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What class of drugs is contraindicated with Diphenhydramine?
MAO inhibitors
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What can be used for antiemetic and anti-pruritic?
Promethazine (Phenergran)
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Stool softener that is a natural therapeutic fiber?
Metamucil (Psyllium hydrophillic mucilloid)
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Antidiarrheal that can be found over the counter?
Immodium
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What is MS Contin?
Morphine sulfate: Dose 15, 30, 60, 100, 200 mg but titrate dose every 12 hours starting with 15 mg q12 PO
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What is the dose of IV morphine sulfate?
- Adult: 5-20mg q4 Sc or IM (10-20mg q4 rectally)
- Peds: 0.1-0.2 mg q4hr Sc IM
- Metabolized in the liver
- Excreted in the kidney
- Antidote is Naloxone
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How much Naloxone is given for reversal?
0.4-2mg q 2-3 min IV, IM, SC up to 0.1 mg/KG IV
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What is Oxymorphone HCL?
- Dilaudid
- Adult: 2-4 mg q4-6 PO
- 2mg q4-6 SC
- 3mg q6-8 rectally
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What is Codeine made of?
- Methylmorphine
- adult dose: 15-60mg q4 PO, IM, SC
- Peds: >1 year old 0.5mg/kg q4-6
- Metabolized in the liver
- Excretion in the kidney and some liver
- Antidote: Narcan
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What is Tylenol #2, 3, 4?
- #2: codiene 15 and acetaminophen 300 mg
- #3: codiene 30 and acetaminophen 300
- #4: codiene 60 and acetaminophen 300
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What are our codiene drugs?
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What are the oxycodone drugs?
- Percocet 5/325 acetaminophen 1-2 q4-6 PO
- Tylox 5/500 1 q6 PO
- Percodan 4.5/(.38 terephthalate) 325 ASA 1 q6 PO
- Percodan Demi (Peds) they are half strength normals
- Oxycontin (Controlled Release) 10,20, 40 80 mg tablets every 12
- titrate and increase dose by 25-50%
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What are Hydrocodones?
- Lortab 2.5: 2.5/500 acetaminophen
- 5/500
- 7.5/500
- Liquid 2.5/120
- Lorcet 5/500
- Hydrocet 5/500
- Vicodin 5/500
- Vicodin ES 7.5/750
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Off the market Darvon?
Propoxyphene HCL/Napsylat
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What is Talwin?
- Pentazocine HCL/Lactate narcotic with aspirin
- OFF the Market
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What is Demerol narcotic?
- Meperidine
- Adult: 50-150mg q 3-4 PO, IM, SC
- IV slow drip of 15-35 mg/hr
- Do not use in dialysis patients
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What is Toradol?
- NSAID Narcotic- Ketoralac
- adult: 60mg loading dose then 30 mg q6 hr IM
- then 10 mg q4-6 PO
- Only use for up to 5 days!!!!
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What is the non-narcotic and non NSAID med?
- Tramadol: Opiod receptor agonist, increases Serotonin and Epi reuptake
- Dose: 50-100 mg po 4-6 hrs
- Max is 400 mg / day
- WARNINGS: CrClearance of <30ml/min
- Dose: 50 mg PO q 12
- May have seizure risk with other meds
- May have GI problems
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