Drug Quiz 8

Question 1

0.9% sodium chloride trade

Answer 1

normal saline

Question 2

normal saline generic

Answer 2

0.9% sodium chloride

Question 3

NS classification

Answer 3

isotonic crystalloid solution

Question 4

NS mechanism

Answer 4

volume replacement, water, electrolytes

Question 5

NS onset

Answer 5

immediate

Question 6

NS peak

Answer 6

immediate

Question 7

NS duration

Answer 7

varies

Question 8

NS half life

Answer 8

N/A

Question 9

NS indications

Answer 9

dehydration, hypotension/hypovolemia, DKA

Question 10

NS contraindications

Answer 10

pulmonary edema, severe hypotension

Question 11

NS side effects

Answer 11

may induce pulmonary edema in Pt’s w/ CHF

Question 12

NS adult dose

Answer 12

200-250CC until 100 systolic or max of 2000cc

Question 13

NS pedi dose

Answer 13

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

Question 14

NS precautions

Answer 14

may cause depletion of other electrolytes, may dilute O2 carrying capacity with severe bleeding, use dopamine after 2L infused

Question 15

NS interactions

Answer 15

none

Question 16

CaCl2 trade name

Answer 16

none

Question 17

CaCl2 drug class

Answer 17

mineral/electrolyte

Question 18

CaCl2 mechanism

Answer 18

replacement of elemental calcium, increases myocardial contractility and ventricular automaticity

Question 19

CaCl2 onset

Answer 19

immediate

Question 20

CaCl2 peak

Answer 20

unknown

Question 21

CaCl2 duration

Answer 21

varies

Question 22

CaCl2 half life

Answer 22

N/A

Question 23

CaCl2 indications

Answer 23

hyperkalemia, hypocalcemia, Ca2+ channel blocker toxicity, crush syndrome, hypermagnesemia, abd muscle spasms due to brown recluse spider or man of war jellyfish, CA secondary to suspected hyperkalemia

Question 24

CaCl2 contraindications

Answer 24

hypercalcemia

Question 25

CaCl2 side effects

Answer 25

bradycardia, dysrhythmias, syncope, CA

Question 26

CaCl2 adult dose

Answer 26

8-16mg/kg or 500-1000mg IV

Question 27

CaCl2 pedi dose

Answer 27

20mg/kg IV

Question 28

CaCl2 precautions

Answer 28

tissue necrosis if bad line, caution with digitalis, may cause dig toxicity

Question 29

CaCl2 interactions

Answer 29

forms PPT with NaHCO3, dig toxicity

Question 30

Sodium Bicarb trade name

Answer 30

none

Question 31

bicarb drug class

Answer 31

alkalinizing agent/electrolyte

Question 32

bicarb MOA

Answer 32

just give the formula

Question 33

bicarb onset

Answer 33

immediate

Question 34

bicarb peak

Answer 34

<15 min

Question 35

bicarb duration

Answer 35

1-2 hrs

Question 36

bicarb half life

Answer 36

n/a

Question 37

bicarb indications

Answer 37

metabolic but not respiratory acidosis; TCA OD

Question 38

bicarb contraindications

Answer 38

TUMS OD, routine CA

Question 39

bicarb side effects

Answer 39

none

Question 40

bicarb dose

Answer 40

1mEq/kg IV

Question 41

bicarb precautions

Answer 41

causes metabolic alkalosis in large quantities

Question 42

bicarb interactions

Answer 42

deactivates catecholamines and vasopressors, reacts with CaCl2 to form PPT

Question 43

albuterol sulfate trade name

Answer 43

proventil hfa, proair hfa

Question 44

proventil hfa, proair hfa generic

Answer 44

albuterol sulfate

Question 45

albuterol drug class

Answer 45

sympathomimetic

Question 46

albuterol moa

Answer 46

b2 agonist causes bronchodilation

Question 47

albuterol onset

Answer 47

5-15 min

Question 48

albuterol peak

Answer 48

1-1.5 hrs

Question 49

albuterol duration

Answer 49

3-6 hrs

Question 50

albueterol half life

Answer 50

<3 hrs

Question 51

albuterol indications

Answer 51

asthma, copd bronchospasms

Question 52

albuterol contraindications

Answer 52

hypersensitivity, symptomatic tachycardia

Question 53

albuterol SE

Answer 53

anxiety, palpitations, nervousness, HTN

Question 54

albuerol mdi adult

Answer 54

90 mcg 1 or 2 sprays

Question 55

albuterol adult neb dose

Answer 55

2.5mg in 2.5ml NS over 5-15 min

Question 56

albuterol pedi neb dose

Answer 56

2.5mg in 2.5ml NS over 5-15 min

Question 57

albuterol precautions

Answer 57

monitor BP, pulse, EKG, use caution with heart disease and HTN, check LS before and after

Question 58

albuterol interactions

Answer 58

SE increase with other sympathetic agonists, B blockers blunt effects, MAOI and TCA potentiate cardiovascular effects

Question 59

50% dextrose in water trade

Answer 59

d50

Question 60

d50 generic

Answer 60

50% dextrose in water

Question 61

d50 class

Answer 61

carbohydrate

Question 62

d50 action

Answer 62

principal form of glucose used by body to create energy

Question 63

d50 onset

Answer 63

<1 min

Question 64

d50 peak

Answer 64

varies

Question 65

d50 duration

Answer 65

varies

Question 66

d50 half life

Answer 66

n/a

Question 67

d50 indications

Answer 67

hypoglycemia

Question 68

d50 contraindications

Answer 68

none

Question 69

d50 SE

Answer 69

necrosis and phlebitis at injection site; warmth, pain, burning at injection site, Wernicke's encephalopathy or Korsakoff's psychosis if Pt is thiamine deficient

Question 70

d50 adult dose

Answer 70

25 g in 50 ml IV

Question 71

d50 pedi dose

Answer 71

dilute 1:1 to make d25 and give 0.5-1 g/kg

Question 72

d50 precautions

Answer 72

increased ICP, ensure line, check BGL before/after, administer 100 mg of thiamine if suspected deficiency

Question 73

d50 interactions

Answer 73

none