Drug Final

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Author:
readyreg29
ID:
271973
Filename:
Drug Final
Updated:
2014-05-07 13:20:20
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Drug Final
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Drug Final
Description:
Medic 2013
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  1. NALOXONE HCl 
    Brand Name:
    Class:
    • BRAND NAME: Narcan
    • CLASS: Narcotic (opioid) antagonist
  2. NARCAN
    MOA
    • Prevents or Reverses the effects of opioids including: 
    • Respiratory depression
    • Sedation
    • Hypotension
  3. NARCAN
    Indications
    Antidote for: Opioid overdoses

    ** morphine, heroin, oxycodone
  4. NARCAN
    Contraindications:
    Hypersensitivity 

    * NOT LIKELY
  5. NARCAN
    Adversed reactions
    • Withdrawal symptoms (especially in neonates)
    • Nausea
    • Vomiting
    • Diaphoresis (sweating)
    • Increased heart rate
    • Hypotension
    • Tremors
    • ** Be prepared for combative patient after administration
  6. NARCAN
    Adult dosage:
    IV, IM,: 2mg may repeat every 2 minutes 

    Intra-nasal: 1mg each nostril
  7. NARCAN
    Onset of Action:
    Peak Effects:
    Duration of Action:
    • Onset of Action: IV -- within 2 minutes
    • Peak Effects: Variable
    • Duration of Action: Approximately 45 minutes
  8. ONDANSETRON
    Brand Name:
    Class:
    • Brand Name: Zofran
    • Antiemetic agent 

    ** a drug that is effective against vomiting and nausea
  9. ONDANSETRON
    Indications:
    Nausea and vomiting
  10. Ondansetron (Zofran)
    Contraindications
    • Hypersensitivity
    • Caution in patients with hepatic (liver) impairment
    • Avoid use in patients with long QT syndrome
  11. Ondansetron (Zofran)
    Adverse Reactions:
    • Headache
    • Fatigue
    • Dizziness
    • Fever
    • Sedation
    • Chest pain
    • Hypoxia
    • Diarrhea
    • Constipation
    • Rash
  12. Ondansetron (Zofran)
    Adult Dosage:
    4 – 8 mg IV slow push over 2 – 5 minutes
  13. Ondansetron (Zofran)
    Onset of Action
    Peak effects
    Duration of Action
    • Onset of Action: 10 to 30 minutes
    • Peak effects: Unknown
    • Duration of Action: Half life is approximately 4 hours.
  14. Drug Categories
    Respiratory
    • Albuterol - 2.5mg
    • Atrovent - 500mcg
    • Solu-Medrol - 125mg
    • Magnesium Sulfate - 2g (50mL)
  15. Drug Categories
    Pain Management
    • Morphine: 2-4mg up to 10 mg 
    • Midazolam (Versed): age dependent 
    • Fentanyl Citrate: 25 - 50mcg
  16. Drug Categories
    Antiarrhythmic
    • Adenosine: 6mg, 12mg(twice)                
    • Amiodarone: 300mg, 150mg              
    • Atropine: .5mg (3mg max.)                      
    • Lidocaine: 1-1.5mg/kg
  17. GENERIC NAME:
    METHYLPREDNISOLONE SODIUM SUCCINATE
    Brand Name:
    Class:
    • BRAND NAME: Solu-Medrol
    • CLASS: Corticosteroid, glucocorticoid, steroid, anti-inflammatory
  18. Solu-Medrol
    Indications:
    • Reactive airway disease: Acute exacerbation of emphysema, chronic bronchitis, asthma
    • Anaphylaxis
    • Burns potentially involving the airway 
  19. Solu-Medrol
    Adult Dosage:
    IV: 125mg
  20. Solu-Medrol
    Contraindications:
    Adverse Reactions:
    Contraindications: Preterm infants

    Adverse Reactions: None from single dose
  21. METHYLPREDNISOLONE SODIUM SUCCINATE 
    Onset of Action:
    Peak Effects:
    Duration of Action:
    • Onset of Action: 1 - 6 hours
    • Peak Effects: 8 hours
    • Duration of Action: 18-36 hours
  22. GENERIC NAME:
    ADENOSINE
    BRAND NAME: 
    CLASS:
    • BRAND NAME: Adenocard
    • CLASS: Antiarrhythmic, endogenous nucleoside
  23. ADENOSINE
    Indications
    • Conversion of SVT with no known atrial fibrillation or atrial flutter.
    • Wide complex tachycardia of uncertain origin unresponsive to lidocaine
  24. ADENOSINE
    MOA
    • Slows conduction through AV node
    • Slows sinus rate
    • Larger doses decrease BP by decreasing peripheral resistance
  25. ADENOSINE
    Adult dosages
    • 6 mg rapid IV bolus 
    • may repeat 12 mg twice
  26. ADENOSINE
    Contraindications:
    • 2nd or 3rd degree AV blocks 
    • Asthma 
    • Atrial fibrillation or atrial flutter.
    • Pregnancy
  27. LIDOCAINE HCl
    BRAND NAME: 
    CLASS:
    • BRAND NAME: Xylocaine
    • CLASS: Antiarrhythmic, local anesthetic
  28. LIDOCAINE HCl
    Indications
    Suppression of ventricular arrhythmias (VT,VF, PVC's)

    Prophylaxis against recurrence after conversion from VT or VF

    Frequent PVC's (> 6 per min; 2 or more in a row; multiform PVC's; or R-on-T phenomenon).
  29. LIDOCAINE HCl
    Adult dosage
    Pulseless VF/VT
    • Pulseless VF/VT: Initial bolus of 1.0-1.5 mg/kg IV PUSH every 3-5 minutes to a total of
    • 3 mg/kg.
  30. LIDOCAINE HCl
    Adult dosage
    Antidysrhythmic or rhythms with a pulse:
    • Antidysrhythmic or rhythms with a pulse: Initial boluses IV 1.0-1.5mg/kg 
    • Additional boluses 0.5-0.75 mg/kg every 5-10
    • min. to a total dose of 3 mg/kg.
  31. LIDOCAINE HCl
    Adult dosage
    Maintenance Infusion:
    Maintenance Infusion:  After ROSC 2gm 500 ml and initiate a drip at 2-4 mg/min 

    • Patients > 70 years or with hepatic, renal disease or poor perfusion state, reduce
    • maintenance infusion by half.
  32. LIDOCAINE Clock
    • 15 sec. = 1mg
    • 30 sec. = 2mg (1drip every 2 sec.)
    • 45 sec. = 3mg
    • 60 sec. = 4mg (1drip every sec.)

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