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What is a side effect of methotrexate?
What is the C & T for Tramadol?
What is the C & T of Oxycontin?
What narcotic has the highest potential for abuse?
What does the fact that a narc is schedule IV mean?
- Low potential for abuse
- Has currently accepted medical use
- Causes limited addiction
What is the C & T of Inderal?
What is the C & T of metformin?
What is the C & T of prednisone?
What is the C & T or Enalapril?
What is the C of vicodin & what TV show made it famous?
What is depakote indicated for?
- Epileptic Agent
What C is methadone?
What is the C & T of Amoxicillin?
What is the C & T of Cephalexin?
What is zetia indicated for?
Lipid lowering agent
What is the C of skelaxin?
Skeletal muscle relaxant
Mobic is classed as an ____?
Digoxin (aka ____) is classed as a ____ ____?
What can we use to reverse digoxin toxicity?
Dilantin (aka____) is a ____?
Premarin is the hormone _____?
Zyprexa is a ____?
Hydroxyzine (aka___) is a ____.
Lotrel is a HTN med that acts as an ____ ____?
Avandia is an _____ ____.
Ritalin is classed as a _____?
Vasopressin C & T
Hormone w/ strong vasopressive & antidiuretic properties but that may precipitate angina or AMI
Indications for vasopressin (2)
- ^ peripheral resistance in arrest
- Esophageal Varices
Contraindications for Vasopressin
Vasopressin precautions (8)
- Heart failure
- Vascular Disease
- Hepatic impairment
- Arrest-- 40 units IV
- Varices-- 0.2-0.4 units/min drip
What is a distonic reaction?
The abrupt side effect fr restarting psychotropic drugs.
To combat a distonic reaction I would give ____ in the dosage of _____?
Why does benadryl work for dystonic reactions?
Because of it anticholinergic properties.
Fentanyl C & T
- Narcotic Analgesic
- Synthetic Narcotic Analgesic
- Rapid onset, short acting
Fentanyl Indication (1)
Sedation for intubation
Fentanyl Contraindication (2)
- MAO inhibitors
- Myasthenia Gravis
Fentanyl Precautions (6)
- ^ ICP
- Debilitated pts
- Resp Probs
- Hepatic & Renal Insufficiency
25-100 mcg over 2-3 mins IV
Sedative, skeletal muscle relaxant
Diazepam Indications (5)
- Motor Seizures
- Status Epilepticus
- Premed for painful procedures
- Muscle tremors fr inj
- Acute anxiety
Diazepam Contraindications (6)
- Acute Alcoholism
- Depressed vital signs
- OB pts
Diazepam Precautions (4)
- Myasthenia Gravis
- Short Half life causing seizure to return
- Seizure-- 5-10 mg IV/IM
- Anxiety-- 2-5 mg IV/IM
- Premed-- 5-15 mg IV
What is the trade & generic name of prototype benzo?
- Rapid acting potent diuretic & antihypertensive
- Inhibits Na reabsorption by kidneys
- Reduces venous return & cardiac workload
Furosemide Indications (2)
Furosemide Contraindications (3)
- Fluid & electrolyte depleted states
- Hepatic coma
Furosemide Precautions (8)
- Hepatic Impairment
- Nephrotic Syndrome
- Cardiogenic Shock assoc w/ MI
- Pts receiving digitalis
- K depleting steroids
40-120 mg slow IV
How does Lasix work?
It reduces Na reabsorption in the loop of henle
What is the immediate action of lasix in HTN?
Lasix causes vasodilation lowering BP
- Dopamine antagonist similar to procainamide but w/ few antidysrhythmic or anesthetic props
- Antiemetic props fr gastric emptying & desensitization of vomiting reflex
Metoclopromide Indications (2)
Metoclopromide Contraindications (6)
- Allergy to sulfite agents
- Seizure Disorders
- Mechanical GI obstruction
- Breast Cancer
Metoclopromide Precautions (5)
- Renel Impairment
- GI hemorrhage
- Intermittent porphyria
10-20 mg IM; 10 mg slow IV (over 1-2 mins)
Why are we precautioned in using Reglan in my CHF pt?
B/c it is a dopamine antagonist & we would not want to block dopamine when the heart is already failing
Why dont we give Zofran to our botulism pt?
B/c he/she will die
Vecuronium C & T
- Nondepolarizing Skeletal Muscle Relaxant
Nondepolarizing Neuromuscular blocker w/ minimal cardiovascular effects
Vecuronium Precautions (2)
- Severe obesity
- Myasthenia Gravis
0.08-0.1 mg/kg IV
What does nondepolarizing mean?
These drugs do not depolarize the motor end plate but instead they block Ach receptors
Amiodarone C & T
- Cordarone, Pacerone
- Prolongs duration or action potential & refractory periods
- Relaxes smooth muscles
- Reduces peripheral vascular resistence
- Increases coronary blood flow
- Life threatening ventricular & superventricular dysrhythmias
- Frequently A-Fib
Amiodarone Contraindications (3)
- Cardiogenic Shock
- Severe sinus bradycardia
- Advanced heart block
150-300 mg IV over 10 mins then 1 mg/min for 6 hrs
Chlordiazepoxide C & T
- Sedative/ Hypnotic
BENZO DERIVATIVE producing mild sedation & anticonvulsant, skeletal muscle relaxant, prolonged hypnotic effects
Chlordiazepoxide Indications (2)
- Severe anxiety & tension
- Acute alcohol WD symptoms (DTs)
Chlordiazepoxide Contraindications (2)
- Pregnant & nursing Mothers
- Children under 6
- Primary depressive disorders or pyschosis
- Acute alcohol intox
50-100 mg IV/IM
What are Dts?
Delirium tremens cause by alcohol withdrawl