Meds Exam 3

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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

Card Set Information

Meds Exam 3
2014-11-30 22:25:37
Nursing meds

Exam 3 meds 2115
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