Misc Meds

Question 1

Benzocaine Spray

Name

Answer 1

Hurricane

Question 2

Benzocaine Spray

Class

Answer 2

Topical Anesthetic

Question 3

Benzocaine Spray

Description

Answer 3

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

Question 4

Benzocaine Spray

Indications

Answer 4

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

Question 5

Benzocaine Spray

Dosage/Route

Answer 5

0.5-1 second spray, repeat as needed

Pedi: 0.25-0.5 second spray, repeat as needed

Question 6

Thiamine

Name

Answer 6

Thiamine

Question 7

Thiamine

Class

Answer 7

Vitamin

Question 8

Thiamine

Description

Answer 8

Thiamine is vitamin B1, which is required to convert glucose into energy. It is not manufactured by the body and must be constantly provided from ingested foods

Question 9

Thiamine

Indications

Answer 9

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

Question 10

Thiamine

Contraindications

Answer 10

None

Question 11

Thiamine

Precatutions

Answer 11

known hypersensitivity to the drug

Question 12

Thiamine

Dosage/Route

Answer 12

100mg IV/IM

Pedi: 10-25 mg IV/IM

Question 13

Sodium Bicarbonate

Name

Answer 13

NaHCO3

Question 14

Sodium Bicarbonate

Class

Answer 14

Alkalizing agent

Question 15

Sodium bicarbonate

Description

Answer 15

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

Question 16

Sodium bicarbonate

Indication

Answer 16

Tricyclic antidepressant and barbituate overdose, refractory acidosis, or hyperkalemia

Question 17

Sodium bicarbonate

Contraindications

Answer 17

None when used in severe hypoxia or late cardiac arrest

Question 18

Sodium bicarbonate

Precautions

Answer 18

May cause alkalosis if given in too large a quantity. It may also deactivate vasopressors and may precipitate with calcium chloride

Question 19

Sodium bicarbonate

Dosage/Route

Answer 19

1mEq/kg IV, then 0.5 mEq/kg/10 min

Pedi: 1mEq/kg IV, then 0.5 mEq/kg/10 min (may be given IO)

Question 20

Timoptic

Name

Answer 20

Timoptic

Question 21

Timoptic

Class

Answer 21

beta blocker

Question 22

Timoptic

Description

Answer 22

Timoptic is a non-selective beta-adrenergic receptor blocking agent

Question 23

Timoptic

Indication

Answer 23

HTN, MI, elevated ocular pressure

Question 24

Timoptic

Contraindications

Answer 24

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

Question 25

Timoptic Precautions

Answer 25

readily absorbed

Question 26

Timoptic Dosage/Route

Answer 26

ophthalmic: one drop per eye BID

Question 27

Tetracaine Name

Answer 27

Tetracaine

Question 28

Tetracaine Class

Answer 28

ophthalmic, anesthetics

Question 29

Tetracaine Description

Answer 29

After topical application to the eye, local anesthetics penetrate to sensory nerve endings in the corneal membranes permeability to sodium ions, This reversibly stabilizes the membrane and inhibits depolarization, resulting in failure of a propagated action potential and subsequent conduction blockade

Question 30

Tetracaine Indication

Answer 30

Eye injuries, or foreign body

Question 31

Tetracaine Contraindications

Answer 31

Hypersensitivity

Question 32

Tetracaine Precautions be monitored

Answer 32

Hyperthyroid disease, cardiac diseases

Question 33

Tetracaine Dosage/Route

Answer 33

1-2 drops in each eye

Question 34

Phenytoin Name

Answer 34

Dilantin

Question 35

Phenytoin Class

Answer 35

Anticonvulsant

Question 36

Phenytoin Description

Answer 36

Phenytoin is a derivative related to phenobarbital that reduces the spread of electrical discharges in the motor cortex and inhibits seizures. It also has antidysrhythmic properties that counteract the effects of digitalis

Question 37

Phenytoin Indications

Answer 37

seizures, status epilepticus, or cardiac dysrhythmias secondary to digitalis toxicity

Question 38

Mannitol Name

Answer 38

Osmitrol

Question 39

Mannitol Class

Answer 39

Osmotic Diuretic

Question 40

Mannitol Description

Answer 40

mannitol is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis

Question 41

Mannitol Indications

Answer 41

Cerebral edema

Question 42

Mannitol Contraindications

Answer 42

hypersensitivity, pulmonary edema or severe dehydration

Question 43

Mannitol Precautions

Answer 43

must give slow with filter tubing

Question 44

Mannitol Dosage/Route

Answer 44

1.5-2 g/kg slow IV Pedi: 0.25-0.5g/kg over 60 min

Question 45

Calcium Chloride Name

Answer 45

calcium chloride

Question 46

Calcium Chloride Class

Answer 46

Electrolyte

Question 47

Calcium chloride Description

Answer 47

Calcium chloride increases myocardial contractile force and increases ventricular automaticity

Question 48

Calcium Chloride Indication

Answer 48

hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity

Question 49

Calcium Chloride Contraindications

Answer 49

Ventricular fibrillation, hypercalcemia, and possible digitalis toxicity

Question 50

Calcium Chloride Precautions

Answer 50

It may precipitate toxicity in patients taking digitoxin, Ensure the IV is in a large vein and flushed before using and after calcium

Question 51

Calcium Chloride Dosage/Route

Answer 51

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