Drug quiz 12 - Pedi Drugs Flashcards Preview

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Flashcards in Drug quiz 12 - Pedi Drugs Deck (73):
1

albuterol trade name

proventil hfa, proair hfa

2

proventil/proair generic

albuterol sulfate

3

albuterol drug class

b2 selective sympathetic agonist

4

albuterol moa

b2 agonist leads to bronchodilation

5

albuterol onset

5-15 min

6

albuterol peak

1-1.5 hrs

7

albuterol duration

3-6 hrs

8

albuterol half life

<3 hrs

9

albuterol indications

asthma, copd bronchospasms

10

albuterol contraindications

symptomatic tachycardia, hypersensitivity

11

albuterol SE

anxiety, HA, palpitations, sweating, dizziness, nervousness, tremor, HTN, arrhythmias, chest pain, N+V

12

albuterol mdi dose

1-2 90mcg sprays

13

albuterol adult dose

2.5mg in 2.5ml NS over 5-15 min

14

albuterol pedi dose

2.5mg in 2.5ml NS over 5-15 min

15

albuterol precautions

monitor vitals and ekg; check LS before and after, use caution with heart disease and HTN

16

albuterol Interactions

SE may increase with other sympathetic agonists, b blockers may blunt drug's effect

17

methylprednisolone trade

solu-medrol

18

solu-medrol generic

methylprednisolone

19

solumedrol drug class

corticosteroid/anti-inflammatory

20

solumedrol moa

inhibits synthesis of pro-inflammatory enzymes

21

solumedrol onset

2-6 hrs

22

solumedrol peak

4-8 hrs

23

solumedrol duration

1-5 weeks

24

solumedrol half life

3.5 hrs

25

solumedrol indications

anaphylaxis/hives; asthma/copd, spinal cord injury

26

solumedrol contraindications

none

27

solumedrol SE

fluid retention, CHF, HTN, abd. distention, vertigo, HA, nausea, malaise, hiccups

28

solumedrol adult asthma dose

125-250 mg IV

29

solumedrol spinal cord injury dose

30 mg/kg iv over 15 min, maintenance of 5.4 mg/kg/hr for 24-48 hrs

30

solumedrol pedi asthma dose

2 mg/kg iv, max 80mg

31

solumedrol precautions

one dose prehospitally, can prolong wound healing

32

solumedrol drug interactions

increased K lose with lasix and thiazide diuretics, decreased effect with phenytoin, phenobarbital, rifampin

33

acetaminophen trade

tylenol

34

tylenol generic

acetaminophen

35

tylenol drug class

antipyretic/analgesic

36

tylenol moa

cox inhibitor elevates pain threshold; antipyretic by action on hypothalamic heat regulatory center

37

tylenol onset

15-30 min

38

tylenol peak

30-120 min

39

tylenol duration

3-4 hrs

40

tylenol half-life

1-3 hrs

41

tylenol indications

fever, mild pain

42

tylenol contraindications

hypersensitivity, liver disease

43

tylenol SE

dizziness, abd pain, hypoglycemia, N+V

44

tylenol adult dose

325-650 po q4-6 hr PRN, max of 4g/day

45

tylenol pedi dose

15mg/kg PO q4-6hr PRN, max 4g/day

46

tylenol precautions

overdose is toxic to the liver; does not have antiplatelet aggregation effect like aspirin; does not have peripheral anti-inflammatory effect

47

tylenol interactions

excessive use of alcohol increases risk of hepatotoxicity

48

dextrose 25% drug class

carbohydrate

49

d25 moa

raises BGL

50

d25 onset

<1 min

51

d25 peak

varies

52

d25 duration

varies

53

d25 half life

n/a

54

d25 indications

hypoglycemia

55

d25 contraindications

none

56

d25 SE

tissue necrosis/phlebitis at IV site

57

d25 pedi dose

0.5-1g/kg slow IV

58

d25 precautions

1-8 y/o; caution w/ ICP or cerebral edema

59

d25 interactions

none

60

racemic epinephrine trade

vaponephrine

61

vaponephrine generic

racemic epinephrine

62

racemic epi drug class

sympathomimetic

63

racemic epi moa

alpha and beta agonist causes bronchodilation, decreased mucous membrane secretions, relieves subglottic edema

64

racemic epi onset

<5 min inhaled

65

racemic epi peak

5-15 min

66

racemic epi duration

1-3 hrs

67

racemic epi half life

n/a

68

racemic epi indications

croup

69

racemic epi contraindications

hypertension, tachydysrhythmias, epiglottitis

70

racemic epi SE

restlessness, anxiety, dizziness, HA, hypertension, tachycardia, paradoxical bronchospasm, N+V

71

racemic epi pedi dose

5mg 1:1000 epi in 2.5-3mL NS nebulized or 0.25-75 of 2.25% solution in 2mL NS nebulized

72

racemic epi precautions

rebound or worsened effects when med wears off

73

racemic epi interactions

additive effects with other sympathomimetics