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45 Cards in this Set

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Acetaminophen - Names
Tylenol, Anacin-3
Acetaminophen - Classification
analgesic
antipyretic
Acetaminophen - Action
exact moa unknown

increases pain threshold

reduces fever by acting on the heat regulation center of the brain
Acetaminophen - Indications
mild pain or fever
Acetaminophen - Contraindications
hypersensitivity

children < 3 years old

use with caution in chronic alcoholics
Acetaminophen - Side effects
may cause hepatoxicity in alcoholics
Acetaminophen - Dose
325 - 650 mg PO/4-6 hours

650 mg PR/4-6 hours
Acetaminophen - Onset
15 - 30 minutes
Acetaminophen - Duration
3 - 4 hours
Acetaminophen - Pregnancy class
Class B
Acetaminophen - Note
has no peripheral anti-inflammatory effects
Adenosine - Names
adenocard
Adenosine - Classification
endegonous nucleoside
miscellaneous antidysrhythmic
Adenosine - Action
slows conduction through the AV node w/o negative inotropic effects

acts directly on sinus pacemaker cells & vagal nerve terminals to decrease chronotropic activity
Adenosine - Indications
SVT
PSVT
Adenosine - Contraindications
2° block
3° block
sick sinus syndrome

A-flutter*
A-fib*
V-tach*

*contraindicated because not effective
Adenosine - Side Effects
chest pain
diaphoresis
headache
hypotension
lightheadedness
metallic taste
nausea
parasthesias
palpitations
shortness of breath
transient asystole
transient bradycardia
transient sinus pause
ventricular ectopy
Adenosine - Adult Dose
6 mg rapid IV (1-3 seconds), followed by 20 mL saline flush. May repeat 12 mg & flush if no response after 2 minutes. May repeat a second time if no response after 2 minutes.
Adenosine - Peds Dose
0.1 mg/kg rapid IV bolus, followed by 5 mL saline flush, may be doubled one time.
Adenosine - Max Single Doses
Adult: 12 mg

Peds: 6 mg
Adenosine - Pregnancy Class
Class C
Adenosine - Notes
place patient in reverse Trendelenburg before administration

theophylline & caffeine antagonize effects of adenosine

brief period of asystole (up to 15 seconds) may follow conversion, followed by resumption of NSR

dipyridamole potentiates effects of adenosine, so smaller adenosine dose may be required

carbamazepine may potentiate AV node blocking effect of adenosine
Adenosine - Onset
immediate
Adenosine - Duration
10 seconds
Nitrous Oxide - Names
Nitronox
Nitrous Oxide - Classification
gaseous analgesic/anesthetic
Nitrous Oxide - Action
causes anesthesia when inhaled by depressing the CNS

reduces hypoxia by increasing oxygen tension in the blood
Nitrous Oxide - Indications
moderate to severe pain
anxiety
apprehension
Nitrous Oxide - Contraindications
bowel obstruction
chest trauma (pneuomothorax)
COPD
decompression sickness
head injury
hypotension
impaired level of conciousness
marked abdomen distention
shock
undiagnosed abdominal pain
Nitrous Oxide - Dose
invert cylinder several times before use and have patient hold mask or mouthpiece and inhale
Nitrous Oxide - Onset
2 - 5 minutes
Nitrous Oxide - Duration
2 - 5 minutes
Nitrous Oxide - Notes
may increase incidence of spontaneous abortion

is a nonexplosive gas

patient must hold mask and self administer
Thiamine - Names
betaxin
Thiamine - Class
vitamin B1
Thiamine - Action
combines with ATP to form coenzymes for carbohydrate metabolism
Thiamine - Indications
coma of unknown origin
delirium tremors
beriberi
Wernicke's encephalopathy
Thiamine - Contraindications
none
Thiamine - Side Effects
allergic reaction
andioedema
anxiety
diaphoresis
hypotension (large or rapid dose)
N/V
Thiamine - Adult Dose
100 mg slow IV/IM
Thiamine - Peds Dose
not recommended for peds
Thiamine - Pregnancy Class
Class A
Class C if given more than the daily recommended dose
Thiamine - Notes
Large IV doses may cause respiratory difficulties

give before administering D50
Thiamine - Onset
rapid
Thiamine - Duration
depends on degree of deficiency