Respiratory Meds Part 1

Question 1

Albuterol trade name

Answer 1

proventil

Question 2

albuterol class

Answer 2

bronchodilator, beta-2 agonist

Question 3

albuterol description

Answer 3

relaxes smooth muscles of the bronchial tree and peripheral vasculature by stimulating adrenergic receptors of teh sympathetic nervous system

Question 4

albuterol onset

Answer 4

5-8 minutes after inhalation

Question 5

albuterol duration

Answer 5

2-6 hours after inhalation

Question 6

albuterol indications

Answer 6

bronchospasm
anaphylaxis
hyperkalemia

Question 7

albuterol contraindications

Answer 7

hypersensitivity
arrythmias associated with tachycardia

Question 8

albuterol adverse reactions

Answer 8

restlessness
tachycardia
dystrhythmias
tremors

Question 9

albuterol dose

Answer 9

2.5 mg

Question 10

albuterol special considerations

Answer 10

pregnancy safety category C

Question 11

etomidate trade name

Answer 11

amidate

Question 12

etomidate class

Answer 12

nonbarbiturate hypnotic, anesthetic

Question 13

etomidate description

Answer 13

Etomidate is a short acting drug that acts at the level of the reticular activating system to
produce anesthesia. It may be administered for conscious sedation to relieve apprehension or
impair memory before tracheal intubation or cardioversion.

Question 14

etomidate onset

Answer 14

less than 1 minute

Question 15

etomidate duration

Answer 15

5-10 minutes

Question 16

etomidate indications

Answer 16

pre-medication for tracheal intubation or cardioversion

Question 17

etomidate contraindications

Answer 17

hypersensitivity to etomidate
labor/delivery

Question 18

etomidate adverse reactions

Answer 18

Nausea and vomiting
Dysrhythmias
Breathing difficulties
Hypotension
Hypertension
Involuntary muscle movement
Pain at injection site
Cortisol suppression

Question 19

etomidate dose

Answer 19

0.2-0.6 mg/kg IV over 30-60 seconds

Question 20

etomidate special considerations

Answer 20

pregnancy safety category C

Question 21

ipratroprium bromide trade name

Answer 21

atrovent

Question 22

ipratroprium bromide class

Answer 22

anticholinergic; bronchodilator

Question 23

ipratroprium bromide description

Answer 23

Ipratropium inhibits interaction of acetylcholine at receptor sites on bronchial smooth muscle,
resulting in decreased levels of cyclic guanosine monophosate and bronchodilation.

Question 24

ipratroprium bromide onset

Answer 24

less than 15 minutes

Question 25

ipratroprium bromide duration

Answer 25

2-4 hours

Question 26

ipratroprium bromide indications

Answer 26

persistent bronchospasms chronic obstructive pulmonary disease exacerbation

Question 27

ipratroprium bromide contraindications

Answer 27

hypersensitivity to ipratropium, atropine, alkaloid, soybean protein, or peanuts

Question 28

ipratroprium bromide adverse reactions

Answer 28

nausea and vomiting cramps coughing coughing worsening of symptoms headache tachycardia dry mouth blurred vision anxiety

Question 29

ipratroprium bromide dose

Answer 29

0.5 mg nebulized

Question 30

ipratroprium bromide special consideration

Answer 30

pregnancy safety category B

Question 31

ketamine trade name

Answer 31

ketalar

Question 32

ketamine class

Answer 32

nonbarbituate anesthetic

Question 33

ketamine description

Answer 33

ketamine acts on the limbic system and cortex to block afferent transmission of impulses associated with pain perception. it produces short-acting amnesia without muscular relaxation. ketamine is a dereivative of a drug abuse, phencylclidine

Question 34

ketamine onset

Answer 34

within 30 seconds

Question 35

ketamine duration

Answer 35

5-10 minutes up to 1-2 hours

Question 36

ketamine indications

Answer 36

analgesia treatment of severe agitation procedural sedation

Question 37

ketamine contraindications

Answer 37

stroke severe hypertension history of schizophrenia cardiac decompesation hypersensitivity

Question 38

ketamine adverse reactions

Answer 38

hypertension increased HR hallucinations, delusions, explicit dreams

Question 39

ketamine dose

Answer 39

2mg/kg IV over 1 minute

Question 40

ketamine special considerations

Answer 40

pregnancy safety category C

Question 41

methylprednisolone trade name

Answer 41

SoluMedrol

Question 42

methylprednisolone class

Answer 42

glucocorticoid

Question 43

methylprednisolone description

Answer 43

a synthetic steroid that suppresses acute and chronic inflammation. in addition, it potentiates vascular smooth muscle relaxation by beta adrenergic agonists and may alter airway hyperactivity. it is frequently used as adjunctive treatment for various types of reactive airway diseases. it also shares a large number of potential uses with dexamethasone and hydrocortisone for a variety of inflammatory and endocrine conditions

Question 44

methylprednisolone onset

Answer 44

1-2 hours

Question 45

methylprednisolone duration

Answer 45

8-24 hours

Question 46

methylprednisolone indications

Answer 46

anaphylaxis bronchodilator-unresponsive athsma

Question 47

methylprednisolone contraindication

Answer 47

Use with caution in patients with GI bleeding, diabetes, or severe infection

Question 48

methylprednisolone adverse reactions

Answer 48

headache hypertension sodium and water retention hypokalemia alkalosis

Question 49

methylprednisolone dose

Answer 49

2 mg-kg IV

Question 50

methylprednisolone special considerations

Answer 50

pregnancy safety category C

Question 51

oxygen trade name

Answer 51

n/a

Question 52

oxygen class

Answer 52

gas

Question 53

oxygen description

Answer 53

necessary for cellular metabolism

Question 54

oxygen onset

Answer 54

n/a

Question 55

oxygen duration

Answer 55

n/a

Question 56

oxygen indications

Answer 56

hypoxia

Question 57

oxygen contraindications

Answer 57

non hypoxic patients

Question 58

oxygen adverse reactions

Answer 58

dying of mucus membranes

Question 59

oxygen dose

Answer 59

cardiac arrest: 100%

Question 60

oxygen special considerations

Answer 60

n/a

Question 61

rocuronium bromide trade name

Answer 61

zemuron

Question 62

rocuronium bromide class

Answer 62

non-depolarizing neuromuscular blocker

Question 63

rocuronium bromide description

Answer 63

rocuronium competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis.

Question 64

rocuronium bromide onset

Answer 64

1 minute

Question 65

rocuronium bromide duration

Answer 65

26-40 minutes

Question 66

rocuronium bromide indications

Answer 66

chemical paralysis for airway placement ongoing chemical paralysis for mechanically ventilated patients

Question 67

rocuronium bromide contraindications

Answer 67

hypersensitivity

Question 68

rocuronium bromide adverse reactions

Answer 68

apnea tachycardia hypertension anaphylaxis

Question 69

rocuronium bromide dose

Answer 69

0.6-1.2 mg/kg IV

Question 70

rocuronium bromide special considerations

Answer 70

pregnancy safety category C

Question 71

succinylcholine trade name

Answer 71

anectine

Question 72

succinylcholine class

Answer 72

neuromuscular blocker