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Unit 3 Flashcards

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1
Q

Albuterol Trade name

A

Proventil, Ventolin

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2
Q

Albuterol Generic name

A

Albuterol

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3
Q

Albuterol Classification

A

Bronchiodialtor, sympathomimetic, beta 2 agonist

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4
Q

Albuterol actions

A

Selective beta 2 adrenergic bronchodilator and causes bronchial smooth muscle relaxation

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5
Q

Albuterol onset and duration

A

5-8 minutes, 2-6hrs after inhalation

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6
Q

Albuterol Indications

A

Bronchial asthma, reversible bronchospams associated with chronic bronchitis or emphysema with wheezing, hyperkalemia, anaphylaxis

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7
Q

Albuterol contraindications

A

Pts with history of hypersensitivity to the drug

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8
Q

Albuterol side effects

A

Cardiac disrythmyias, tremors, dizziness, nervousness, headache, anxiety, palpitations, nausea and tachy

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9
Q

Albuterol route

A

Aerosolized using 8lmp/pupe or 10lpm mask

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10
Q

Albuterol dose

A

2.5 MG in 3ml, nebulized until med is gone. May repeat up to 3 doses.

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11
Q

Albuterol dose con.

A

Less than 2 yes old, 1/2 the adult dose. 1.5 ml (1.25mg)

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12
Q

Albuterol supplied

A

2.5 MG in 3 ml of NS in plastic amps or containers

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13
Q

Albuterol Special considerations

A

Preg Cat C.
Albuterol may precipitate angina pectoris or dysryhtmias. May not work if pt is taking a beta blocker. Bronchiospasms, monitor pt BP, pulse and Lung sounds

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14
Q

Diphenhydramine Trade name

A

Benadryl

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15
Q

Diphenhydramine generic name

A

Diphenhydramine

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16
Q

Diphenhydramine classification

A

Antihistamine

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17
Q

Diphenhydramine action

A

Blocks histamine from reacting with H1 and H2 receptors in the blood stream during allergic reactions

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18
Q

Diphenhydramine onset and duration

A

Max 1-3hrs and 6-12 hrs

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19
Q

Diphenhydramine indications

A

Anaphylaxis, allergic reaction, acute dystonic reactions

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20
Q

Diphenhydramine contraindications

A

Acute asthmatic reaction, nursing mothers and hypersensitive

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21
Q

Diphenhydramine side effects

A

Drowsiness, confusing, hypotension, dry mouth, wheezing and palpitations. Tachy and hypertension in large doses

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22
Q

Diphenhydramine route

A

Slow IVP, IM, PO

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23
Q

Diphenhydramine dose

A

1mg/kg up to 50 MG iv, I’m, po

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24
Q

Diphenhydramine dose continue

A

Peds: .5mg to 1mg/kg up to 25 MG iv, IM, po

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25
Diphenhydramine supplied
50mg/1ml vials, ampules, and prefilled syringes
26
Diphenhydramine special considerations
Preg cat C | Watch for hypotension, alcohol may enhance side effects
27
Etomidate trade name
Amidate
28
Etomidate generic name
Etomidate
29
Etomidate class
Nonbarbituate hypnotic, anesthetic
30
Etomidate actions
Short acting drug, that acts in the level if the reticular activating system to produce a anesthesia.
31
Etomidate onset and duration
<1 and 5-10 minutes
32
Etomidate indications
Premedication for tracheal intubation or caesioversion
33
Etomidate contraindications
Hypersensitive
34
Etomidate side effects
N and V. Hypotension, difficulty breathing, apnea, muscle movement
35
Etomidate route
IV
36
Etomidate dose
.2-.6mg/kg IV over 30-60 seconds. Limit to 1 dose.
37
Etomidate supplied
2mg/ml vials
38
Etomidate special consideration
Preg cat c. | Carefully monitor vitals
39
Ipratropoim Trade name
Atrovent
40
Ipratropoim generic name
Ipratropoim
41
Ipratropoim classification
Anticholinergic, bronchodilator
42
Ipratropoim Actions
Inhibits interaction of acetylcholine at receptor sites on bronchial smooth muscle, resulting in decreased levels of cyclic guanosine momophosphate and bronchodiliation
43
Ipratropoim onset and duration
<15MIN AND 2-4 hrs
44
Ipratropoim indications
SOB caused by bronchoconstriction, consistent bronchospasm, COPD exacerbation
45
Ipratropoim contraindications
Hypersensitive to Ipratropoim, atropine, peanuts and or soy products
46
Ipratropoim side effects
N and V, cramps, coughing, headache, tachy, dry mouth, blurred vision anxiety
47
Ipratropoim route
Nebulizer
48
Ipratropoim dose adult
.5mg in 2.5ml NS via pipe nebulizer at 8lpm. May repeat twice as needed can be given with albuterol
49
Ipratropoim dose peds
.5mg in 2.5ml NS via mask at 10lpm. May repeat twice and can be given with albuterol.
50
Ipratropoim supplied
.5mg in 2.5ml NS
51
Ipratropoim special considerations
Preg cat B
52
Methlyprednisolone trade name
Solu-medrol
53
Methlyprednisolone generic name
Methlyprednisolone
54
Methlyprednisolone classification
Glucocorticoid
55
Methlyprednisolone actions
Decreased inflammation; an adren corticoid steroid that suppress migration of polymophnuclear lekocytes and reverses increased capillary permeability
56
Methlyprednisolone onset and duration
1-2 hrs, and 8-24hrs
57
Methlyprednisolone indications
Anaphylaxis, Bronchodilator unresponsive asthma
58
Methlyprednisolone contraindications
Gi bleeding, diabetes mellitus, sever infection
59
Methlyprednisolone side effects
Headache, HTN, hypokalemia, alkolosis
60
Methlyprednisolone route
IV
61
Methlyprednisolone dose
2mg/kg up to 125mg IV or 40-125mg IV
62
Methlyprednisolone supplied
20,40,80mg/ml; 125mg/2ml
63
Methlyprednisolone
Pregnancy cat C
64
Rocuronium trade name
Zemuron
65
Rocuronium generic name
Rocuronium
66
Rocuronium classification
Non-depolarizing neuromuscular blocker
67
Rocuronium action
Competitively blocks acetylcholine at the neuromuscular junction, resulting in chemic paralysis
68
Rocuronium onset and duration
1min, 26-40min, Peak 4min
69
Rocuronium indications
Chemical paralysis for airway placement, ongoing chemical paralysis for mechanical ventilated pts
70
Rocuronium contraindications
Hypersensitivity, consider risk/reward with anticipated difficult filled airways
71
Rocuronium side effects
Apnea, tachy, HTN, anaphylaxis, dysrthmias
72
Rocuronium route
IV
73
Rocuronium dose
.6-1.2mg/kg IV; often ordered as 1mg/MG initially, then .5mg/kg for substance doses
74
Rocuronium supplied
10mg/ml solution in 5ml and 10ml vials
75
Rocuronium special considerations
Preg cat C. | Has no sedative or analgesic properties. Ongoing sedative meds are essential for pts receiving Rocuronium
76
Succinylcholine trade name
Anectine
77
Succinylcholine generic name
Succinylcholine
78
Succinylcholine classification
Neuromuscular blocker
79
Succinylcholine actions
Binds to the receptor for acetylcholine, like nondepolarizing blockers. However because they cause depolarization of the muscle membrane they often lead to fascicularions and muscular contractions
80
Succinylcholine onset and duration
<1 minute and 5-10minutes
81
Succinylcholine indications
Premedication for trachea intubation, terminating laryngospasm, muscle relaxation
82
Succinylcholine contraindications
Hypersensitivity, burns or crush injuries >72hrs old, muscular dystrophy, acute rhabdomyolsis
83
Succinylcholine route
IV/IO
84
Succinylcholine dose
.3-1.1mg/kg (25-75mg) over 10-30 seconds IV | RSI. 1-1.5mg/kg IV/IO
85
Succinylcholine supplied
20,100mg/ml
86
Succinylcholine special considerations
Preg cat C. Monitor vitals be ready to resuscitate. Must have patent or artifical airway and adequate sedation during paralysis. Dantrolene sodium may be given to treat subsequent malignant hyperthermia
87
Vecuronium trade name
Norcuron
88
Vecuronium generic name
Vecuronium
89
Vecuronium class6
Non-depolarizing neuromuscular blocker
90
Vecuronium action
Competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis
91
Vecuronium onset and duration
2.5-3min, 30-40min, and peak 3-5minutes

Drugs (5 decks)

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