Drugs week of 10/29/13

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Author:
kevinkuczma
ID:
243096
Filename:
Drugs week of 10/29/13
Updated:
2013-10-27 04:01:33
Tags:
pam 102
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Description:
pam 102
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  1. Fentanyl
    Class
    Narcotic
  2. Fentanyl
    Actions
    • Central nervous system depressant
    • Decreases sensitivity to pain
  3. Fentanyl
    Indications
    • Severe Pain
    • Adjunct to rapid-sequence induction
    • Maintenance of analgesia
  4. Fentanyl
    Contraindications
    • Shock
    • Severe hemorrhage
    • Hypersensitivity to medication
  5. Fentanyl
    Precautions
    • Respiratory depression (naloxone should be available)
    • Hypotension
    • Nausea
  6. Fentanyl
    Side effects
    • Dizziness
    • Altersd level of consciousness
    • Bradycardia
  7. Fentanyl
    Dosage
    25-100 mcg
  8. Fentanyl
    Route
    IV,IN
  9. Fentanyl
    Ped Dose
    2-12 years 1-2 mcg/kg/dose
  10. Morphine
    Class
    Narcotic
  11. Morphine
    Actions
    • CNS depressant
    • Causes peripheral vasodilation
    • Decreases sensitivity to pain
  12. Morphine
    Indications
    Severe pain
  13. Morphine
    Contraindications
    • Head injury
    • Volume depletion
    • Undiagnosed abdominal pain
    • Hypersensitivity to med
  14. Morphine
    Precautions
    • Respiratory Depression ( naloxone should be available)
    • Hypotension
    • Nausea
  15. Morphine
    Side effects
    • Dizziness
    • Altered level of consciousness
  16. Morphine
    Dosage
    • IV: 2-5 mg followed by 2 mg every few minutes until the pain is relieved or until respiratory depression ensues
    • IM: 5-15 mg based on patient's weight
  17. Morphine
    Routes
    • IV
    • IM
  18. Morphine
    Ped Dose
    0.1-0.2 mg/kg IV
  19. Narcan ( Naloxone )
    Class
    Narcotic antagonist
  20. Narcan ( Naloxone )
    Action
    Reverses effects of narcotics
  21. Narcan ( Naloxone )
    Indications
    • Narcotic overdoses including the following: morphine, hydromorphine, fentanyl, demerol, paregoric, methadone, heroin, hydrocodone, oxycodone
    • Synthetic analgesic overdoses including the following: Nubain, stadol, talwin, darvon
    • To rule out narcotics in coma of unknown origin
  22. Narcan ( Naloxone )
    Contraindication
    Hypersensitivity to med
  23. Narcan ( Naloxone )
    Precautions
    • May cause withdrawal effects in patients dependent on narcotics
    • Short acting: should be augmented every 5 minutesĀ 
    • Should never be used as part of a " coma cocktail "
  24. Narcan ( Naloxone )
    Side effects
    Rare
  25. Narcan ( Naloxone )
    Dosage
    1-2 mg
  26. Narcan ( Naloxone )
    Routes
    • IV
    • IM
    • endotracheal ( dose 2-2.5 times IV Dose)
  27. Narcan ( Naloxone )
    Ped Dosage
    • < 5 y/o: 0.1 mg/kg
    • > 5 y/o: 2.0 mg

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