Meds Exam 3

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Author:
ashlynn4787
ID:
290215
Filename:
Meds Exam 3
Updated:
2014-11-30 17:25:37
Tags:
Nursing meds
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Description:
Exam 3 meds 2115
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  1. Mucomyst (N-acetylcysteine)
    Antidote for tylenol

    • AKI:
    • renal protection properties
    • pts with mildly elevated serum Cr
  2. Naloxone (Narcan)
    Antidote for Opiates (morphine, heroine, methadone)
  3. Romazicon (Flumazenil)
    Antidote for benzos (xanax, ativan, valium)
  4. Dextran
    • volume expander
    • fluid replacement for hemorrhage
  5. Morphine Sulfate
    • opioid of choice for acute burn pain
    • *resting pain*
  6. MS Contin
    • Sustained release PO pain medication
    • *resting pain*
  7. Fentanyl
    • *procedural pain for burns*
    • good for intense pain of short duration

    Monitor cardiac and respiratory
  8. Nitrous Oxide
    *procedural pain for burns*

    Monitor cardiac an respiratory
  9. Ativan (lorazepram)
    • For burn breakthrough pain
    • When anxiety exacerbates pain

    Monitor effectiveness and SE
  10. Versed (midazolam)
    • +opioid
    • For burn breakthrough pain
    • When anxiety exacerbates pain

    Monitor effectiveness and SE
  11. Vasopressin (pitressin)
    • Identical in structure to natural ADH
    • 5-10 units IM or SubQ administration 2-4x/day
    • Warm or shake vial prior to admin
    • SE-abdominal cramps, diarrhea, vasconstriction
    • Not a choice of drug for pts with CAD or HTN
    • rotation of site to prevent lipodystrophy
  12. Desmopressin (DDVAP)
    • Few vasconstrictive effects
    • longer duration fewer SE
    • administer intranasally (spray) 1-3x/day
    • observe for chronic rhinopharyngitis
    • may need to increase # of sprays for nasal congestion
  13. Dopamine
    low dose (renal dose) 2-3mcg/kg/min used to stimulate blood flow to the kidneys
  14. Calcium gluconate IV
    stabilizes with myocardium during hyperkalemia via raises the dysrhytma threshold

    usually given with hyperkalemic ECG changes

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