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Guy Chapter 13 Flashcards

(49 cards)

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0
Q

Activated Charcoal indication

A

Toxic ingestion

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1
Q

Activated Charcoal action

A

Bind with toxins

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2
Q

Activated Charcoal contraindications

A

Ingestion of acids, alkaline, ethanol, methanol, cyanide, ferrous sulfate, or other iron salts, lithium, coma, GI obstruction

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3
Q

Activated Charcoal dose

A

Oral: 50 to 100 g

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4
Q

Sodium Bicarbonate action

A

Counteracts existing acidosis

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5
Q

Sodium Bicarbonate indication

A

Acidosis, drug intoxication

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6
Q

Sodium Bicarbonate contraindications

A

Metabolic alkalosis, hypocalcemia

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7
Q

Sodium Bicarbonate dose

A

IV: 1 mEq/kg may repeat at 0.5 mEq/ in 10 minutes

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8
Q

Phenylephrine/ Neo-synephrine action

A

Stimulates alpha receptors

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9
Q

Phenylephrine/ Neo-synephrine indication

A

Neurogenic shock, spinal shock, drug induced hypotension

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10
Q

Phenylephrine/ Neo-synephrine contraindications

A

AMI, angina, arrhythmias, hypertension, coronary artery disease, pheochromocytoma, narrow angle glaucoma, cardiomyopathy, MAOI therapy, known sensitivity to phenylephrine or sulfites

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11
Q

Phenylephrine/ Neo-synephrine dose

A

IV: 100-180 mcg/min once bp stabilizes reduce to 40 to 60 mcg/min

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12
Q

Norepinephrine/ Levophed action

A

Alpha 1, alpha 2, and beta 1 agonist

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13
Q

Norepinephrine/ Levophed indication

A

Cardiogenic shock, septic shock, severe hypotension

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14
Q

Norepinephrine/ Levophed contraindications

A

Takin MAOI’s know sensitivity

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15
Q

Norepinephrine/ Levophed dose

A

IV: add 4 mg to 250 ml of D5W or D5NS. 0.5 to 1 mcg titrate to maintain systolic more than 80. Refractory shock 30 mcg/min

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16
Q

Phenytoin/ Dilantin action

A

Depresses seizures by affecting the movement of sodium and calcium into neural tissue

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17
Q

Phenytoin/ Dilantin indication

A

Generalized tonic- clonic seizures

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18
Q

Phenytoin/ Dilantin contraindications

A

Bradycardia, sinus block, Adams- Stokes syndrome, know sensitivity to hydantions

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19
Q

Phenytoin/ Dilantin dose

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A

IV: 15 to 20 mg/kg slow not to exceed 50 mg/min

20
Q

Atropine Sulfate action

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A

Competes with acetylcholine at the muscarinic unix receptor

21
Q

Atropine Sulfate indications

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A

Symptomatic bradycardia, a systole, PEA, nerve agent exposure, organophosphate poisoning

22
Q

Atropine Sulfate contraindications

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A

AMI, myasthenia gravis, GI obstruction, closed angle glaucoma, sensitivity to belladonna alkaloids, or sulfites

23
Q

Atropine Sulfate dose for bradycardia

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A

IV: 0.5 mg ever 3 to 5 minutes max of 3 mg

24
Atropine Sulfate Organophosphate poisoning
IV/ IM: 2 to 4 mg repeat if needed ever 20 to 30 minutes
25
Glucagon action
Hypoglycemia, beta blocker overdose
26
Atropine Sulfate contraindications
Pheochromocytoma, insulinoma
27
Atropine Sulfate hypoglycemia dose
IV/ IM/ Sub-Q: 1 mg
28
Atropine Sulfate beta blocker OD dose
IV: 2 to 5 mg, follow by second dose of 10 mg if does work or symptoms come back
29
Haloperidol action
Selectively blocks postynaptic dopamine receptors
30
Haloperidol indication
Psychotic disorders, agitation
31
Haloperidol contraindications
Depressed mental status, Parkinson's disease
32
Haloperidol dose
Oral\IM: 0.5 to 10 mg
33
Nitroglycerin indication
Ischemic chest pain, hypertension, myocardial ischemia cause by cocaine intoxication
34
Nitroglycerin action
Relaxes smooth muscle
35
Nitroglycerin contraindications
Hypotension, extreme bradycardia or tachycardia, intracranial bleeding, takin erectile dysfunction meds, sensitivity to nitrates
36
Nitroglycerin dose
Sublingual: 0.4 mg 5 minute intervals max of 3
37
Phenolamine/ Regitine action
Blocks alpha receptors
38
Phenolamine/ Regitine indication
Hypertensive emergencies, cocaine induced vasoapasm
39
Phenolamine/ Regitine contraindications
Known sensitivity
40
Phenolamine/ Regitine dose
IV/IM: 5 to 15 mg
41
Thiamine action
Vitamin
42
Thiamine indication
Wernicke-Korasakoff syndrome, beriberi, nutritional supplement
43
Thiamine contraindications
Known sensitivity
44
Thiamine dose
IV: 100mg
45
Pralidoxime/ 2- Pam/ Protopam action
Reactivates cholinesterase
46
Pralidoxime/ 2- Pam/ Protopam indications
Toxicity from nerve agents
47
Pralidoxime/ 2- Pam/ Protopam contraindications
Myasthenia gravis, renal failure, inability to control airway
48
Pralidoxime/ 2- Pam/ Protopam dose
IV: 1 to 2 g diluted in 100ml of water over 15 to 30 minutes

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