Precautions-Table 1 Flashcards Preview

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Flashcards in Precautions-Table 1 Deck (39):
1

Question

Answer

2

Oxygen

Use caution with COPD patients; Monitor long-term high concentrations in neonates as retronatal fibroplasia may develop; open flames

3

Diazepam (Valium)

Can cause local irritation, therefore, use large vein when possible. seizure activity may reoccur due to its lipid solubility; use with caution in patients with myasthenia gravis, impaired renal or hepatic function, obstetrical patients and the elderly.

4

Lorazepam (Ativan)

Hypersensitivity to benzodiazepines, acute narrow-angle glaucoma, coma, shock acute alcohol intoxication

5

Midazolam (Versed)

Hypersensitivity to Benzodiazapines, acute narrow-angle glaucoma, coma shock, and acute alcohol intoxication.

6

Succinylcholine (Anectine)

Never paralyze without adequate sedation

7

Epinephrine (Adrenalin)

Protect from Light; Can be deactivated by sodium bicarbonate, flush IV line between administration of EPI and bicarb, Effects can be intensified by antidepressants

8

Vasopressin (Pitressin)

Use with caution in patients with epilepsy, migraine, asthma, heart failure, or angina pectoris

9

Lidocaine (Xylocaine)

CNS depression may occur in doses greater than 300mg/hr liver or renal disease, CHF, hypovolemia, shock, myasthenia gravis

10

Amiodarone (Cordarone)

Use with caution in severe liver disease, pregnancy, nursing mothers

11

Atropine Sulfate

May worsen bradycardia associated with 2nd Degree Mobitz II and 3rd Degree AV block thus consider TCP first. Use with caution in patients with signs and symptoms of acute myocardial ischemia, myocardial infarction, glaucoma.

12

Adenosine (adenocard)

Place patient in semi-Fowler position as patients will typically develop arrhythmias at the time of conversion. Use cautiously in patients with asthma.

13

Diltiazem (Cardizem)

Avoid patients receiving oral beta-blockers; Monitor for hypotension resulting from peripheral vasodilation. Use with cation in CHF

14

Metoprolol (Lopressor, Toprol-XL)

Impaired hepatic or renal function, CHF controlled by digitalis or diuretics, do not mix with IV calcium channel blockers.

15

Dopamine (Intropin)

In doses 20 mcg/kg/min or greater, its alpha effects dominates and it causes severe vasoconstriction. Monitor BP q 3-5 minutes. Can be deactivated by sodium bicarbonate.

16

Dobutamine (dobutrex)

Can increase myocardial oxygen demand. Can be deactivated by sodium bicarbonate. Preexisting HTN or A-Fib. Hypotension from hypovolemia; always try volume restoration first.

17

Aspirin

Peptic ulcer disease, asthma

18

Nitroglycerin (Nitrostat, Nitro-Bid, Tridil)

Protect from light and air; Monitor vitals closely as it may cause orthostatic hypotension. Phosphodiesterase-type 5 (PDE-5) inhibitors: Viagra (sildenafil), Cialis (Tadalafil), Levitra (Vardenafil)

19

Sodium Bicarbonate (NaHCO3)

Not recommended for routine use in cardiac arrest; Dosage must be specific to prevent metabolic alkalosis and is thus weight-based.

20

Magnesium Sulfate

Renal Failure, patients taking digoxin, concomitant used of other CNS depressants or neuromuscular blocking agents.

21

Oxytocin (Pitocin)

Can cause over stimulation of the uterus resulting in uterine rupture thus vitals and uterine tone should be mentioned.

22

Albuterol (Proventil, Ventolin)

Consider monitoring peak expiratory flow rates (PEFR) monitor vitals and respiratory status during treatments.

23

Ipratropium Bromide (Atrovent)

Use with caution in pregnancy and lactation

24

Methylprednisolone

Paitients with peptic ulcer disease, CHF and TB

25

50% Dextrose in Water D50W

Use with caution in patients with increasing ICP as added glucose may worsen the cerebral edema. Consider blood glucose monitoring before and after administration. Monitor for localized venous irritation.

26

Glucagon (GlucaGen)

Glucagon is only effective if there are sufficient stores of glycogen in the liver.

27

Diphenhydramine (Benadryl)

Not considered a primary drug for the treatment of severe allergic reactions or anaphylaxis. Use with caution if the patient has narrow-angle glaucoma.

28

Haloperidol (haldol)

History of seizures, parkinson’s disease

29

Naloxone (narcan)

Use Caution on narcotic physically-dependant patients as naloxone can cause abrupt reversal of narcotic effects.

30

Furosemide (Lasix)

Usage in pregnancy should be limited to life-threatening situations as furosemide may cause fatal abnormalities. Protect from light. Renal or hepatic insufficiencies

31

CyanoKit (hydroxocobalamin)

Transient severe hypertension secondary to infusion.

32

Calcium Chloride

Flush IV line between calcium chloride and bicarbonate use as precipitate will form. Monitor for tissue necrosis at injection site.

33

Activated Charcoal (Actidose)

Protect airway and monitor mental status and vitals. Use caution in patients with an altered mental status unless nasogastric tube is in place and airway is protected.

34

Morphine Sulfate

Administer slowly and titrate to effect; undiagnosed abdominal injury.

35

Fentanyl Citrate

Increased ICP, severe respiratory disorders, hypotension, bradydysrhythmias

36

Ketorolac (Toradol)

Use cautiously with CHF and cirrhosis patients due to renal failure.

37

Acetaminophen (Tylenol, APAP)

Anemia, hepatic and renal disease, alcoholism

38

Ibuprofen

Pregnancy, peptic ulcer disease, pulmonary edema, HTN

39

Procainamide

Do not administer for PVC’s associated with bradycardia, hypotension, CHF, MI, Hepatic or renal insufficiency.