narcan generic
naloxone
31
narcan drug class
narcotic antagonist
32
narcan moa
competitive opiate R antagonist
33
narcan onset
<2 min IV, 2-10 IM/ET
34
narcan peak
<2 min IV; 2-10 IM/ET
35
narcan duration
20-120 min
36
narcan half-life
60-90 min
37
narcan indications
respiratory depression caused by narcotics OD; coma of unknown origin; polypharmacy OD prior to RSI
38
narcan contraindications
hypersensitivity
39
narcan SE
hypotension, hypertension, ventricular dysrhythmias, seizures, n+v
40
narcan adult dose
0.4-2mg q2-3min IV, IO, IM, IN, ET until respiratory status improves
41
narcan pedi dose
0.1mg/kg IM max 2mg/dose
42
narcan precautions
caution w/ Pt with physiological narcotic dependency, may induce withdrawal - including infants with addicted mothers
43
narcan drug interactions
may induce narcotic withdrawal
44
olanzapine trade
zyprexa
45
zyprexa generic
olanzapine
46
zyprexa drug class
antipsychotic
47
zyprexa moa
SSRI, NE reuptake inhibitor with antipsychotic and anticholinergic effects
48
zyprexa onset
<30 min
49
zyprexa peak
6 hrs
50
zyprexa duration
varies
51
zyprexa half life
21-54 hrs
52
zyprexa indications
acute psychosis and alzheimer's
53
zyprexa contraindications
hypersensitivity
54
zyprexa SE
somnolence, myalgia, dizzy, tremor
55
zyprexa adult dose
10mg IM
56
zyprexa pedi dose
not established
57
zyprexa precautions
caution with CV disease, predisposition to hypotension, and Parkinson's disease; must be reconstituted in 3ml water prior to administration
58
zyprexa drug interactions
potentiates hypotensive effects of antihypertensives