Misc Medications

Question 0

Calcium Chloride

Another Name

Answer 0

Calcium

Question 1

Calcium

Another Name

Answer 1

Calcium Chloride

Question 2

Calcium Chloride

Class

Answer 2

Electrolyte

Question 3

Calcium Chloride

Description

Answer 3

Increases myocardial contractile force and increases ventricular automaticity

Question 4

Calcium Chloride

Indications

Answer 4

Hyperkalemia, hypocalcemia, hypermagnesemia, calcium channel blocker toxicity

Question 5

Calcium Chloride

Contraindication

Answer 5

Ventricular fibrillation, hypercalcemia, possible digitalis toxicity

Question 6

Calcium Chloride

Precautions

Answer 6

May precipitate toxicity in patients taking digoxin. Ensure IV line in large vein and flushed before and after calcium

Question 7

Calcium Chloride

Dose/Route

Answer 7

5-10cc of (10% solution / 1g-10cc)/min as needed or 8mg/kg

Question 8

Mannitol

Another Name

Answer 8

Osmitrol

Question 9

Osmitrol

Another Name

Answer 9

Mannitol

Question 10

Mannitol (Osmitrol)

Class

Answer 10

Osmotic Diuretic

Question 11

Mannitol (Osmitrol)

Description

Answer 11

Osmotic diuretic that draws water into the intravascular space through hypertonic effects, causes diuresis

Question 12

Mannitol (Osmitrol)

Indications

Answer 12

Cerebral edema

Question 13

Mannitol (Osmitrol)

Contraindications

Answer 13

Hypersensitivity, pulmonary edema, severe dehydration

Question 14

Mannitol (Osmitrol)

Precautions

Answer 14

Must give slow with filter tubing

Question 15

Mannitol (Osmitrol)

Dose/Route

Answer 15

1.5-2 g/kg slow IV

Pedi 0.25-0.5 g/kg over 60 min

Question 16

Phenytoin

Another Name

Answer 16

Dilantin

Question 17

Dilantin

Another Name

Answer 17

Phenytoin

Question 18

Phenytoin (Dilantin)

Class

Answer 18

Anticonvulsant

Question 19

Phenytoin (Dilantin)

Description

Answer 19

Derivative related to phenobarbital that reduces spread of electrical discharges in motor cortex and inhibits seizures. Has antidysrhythmic properties that counteract effects of digitalis

Question 20

Phenytoin (Dilantin)

Indications

Answer 20

Seizures, status epilepticus, cardiac dysrhythmias secondary to digitalis toxicity

Question 21

Phenytoin (Dilantin)

Contraindications

Answer 21

Seizures due to hypoglycemia, sinus bradycardia, heart block, Adam-Stokes syndrome

Question 22

Phenytoin (Dilantin)

Precautions

Answer 22

Hepatic or renal impairment, alcoholism, cardiogenic shock, elderly, bradycardia, respiratory depression

Question 23

Phenytoin (Dilantin)

Dose/Route

Answer 23

Seizures/status epilepticus: 10-15 mg/ kg slow IV. No more then 50 mg/min
Dysrhythmias: 100 mg slow IV (over 5 min) to maximum of 1000 mg

Question 24

Phenytoin (Dilantin) | Pedi Dose/Route

Answer 24

Seizures/status epilepticus: 8-10mg/kg slow IV | Dysrhythmias: 3-5 mg/kg slow IV

Question 25

Tetracaine | Class

Answer 25

Opthalmic, anathetics

Question 26

Tetracaine | Description

Answer 26

Topical application to the eye, local anesthetics penetrate to sensory nerve endings in corneal tissue. Blocks both initiation and conduction of nerve impulses by decreasing neuronal membranes permeability to sodium ions. Reversibly stabilizes the membrane and inhibits depolarization, resulting in failure of a propagated action potential and subsequent conduction block

Question 27

Tetracaine | Indications

Answer 27

Eye injuries or foreign body

Question 28

Tetracaine | Contraindication

Answer 28

Hypersensitivity

Question 29

Tetracaine | Precautions

Answer 29

Hyperthyroid disease, cardiac disease

Question 30

Tetracaine | Dose/Route

Answer 30

1-2 drops per eye

Question 31

Timoptic | Class

Answer 31

Beta blocker

Question 32

Timoptic | Description

Answer 32

Non-selective beta-adrenergic receptor blocking agent

Question 33

Timoptic | Indications

Answer 33

HTM, MI elevated ocular pressure

Question 34

Timoptic | Contraindications

Answer 34

Asthma, severe COPD, sinus brady, 2nd or 3rd degree AV block, cardiogenic shock

Question 35

Timoptic | Precautions

Answer 35

Readily absorbed

Question 36

Timoptic | Dose/Route

Answer 36

Ophthalmic: 1 drop per eye BID

Question 37

Sodium Bicarbonate | Anther Name

Answer 37

NaHCO3

Question 38

NaHCO3 | Another Name

Answer 38

Sodium Bicarbonate

Question 39

``` Sodium Bicarbonate (NaHCO3) Description ```

Answer 39

Provides vascular bicarbonate to assist buffer system in reducing the effects of metabolic acidosis and treatment of some overdoses

Question 40

``` Sodium Bicarbonate (NaHCO3) Indications ```

Answer 40

Tricyclic antidepressant and barbiturate overdose, refractory acidosis and hyperkalemia

Question 41

``` Sodium Bicarbonate (NaHCO3) Contraindications ```

Answer 41

None where used for severe hypoxia or late cardiac arrest

Question 42

``` Sodium Bicarbonate (NaHCO3) Precaution ```

Answer 42

May cause alkalosis if given in large quantities. May deactivate vasopressors and may precipitate with calcium chloride

Question 43

``` Sodium Bicarbonate (NaHCO3) Dose/Route ```

Answer 43

1 mEq/kg IV, hen 0.5 mEq/kg/ 10 min | Pedi: same, may also be given IO

Question 44

``` Sodium Bicarbonate (NaHCO3) Class ```

Answer 44

Alkalizing Agent

Question 45

Thiamine | Class

Answer 45

Vitamin

Question 46

Thiamine | Description

Answer 46

Vitamin B1 which is required to convert glucose into energy. Not manufactured by body, provided by ingested food

Question 47

Thiamine | Indication

Answer 47

Coma of unknown origin, chronic alcoholism with associated coma, delirium tremens

Question 48

Thiamine | Contraindication

Answer 48

None

Question 49

Thiamine | Precautions

Answer 49

Hypersensitivity

Question 50

Thiamine | Dose/Route

Answer 50

100 mg IV/IM | Pedi: 10-25 mg IV/IM

Question 51

Benzocaine Spray | Another Name

Answer 51

Hurricane

Question 52

Hurricane | Another Name

Answer 52

Benzocaine Spray

Question 53

``` Benzocaine Spray (Hurricane) Class ```

Answer 53

Topical Anesthetic

Question 54

``` Benzocaine Spray (Hurricane) Description ```

Answer 54

Stabilizes neuronal membrane, which blocks the initiation and conduction of nerve impulses.

Question 55

``` Benzocaine Spray (Hurricane) Indications ```

Answer 55

Used as lubricant and topical anesthetic to facilitate passage of diagnostic and treatment devises. Suppresses the pharyngeal and tracheal gag reflex

Question 56

``` Benzocaine Spray (Hurricane) Dose/Route ```

Answer 56

0.5-1 second spray, repeat as needed | Pedi: 0.25-0.5 second spray, repeat as needed