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45 Cards in this Set
- Front
- Back
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what are advantages of IVP meds
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direct access
for emergencies instant antidotes high drug concentration route better control over rate of admin. route for drugs that cannot be diluted or irritate by IM or SQ |
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what are disadvantages of IVP meds
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rapid absorption - o recall
speed shock extravasation must be given slowly to avoid cardiac, rep and neurological changes drug interaction due to incompatibilities absorption of drug may be impaired due to leaching into administration set (glass or plastic) |
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generic name for Protonix
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pantoprazole
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what is the classification of pantoprazole
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antiulcer (proton pump inhibitor)
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What is the action of Protonix
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decreases acid made in the stomach. allows esophagus to heal, for GERD
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what is the infusion time for Protonix
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40 mg/ 10mL over 2min
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what drugs do you dilute NS with
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Pepcid and Protonix
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what is the onset/peak/duration of protonix
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15 min/ 2 hr/ unkn
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what are the S/E of protonix
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N & V , gas, stomach pain, H/A, may increase risk of bleeding with warfin
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what are the considerations of protonix / labs
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monitor INR and PT if pt is also on Coumadin.
Assess epigastric or ABD pain, frank or occult blood in stool. May cause abnormal liver function tests Discontinue breastfeeding - serious adverse reactions in infants |
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What is the generic name for Reglan
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metoclopramide
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what is the action of Reglan
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blocks dopamine receptors, Stimulates upper GI and increases gastric emptying
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what is the classification of Reglan
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antimetic,
Tx of N & V, hiccups, & migraines |
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what is the infusion time of metoclopramide
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5mg/1 min
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what is the onset/ peak/ duration of reglan
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1-3 min / immediate/ 1-2 hrs
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what are the S/E of metoclopramide
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EPS - involuntary movement of limbs, face,
Pseudo Parkinsonian - tremors - mask-like face, rigidity, shuffling walk NMS - fever, muscle rigidity, altered LOC, liable HR, BP Drowsiness, H/A |
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what are labs, or considerations for Reglan
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not to be used with Hx of seizures, GI obstructions. Seizures may increase EPS
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what is the generic name for lasix
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furosemide
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what is the generic name for Pepcid
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famotodine
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what is the generic name for SoluMedrol
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methylprednisolone (sodium succinate)
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what is the classification of SoluMedrol
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antiinflammatory
immunosuppressant/ synthetic corticosteroid |
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what is the classification of Pepcid
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histamine 2 antagonist / blocker
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what is the classification of Lasix
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loop diuretic
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what is the action of lasix
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inhibits reabsorption of Na+ and Cl- in Loop of Henle
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what is the action of Pepcid
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decreases acid in the stomach, Tx ulcers
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what is the action of methylprednisolone
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immunosuppresant for inflammation
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what is the infusion time for lasix
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20 mg slowly over 1 min
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what is the infusion time for famatodine
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20 mg over 2 min
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what is the infusion time for SoluMedrol
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10 - 40 mg in 1 to several minutes
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what is the onset / peak/ duration of Lasix
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5 min / 30 min / 2hr
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what is the onset / peak/ duration of
Solumedrol |
rapid/ rapid / unknown
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what is the onset / peak/ duration of
Pepcid |
0- 1 hr, .5 to 3 hr/ 8- 15 hr
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what are the S/E for solumedrol
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Peptic ulceration, thromboembolism, Depresison, decreased wound healing, fluid retention, muscle weakness, HTN ICP may cause hyperglycemia, hypokalemia, contraindicated in premature infants (Benzl alcohol) - gasping syndrome.
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what are the S/E for Pepcid
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Arrhythmias, Aganulocytosis, Aplastic Anemia (AAA) Confusion, fast or pounding heart, maybe constipation, N & V
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what are the S/E for Lasix
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Aplastic Anemia, Agranulocytosis, Dry mouth light headedness, dehydration, low electrolytes, metabolic alkalosis, may increase risk of digoxin, Vertigo, tinnitis (ringing in the ears)
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What are the labs / considerations for Lasix
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CBC, BP HR, IO, Wt, Lung sounds,
assess mucous membranes, skin, electrolytes. May interfere w/ aminoglycosides, digitalis and lithium. Give no later than 5pm. Any known sensitivity to furosimide or sulfates (DM, Kidney or liver disease - Adjust Dose) |
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What are the labs / considerations for SoluMedrol
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may cause hyperglycemia, hypokalemia, monitor electrolytes and glucose, may decrease WBCs. Considerations - additive hypokalemia w/ diuretics and may need to increase insulin. Sensitivity to sulfates
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What are the labs / considerations for Pepcid
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CBCs, may give negative allergic skin test results.
avoid NSAIDS Contraindicated in breastfeeding mothers |
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what is the normal dose for lasix
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20-80mg may go up to 600mg
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what is the normal dose for Solumedrol
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depends on indication
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what is the normal dose for Protonix
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peptic ulcer - 4-80 mg q day
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what is the normal dose for Pepcid
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20 mg every 12 hrs
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what is the normal dose for Reglan
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depends on indication, 10 mg post op Nausea
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what is speed shock
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sudden adverse physiological reaction to IV medications or drugs that are administered too quickly
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what are the S/E of speed shock
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flushed face, H/A, tight feeling in chest,
irregular pulse, apprehension, chills, back pains, dyspnea loss of consciousness, cardiac arrest |
