Guy Chapter 14

Question 0

Albuterol/ Proventil/ Ventolin Mechanism

Answer 0

Binds and simulates beta2 receptors, resulting in relaxation of bronchial smooth muscle

Question 1

Albuterol/ Proventil/ Ventolin Indication

Answer 1

Asthma, bronchitis with bronchospasm, COPD

Question 2

Albuterol/ Proventil/ Ventolin Contraindications

Answer 2

Angioedema, sensitivity to Albuterol or levalbuterol,

Question 3

Albuterol/ Proventil/ Ventolin dose

Answer 3

Nebulizer: 2.5 to 5 mg every 20 minutes max 3 doses. After 3 doses continuous neb at 10 to 15 mg an hour

Question 4

Levalbuterol/Xopenex Action

Answer 4

Beta agonist, stimulates beta 2 receptors resulting in relaxation of smooth muscle in lungs, uterus, and vasculature that supply skeletal muscle

Question 5

Levalbuterol/Xopenex indication

Answer 5

Acute bronchospasm or bronchospasm prophylaxis in pt with asthma

Question 6

Levalbuterol/Xopenex contraindications

Answer 6

Angioedema,sensitivity to Albuterol or levalbuterol,cardiac disorders or arrhythmias, taking phenothiazines or sotalol

Question 7

Levalbuterol/Xopenex dose

Answer 7

Nebulizer: 1.25 to 2.5 mg every 20 min up to 3 doses, then 1.25 to 5 every one to 4 hours as needed

Question 8

Ipratropium bromide/ Atrovent action

Answer 8

Antagonizes the acetylcholine receptor on bronchial smooth muscle, producing bronchodilation

Question 9

Ipratropium bromide/ Atrovent indication

Answer 9

Asthma, bronchospasm associated with COPD

Question 10

Ipratropium bromide/ Atrovent dose

Answer 10

Nebulizer: 0.5 mg every 6 to 8 hours

Question 11

Ipratropium bromide/ Atrovent contraindications

Answer 11

Closed angle glaucoma, bladder neck obstruction, prostatic hypertrophy, sensitivity to peanuts, soy, atropine, or atropine derivatives

Question 12

Albuterol Ipratropium/ Combivent action

Answer 12

Binds and stimulates beta 2 receptors, resulting in relaxation of bronchial smooth muscle and antagonizes the acetylcholine receptor, producing bronchodilation

Question 13

Albuterol Ipratropium/ Combivent indication

Answer 13

Second line treatment for COPD or severe acute onset asthma exacerbations during medical transport

Question 14

Albuterol Ipratropium/ Combivent contraindications

Answer 14

Allergic to soy or peanuts, sensitivity to Albuterol or atropine derivatives, closed angle glaucoma, cardiovascular disease

Question 15

Albuterol Ipratropium/ Combivent dose

Answer 15

Inhaler: 2 puffs inhaled every 6 hours by MDI. Max 12 puffs a day

Question 16

Methylprednisolone Sodium Succinate/ Solu-medrol action

Answer 16

Corticosteroid reduces inflammation by multiple mechanisms

Question 17

Methylprednisolone Sodium Succinate/ Solu-medrol indications

Answer 17

Anaphylaxis, asthma, COPD

Question 18

Methylprednisolone Sodium Succinate/ Solu-medrol contraindications

Answer 18

Cushing’s syndrome, fungal infection, measles, varicella, sensitivity to sulfites

Question 19

Methylprednisolone Sodium Succinate/ Solu-medrol dose for asthma/COPD

Answer 19

IV: 40 to 80 mg

Question 20

Methylprednisolone Sodium Succinate/ Solu-medrol dose for anaphylaxis

Answer 20

IV: 1 to 2 mg/kg

Question 21

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef action

Answer 21

Reduces inflammation by multiple mechanisms. As a steroid it replaces steroids that lack adrenal insufficiency

Question 22

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef contraindications

Answer 22

Cushing’s syndrome, know sensitivity to benzyl alcohol, hypertension, CHF, systemic fungal infection, renal disease, idiopathic thrombocytopenia,psychosis, seizure disorder, gi disease, glaucoma

Question 23

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef indications

Answer 23

Adrenal insufficiency, allergic reaction, anaphylaxis, asthma, COPD

Question 24

Hydrocortisone sodium Succinate/ Cortef/ Solu-Cortef dose

Answer 24

IV/IM: 100 to 500 mg

Question 25

Aminophylline action

Answer 25

Relaxes smooth muscle of the bronchial airways and pulmonary blood vessels. May also have anti inflammatory properties

Question 26

Aminophylline indication

Answer 26

Bronchospasm

Question 27

Aminophylline contraindications

Answer 27

Know sensitivity

Question 28

Aminophylline dose

Answer 28

IV: 5mg/kg over 20 to 30 minutes. Follow with infusion of 0.4 mg/kg/hr. For smokers 0.8 mg/kg/hr. For CHF 0.2 mg/kg/hr

Question 29

Magnesium Sulfate action

Answer 29

Needed for neuro chemical transmission and excitability. Controls seizures by blocking peripheral neuro muscular transmission. Peripheral dilator and inhibitor of platelet function

Question 30

Magnesium Sulfate indications

Answer 30

Torsades de Pointes, cardiac arrhythmias associated with hypo magnesium, eclampsia, status asthmaticus

Question 31

Magnesium Sulfate contraindications

Answer 31

AV block, GI obstruction,

Question 32

Magnesium Sulfate dose for Torsades and hypo magnesium

Answer 32

IV: 1 to 2 mg in 10 ml of d5w administered over 15 min.

Question 33

Magnesium Sulfate dose for eclampsia

Answer 33

IV: 4 to 6 g followed by infusion of 1 to 2g an hour

Question 34

Magnesium Sulfate dose for status asthmaticus

Answer 34

IV: 1.2 to 2 g slow over 20 minutes

Question 35

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 action

Answer 35

Stimulates both alpha and beta receptors, causing vasoconstriction, reduced mucosal edema, and bronchodilation

Question 36

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 indications

Answer 36

Bronchial asthma, croup

Question 37

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 contraindications

Answer 37

Glaucoma, elderly, cardiac disease, hypertension, thyroid disease, diabetes, sensitivity to sulfites

Question 38

Racemic Epinephrine/ racepinephrine/ micronefrin/ S2 dose

Answer 38

Nebulizer: 0.5 ml