week 2 drugs

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Author:
kevinkuczma
ID:
281292
Filename:
week 2 drugs
Updated:
2014-09-01 01:10:00
Tags:
pam 202
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Description:
pam drugs
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  1. Mannitol (osmotrol)
    Class
    Osmotic diuretic
  2. Mannitol (osmotrol)
    Action
    • Decreases celluler edema 
    • Increases urinary output
  3. Mannitol (osmotrol)
    Indication
    • Acute cerebral edema
    • Blood transfusion reactions
  4. Mannitol (osmotrol)
    Contraindication
    • Pulmonary edema
    • Patients who are dehydrated
    • Known hypersensitivity
  5. Mannitol (osmotrol)
    Precautions
    • Rapid administration can cause circulatory overload
    • Crystallization of medication can occur at lower temperatures
    • an inline filter should be used
  6. Mannitol (osmotrol)
    Side effects
    • Pulmonary congestion
    • Sodium Depletion
    • Transient volume overload
  7. Mannitol (osmotrol)
    Adult dose
    1.5-2.0 g/kg
  8. Mannitol (osmotrol)
    Route
    IV slow bolus or infusion
  9. Mannitol (osmotrol)
    Pediatric dose
    0.25-0.5 g/kg iv over 60 min
  10. Lorazepam (Ativan)
    Class
    Tranquilizer (benzodiazepine)
  11. Lorazepam (Ativan)
    Action
    • Anticonvulsant
    • Sedative
  12. Lorazepam (Ativan)
    Indication
    • Major motor seizure
    • Status epilepticus
    • Premedication before cardioversion
    • Acute anxiety states
  13. Lorazepam (Ativan)
    Contraindication
    Known hypersensitivity
  14. Lorazepam (Ativan)
    Precautions
    • Short duration effect
    • Do not mix with other medication because of possible precipitation problems
    • Flumazenil should be available
    • Dilute with D5W prior to administration
  15. Lorazepam (Ativan)
    Side Effects
    • Drowsiness
    • Hypotension
    • Respiratory depression and apnea
  16. Lorazepam (Ativan)
    Adult Dose
    0.5-2.0 mg IV may be increased to 1.0-4.0 mg IV
  17. Lorazepam (Ativan)
    Route
    • IV
    • IM
    • Rectal
  18. Lorazepam (Ativan)
    Ped dose
    0.05-0.1 mg/kg (max dose 4 mg)
  19. Fosphenytoin (Cerebyx)
    Class
    Anticonvulsant
  20. Fosphenytoin (Cerebyx)
    Action
    • Converts to Phenytoin
    • Suppresses seizure activity
  21. Fosphenytoin (Cerebyx)
    Indications
    • Major Motor seizure
    • Antiarrhythmic
  22. Fosphenytoin (Cerebyx)
    Contraindication
    Known hypersensitivity to the drug or to the phenytoin class of medication
  23. Fosphenytoin (Cerebyx)
    Precautions
    • Impaired renal function
    • Alcoholism 
    • Hypotension
    • Heart block
  24. Fosphenytoin (Cerebyx)
    Adult Dose
    15-20 mg phenytoin equivalent/Kg
  25. Fosphenytoin (Cerebyx)
    Route
    • IV
    • IM
  26. Fosphenytoin (Cerebyx)
    Ped Dose
    15-20 mg/kg (iv/im)
  27. Phenobarbitol (Luminal)
    Class
    Barbiturate
  28. Phenobarbitol (Luminal)
    Action
    • Suppresses spread of seizure activity through the motor cortex
    • CNS depressant
  29. Phenobarbitol (Luminal)
    Indications
    • Major motor seizure
    • Status epilepticus
    • Acute Anxiety states
  30. Phenobarbitol (Luminal)
    Contraindication
    Known Hypersensitivity to the med
  31. Phenobarbitol (Luminal)
    Precautions
    • Respiratory depression
    • Hypotension
    • Can cause hyperactivity in children 
    • Extravasation may cause tissue necrosis
  32. Phenobarbitol (Luminal)
    Side effects
    • Drowsiness
    • Children may become hyperactive
  33. Phenobarbitol (Luminal)
    Adult Dose
    100-250 mg
  34. Phenobarbitol (Luminal)
    Route
    • IV Slowly
    • IM
  35. Phenobarbitol (Luminal)
    Ped dose
    10 mg/kg

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