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Flashcards in Important Drug Info Deck (122):
1

ativan onset

1-5 min iv; 15-30 min im

2

ativan peak

15-20 min iv; 2 hr im

3

ativan duration

6-8 hrs

4

ativan adult dose

0.5mg-2mg IV or 1-4mg IM

5

ativan pedi dose

0.05 mg/kg IV

6

benzo precautions

additive effects with other CNS depressants, ETOH

7

versed onset

3-5 min IV, 15 min IM

8

versed peak

20-60 min

9

versed duration

<2hrs IV, 1-6 hrs IM

10

versed adult dose

2-5 mg IV/IM

11

versed pedi dose

0.2 mg/kg slow IV

12

albuterol onset

5-15 min

13

albuterol peak

1-1.5 hrs

14

albuterol duration

3-6 hrs

15

albuterol contraindications

symptomatic tachycardia

16

albuterol dose

2.5 mg in 2.5 mL

17

albuterol interactions

b-blockers blunt effects, MAOI's and TCA's potentiate cardiovascular effects

18

albuterol MOA

B2 agonist

19

atrovent drug class

anticholinergic/parasympatholytic

20

atrovent moa

muscarinic Ach-R blocker, dries resp. secretions

21

atrovent onset

varies

22

atrovent peak

1.5-2 hrs

23

atrovent duration

4-6 hrs

24

atrovent adult dose

500 mcg

25

atrovent pedi dose

250-500 mcg

26

mag sulfate drug class

mineral/antidysrhythmic

27

mag sulfate moa

physiological ca+ channel blocker, CNS depression, smooth muscle relaxation

28

mag onset

immediate IV

29

mag peak

varies

30

mag duration

1 hr

31

mag contraindications

3rd degree block, severe hypertension, impaired renal function, hypocalcemia

32

mag SE

flushing, sweating, bradycardia, resp. depression, dysrhythmias, hypotension

33

mag precautions

watch for resp. depression, have cacl2 available

34

mag interactions

digitalis

35

mag adult asthma dose

2g in 100cc NS over 10 min

36

mag adult VT, VF, Torsades (no pulse) dose

2g IV over 1-2 min

37

mag adult VT/torsades w/ pulse dose

1-2g in 50-100 CC NS over 5-60 min

38

mag eclampsia dose

2-4g over 25 min

39

mag pedi asthma dose

25-50 mg/kg over 15-30 min (max of 2g)

40

mag pedi VT no pulse dose

25-50 mg/kg IV (2g max)

41

mag pedi VT w/ pulse

25-50 mg/kg IV over 10-20 min (max 2g)

42

solu-medrol drug class

corticosteroid/immunosuppressant

43

solu-medrol onset

2-6 hrs

44

solu-medrol peak

4-8 days

45

solu-medrol duration

1-5 weeks

46

solu-medrol SE

Prolonged wound healing

47

solu-medrol adult dose

125mg

48

solu-medrol pedi dose

2mg/kg IV (max 80mg)

49

solu-medrol precautions

prolongs wound healing

50

solu-medrol interactions

lasix and thiazide diuretics increase K+ loss

51

nitro MOA

vasodilator, decreases preload and afterload

52

nitro onset

1-3 min SL

53

nitro peak

5-10 min SL

54

nitro duration

20-30 min SL

55

nitro contraindications

systolic under 100; R sided MI, ED drugs in past 48 hrs

56

nitro dose

0.4 mg SL q3-5 (max 3 doses or until systolic under 100)

57

nitro interactions

B-blockers cause orthostatic hypotension, ETOH causes severe hypotension

58

epi onset

<2 min IV; 3-10 min IM

59

epi peak

<5 min; 20 min IM

60

epi duration

5-10 min IV; 20-30 min IM

61

epi contraindications

HTN, tachydysrhythmias, pregnancy

62

epi interactions

deactivated by alkali, antidepressants intensify effects, forms PPT with CaCl2 and bicarb

63

aspirin moa

cox inhibitor, platelet aggregation inhibitor

64

aspirin onset

5-30 min

65

aspirin peak

15-120 min

66

aspirin duration

1-4 hrs

67

morphine onset

imm IV, 15-30 IM

68

morphine peak

20 min IV, 30-60 IM

69

morphine duration

2-7 hrs

70

morphine contraindications

hypotension/hypovolemia, COPD, hypersensitivity to morphine, codeine, percodan

71

morphine adult dose

2-10mg initial then 2mg q3-5min

72

morphine pedi dose

0.1mg/kg

73

morphine interactions

additive effects with CNS depression

74

zofran onset

10-30 min

75

zofran peak

unknown

76

zofran duration

unknown

77

zofran adult dose

4mg

78

zofran pedi dose

0.1mg/kg

79

adenosine drug class

class V antidysrhythmic

80

adenosine MOA

slow AV conduction

81

adenosine onset

imm.

82

adenosine peak

imm.

83

adenosine duration

30-45 sec

84

adenosine contraindications

2/3rd degree block, sick sinus syndrome, chemical induced SVT

85

adenosine adult dose

6mg then 12mg then 12mg

86

adenosine pedi dose

0.1mg/kg (max 6mg) then 0.2mg/kg (max 12mg)

87

epi moa

a1, b1, b2 agonist, blocks destruction of mast cells

88

epi drip dose

2-10 mcg/min

89

amiodarone class

class III, K+ channel blocker

90

amiodarone moa

prolongs cardiac action potential duration, refractory period

91

amiodarone onset

immed.

92

amiodarone SE

prolonged PR, QRS, QT intervals

93

amiodarone VT with pulse dose

150mg over 10 min

94

amiodarone pedi dose

5mg/kg, max 300mg

95

amiodarone VT w/ pulse pedi dose

5mg/kg over 20-60 min max 300mg

96

atropine moa

ach-r antagonist, parasympathetic inhibition; positive chronotropy but no inotropic effect

97

atropine onset

immed.

98

atropine peak

2-4 min

99

atropine duration

4 hrs

100

atropine bradycardia dose

.5 mg q3-5 min max 3mg

101

atropine RSI dose

.5-1mg

102

atropine OP OD dose

2-5 mg

103

atropine pedi bradycardia dose

0.02mg/kg min 0.1 max 0.5mg

104

atropine pedi RSI dose

0.02mg/kg

105

atropine OP OD dose pedi

0.02-0.05mg/kg

106

atropine contraindications

ineffective for 2nd degree type II/3rd degree blocks

107

atropine precautions

don't give less than 0.1mg (pedi) or 0.5mg (adult)

108

cardizem moa

slows av conduction, ca2+ channel blocker, decrease inotropy

109

cardizem onset

3min

110

cardizem duration

1-3 hrs

111

cardizem indications

rapid a-fib, a-flutter, PSVT refractory to adenosine

112

cardizem SE

N+V, dizziness, HA, bradycardia, heart block, hypotension, asystole

113

cardizem dose

15, 20, or 25mg

114

cardizem precautions

not for pedi!, may cause hypotension, have cacl2 available

115

cardizem contraindications

do not give to Pt's getting IV b blockers

116

calcium chloride moa

increases myocardial contractility and ventricular automaticity

117

cacl2 indications

hyperkalemia, hypocalcemia, ca+ channel blocker OD, crush syndrome, hypermagnesemia, CA due to suspected hyperkalemia

118

cacl2 SE

bradycardia, dysrhythmias, N+V, syncope, CA

119

cacl2 adult dose

500-1000mg

120

cacl2 pedi dose

20mg/kg

121

cacl2 precautions

tissue necrosis

122

cacl2 interactions

forms PPT with bicarb