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66 Cards in this Set

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ADHD MEDS

D amphetamine and methylphenidate


Monitor growth and development


Give AFTER 1st meal or breakfast


Give BEFORE 6pm

2 highyield Stimulants for frontal lobe development ADHD

Sinus Brady cardia

Atropine ( think HEART on TOP of PINE tree ) raises heart rate

Treatment If problematic ? Eg. Cold clammy skin or any sign of lack of perfusion. Can also be caused by Vagal maneuver (bear down ) this is a hint also meaning if someone has HIGH HR try to do Vagal maneuver too

V FIB

Treatment : D fib, before CPR , Lidocane, Amiodarone, Procainamide *reminder no need to what? SynchRonize* SYNCHRONIZE ON A-TRIAL ONLY with V fib CHAOTIC NO QRS

Think LAP

V TACH


NO PULSE - D fib and chest compressions


PULSE - cardiovert with sedation( 1st) and synchronized (unlike V fib) also GIVE LIDOCANE


Same for premature Ventricular Tachy give LIDOCANE



Wide BIZZARE QRS

If you can Cee pulse Cardiovert


Wide BIZZARE QRS

A FIB

Cardiovert after TTE rule out clot




Digoxin - watch for s/s low K


As well as CALCIUM CHANNEL BLOCKERS, BETA



MEMORIZE : Adeno beta calcium dig (lanoxin)




Chaotic with no P WAVE

Digoxin 0.5- 1.5 or 2 check apical pulse for full 60 secs


>2 is toxicity

A FLUTTER


Treatment



MEMORIZE : Adeno beta calcium dig (lanoxin)


Same as A fib - digoxin, CALCIUM CHANNEL BLOCKS and cardiovert


Always monitor to Hyper K when dig is administered

SVT

Treatment


Vagal maneuver


Adeno beta calcium dig


Ice cold


Think Atrial so drug start with A…Adenosine ( adenozine ) RAPID PUSH in less than 8 sec will put the HR down into a Zen state, so expect HR to STOP


CARDIOVERT and BETA BLOCKER CALCIUM CHANNEL and even BLOCKERS

Torsade de pointed


Cause by LOW Mag sulfate so to treat give MAGNESIUM cause MAG MELLOW THE HEART!!!

Caused by which electrolyte also given to women in preeclampsia to prevent seizure

Asystole

EPINEPHRINE if doesn’t work then ATROPINE



A tropine (2nd)


S


Y


S


T


O


L


E (pineprine 1st)



Remember you CANT SHOCK this rhythm!!!!

Unshockable rhythm!!!! Flat line

Cullen sign

Blue or eccymosys discoloration by umbilical PANCREATITIS

It’s a boy color

Homan sign

TEST FOR DVT

Kernigs sign

Test for hemorrhaGe this G in hemorrhage as in kerniGs

How long do we infuse blood ? When must we start? Needle size and reaction monitoring ?

No more than 4hrs , within 30 minutes,20 gauge needle every 15mints


You can give antibiotics cause it’s time sensitive when infusing blood just in a different Y tubbing not same

Ace inhibitors end in?

Pril


Chill the heart BP not HR


NOT for PREGNANT WOMEN


Riah for angioedema (swollen tongue) so risk for airways

Arbs ends in

Sartans


Satan take a chill pill on my BP not HR

Ace and I works on same thing

Beta blockers end in

LOL


lowers BP


Lowers HEART RATE


DONT GIVE TO ASTHMA, COPD, HEART FAILURE and DIABETICS

Calcium channel blockers end in


PINEAMILZEM

PINE , AMIL, ZEM (as in Zen state of relax)


Calm the heart lowes HR


Nifidipine (also used in preeclampsia BP , lowers BP but not HEART RATE) all others lower both HR and BP


DONT give CCB if BP <100 systole and HR <60 if you give titration / slow it down

Digoxin (NOT a BP MED)!!!!


Lanoxin -Relaxin the heart ⬇️⬇️⬇️⬇️

Works for heart contractility, increase, lower HR cause the heart pumping enough blood no need to be nervous (tachy)

Cause eye problem so maybe double reading, seeing, if K IS LOW risk of dig tox is higher

Diolators (open vessels )

Decrease BP (So BP LOW due to open vessels ) MEDS LIKE ISORSOBIDE TREAT ANGINA (not diuretics)


DONT TAKE WITH VIAGRA ( sildenafil) vardenafil, tadalafil

Epistasis

Avoid valsaval maneuver trigger it will cause heart to keep pumping more blood

Karter always have these

Hurshscprung

Hard time passing meconium or eating and distended abdomen

Thrombnolytic Drug

Thrombolytic drugs end with -ace, such as streptokinase or alteplase, which is also known as tPA (tissue plasminogen activator). These are clot-buster drugs given to break down unwanted blood clots causing heart attacks and strokes. The sooner treatment is given, the quicker blood flow is restored to the area.

Antiviral

Ends in Vir such as Acyclovir to treat VIRUSES

Anti ulcer

Ends in “Zole”


Omeprazole


Reduce gastric acid production

Anti ulcer

Ends in “dine”


ranitidine


Decrease production of stomach acid

Bronchiodialators

These medications are given for asthma and COPD and include drugs ending in -terol and -phylline, such as albuterol, levalbuterol, theophylline, and aminophylline.

Depression and Anti-anxiety Drug Suffixes

Medications used to treat depression and anxiety include the following:



Drugs ending in -pam or -lam are most likely a benzodiazepine, which are used to treat anxiety, and prolonged use may lead to physical dependence. Benzodiazepines include alprazolam (Xanax), diazepam (Valium), and lorazepam (Ativan).



Several tricyclic antidepressants end in -triptyline, such as amitriptyline and nortriptyline. These drugs are used to treat depression, bipolar disorder, anxiety, OC, and other mood disorders.



SSRIs (Selective Serotonin Uptake Inhibitors) block or delay the reabsorption of serotonin and are used to treat major depressive disorders and anxiety disorders. You’ll find that they end in -pram or -ine, such as fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa), and escitalopram (Lexapro).

Corticosteroid Suffixes

Corticosteroids are anti-inflammatory drugs used to control many different symptoms, but not a cure for the underlying disease process. Most corticosteroids end in -sone or -lone, including dexamethasone, prednisone, methylprednisolone, and triamcinolone.



Oral hypoglycemic agents lower blood sugar for the diabetic patient and include drugs ending in -ide, such as glyburide and glipizide.


What are the drug suffixes for the different types of antibiotics?

The suffix for tetracyclines is -cycline.



Examples: doxycycline


Action: Broad spectrum antibiotic that treats bacterial infections.


The suffix for aminoglycosides is -mycin or -micin.



Examples: gentamicin, tobramycin


Action: Broad spectrum antibiotic that treats bacterial infections.


The suffix for fluoroquinolones is -floxacin.



Examples: ciprofloxacin, levofloxacin


Action: Broad spectrum antibiotic that treats bacterial infections.

antiemetics

. The suffix for antiemetics is -azine.



Examples: promethazine


Action: Treat and prevent nausea and vomiting.

Penicillin ends in and in same class as cephalosporin

Cillin


Not to be confused with tetracycline (these are bad for pregnancy)

Phenytoin is a

Antiepileptic NOT GOOD FOR PREGNANCY

Is SERATONIN SYNDROME HIGH OR LOW

Highhhhh



Clinical manifestations of serotonin syndrome include mental status changes (eg, anxiety, agitation, disorientation), autonomic dysregulation (eg, hyperthermia, diaphoresis, tachycardia/hypertension), and neuromuscular hyperactivity (eg, tremor, muscle rigidity, clonus, hyperreflexia).

Nitroglycerin for Angina


Think MONA

AONM


aspiring Oxygyen nitroglycerin and Morphine

Know antidotes


Potassium

Kayaslate

Magnesium and calcium

With these they do the opposite of their prefixes like eg. Hypo will produce hyperthings vice versa

To treat Atrial dysthymia’s

Adena beta calcium Digitalis- lanoxin (digoxin) 0.5 to 2 is Digitalis

Pneumonectomy

Removal of lung so no chest tube would be needed

Pneumonectomy

Removal of lung so no chest tube would be needed

Pneumo and Hemo chest tube

Pneumothorax epical (top) tube placement


Hemo put it at basilar (bottom) ( for draining fluid /blood from LUNGS

First thing to do when water seal break

Clamp it

Best thing to do when water seal break

Submerg under water

If water seal breaks steps

Clamp


Cut


Put in sterile water

If you aciddently pulled out the chest tube FIRST thing to do

Cover with a glove hands

BEST THING TO DO

Cover with Vaseline gauze

Bubbling in water seal intermittently is good or bad ?

GOOD

Bubbling in water seal continues…good or bad

Bad


Tape it to stop continuous bubbling

Bubble in suction control chamber intermittently good or bad

BAD

Bubbling in suction control chamber continuously hood or bad?

GOOD

True or false Thoracenthesis has a lesser infection than Chest tube

True

True or false? Never clam a chesttube more than 15 seconds without doctor order

True

All Congenital heart defect are


All trouble CHD start with T (e.g Tet of fallot cynosis)


E.g Ventricular heart defect is not trouble


PDA not trouble

T


R - if 🩸shunt from R to L (troubl


o


u


B


L from Left to R no trouble


e


ALL OF THE Congenital heart defect KIDS HAVE A MURMUR and will need echocardiogram

Tet of fallot

VORP

Contact : Enteric (can be caught oral fecal)

Cdiff, Hep A (nus)


Staph


Herpes


Shingles (even though it’s droplet 🙄


RSV ( remember seems droplet but it’s contact) think CONTACT ME TO RSVP


Private room is preferred

Hep B

Think Hep (Blood)

In prioritizing the modifying phase is more important (eg, throw up, angina , myocardia infarction , unstable, stable, etc)

Don’t let age and gender fool you. Only pay attention to age in peds

Muscle relaxers

Baclofen/Flexerilflex your Bac” “Baclofen puts you on your Baclofen”


o Drowsiness


o Muscle weakness


Three teachings


o Don’t drink alcohol/drive


o Don’t operate heavy machinery


o Don’t be responsible of the independent care of children under 12


Antidote Heparin or blood thinners

Protamine

Coumadin AKA WAFRIN antidote

Vitamin K

betamethasone (postpartum maternity)

Help with lung maturity

Methergine

o Vasoconstrictor


o Stops post partum bleeding


o Increase BP is a side effect.


Magnesium Sulfate

. Hypermagnesemia


o Slows uterine contractions


o Slows resp rate… you want them to be at least 12 or stop mag


o Blood pressure goes down… get out of bed slowly


o Reflexes go down. You want her to have a 2 reflex.. or stop mag

Colors of Lochia

. 1. Rubra- red (RUBY RED)


2. Serosa- pink (SEROSA PINK)


3. Alba- white (JESSICA ALBA IS WHITE)


Angina with crushing substernal chest pain is expect TRUE OR FALSE ?

True

Personality disorders not same as psychosis ?TRUE OR FALSE?

TRUE


Narcissistic


Paranoid

ECT

Can’t drive for course if therapy DONT TAKE ANY ANTICONVULSANTS Electroconvulsive therapy (ECT) uses an electrical current applied to the scalp to induce a generalized seizure in an anesthetized client. Prior to the procedure, the client should be NPO and not take anticonvulsant medications. Temporary confusion and memory loss are common after the procedure. Clients should be instructed not to drive during the course of ECT treatment.

NPO status is required for 6-8 hours prior to treatment except for sips of water with medications (Option 4).


Anesthesia (eg, methohexital, propofol) and a muscle relaxant (eg, succinylcholine) will be administered; clients are unconscious and feel no pain during the procedure.


Driving is not permitted during the course of ECT treatment (Option 2).


Temporary memory loss and confusion in the immediate recovery period are common side effects of ECT (Option 3).