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36 Cards in this Set
- Front
- Back
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Dextrose - Class
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carbohydrate
hypertonic solution |
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Dextrose - Action
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increases blood glucose levels when administered IV
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Dextrose - Indications
(4) |
hypoglycemia
ALOC coma of unknown origin seizure of unkown origin |
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Dextrose - Contraindications
(3) |
intracranial hemorrhage
ICP known or suspected cerebral vascular accident in the absence of hypoglycemia |
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Dextrose - Side effects
(5) |
warmth
pain burning from med infusion hyperglycemia thrombophlebitis |
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Dextrose - Adult dose
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12.5 - 25 g slow IV, may be repeated once
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Dextrose - Peds dose
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1 - 2 mL/kg 50%
2 - 4 mL/kg 25% 5 - 10 mL/kg 10% |
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Dextrose - Pregnancy class
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Class C
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Dextrose - Notes
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extravasation may cause tissue necrosis. use large vein and aspirate occasionally to ensure route patency
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Epipen - Name
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Epipen
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Epipen - Action
(10) |
increases heart rate
increases myocardial contractility increases pulse pressure increases cardiac output increases systolic & diastolic BP increases automaticity increases systemic vascular resistance increases workload & O2 consumption lowers threshold for defibrillation causes bronchodilation |
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Epipen - Indications
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severe anaphylactic shock
asthma |
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Epipen - Contraindications
(3) |
age > 45
previous cardiac history hypovolemia |
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Epipen - Side effects
(2) |
lowers threshold for v-fib
can precipitate or exacerbate cardiac ischemia |
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Epipen - Adult dose
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one injector - 0.3 mg
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Naloxone - Action
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antagonizes all actions of morphine
displaces narcotics from opioid receptor sites |
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Naloxone - Onset
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within 2 minutes
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Naloxone - Duration
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30 - 60 minutes
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Naloxone - Indications
(3) |
decreased level of conciousness
coma of unknown origin CNS or respiratory depression induced by opioids |
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Naloxone - contraindications
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neonates of narcotic dependant mothers
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Naloxone - Side effects
(7) |
tachycardia
hypertension dysrhythmias N/V diaphoresis blurred vision withdrawal |
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Naloxone - Adult dose
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0.4 - 2 mg IM/IV/SQ/ET (double ET and flush)
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Naloxone - Peds dose
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0.04 - 0.16 mg/kg/hr IV/IO/SQ/ET (double ET and flush)
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Naloxone - Pregnancy class
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Class B
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Naloxone - Notes
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administer with caution to narcotic addicts as it may cause withdrawal
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Nitroglycerin - Names
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Nitrostat
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Nitro - Class
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vasodilator
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Nitro - Action
(4) |
dilates arterioles and veins in the periphery
reduces preload decreases workload lowers myocardial O2 demand |
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Nitro - Onset
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1 - 3 minutes
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Nitro - Duration
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30 - 60 minutes
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Nitro - Indications
(4) |
ischemic chest pain
CHF hypertensive emergencies pulmonary hypertension |
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Nitro - Contraindications
(5) |
volume depletion
hypotension head injury cerebral hemmorhage recent use of Viagra, Cialis, or Levitra |
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Nitro - Side effects
(6) |
transient headache
reflex tachycardia hypotension N/V postural syncope diaphoresis |
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Nitro - Dose
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0.4 mg sublingual or spray
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Nitro - Pregnancy class
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Class C
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Epipen - Peds Dose
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one injector - 0.15 mg
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