Week 4 Drugs

Question 0

Activated Charcoal
Actidose
Pharmacology and Actions

Answer 0

Activated charcoal is a specially prepared charcoal that when given soon after ingestion of a toxin will absorb and bind organic toxins from the GI tract

Question 1

Activated Charcoal
Actidose
Class

Answer 1

Adsorbents

Question 2

Activated Charcoal
Actidose
Indications

Answer 2

Acute ingested poisoning

Question 3

Activated Charcoal
Actidose
Contraindications

Answer 3

• uncontrolled airway

- ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol or methanol

Question 4

Activated Charcoal
Actidose
Precautions and Side Effects

Answer 4

• vomiting
• abdominal cramping
• abdominal bloating
• constipation

Question 5

Activated Charcoal
Actidose
Dosage

Answer 5

1 g/kg mixed with 6-8 ounces water PO or NG tube

Pediatric: same as adult dosing

Question 6

Diphenhydramine
Benadryl
Class

Answer 6

Antihistamine

Question 7

Diphenhydramine
Benadryl
Pharmacology and Actions

Answer 7

• Diphenhydramine blocks histamine release, thereby reducing bronchoconstriction, vasodilation and edema.
• It stops central cholinergic activity
• prolongs the action of dopamine by inhibiting its reap take and storage.

Question 8

Diphenhydramine
Benadryl
Indications

Answer 8

Anaphylaxis,
allergic reactions
dystonic reactions

Question 9

Diphenhydramine
Benadryl
Contraindications

Answer 9

Asthma

other lower respiratory diseases

Question 10

Diphenhydramine
Benadryl
Precautions and Side Effects

Answer 10

• drowsiness
• tachycardia
• dizziness
• hypertension/hypotension

Question 11

Diphenhydramine
Benadryl
Dosage

Answer 11

• Adult: 25-50 mg IV/IM/PO
• Pedi (6-12 years old): 12.5-25 mg IV/IM/PO
• Pedi (under 6 years old): 2-5 mg/kg IV/IM not to exceed 25 mg

Question 12

Digoxin
Lanoxin
Class

Answer 12

Cardiac Glycoside

Question 13

Digoxin
Lanoxin
Pharmacology and Actions

Answer 13

• Digoxin is a rapidly acting cardiac glycoside used in the treatment of CHF and rapid atrial dysrhythmias.
• increases the force and velocity of myocardial contraction and cardiac output.
• decreases conduction through the AV node thus decreasing heart rate.

Question 14

Digoxin
Lanoxin
Indications

Answer 14

Increase cardiac output in CHF

stabilize supra ventricular tachy dysrhythmias

Question 15

Digoxin
Lanoxin
Contraindications

Answer 15

• ventricular fibrillation

- ventricular tachycardia except due to CHF

Question 16

Digoxin
Lanoxin
Precautions and side effects

Answer 16

• Hypotension
• AV block
• Drowsiness

Question 17

Digoxin
Lanoxin
Dosage

Answer 17

• Adult: 0.25 to 0.5 mg slow IVP

- Pedi: 10 to 50 mcg/kg slow IVP

Question 18

Furosemide
Lasix
Class

Answer 18

Non-potassium sparing loop diuretic

Question 19

Furosemide
Lasix
Pharmacology and Actions

Answer 19

• rapid acting potent diuretic
• anti-hypertensive that inhibits sodium reabsorption by the kidney.
• vasodilating reduce venous return and cardiac workload.

Question 20

Furosemide
Lasix
Indications

Answer 20

• Congestive heart failure

- Pulmonary edema

Question 21

Furosemide
Lasix
Contraindications

Answer 21

• Hypersensitivity to sulfonamides
• Hepatic coma
• Pregnancy (except in life threatening emergencies)

Question 22

Furosemide
Lasix
Precautions and Side Effects

Answer 22

• Postural hypotension
• Dizziness
• Hypovolemia
• Circulatory collapse

Question 23

Furosemide
Lasix
Dosage

Answer 23

40-120 mg slow IV

Pediatric: 1 mg/kg slow IV push

Question 24

Furosemide Lasix How Supplied

Answer 24

40 mg in 4 ml

Question 25

Vecuronium Norcuron Class

Answer 25

Non-depolarizing neuromuscular blocking agent

Question 26

Vecuronium Norcuron Pharmacology and Actions

Answer 26

- Onset of 1-3 minutes - Duration 30-60 minutes - Minimal effect on heart rate and blood pressure - Vecuronium competes with acetylcholine for cholinergic receptor sites - sedative like versed must be given with Vecuronium

Question 27

Vecuronium Norcuron Indications

Answer 27

To maintain muscular paralysis following successful rapid sequence induction (RSI) intubation

Question 28

Vecuronium Norcuron Contraindications

Answer 28

- Hypersensitivity | - Inability to control the airway (non-incubated patients)

Question 29

Vecuronium Norcuron Precautions and Side Effects

Answer 29

- Only use after successful intubation, Vecuronium should not be used as the initial paralytic - wheezing - aspiration - dysrhythmias - bradycardia - sinus arrest - hypertension/hypotension - increased intracranial pressure

Question 30

Vecuronium Norcuron Dosage

Answer 30

Adult: 0.1 mg/kg, max single dose of 10mg. May repeat in 30-40 minutes as needed to maintain paralysis Pedi: same as adult

Question 31

Vecuronium Norcuron How Supplied

Answer 31

10 mg/10 ml vials