Drug Quiz 3 Flashcards Preview

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Flashcards in Drug Quiz 3 Deck (63):
1

nitroglycerin trade name

nitrostat

2

nitrostat generic name

nitroglycerin

3

nitro drug class

vasodilator/nitrate

4

nitro MOA

pro-drug converted to nitric oxide, reduces intracellular Ca2+ in vascular smooth muscle muscle, decreases cardiac preload and afterload

5

nitro onset of effect

1-3 min SL; 30 min topical

6

nitro peak effects

5-10 min SL; varies topically

7

nitro duration of effect

20-30 min SL; 3-6 hrs topically

8

nitro half life

1-4 min

9

nitro indications

chest pain associated with angina or MI, pulmonary edema/CHF

10

nitro contraindications

hypotension, ICP, children under 12, ED drugs within last 48 hrs

11

nitro SE

headache, dizziness, tachycardia, hypotension

12

nitro adult spray dose

.4mg SL q3-5min, (max 3x25min)

13

nitro adult paste dose

0.5-1 inch

14

nitro adult tablet

0.4mg SL

15

nitro precautions

check vitals and 12 lead before and after, expect HA, use EXTREME CAUTION if R-sided MI

16

nitro drug interactions

orthostatic hypertension w/ b-blockers, severe hypotension with alcohol

17

oxygen drug class

gas

18

oxygen MOA

cells use it for breakdown of glucose

19

oxygen onset of action

immediate

20

oxygen peak effects

<1 min

21

oxygen duration of effect

<2 min

22

oxygen half life

n/a

23

oxygen indications

hypoxia, difficulty breathing, spo2<94%

24

oxygen contraindications

ROSC post CA w/ sp02>94%; chest pain, MI, cell injury or death with sp02>94%

25

oxygen side effects

free radicals in presence of injured tissues, causing cell death

26

oxygen adult dose

2-6L NC, 12-15L NRB, 15L BVM

27

oxygen CPAP/VENT dose

varies by O2 demand to meet cmH20 requirement

28

oxygen pedi dose

2-6L NC, 10-15L NRB, 15L BVM

29

oxygen precautions

avoid hyperoxia; high concentrations to neonates can cause eye damage

30

oxygen drug interactions

none EMS

31

furosemide trade name

lasix

32

lasix generic name

furosemide

33

lasix drug class

loop diuretic

34

lasix moa

inhibits Na and Cl reabsorption in kidneys, reducing water reasbsorption in descending limb; causes venous dilation and reduces preload

35

lasix onset of action

5-10 min for vasodilation, 5-30 for diuresis

36

lasix peak effects

30 min for vasodilation, 20-60 for diuresis

37

lasix duration of effect

2 hrs for vasodilation, 6 hrs for diuresis

38

lasix half life

30 min

39

lasix indications

CHF and pulmonary edema

40

lasix contraindications

sulfa allergies, renal failure, pregnancy

41

lasix side effects

hypotension, headache, dizziness, volume depletion

42

lasix adult dose

40 mg IV; if Pt takes lasix give their dose, if they missed today's dose double their daily dose

43

lasix pedi dose

0.5-1mg/kg IV, not for children under 12

44

lasix precautions

LS and BP before and after, protect from light, may cause dehydration

45

lasix drug interactions

additive effects with other diuretics; nsaid's may antagonize effects

46

epinephrine trade name

adrenalin, epipen

47

adrenalin, epipen generic name

epinephrine

48

epi drug class

sympathomimetic/catecholamine

49

epi moa

a1 agonist - peripheral casoconstriction, b1 agonist - positive inotropy, chronotropy, dromotropy; b2 agonist - bronchodilation; blocks destruction of mast cells

50

epi onset of action

<2 min iv, 3-10 im

51

epi peak effects

<5 min iv, 20 min im

52

epi duration of effect

5-10 min iv; 20-30 min im

53

epi half life

5 min iv

54

epi indications

cardiac arrest, anaphylaxis, symptomatic bradycardia/hypotension

55

epi contraindications

HTN and tachydysrhythmias, use caution w/ pregnancy and CAD

56

epi side effects

anxiety, HA, dysrhythmias, tremulousness

57

epi adult cardiac arrest dose

0.5-1mg iv [1:10,000] q 3-5min

58

epi pedi cardiac arrest dose

0.01mg/kg iv [1:10,000] q 3-5min

59

epi bradycardia/hypotension adult dose

2-10 mcg/min

60

epi anaphylaxis adult dose

0.3-0.5mg IM/SC [1:1000], then 0.1mg [1:10,000] IV over 3 min

61

epi pedi anaphylaxis dose

0.01mg/kg IM/SC [1:1,000], then 0.01mg/kg [1:10,000] max of 0.3mg slow IV

62

epi precautions

protect from light

63

epi drug interactions

deactivated by alkaline solutions; effect intensified by anti-depressants, forms PPT w/ CaCl2 and NaHCO3