NUR119 Final

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Author:
TomWruble
ID:
162295
Filename:
NUR119 Final
Updated:
2012-07-23 23:39:11
Tags:
nur119 final mod8 mod9 emergentdrugs
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Description:
Pharmacology Final Exam
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  1. Oxygen NOT
    • → Room air has 21% oxygen
    • → 2L deliveres 28% O2
    • → Oxygen is not withheld in an emergency
  2. epinephrine
    • → Emergency for Shock
    • → For cardiac arrest
    • IV or IO (intraosseous) 0.5 to 1mg q3-5min
  3. → For severe asthma or anaphylactic shock: 0.2 - 0.5 mg IM or subQ via tubercular syringe (1:1000 solution)
  4. Isoproterenol NOT
    • → Only after max 3mg of atropine has been administered
    • → Only as temporary measure while awaiting a transcutaneous pacemaker
    • → IV 1mg diluted in 260mL D5W or NS @ 2-10 mcg/min titrated to heart rate - usually 50 BPM
  5. magnesium sulfate
    • → Emergency for Cardiac Disorders
    • → For hypomagnesemia, ventricular tachycardia, and ventricular fibrillation.
    • → Drug of choice for torsades de pointes.
    • → Rapid infusion can cause hypotension.
    • Dilute 1 to 2 g (2 to 4 mL of a 50% solution) in 10 mL of D5W .Give IV/IO in cardiac arrest over 5 to 20 min.
    • → Torsades de pointes: 1 to 2 g diluted in 50 to 100 mL of D5W given IV over 5 to 60 min, followed by a continuous infusion of 0.5 to 1 g/hour
  6. morphine sulfate
    • → Emergency for Cardiac Disorders
    • → For chest pain, unstable angina, pulmonary edema.
    • IV: 1 to 4 mg q5-30min
  7. nitroglycerin
    • → Emergency for Cardiac Disorders
    • → For chest pain, angina, unstable angina, Ml.
    • → Hypotension can occur; contra-indicated in clients taking drugs for erectile dysfunction (e.g., Viagra)
    • SL: 0.3 to 0.4 mg; Translingual aerosol spray: 0.4-mg metereddose, MAX up to 3 sprays in 15 min onto or under the tongue
    • → IV: Drip: 10 to 20 mcg/min, increased 5 to 10 mcg/minq5-10 min (titrated)
  8. Naloxone HCI (Narcan)
    • → Emergency for Poisoning
    • → To treat respiratory depression caused by narcotics; to treat narcotic-induced depressant effects and narcotic overdose
    • IV/IM/IO/subQ: 0.4-2 mg; rpt. q2-3min as indicated
    • → Reverses all opiates: morphine, mepederine, codeine, propozyphene, heroin
  9. Dopamine HCI (NOT)
    • → To treat hypotension in shock states not caused by hypovolemia; to increase heart rate in atropine-refractory bradycardia.
    • → IV: Drip: 2 to 20 mcg/kg/min (>10 mcg/kg/min may be ordered if lower doses are ineffective)
  10. albuterol
    • → Emergency drug for Shock
    • → For bronchoconstriction secondary to anaphylactic shock, asthma, and COPD; tachycardia; tremor; nervousness; cardiac dysrhythmias; and hypertension.
    • nebulizer 0.5 mL of 0.5% inhalation solution in 2.5 mL saline
  11. diphenhydramine HCl (Benadryl)
    • → Emergency for Shock
    • → For anaphylactic shock; acute allergic reaction.
    • IM/IV 25 to 50 mg
    • → Cold arm may result if admin too fast
  12. heparin
    • → NOT Emergency
    • → prophylaxis for blood clotting
    • subQ 5000 units q8-12hr
    • → Not IM: pain & hematoma
    • → Inactivate: digitalis, tetracycline, IV penicillin, phenothiazine, quinidine
    • → Monitor: PTT
    • → Antidote: protamin sulfate @ subQ 1-1.5mg/100u of hep
  13. zofran
    • → NOT Emergency
    • → For N/V r/t cancer chemo, esp w/ cisplatin
    • → po 8-24mg 30 min before chemo, then q8hr x 2
  14. atropine sulfate
    • → Emergency for Cardiac Disorders
    • → For symptomatic bradycardia; asystole (flatline)
    • IV or IO: 0.5-1mg; can rpt up to 0.04 mg/kg or 3mg (max)
  15. activated charcoal
    • → Emergency for Poisoning
    • → Onset: < 1 min
    • po 1-2g/kg
  16. clonidine HCl (Catapres)
    • → NOT Emergency
    • → For HTN, long-acting
    • → Can take w/ diuretic
    • po 0.1mg bid or tid; max 0.6mg/d
  17. adenosine
    • → Emergency for Cardiac Disorders
    • → For proxysmal supraventricular tachycardia
    • IV 6mg, then 12mg in 1-2 min if needed, may rpt. 12mg x 1
    • → Note: "cardiac monitor"
  18. flumazenil (Romazacon)
    • → Emergency for Poisoning
    • → Antidote: benzodiazepine O/D (e.g. diazepam [Valium], midazolam [Versed], chlordiazepoxide [Librium])
    • IV 0.2mg (over 15 seconds); repeat 0.3-0.5mg (over 30 seconds) q1min as indicated
  19. asparin ASA
    • → NOT Emergency
    • → Reduce pain, imflammatory symptoms
    • → Antipyretic
    • → Inhibit platelet aggregation
    • po 325-650mg q4h prn; max 4g/d
  20. acetaminophen (Tylenol)
    • → NOT Emergency
    • → Reduce pain
    • → Antipyretic
    • po 325-650mg q4-6h prn; max 4g/d
    • → O/D extremely hepatotoxic
  21. ketorolac (Toradol)
    • → NOT Emergency
    • → Short-term (5 days or less) pain mgmt.
    • → po 10mg q6h prn; max 40mg/d
    • IM/IV 30mg q6h prn; max 120mg/d
  22. digoxin (Lanoxin)
    • → NOT Emergency
    • → Treat HF, atrial tachycardia, flutter, or fibrillation
    • → Decreases ventricular rate
    • Increases force of contraction
    • po 0.5-1mg in 2 divided doses (digitalization)
    • → maint 0.125-0.5mg/d (or q2d)
    • → 5 half-lives (2-4d) to reach TSL of 0.5-2 ng/mL
  23. Lovenox
    • → NOT Emergency
    • → Low-Molecular Weight Heparins
    • → For thromboemblism
    • → Prevents and treats DVT and pulmonary embolism
    • subQ 30mg bid for 10-14d
  24. ipecac syrup
    • NOT and Emergency Drug
    • → Induces vomiting after poisoning
    • → Gve within 60 minutes of poisoning to alert and concious individual
    • → po 30mL followed by 8-16 oz water

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