Drug Quiz 8 Flashcards Preview

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Flashcards in Drug Quiz 8 Deck (73):
1

0.9% sodium chloride trade

normal saline

2

normal saline generic

0.9% sodium chloride

3

NS classification

isotonic crystalloid solution

4

NS mechanism

volume replacement, water, electrolytes

5

NS onset

immediate

6

NS peak

immediate

7

NS duration

varies

8

NS half life

N/A

9

NS indications

dehydration, hypotension/hypovolemia, DKA

10

NS contraindications

pulmonary edema, severe hypotension

11

NS side effects

may induce pulmonary edema in Pt's w/ CHF

12

NS adult dose

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

13

NS pedi dose

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

14

NS precautions

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

15

NS interactions

none

16

CaCl2 trade name

none

17

CaCl2 drug class

mineral/electrolyte

18

CaCl2 mechanism

replacement of elemental calcium, increases myocardial contractility and ventricular automaticity

19

CaCl2 onset

immediate

20

CaCl2 peak

unknown

21

CaCl2 duration

varies

22

CaCl2 half life

N/A

23

CaCl2 indications

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

24

CaCl2 contraindications

hypercalcemia

25

CaCl2 side effects

bradycardia, dysrhythmias, syncope, CA

26

CaCl2 adult dose

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

27

CaCl2 pedi dose

20mg/kg IV

28

CaCl2 precautions

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

29

CaCl2 interactions

forms PPT with NaHCO3, dig toxicity

30

Sodium Bicarb trade name

none

31

bicarb drug class

alkalinizing agent/electrolyte

32

bicarb MOA

just give the formula

33

bicarb onset

immediate

34

bicarb peak

<15 min

35

bicarb duration

1-2 hrs

36

bicarb half life

n/a

37

bicarb indications

metabolic but not respiratory acidosis; TCA OD

38

bicarb contraindications

TUMS OD, routine CA

39

bicarb side effects

none

40

bicarb dose

1mEq/kg IV

41

bicarb precautions

causes metabolic alkalosis in large quantities

42

bicarb interactions

deactivates catecholamines and vasopressors, reacts with CaCl2 to form PPT

43

albuterol sulfate trade name

proventil hfa, proair hfa

44

proventil hfa, proair hfa generic

albuterol sulfate

45

albuterol drug class

sympathomimetic

46

albuterol moa

b2 agonist causes bronchodilation

47

albuterol onset

5-15 min

48

albuterol peak

1-1.5 hrs

49

albuterol duration

3-6 hrs

50

albueterol half life

<3 hrs

51

albuterol indications

asthma, copd bronchospasms

52

albuterol contraindications

hypersensitivity, symptomatic tachycardia

53

albuterol SE

anxiety, palpitations, nervousness, HTN

54

albuerol mdi adult

90 mcg 1 or 2 sprays

55

albuterol adult neb dose

2.5mg in 2.5ml NS over 5-15 min

56

albuterol pedi neb dose

2.5mg in 2.5ml NS over 5-15 min

57

albuterol precautions

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

58

albuterol interactions

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

59

50% dextrose in water trade

d50

60

d50 generic

50% dextrose in water

61

d50 class

carbohydrate

62

d50 action

principal form of glucose used by body to create energy

63

d50 onset

<1 min

64

d50 peak

varies

65

d50 duration

varies

66

d50 half life

n/a

67

d50 indications

hypoglycemia

68

d50 contraindications

none

69

d50 SE

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

70

d50 adult dose

25 g in 50 ml IV

71

d50 pedi dose

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

72

d50 precautions

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

73

d50 interactions

none