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36 Cards in this Set

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  • Back
Dextrose - Class
carbohydrate
hypertonic solution
Dextrose - Action
increases blood glucose levels when administered IV
Dextrose - Indications
(4)
hypoglycemia
ALOC
coma of unknown origin
seizure of unkown origin
Dextrose - Contraindications
(3)
intracranial hemorrhage

ICP

known or suspected cerebral vascular accident
in the absence of hypoglycemia
Dextrose - Side effects
(5)
warmth
pain
burning from med infusion
hyperglycemia
thrombophlebitis
Dextrose - Adult dose
12.5 - 25 g slow IV, may be repeated once
Dextrose - Peds dose
1 - 2 mL/kg 50%
2 - 4 mL/kg 25%
5 - 10 mL/kg 10%
Dextrose - Pregnancy class
Class C
Dextrose - Notes
extravasation may cause tissue necrosis. use large vein and aspirate occasionally to ensure route patency
Epipen - Name
Epipen
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
Epipen - Indications
severe anaphylactic shock
asthma
Epipen - Contraindications
(3)
age > 45
previous cardiac history
hypovolemia
Epipen - Side effects
(2)
lowers threshold for v-fib
can precipitate or exacerbate cardiac ischemia
Epipen - Adult dose
one injector - 0.3 mg
Naloxone - Action
antagonizes all actions of morphine

displaces narcotics from opioid receptor sites
Naloxone - Onset
within 2 minutes
Naloxone - Duration
30 - 60 minutes
Naloxone - Indications
(3)
decreased level of conciousness

coma of unknown origin

CNS or respiratory depression induced by opioids
Naloxone - contraindications
neonates of narcotic dependant mothers
Naloxone - Side effects
(7)
tachycardia
hypertension
dysrhythmias
N/V
diaphoresis
blurred vision
withdrawal
Naloxone - Adult dose
0.4 - 2 mg IM/IV/SQ/ET (double ET and flush)
Naloxone - Peds dose
0.04 - 0.16 mg/kg/hr IV/IO/SQ/ET (double ET and flush)
Naloxone - Pregnancy class
Class B
Naloxone - Notes
administer with caution to narcotic addicts as it may cause withdrawal
Nitroglycerin - Names
Nitrostat
Nitro - Class
vasodilator
Nitro - Action
(4)
dilates arterioles and veins in the periphery

reduces preload
decreases workload
lowers myocardial O2 demand
Nitro - Onset
1 - 3 minutes
Nitro - Duration
30 - 60 minutes
Nitro - Indications
(4)
ischemic chest pain
CHF
hypertensive emergencies
pulmonary hypertension
Nitro - Contraindications
(5)
volume depletion
hypotension
head injury
cerebral hemmorhage
recent use of Viagra, Cialis, or Levitra
Nitro - Side effects
(6)
transient headache
reflex tachycardia
hypotension
N/V
postural syncope
diaphoresis
Nitro - Dose
0.4 mg sublingual or spray
Nitro - Pregnancy class
Class C
Epipen - Peds Dose
one injector - 0.15 mg