Guy Chapter 7

Question 0

Morphine Sulfate indications

Answer 0

Moderate to severe pain, including ACS, CHF, pulmonary edema

Question 1

Morphine Sulfate action

Answer 1

Binds to opioid receptors

Question 2

Morphine Sulfate contraindications

Answer 2

Respiratory depression, shock, known sensitivity

Question 3

Morphine Sulfate dose for pain

Answer 3

IV/IM/ Sub-Q: 2.5 to 15mg slow

Question 4

Morphine Sulfate dose for ACS, CHF, pulmonary edema

Answer 4

IV: 2 to 4mg

Question 5

Fentanyl/ Sublimaze action

Answer 5

Binds to opiate receptors

Question 6

Fentanyl/ Sublimaze idication

Answer 6

Pain

Question 7

Fentanyl/ Sublimaze contraindications

Answer 7

Known sensitivity

Question 8

Fentanyl/ Sublimaze dose

Answer 8

IV/ IM: 50 to 100 mcg

Question 9

Meperidine/ Demerol action

Answer 9

Binds to opiate receptors

Question 10

Meperidine/ Demerol indication

Answer 10

Pain

Question 11

Meperidine/ Demerol contraindications

Answer 11

Taken MAOI in the past 2 weeks or other CNS depressants, known sensitivity

Question 12

Meperidine/ Demerol dose

Answer 12

IV/IM/Sub-Q: 50 to 150 mg

Question 13

Butorphanol/ Stadol action

Answer 13

Binds to opioid receptors

Question 14

Butorphanol/ Stadol indication

Answer 14

Pain

Question 15

Butorphanol/ Stadol contraindications

Answer 15

Substance abuse, senesitivity

Question 16

Butorphanol/ Stadol dose

Answer 16

IV: 0.5 to 2 mg every 3 to 4 hours

Question 17

Nalbuphine/ Nubain action

Answer 17

Binds to opioid receptors

Question 18

Nalbuphine/ Nubain indication

Answer 18

Pain

Question 19

Nalbuphine/ Nubain contraindications

Answer 19

Sensitivity

Question 20

Nalbuphine/ Nubain dose

Answer 20

IV/IM/Sub-Q: 10 mg

Question 21

Aspirin/ ASA action

Answer 21

Prevents the formation of a chemical known as theomboxane, which causes platelets to clump together

Question 22

Aspirin/ ASA indications

Answer 22

Chest pain

Question 23

Aspirin/ ASA contraindications

Answer 23

GI bleed, hemorrhagic stroke

Question 24

Aspirin/ ASA dose

Answer 24

Oral: 160 to 325 mg

Question 25

Ibuprofen action

Answer 25

Inhibits prostaglandin synthesis by inhibiting cyclooxgenase isoenzymes, resulting in analgesic, antipyretic, and anti inflammatory effects

Question 26

Ibuprofen indication

Answer 26

Pain, fever, osteoarthritis, rheumatoid arthritis

Question 27

Ibuprofen contraindications

Answer 27

Sensitivity to NSAIDS or salicylate

Question 28

Ibuprofen dose

Answer 28

Oral: 200 to 400 mg

Question 29

Ketorolac/ Toradol action

Answer 29

Inhibits production of prostaglandin in inflamed tissue, which decreases the responsiveness of pain receptors

Question 30

Ketorolac/ Toradol indication

Answer 30

Acute pain

Question 31

Ketorolac/ Toradol contraindications

Answer 31

Ulcer, GI bleed, renal insufficiency, hypovolemia, pregnancy, sensitivity to NSAIDS or ASA, stroke, head trauma, need for surgery within 7 days

Question 32

Ketorolac/ Toradol dose

Answer 32

IV: 30mg can be given ever 6 hours not to exceed 120 mg IM: 60 mg or 30mg every 6 hours not to exceed 120 mg

Question 33

Diazepam/ Valium action

Answer 33

Binds to benzodiazepine receptors and enhances the effects of GABA

Question 34

Diazepam/ Valium indication

Answer 34

Anxiety, skeletal muscle relaxation, alcohol withdrawal, seizures

Question 35

Diazepam/ Valium contraindications

Answer 35

Children under 6 months, acute angle glaucoma, CNS depression, alcohol intoxication

Question 36

Diazepam/ Valium dose for anxiety

Answer 36

IV/ IM: 2-10mg slow

Question 37

Diazepam/ Valium dose alcohol withdrawal

Answer 37

IV: 10 mg

Question 38

Diazepam/ Valium seizure does

Answer 38

IV: 5 to 10 mg every 10 to 15 minutes

Question 39

Midazolam/ Versed action

Answer 39

Binds to benzodiazepine receptors and enhances GABA

Question 40

Midazolam/ Versed indication

Answer 40

Sedation, anxiety, skeletal muscle relaxation

Question 41

Midazolam/ Versed contraindications

Answer 41

Acute angle glaucoma, pregnant

Question 42

Midazolam/ Versed dose

Answer 42

IV: 1 to 2.5 mg max dose 5 mg

Question 43

Lorazepam/ Ativan action

Answer 43

Binds to benzodiazepine receptors and enhances effects of GABA

Question 44

Lorazepam/ Ativan indication

Answer 44

Pre-procedure sedation, anxiety, status epilepcticus

Question 45

Lorazepam/ Ativan contraindications

Answer 45

Known sensitivity to benzodiazepines, polyethylene glycol, propylene glycol, or benzyl alcohol, COPD, sleep apnea, shock, coma, acute angle glaucoma

Question 46

Lorazepam/ Ativan sedation dose

Answer 46

IV: 2 mg or 0.44 mg/kg whichever is smaller

Question 47

Lorazepam/ Ativan seizure dose

Answer 47

IV: 4 mg over 2-5 minutes, may repeat every 10-15 minutes up to 8 mg in 12 hours

Question 48

Flumazenil/ Romazicon action

Answer 48

Competes with benzodiazepines for binding at receptor

Question 49

Flumazenil/ Romazicon indications

Answer 49

Benzodiazepine over dose

Question 50

Flumazenil/ Romazicon contraindications

Answer 50

Cyclic antidepressant OD, needs benzodiazepine,

Question 51

Flumazenil/ Romazicon dose

Answer 51

IV: 0.2 mg up to 1mg

Question 52

Naloxone/ Narcan action

Answer 52

Binds to opioid receptor

Question 53

Naloxone/ Narcan indication

Answer 53

Narcotic OD

Question 54

Naloxone/ Narcan contraindications

Answer 54

Sensitivity

Question 55

Naloxone/ Narcan dose

Answer 55

IV/IM/Sub-Q: 0.4 to 2mg up to 10mg

Question 56

Promethazine/ Phenergan action

Answer 56

Decreases nausea and vomiting by antagonizing H1 receptors

Question 57

Promethazine/ Phenergan indication

Answer 57

Nausea/ vomiting

Question 58

Promethazine/ Phenergan contraindications

Answer 58

Altered, jaundiced, bone marrow suppression

Question 59

Promethazine/ Phenergan dose

Answer 59

IV/IM: 12.5 to 25mg

Question 60

Dolasetron/ Anzemet action

Answer 60

Prevents nausea/vomiting by binding and blocking a receptor if or serotonin

Question 61

Dolasetron/ Anzemet indication

Answer 61

Nausea/ vomiting

Question 62

Dolasetron/ Anzemet contraindications

Answer 62

Sensitivity

Question 63

Dolasetron/ Anzemet dose

Answer 63

IV: 12.5 mg