Med Terms #4 Flashcards
(313 cards)
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INDICATIONS: Severe pain, pain, and anxiety associated with CPAP use in ___ edema
For fentanyl
pulmonary
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PRECAUTIONS: Naloxone does not last as long as narcotics. May precipitate opioid withdrawal syndrome (anxiety, agitation, GI distress, vomiting, diaphoresis, and yawning). Naloxone should not be given to patients that have been ___. Naloxone should be considered prior to securing airway with ET tube
For Naloxone
intubated
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DESIRED EFFECTS/MECHANISM OF ACTION: Alters pain perception and increases pain threshold, Binds to opiate receptors in the CNS, reducing stimuli from sensory nerve endings and inhibiting ascending ___ pathways.
For fentanyl
pain
(Paresthesia) tingling or ___ of the skin, also known as “pins and needles” or a limb “falling asleep”
prickling
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Cholinergic Poisoning: 0.05 mg/kg IV push every 15 minutes until decreased secretions; 1 mg IM every 15 minutes if ___ IV
For Atropine
NO
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DOSAGE: Adult Dose = 1 mcg/kg, max 100 ___, slow push IV/IO/IM/IN. Repeat = Every 5 minutes, max cumulative dose 300 mcg. Pediatric Dose = 0.5-1.0 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN Repeat = 0.5 mcg/kg, max 50 mcg, every 5 minutes, max cumulative dose 200 mcg
For fentanyl
mcg
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ADVERSE REACTIONS: Flushed skin * Tachycardia * Dry mouth * Dilated pupils * ___ * Blurred vision * headache
For Atropine
Delirium
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DOSAGE: Adult Dose = 1 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN. Repeat = Every 5 minutes, max cumulative dose 300 mcg. Pediatric Dose = 0.5-1.0 ___/___, max 100 mcg, slow push IV/IO/IM/IN Repeat = 0.5 mcg/kg, max 50 mcg, every 5 minutes, max cumulative dose 200 mcg
For fentanyl
mcg/kg
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ADVERSE REACTIONS: Pulmonary edema, severe agitation, ___, dysrhythmias, & tachycardia
For Naloxone
hypertension
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Pediatric Bradycardia: 0.02 mg/kg rapid ___ push every 5 minutes, minimum dose 0.1 mg. Max dose: 1mg child; 2mg adolescent.
For Atropine
IV
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Fentanyl - (Sublimaze, Duragsesic, Actiq, Fentora) / Opiate ___
agonist
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DOSAGE:Adult: 4 mg / 0.1 ml IN for FIRST TWO doses -0.4-2.0 mg slow IV/IO push for THIRD and subsequent doses, may repeat q2-3 mins. Max cumulative dose 12 ___. Pediatric > 4 kg: 4 mg / 0.1 ml IN for FIRST TWO doses. 0.4-2.0 mg slow IV/IO push for THIRD and subsequent doses, may repeat q2-3 mins - Max cumulative dose 12 mg
For Naloxone
mg
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ADVERSE REACTIONS: ___ edema, severe agitation, hypertension, dysrhythmias, & tachycardia
For Naloxone
Pulmonary
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Pediatric Bradycardia: ___ mg/kg rapid IV push every 5 minutes, minimum dose 0.1 mg. Max dose: 1mg child; 2mg adolescent.
For Atropine
0.02
(Paresthesia) tingling or prickling of the skin, also known as “___ ___ ___” or a limb “falling asleep”
pins and needles
(Sternutate) ___
sneeze
(Rhinorrhea) ___ nose
runny
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Pediatric Bradycardia: 0.02 mg/kg rapid IV push every ___ minutes, minimum dose 0.1 mg. Max dose: 1mg child; 2mg adolescent.
For Atropine
5
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DOSAGE: Adult Dose = 1 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN. Repeat = Every 5 minutes, max cumulative dose 300 ___. Pediatric Dose = 0.5-1.0 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN Repeat = 0.5 mcg/kg, max 50 mcg, every 5 minutes, max cumulative dose 200 mcg
For fentanyl
mcg
(___) when your eyes hurt whenever you step outside because it’s too bright; light-induced pain of the irises
Photalgia
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ADVERSE REACTIONS: Flushed skin * Tachycardia * Dry mouth * Dilated pupils * ___ * Blurred vision * headache
For Atropine
Delirium
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DOSAGE: Adult Dose = 1 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN. Repeat = Every 5 minutes, max cumulative dose 300 mcg. Pediatric Dose = 0.5-1.0 mcg/kg, max 100 mcg, slow push IV/IO/IM/IN Repeat = 0.5 mcg/kg, max ___ mcg, every 5 minutes, max cumulative dose 200 mcg
For fentanyl
50
(Photalgia) when your ___ hurt whenever you step outside because it’s too bright; light-induced pain of the irises
eyes
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ADVERSE REACTIONS: Drowsiness * Nausea / vomiting * Respiratory ___, apnea * Bradycardia
For fentanyl
depression