Card Set Information
Acetaminophen (tylenol) classification:
Acetaminophen (tylenol) action:
Inhibits prostiglandin in CNS to reduce fever, blocks pain impulses,
Acetaminophen (tylenol) indications:
Acetaminophen (tylenol) contraindications
Acetaminophen (tylenol) Cautions:
Anemia, liver disease, Renal disease
Acetaminophen (tylenol) onset/duration:
Onset 10-30 minutes
Duration 3-4 hours
Acetaminophen (tylenol) adverse reactions:
Acetaminophen (tylenol) Dosage, administration:
15mg/kg orally or by rectal suppository
Activated charcoal classification:
gastric decontaminant, absorbent
Activated charcoal action:
Adheres to many meds and chemicals, inhibiting absorption from the GI tract
Activated charcoal onset / duration:
Immediate onset, unknown duration
Activated charcoal indications:
poisoning, overdose, consider poison control contact prior to admin
Activated charcoal contraindications:
decreased loc / unconcious
ingestion of substance that may cause abrupt decreased loc
Activated charcoal cautions:
renders ipecac inactive
do not give ipecac after charcoal
ingestion of corrosive agents
fluid / electrolyte abnormalities
if gastric lavage is considered
Activated charcoal dosage / administration:
1 gm/kg orally
Activated charcoal adverse reactions:
N/V, black stools, excessive diarrhea, cramping, bloating, constipation
Adenosine (Adenocard) classification:
Adenosine (Adenocard) action:
Slows conduction through AV node. May inhibit reentry pathways.
Adenosine (Adenocard) onset / duration:
Onset immediate, duration less than one minute.
Adenosine (Adenocard) indications:
PSVT, WPW with narrow QRS
Adenosine (Adenocard) contraindications:
2nd and 3rd degree heart blocks, sick sinus syndrome without pacemaker.
Adenosine (Adenocard) cautions:
May produce transient heart block or asystole (10-15s)
Pause may be longer on pt w/ Tegretol or Persantine
Pt's on theophyllines or caffeine may require higher doses
May cause bronchoconstriction (asthma)
May be used w/ wide complex svt (with base station contact)
Adenosine (Adenocard) dosage and admin:
6mg RAPID iv push
If no response within 1-2 minutes, repeat with 12mg dose.
Follow with 20ml saline flush / elevate extremity.
Place in AC with min 18g catheter for best results.
Adenosine (Adenocard) adverse reactions:
Asystole, bradycardia, hypotension, c/p, flushing, dyspnea, apprehension, back/neck pain, blurred vision, burning sensation, dizziness, n/t in arms, sweating, palpitations, nausea.
oxymetazoline (Afrin) classification:
oxymetazoline (Afrin) Action:
Causes vasoconstriction of smaller arterioles in the nasal passages.
oxymetazoline (Afrin) onset / duration:
Onset less than 5 minutes.
Duration less than 12 hours.
oxymetazoline (Afrin) indications:
Control of epistaxis
Preparation for nasotracheal intubation
oxymetazoline (Afrin) contraindications:
oxymetazoline (Afrin) cautions:
Not recommended for children under six.
oxymetazoline (Afrin) Dosage and Admin:
2-3 sprays in each nostril.
oxymetazoline (Afrin) adverse reactions:
H/A, drowsiness, insomnia, palpitations, hypertension, rebound congestion or irritation
Burning, stinging, or sneezing if dosage is exceeded
Albuterol (ventolin) classification:
Beta 2 selective sympathetic agonist
Albuterol (ventolin) action:
Relaxes bronchial and uterine smooth muscle
Causes potassium influx into the cell
Albuterol (ventolin) onset / duration:
Onset 5-15 minutes.
Duration 3-6 hours.
Albuterol (ventolin) Indications:
Wheezing, allergic reactions, asthma, COPD
Crush injury syndrome
Albuterol (ventolin) contraindications:
Albuterol (ventolin) cautions:
Pt's taking tricyclics
Elderly pt's reduce dose
Watch heart rate
Listen to lungs before and after treatment
Beta blockers may blunt effect
Albuterol (ventolin) dosage and administration:
2.5 mg in 3ml NS continuously via nebulizer.
Instruct pt in use (clear nasal passages and throat, breathe deep / expel as much air as possible)
Albuterol (ventolin) adverse reactions:
Tremor, nervousness, dizziness, H/A, tachycardia, palpitations, hypertension, N/V, ventricular arrhythmias
Amiodarone (Cordarone) classification:
Amiodarone (Cordarone) action:
Amiodarone (Cordarone) onset / duration:
Duration up to 40 days
Amiodarone (Cordarone) indications:
Pulseless vtach / vfib unresponsive to defibrillation
Polymorphic vtach / wide complex tachycardia of uncertain origin
Stable vtach when cardioversion has failed
Ectopic or multifocal atrial tachycardia with preserved LV function.
Afib, aflutter when other therapies have failed.
Amiodarone (Cordarone) contraindications:
2nd or 3rd degree HB without pacemaker
Amiodarone (Cordarone) cautions:
May produce vasodilation / hypotension
May reduce contractility and prolong QT interval
Renal failure (40 day half life)
Amiodarone (Cordarone) dosage / admin:
: 300mg IV push, 150mg in 3-5 mins 2nd dose.
Max dose 2.2gm / 24 hours.
Wide complex tachycardia
: 150mg / 10 minutes, may repeat as needed.
Amiodarone (Cordarone) adverse reactions:
Non steroidal anti-inflammatory (NSAID)
Aspirin onset / duration:
Onset 5-30 minutes
Duration 7 days
Suspected ischemic chest pain.
Active ulcer disease
Pt's with asthma
Possible hemorrhagic stroke
Pt's on anti-coagulants
Aspirin dosage / admin:
324mg chewable, 162 if already taking daily ASA.
Non enteric coated.
Aspirin adverse reaction:
Anticholinergic (parasympathetic blocker)