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Flashcards in Medications Deck (46)
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0

What is trade name for Nitroglycerin?

Nitrolingual

1

Drug class for Nitro?

Vasodilator, nitrate, anti-anginal

2

What is the dose for Nitro?

0.4mg spray, q.5min prn. SL
0.3mg tablet, q. 5min prn. SL

3

What are the indications for Nitro?

Acute Coronary Syndromes

4

What is the mechanism of action for Nitro? (3)

1)decreases preload and after-load to ischemic heart.
2)Decreasing preload decreases starling forces, therefore less forceful contractions.
3) Decreasing after-load decreases vascular resistance

5

What are the contraindications for the use of Nitro?

BP<50bpm
-Use of Phosphodiesterase within 24hrs.
-Right ventricle infarct or BP drop of 30 systolic after 1st admin of nitro.

6

You are about to administer nitro to a pt when you notice that he is wearing a nitro patch. How do you proceed?

Remove the pt's patch and and administer the medication.

7

What is the drug class for D50W?

Carbohydrate; Hyperglycemic

8

What are the indications for D50W?

-Hypoglycemia
-Unconscious and glucometer is unavailable.

9

What is the adult dose for D50W?

25g (50cc) slow IV push.

10

If you suspect elevated ICP in a pt, how should you proceed with administering D50W?

12g (25cc) slow IV push, then reassess LOC and BGL

11

What is the Paediatric dose for D50W?

0.5-1.0g/kg of D25W, Slow IV push.

12

What is the contraindication for D50W?

-Hyperglycemia

13

What are some precautions for D50W?

-Ensure IV line is patent. D50W can be irritating and necrotic to tissue if pushed interstitially.
-Can cause cerebral edema, therefore caution in pts with increased ICP
-Large bore IV catheter as D50W is Viscous.

14

What drug class is ASA?

anti-platelet

15

What are the indications for ASA?

Acute Coronary Syndromes

16

What is the adult dose for ASA?

160mg-325mg PO, chewed

administer even if pt has already taken ASA.

17

What are some contraindications for ASA? (3)

-Hypersensitivity
-Bleeding disorders
-Unable to follow commands/ Altered LOC

18

What is the MOA of ASA?

-Anit-platelet*
-Anti-pyretic
-Analgesic
-Anti-inflammatory
*Inhibits formation of thromboxane A2 in platelets. Lasts approx 8 days (life of the platelet)

19

What are some precautions for administration of ASA? (3)

-Active ulcer disease
-Asthma (ask if pt has ever taken ASA and if it triggered an asthma attack)
-Impaired renal and hepatic function

20

What is the Generic name for Atrovent?

Ipratroprium Bromide

21

What is the drug class of Atrovent?

Anticholinergic, Parasympatholytic

22

What is the indication for Atrovent?

Bronchospasm, (to be used concurrently with Ventolin)

23

What is the MOA of Atrovent?

-Anticholinergic: blocks parasympathetic response to Ventolin. Acts as an indirect bronchodilator in this sense.

24

What are some precautions to Atrovent?

-Hypersensitivity to soybeans, peanuts/related products
-Narrow angle glaucoma
-Be careful to avoid contact with eyes

25

What are some side effects of using Atrovent?

-Dry mouth
-Tachycardia
-Dilated pupils (if contact occurs)

26

What is the adult dose for Atrovent?

250mcg-500mcg Neb. repeat up to 2 times prn

27

What is the Paediatric dose for Atrovent?

5-11yrs old: 125-250mcg Neb. q x2 prn.

28

What are the contraindications for Atrovent?

Hypersensitivity to Atrovent or Atropine.

29

What is the generic name for Ventolin?

Salbutamol