Drugs

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Author:
johnnyb0y488
ID:
70332
Filename:
Drugs
Updated:
2011-03-02 21:26:55
Tags:
medic2011
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Description:
3rd batch
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  1. Morphine Sulfate
    -astramorph
    • ACTIONS
    • alleviates pain thro CNS action
    • depresses brain stem & respiratory center
    • increase peripheral venous capacitance
    • decrease venous return
    • decrease myocardial oxygen demand






    • INDICATIONS
    • severe CHF
    • chest pain of acute myocardial infarction
    • severe acute pain






    • CONTRAINDICATIONS
    • head injury
    • COPD
    • depressed respiratory
    • hypotension
    • undiagnosed abdominal pain
    • altered level of consciousness
    • hypovolemia
    • any
    • MAOIs in past 14 days






    • REACTIONS
    • respiratory depression
    • hypotension
    • ALC
    • bradycardia
    • tachycardia
    • syncope
    • flushing
    • dry mouth






    • DOSAGE
    • adult
    • 2-10 mg IV slow, IM SC(max=10mg) repeat 2-8mg at 5-15min intervals/until desired response
    • peds
    • .1-.2mg/kg IV slow/infant is half
  2. OXYGEN
    • ACTIONS
    • reverses hypoxemia






    • INDICATIONS
    • anything ha






    • CONTRAINDICATIONS
    • certain pt with COPD & emphysema patients who will tolerate oxygen over 35%
    • hyperventilation






    • REACTIONS
    • ALC
    • respiratory depression in patient with chronic C02 retention
    • retrolental fibroplasia to infants in high concentrations of 02(30-40%)






    • DOSAGE
    • adult & peds
    • cardiac arrest and C02 poisoning=100%
    • hypoxemia=10-15 l/min NRB
    • COPD=1-6 l/min nasal cannula
  3. Epinephrine
    -adrenalin
    • ACTIONS
    • alpha & beta agonist
    • alpha=vasoconstriction
    • beta1=positive ino,chrono,dromotropic effects
    • beta2=bronchial dilator






    • INDICATIONS
    • asystole
    • cardiac arrest
    • severe hypotension
    • bradycardia
    • allergic reactions
    • anaphylaxis
    • asthma






    • CONTRAINDICATIONS
    • hypertension
    • hypothermia
    • pulmonary edema
    • MI
    • hypovolemic shock
    • no contraindication in cardiac arrest






    • REACTIONS
    • hypertension
    • tachycardia
    • arrhythmias
    • pulmonary edema
    • anxiety
    • headache






    • DOSAGE
    • adult
    • anaphylaxis & allergic reactions=.3-.5-1mg(1:1000)
    • cardiac arrest=1mg IV/IO every 3-5mins
    • peds
    • 0.01mg/kg IV/IO repeat 3-5mins
    • use 1:1000 0.1mg/kg given ET
  4. Dextrose
    • ACTIONS
    • rapidly increases serum glucose levels
    • short term osmotic diuresis






    • INDICATIONS
    • hypoglycemia
    • ALC
    • coma of unknown origin
    • seizure of unknown origin
    • status epilepticus






    • CONTRAINDICATIONS
    • intracranial hemorrhage
    • blood glucose level greater than 60mg/dl






    • REACTIONS
    • tissue necrosis
    • warmth
    • pain
    • burning
    • thrombophlebitis
    • rhabdomyolysis
    • hyperglycemia






    • DOSAGE
    • adult
    • 12.5-25g slow IV, repeat as necessary
    • peds
    • .5-1g/kg/dose slow IV, repeat as necessary
  5. Magnesium Sulfate
    • ACTIONS
    • reduces striated muscle contractions
    • blocks peripheral neuromuscular transmission
    • manages seizures in toxemia of pregnant patient
    • induces uterine relaxation
    • broncodilation






    • INDICATIONS
    • seizures of eclampsia(toxemia of pregnancy)
    • torsade de pointes
    • hypomagnesemia






    • CONTRAINDICATIONS
    • heart block
    • myocardial heart damage






    • REACTIONS
    • CNS depression
    • facial flushing
    • diaphoresis
    • depresses reflexes
    • circulatory collapse
    • hypotension






    • DOSAGE
    • adult
    • eclamptic seizure=4gm IV mix/50ml of D5W
    • admin over 5-10min
    • may repeat once at 2g IV
    • torsade de points/refractory VF=1-2g IV/50ml of D5W admin over 1-2mins followed by maintenance
    • asthma & peds
    • 25-50mg/kg IV/IO infusion over 10-20mins(max=2g)
  6. Etomidate
    -amidate
    • ACTIONS
    • induction of general anesthesia
    • nonbarbiturate hypnotic






    • INDICATIONS
    • facilitate intubation






    • CONTRAINDICATION
    • hypersensitivity






    • REACTIONS
    • common nausea vomiting
    • uncontrollable skeletal muscle activity
    • unstable BP
    • dyspnea
    • dysrhythmias






    • DOSAGES
    • adults & peds over 10yr
    • .2-.6mg/kg slow IV admin about 1min

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