drugs week of 10/22/13

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Author:
kevinkuczma
ID:
242174
Filename:
drugs week of 10/22/13
Updated:
2013-10-24 23:14:18
Tags:
Pam 102
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Description:
Airway drugs
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  1. Racemic Epinephrin
    Class
    Sympathomimetic
  2. Racemic Epinephrin
    Actions
    • Bronchodilation
    • Increases heart rate
  3. Racemic Epinephrin
    indication
    Croup
  4. Racemic Epinephrin
    Contraindication
    • Epiglottits
    • Hypersensitivity to the drug
  5. Racemic Epinephrin
    Precaution
    • Vital signs should be constantly monitored
    • Should be used only once in the prehospital setting
  6. Racemic Epinephrin
    Side Effects
    • Palpitations
    • Anxiety
    • Headache
  7. Racemic Epinephrin
    Dosage
    0.25-0.75 ml of a 2.25 percent solution in 2.0 ml in normal saline
  8. Racemic Epinephrin
    Route
    Inhalation only (small volume nebulizer )
  9. Racemic Epinephrin
    Ped dose
    0.25 - 0.75 ml of a 2.25% solution in 2.0 ml of normal saline
  10. Epinephrine 1:1000
    class
    Sympathomimetic
  11. Epinephrine 1:1000
    Action
    Bronchodilation
  12. Epinephrine 1:1000
    Indications
    • Bronchial asthma
    • Exacerbation of obstructive pulmonary disease
    • Allergic reactions
    • Pediatric cardiac arrest (after initial epinephrine dosage)
  13. Epinephrine 1:1000
    contraindications
    • Patients with underlying cardiovascular disease
    • Hypertension
    • Pregnancy
    • Patients with tachyarrhythmias
  14. Epinephrine 1:1000
    Precautions
    • Protect from light
    • Blood pressure, pulse, and ECG must be constantly monitored
  15. Epinephrine 1:1000
    Side effects
    • Palpitations and tachycardia
    • anxiousness
    • headache
    • tremor
  16. Epinephrine 1:1000
    Dosage
    0.3-0.5 mg
  17. Epinephrine 1:1000
    Route
    IM
  18. Epinephrine 1:1000
    Ped Dosage
    0.01 mg/kg up to 0.3 mg
  19. Epinephrine 1:10000
    Class
    Sympathomimetic
  20. Epinephrine 1:10000
    Action
    • Increases heart rate and automaticity increases cardiac ¬†contractile force
    • Increases myocardial electrical activity
    • Increases systemic vascular resistance
    • Increases blood pressure¬†
    • causes bronchodilation
  21. Epinephrine 1:10000
    indications
    • Cardiac arrest
    • Anaphylactic shock
  22. Epinephrine 1:10000
    Contraindications
    Epinephrine 1:10000 is for intravenous (IV) or endotracheal use; it should not be used in patients who do not require extensive resuscitative efforts
  23. Epinephrine 1:10000
    Precautions
    • Should be protected from light
    • can be deactivated by akaline solutions
  24. Epinephrine 1:10000
    Side effects
    • Palpitations
    • Anxiety
    • Tremulousness
    • Nausea and vomiting
  25. Epinephrine 1:10000
    Dosage
    • Cardiac arrest:¬†1mg repeated every 3-5 minutes; higher doses may be ordered by medical control
    • Sever anaphylaxis: 0.05-0.1 mg (5-10 percent of the epinephrine dose used routinely in crdic arrest) IV/IO. an epinephrine drip may be required.
  26. Epinephrine 1:10000
    Routes
    • IV
    • IV drip
    • Endotracheal (endotracheal dose 2-2.5 times IV dose)
  27. Epinephrine 1:10000
    Ped Dose
    0.01 mg/kg initially; with subsequent doses every 3-5 minutes as needed

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