Furosemide Nitro Morphine

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Author:
readyreg29
ID:
258944
Filename:
Furosemide Nitro Morphine
Updated:
2014-02-02 00:10:52
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Furosemide Nitro Morphine
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Furosemide,Nitro,Morphine
Description:
MEDIC 2013
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  1. FUROSEMIDE 
    • Brand name: Lasix
    • Class: Loop diuretic
  2. FUROSEMIDE
    MOA
    • Inhibits electrolyte reabsorption in the ascending Loop of Henle.
    • Excretion of sodium, potassium, chloride.
    • Vasodilation increases venous capacitance
    • Decreases afterload.
    • Diuresis
  3. FUROSEMIDE
    Indications
    • Pulmonary edema
    • Congestive heart failure
  4. FUROSEMIDE
    Contraindications
    • Anuria (non-passage of urine)
    • Hypovolemia
    • Hypotension
  5. FUROSEMIDE
    Adverse Reactions:
    • Increase hypovolemia
    • Hyperglycemia (due to hemoconcentration)
    • Hypokalemia (low potassium) 
    • Decrease the response to pressors
  6. FUROSEMIDE
    Adult dosage
    • Adult Dosage:
    • On oral furosemide therapy:
    • Initial dose 2 times daily; 
    • if no effect in 20 mins may double initial dose
    • Not on oral furosemide therapy:
    • 0.5 to a max of 2 mg/kg
    • (usually 20-40mg) IV slowly
  7. FUROSEMIDE
    Routes of Administration:
    Slow IV push
  8. FUROSEMIDE  
    Onset of Action:
    Peak Effects:
    Duration of Action:
    • Onset of Action: 5 minutes (vasodilation)
    • Peak Effects: 20-60 minutes (diuresis)
    • Duration of Action: Variable
  9. FUROSEMIDE 
    Dosage Forms/Packaging: 

    • 20 mg:2 mL ampule, vial, syringe
    • 40 mg: 4 mL ampule, vial, syringe
    • 100 mg: 10 mL ampule, vial, syringe
  10. Pulmonary edema
    An abnormal buildup of fluid in the air sacs of the lungs, which leads to shortness of breath
  11. MORPHINE SULFATE
    • BRAND NAME: Morphine Sulfate
    • CLASS: Narcotic agonist
  12. MORPHINE SULFATE 
    MOA
    • Alleviates pain (pain receptors in the braiN) 
    • Elevates pain threshold.
    • Depresses: Central nervous system 
    •                 Brainstem respiratory centers                       Responds to changes in PaC02.
    • Increases venous capacitance (venous pooling) 
    • Vasodilates arterioles 
    • Reduces preload and afterload
    •  
    • Histamine release
  13. MORPHINE SULFATE 
    Indications
    • Analgesia patients:
    • Burns
    • Myocardial infarction
    • Renal colic

    Pulmonary edema
  14. MORPHINE SULFATE
    Contraindications
    • Respiratory depression
    • Head injuries
    • Elevated Intra cranial pressure
    • Asthma
    • Abdominal pain
  15. MORPHINE SULFATE
    Adverse reactions
    • Brady or Tachydysrhythmias
    • Orthostatic hypotension
    • Respiratory depression or arrest
    • Excess sedation
    • Seizures to coma and arrest
    • Pupillary constriction
    • Nausea and vomiting
    • GI spasm
    • Histamine release may cause local urticaria
  16. MORPHINE SULFATE
    Adult dosage
    • 1-3 mg slow IV PUSH (over 1-5 minutes)
    • **until desired effect.
  17. MORPHINE SULFATE
    Routes of Administration:
    • Slow IV push
    •  **can be given IM or SC
  18. MORPHINE SULFATE
    Onset of Action:
    Peak Effects:
    Duration of Action:
    • Onset of Action: Seconds
    • Peak Effects: 20 minutes
    • Duration of Action: 2-4 hours
  19. MORPHINE SULFATE 
    Dosage Forms/Packaging:
    • 10 mg/ml ampules, only 
  20. NITROGLYCERIN
    • BRAND NAME: Nitrostat, Tridil
    • CLASS: Vasodilator,organic nitrate, antianginal
  21. NITROGLYCERIN
    MOA
    • Smooth muscle relaxant (vascular, uterine, bronchial, intestinal smooth muscle)
    • Reduces workload (heart decreased preload)
    • Arteriolar vasodilation (decreased afterload)
    • Increases blood (heart)
    • Decreases myocardial O2 demand 
    • Coronary artery vasodilation
  22. NITROGLYCERIN
    Indications
    • Angina
    • Myocardial infarction
    • Congestive heart failure (pulmonary edema)
  23. NITROGLYCERIN
    Contraindications
    • Hypovolemia
    • Increased Intra cranial pressure
  24. NITROGLYCERIN
    Adverse reactions
    • Hypotension
    • Reflex tachycardia
    • Bradycardia
    • Decreased coronary perfusion at high
    • doses (secondary to hypotension)
    • Headache secondary to dilation of meningeal vessels
  25. NITROGLYCERIN
    Adult dosages
    • SL: Chest pain: (0.4 mg) tablet or one full spray (may repeat x 3)
    • SL: Pulmonary edema: 1-2 of the (0.4 mg) tablets 5-10 min systolic BP is > 90-100 systolic
  26. NITROGLYCERIN
    Routes of Administration:
    • Routes of Administration:
    • SL
    • (IV special training needed)
  27. NITROGLYCERIN
    Onset of Action:
    Peak Effects:
    Duration of Action:
    • Onset of Action: Seconds
    • Peak Effects: 5-10 minutes
    • Duration of Action: 1-10 min after IV discontinued
  28. NITROGLYCERIN
    Dosage Forms/Packaging:
    • Dosage Forms/Packaging:
    • Bottles of 25 1/150 grain/tablets
    • Spray Bottle with 200 metered doses (0.4mg)

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