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17 Cards in this Set
- Front
- Back
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conivaptan
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Vaprisol
LD 20mg IV over 30 min, 20mg CIV DNE 4 days |
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tolvaptan
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samsca
15mg po qd (max 60) |
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who needs stress ulcer prophylaxis
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mechanical ventilation
coagulopathy sepsis traumatic brain injury burn patients acute renal failure high dose corticosteroids |
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what causes stress ulcers
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reduced blood flow to gut, this results in the breakdown of gastric mucosal defense mechanisms
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stress ulcer prophylaxis
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H2RA and PPI
CONs H2RA (trhombocytopenia, mental status cx, tachyphylaxis) PPI (increased cdiff risk, pneumonia) |
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Risk for DVT
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Previous VTE
Surgery/Trauma Immobility Cancer Pregnancy/ estrogen therapy Age Acute illness/infection Heart Failure/ acute MI Thrombophilia Venous obstruction/ indwelling catheter |
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DVT px
-UFH - LMWH -Xa agents |
UFH- 5000 units SC BID to TID
lovenox- 30 mg SC BId or 40 mg SC bid (reduce to 30 mg daily if CrCL,30) fondaparinux 2.5mg po daily (not in pts <50 kg or with CrCl<30) rivaroxaban - 10 mg daily (not in pts w/ CrCl <30) |
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2 topical anesthetics
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lidocaine (xylocaine) and benzocaine
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4 inhaled anesthetics
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desflurane(suprane)
sevoflurane (Ultane) isoflurane (Forane) Nitrous oxide |
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3 injectable anesthetics
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bupivacaine (marcaine, sensorcaine)
lidocaine (xylocaine) ropivacaine (naropin) |
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warning for bupivacaine
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FATAL if given by IV route
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how do anesthetics work
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Block the initiation and conduction of nerve impulses by decreasing the neuronal permeability to sodium ions
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Side effects of anesthetics
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hypotension, bradycardia, NV, drop in body temperature and shivering
Inhaled anesthetics can cause malignant hyperthermia that needs to be treated with dantrolene |
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NMBAS warning
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no analgesia or sedation provided
ISMP high risk drugs must be labeled "Warning, paralyzing agent" |
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Depolarizing neuromuscular blocking agent
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succinylcholine binds to and activates acetylcholine receptor and desensitized it
used for intubation NOT used for continuous blockade ***possible malignant hyperthermia |
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Non depolarizing NMBA
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atracurium -- short
cisatracurium (Nimbex)- short pancuronium- long and may accumulate with renal or hepatic dysfunction rocuronium (zemuron)- intermediate vecuronium- intermediate can accumulate in organ dysfunction |
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Non depolarizing NMBA and SE
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flushing, bradycardia, hypotension, quadriplegic myopathy syndrome with long term use
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