Pharm Review Flashcards

1
Q

Adenosine - what class of drug? (2)

A

Antiarrhythmic

Endogenous nucleoside

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2
Q

Adenosine - indication?

A

Conversion of SVT (supreventricular tachycardias)

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3
Q

Adenosine - initial dose?

A

6 mg rapid IV bolus

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4
Q

Adenosine - repeat dose?

A

12 mg rapid IV bolus

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5
Q

Adenosine - onset of action?

A

Seconds

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6
Q

Adenosine - one special consideration?

A

Check for crystallization in cold climates

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7
Q

Amiodarone - what class of drug?

A

Antiarrhythmic agent

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8
Q

Amiodarone - one mechanism of action?

A

Effects on the sodium, potassium, and calcium channels

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9
Q

Amiodarone - indication?

A

Tx of defibrillation-refractory VF, pulseless VT, polymorphic VT, wide complex VT of uncertain origin

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10
Q

Amiodarone - one contraindication?

A

Pulmonary congestion

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11
Q

Amiodarone - incompatibility?

A

Precipitates at certain concentrations when mixed at a Y-site with sodium bicarb, furosemide, and heparin

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12
Q

Atropine Sulfate - class? (2)

A

Anticholinergic agent

Antiarrhythmic

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13
Q

Atropine Sulfate - mechanism of action?

A

Blocks parasympathetic response

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14
Q

Atropine Sulfate - clinical effects?

A

Increased HR

Increased conduction velocity

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15
Q

Bumetanide (Bumex) - class?

A

Loop diuretic

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16
Q

Bumetanide (Bumex) - mechanism of action?

A

Inhibits electrolyte reabsorption in the ascending loop of Henle

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17
Q

Bumetanide (Bumex) - contraindications? (3)

A

Anuria
Electrolyte deficiencies
Hepatic coma

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18
Q

Bumetanide (Bumex) - adverse reaction?

A

Ringing in ears

19
Q

Calcium chloride - mechanism of action?

A

Increase calcium levels

20
Q

Calcium chloride - contraindications?

A

Hypercalcemia, digoxin therapy

21
Q

What drugs can calcium chloride mix with?

A

None

22
Q

Activated charcoal - contraindication?

A

Ingestion of caustics

23
Q

Activated charcoal - adverse reaction?

A

Vomiting

24
Q

Dexamethasone sodium phosphate (Decadron) - what class?

A

Anti-inflammatory

Synthetic adrenocorticoid

25
Q

Dexamethasone sodium phosphate (Decadron) - indications?

A

Reactive airway disease

Asthma

26
Q

Dexamethasone sodium phosphate (Decadron) - adverse reaction?

A

Sodium retention
Fluid retention
Potassium loss

27
Q

Dexamethasone sodium phosphate (Decadron) - routes of administration?

A

IV/IO/IM

28
Q

Dextrose 50% - what class?

A

Carbohydrate

29
Q

Dextrose 50% - adverse reaction?

A

Cerebral edema in peds

30
Q

Dextrose 50% - dosage? (peds)

A

0.5-1.0 gm/kg of dex 10% solution, over 20 min

31
Q

Diazepam (valium) - mechanism of action?

A

Produces calming effects
Decreases seizures by increasing seizure threshold
Transient analgesic, amnesic, sedative

32
Q

Diazepam (valium) - adverse reaction?

A

Bradycardia
Hypotension
Phlebitis

33
Q

Diazepam (valium) - drug incompatibilities?

A

Do not mix with or dilute in anything

34
Q

Diazepam (valium) - rectal dose for peds?

A

0.3-0.5 mg/kg

35
Q

Diltiazem - class?

A

Calcium channel blocker

Calcium antagonist

36
Q

Diltiazem - indications?

A

PSVT refractory to adenosine

37
Q

Diltiazem - drug interactions?

A

Don’t mix with beta blockers

38
Q

Diphenhydramine (benadryl) - mechanism of action?

A

Blocks cellular histamine receptors

39
Q

Diphenhydramine (benadryl) - indication?

A

Anaphylaxis
Phenothiazine reactions
Antiemetic

40
Q

Dopamine - mechanism of action?

A

Metabolic precursor to norepi

Various effects depending on dosage

41
Q

Dopamine - indications?

A

Symptomatic bradycardia

42
Q

Dopamine - drug interaction?

A

Don’t use with pheochromocytoma

43
Q

Would you ever run dopamine wide open?

A

Never