• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/255

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

255 Cards in this Set

  • Front
  • Back
What is the generic name for

PROZAC
FLUOXETINE
What is the drug class for FLUOXETINE
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
What condition is FLUOXETINE commonly prescribed for?
DEPRESSION / ANXIETY
What is the generic name for:

PAXIL
PAROXETINE
What is the drug class for:

PAROXETINE
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
what condition is PAROXETINE
commonly prescribed for?
DEPRESSION / ANXIETY
What is the generic name for:

Zoloft
SERTRALINE
what is the drug class for

SERTRALINE
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
what condition is Sertraline commonly prescribed for?
DEPRESSION / ANXIETY
what is the generic name for XANAX?
Alprazolam
what is the drug class for Alprazolam?
BENZODIAZEPINES
What condition is Alprazolam commonly prescribed for?
ANXIOLYTICS (ANXIETY)
what is the generic name for Librium?
Chlordiazepoxide
what is the drug class for Chlordiazepoxide ?
BENZODIAZEPINES
what condition is Chlordiazepoxide commonly prescribed for?
ANXIOLYTICS (ANXIETY)
what is the generic name for KLONOPIN?
CLONZAEPAM
what is the drug class for CLONAZEPAM?
BENZODIAZEPINES
what condition is CLONAZEPAM prescribed for?
ANXIOLYTICS (ANXIETY)
WHAT IS THE GENERIC NAME FOR VALIUM?
DIAZEPAM
WHAT THE DRUG CLASS FOR DIAZEPAM?
BENZODIAZEPINES
WHAT CONDITION IS DIAZEPAM PRESCRIBED FOR?
ANXIOLYTICS (ANXIETY)
WHAT IS THE GENERIC NAME FOR GLUCATROL?
GLIPIZIDE
WHAT IS THE DRUG CLASS FOR GLIPIZIDE?
GLUCOSE CONTROL
WHAT CONDITION IS GLIPIZIDE COMMONLY PRESCRIBED FOR?
TYPE II DIABETES
WHAT IS THE GENERIC NAME FOR GLUCOPHAGE?
METFORMIN
WHAT IS THE DRUG CLASS FOR METFORMIN?
GLUCOSE CONTROL
WHAT CONDITION IS METFORMIN COMMONLY PRESCRIBED FOR?
TYPE II DIABETES
WHAT IS THE GENERIC NAME FOR AMARYL?
GLIMEPIRIDINE
WHAT IS THE DRUG CLASS FOR GLIMEPIRIDINE?
GLUCOSE CONTROL
WHAT CONDITION IIS GLIMEPIRIDINE COMMONLY PRESCRIBED FOR?
TYPE II DIABETES
WHAT IS THE GENERIC NAME FOR AVANDIA?
ROSIGLITAZONE
WHAT IS THE DRUG CLASS FOR ROSIGILITAZONE?
GLUCOSE CONTROL
WHAT CONDITION IS ROSIGILITAZONE COMMONLY PRESCRIBED FOR?
TYPE II DIABETES
WHAT IS THE GENERIC NAME FOR ACTOS?
PIOGLITAZONE
WHAT IS THE DRUG CLASS FORR PIOGLITAZONE?
GLUCOSE CONTROL
what condition is PIOGLITAZONE commonly prescribed for?
TYPE II DIABETES
what is the generic name for Januvia?
Sitagliptin
what is the drug class for Sitagliptin?
GLUCOSE CONTROL
what condition is sitagliptin commonly prescribed for?
TYPE II DIABETES
what is the generic name for Marplan?
ISOCARBOXAZID
What is the drug class for ISOCARBOXAZID?
Monoamine Oxidase inhibitors
what condition is ISOCARBOXAZID commonly prescribed for?
MAOI'S (DEPRESSSION)
what is the generic name for Nardil?
Phenelzine
what is the drug class for Phenelzine?
Monoamine Oxidase inhibitors
what condition is Phenelzine commonly prescribed for?
MAOI'S (DEPRESSSION)
what is the generic name for Parnate?
Tranycypromine
what is the drug class for Tranycypromine?
Monoamine Oxidase inhibitors
what condition is Tranycypromine commonly prescribed for?
MAOI'S (DEPRESSSION
what is the generic name for ABILIFY?
ARIPIPRAZOLE
what is the drug class for ARIPIPRAZOLE?
ANTIPSYCHOTICS
what condition is ARIPIPRAZOLE
commonly prescribed for?
ANTI CRAZYY
what is the generic name for ZYPREXA
OLANZAPINE
what is the drug class for OLANZAPINE?
ANTIPSYCHOTICS
what condition is OLANZAPINE
commonly prescribed for?
ANTI CRAZY
what is the generic name for SEROQUEL?
QUENTIAPINE
what is the drug class for QUENTIAPINE?
ANTIPSYCHOTICS
what condition is QUENTIAPINE
commonly prescribed for?
ANTI CRAZY
what is the generic name for RISPERDAL?
RISPERIDONE
what is the drug class for RISPERIDONE?
ANTIPSYCHOTICS
what condition is RISPERIDONE
commonly prescribed for?
ANTI CRAZY
what is the generic name for GEODON
ZIPRASIDONE
what is the drug class for ZIPRASIDONE
ANTIPSYCHOTICS
what condition is ZIPRASIDONE
commonly prescribed for?
ANTI CRAZY
what is the generic name for ELAVIL??
AMITRIPTYLINE
what is the drug class for AMITRIPTYLINE
IMIPRAMIRE
what condition is AMITRIPTYLINE
commonly prescribed for?
TCA'S (DEPRESSION)
what is the generic name for TOFRANIL?
IMIPRAMIRE
what is the drug class for IMIPRAMIRE?
TRICYCLIC ANTIDEPRESSANTS
what condition is IMIPRAMIRE commonly prescribed for?
TCA'S (DEPRESSION)
what is the generic name for Sinequan?
Doxepin
what is the drug class for Doxepin?
TRICYCLIC ANTIDEPRESSANTS
what condition is Doxepin commonly prescribed for?
TCA'S (DEPRESSION)
what is the generic name for Aventyl?
Nortriptyline
what is the drug class for Nortriptyline?
TRICYCLIC ANTIDEPRESSANTS
what condition is Nortriptyline commonly prescribed for?
TCA'S (DEPRESSION)
what is the generic name for Norpramin?
Desipramine
what is the drug class for Desipramine?
TRICYCLIC ANTIDEPRESSANTS
what condition is Desipramine commonly prescribed for?
TCA'S (DEPRESSION)
what is the generic name for Desyrel?
Trazadone
what condition is Trazadone commonly prescribed for?
Antidepressant
what is the generic name for Wellbutrin?
Bupropion
what condition is Bupropion commonly prescribed for?
Antidepressant
what is the generic name for Buspar?
Buspirone
what condition is Busprione commonly prescribed for?
Anxiolytic
what is the generic name for Serevent?
Salmetrol
what is the drug class for Salmetrol?
Beta 2 Agonistss
what condition is Salmetrol commonly prescribed for?
Bronchodilator
what is the generic name for Spirivia?
Titotroprium
what is the drug class for Titotroprium?
Anticholinergics
what condition is Titotropium commonly prescribed for?
Anti Mucous
what is the generic name for Bumex?
Bumetanide
what is the drug class for Bumetanide?
Diuretics
what condition is Bumetanide commonly prescribed for?
Anti-Fluid
what is the generic name for Osmitrol?
Mannitol
what is the drug class for Mannitol?
Diuretic
what condition is Mannitol commonly prescribed for?
Anti-fluid
what is the generic name for Intal?
Cromolyn
what is the drug class for Cromolyn?
Leukotrine Receptor Antagonists
what condition is Cromolyn commonly prescribed for?
ANTI-INFLAMMATORY
what is the generic name for Singulair?
Montelukast
what is the drug class for Montelukast?
Leukotrine Receptor Antagonists
what condition is Montelukast commonly prescribed for?
Anti-inflammatory
what is the drug class for Aminophylline?
Adenosine Receptor Antagonist
what condition is Aminophylline commonly prescribed for?
Bronchodilator
what is the drug class for Theophylline??
Adenosine Receptor Antagonist
what condition is Theophylline commonly prescribed for?
Bronchodilator
What is the generic name for DILANTIN?
PHENYTOIN
what is the drug class for Phenytoin??
Anti Convulsants
what condition is phenytoin commonly prescribed for?
Anti Seizure
what is the generic name for Tegretol?
Carbamezapine
What is the drug class for Carbamezapine?
Anti Convulsants
what condition is carbamezapine commonly prescribed for?
Anti-Seizure
what is the generic name for Depakote?
Valproic Acid
what is the drug class for Valproic Acid?
Anti Convulsants
what condition is Valoproic Acid commonly prescribed for?
Anti-Seizure
what is the generic name for Cortisol?
Hydrocortisone
what is the drug class for Hydrocortisone?
Corticosteroids
what condition is Corticosteroids commonly prescribed for?
Anti-inflammatory
what is the generic name for Romazicon?
Flumazenil
what is the drug class for Flumazenil?
Antidotes
what is the drug class for INSULIN?
DIABETIC MEDICATIONS
what is the generic name for Haldol?
Haloperidol
what is the drug class is Haldol?
Antispychotic
DEXTROSE: WHAT IS THE GENERIC NAME?
50% DEXTROSE
DEXTROSE: WHAT IS THE DRUG CLASS?
CARBOHYDRATE, ANTIHYPOGLYCEMIC
DEXTROSE: WHAT IS THE MECHANISM OF ACTION?
RAPIDLY INCREASES SERUM GLUCOSE LEVELS. SHORT-TERM OSMOTIC DIERESIS
DEXTROSE: WHAT ARE THE INDICATIONS?
HYPOGLYCEMIA, ALTERED LEVEL OF CONSCIOUSNESS, COMA OF UNKNOWN ORIGIN, SEIZURE OF UNKNOWN ORIGIN, STATUS EPILEPTICS.
DEXTROSE: WHAT ARE THE CONTRAINDICATIONS?
INTER CRANIAL HEMORRHAGE
DEXTROSE: WHAT ARE THE ADVERSE EFFECTS??
EXTRAVASATION LEADS TO TISSUE NECROSIS. CEREBRAL HEMORRHAGE, CEREBRAL ISCHEMIA, PULMONARY EDEMA, WARMTH, PAIN, BURNNG FOR IV INFUSION, HYPERGLYCEMIA.
ATROVENT: WHAT IS THE GENERIC NAME?
IPRATROPIUM BROMIDE
ATROVENT: WHAT IS THE DRUG CLASS?
ANTICHOLINERGIC, BRONCHODILATOR
ATROVENT: WHAT IS THE MECHANISM OF ACTION?
INHIBITS INTERACTION OF ACETYLCHOLINE AT RECEPTOR SITES OF BRONCHIAL SMOOTH MUSCLE, RESULTING IN DECREASED CYCLIC GUANOSINE MONOPHOSPHATE & BRONCHODILATION.
ATROVENT: WHAT ARE THE INDICATIONS?
PERSISTENT BRONCHOSPASM, COPD EXACERBATION.
ATROVENT: WHAT ARE THE CONTRAINDICATIONS?
HYPERSENSITIVITY TO IPRATROPIUM, ATROPINE, ALKALOIDS, PEANUTS.
ATROVENT: WHAT ARE THE ADVERSE EFFECTS?
HEADACHE, DIZZINESS, NERVOUSNESS, FATIGUE, TREMOR, BLURRED VISION, COUGH, DYSPNEA, WORSENING COPD SYMPTOMS, TACHYCARDIA, PALPITATIONS, FLUSHING, MI, DRY MOUTH, NAUSEA, VOMITING, GI DISTRESS.
ATROVENT: WHAT ARE THE PRECAUTIONS?
NONE REPORTED
ATROVENT: WHAT IS THE DOSE &ADMINISTRATION?
ADULT: 250-500 UG VIA INHALA-TION WITH HAND-HELD NEBULIZER EVERY 20 MINUTES UP TO 3 TIMES.

PED: SAME AS ADULT
DEMEROL: WHAT IS THE GENERIC NAME?
MEPERIDINE HYDROCHLORIDE
DEMEROL: WHAT IS THE DRUG CLASS?
OOPIOD ANALGESIC, SCHEDULE II DRUG
DEMEROL: WHAT IS THE MECHANISM OF ACTION?
SYNTHETIC OPIOD ANALGESIC WHOSE EFFECTS ON THE CENTRAL NERVOUS SYSTEM AND SMOOTH MUSCLE ORGANS ARE SIMILAR TO MORPHINE, PRIMARILY ACTING AS AN ANALGESIC AND A SEDATIVE.
DEMEROL: WHAT ARE THE INDICATIONS?
ANALGESIA FOR MODERATE TO SEVERE PAIN.
DEMEROL: WHAT ARE CONTRAINDICATIONS?
HYPERSENSITIVITY TO NARCOTICS, DIARRHEA CAUSED BY POISONING, PATIENTS TAKING MAOI's
DURING LABOR OR DELIVERY OF A PREMATURE INFANT, UNDIAGNOSED ABDOMINAL PAIN OR HEAD INJURY.
DEMEROL: WHAT ARE THE ADVERSE EFFECTS?
SEIZURES, CONFUSION, SEDATION, DYSPHORIA, HEADACHE, HALLUCINATION, INCREASED ICP, RESPIRATORY DEPRESSION, APNEA, HYPOTENSION, ORTHOSTATIC HYPOTENSION, SYNCOPE, BRADYCARDIA, DYSRHYTHMIAS, NAUSEA, VOMITING, CONSTIPATION, SWEATING.
DEMEROL: WHAT ARE THE PRECAUTIONS?
DO NOT GIVE CONCURRENTLY WITH MAOI'S (EVEN WITH A DOSE IN THE LAST 14 DAYS) EXACERBATES CNS DEPRESSION WHEN GIVEN WITH OTHER CNS DEPRESSANTS.
DEMEROL: WHAT IS THE DOSE & ADMINISTRATION?
ADULT: 50-100 mgIM, SC .25-50 mg SLOWLY IV

PEDS: 1-2 mg/kg/dose IV, IO, IM, SC
BENDRYL: WHAT IS THE GENERIC NAME?
DIPHENHYDRAMINE
BENDRYL: what is the drug class?
antihistamine, anticholinergic
BENDRYL: what is the dose & administration?
adult: 25-50 mg IM, IV, PO.

Pediatric: 1-2 mg/kg IV,IO, slowly or IM.
If PO: 5 mg/kg/24h
TORADOL: WHAT IS THE GENERIC NAME?
KETOROLAC TROMETHAMINE
TORADOL: WHAT IS THE DRUG CLASS?
NON STEROIDAL ANTI-INFLAMMATORY (NSAID) ANALGESIC
TORADOL: WHAT IS THE MECHANISM OF ACTION ?
POTENT ANALGESIC THAT DOES NOT POSSESS ANY SEDATIVE OR ANXIOLYTIC ACTIVITIES BY INHIBITING PROSTAGLANDIN SYNTHESIS.
TORADOL: WHAT ARE THE INDICATIONS?
SHORT TERM MANAGEMENT OF MODERATE TO SEVERE PAIN.
TORADOL: what are the contraindications?
allergy to salicylates or other non steroidal anti-inflammatory drugs. Patients with history of asthma, bleeding disorders (especially GI related, such as peptic ulcer disease) rental failure.
TORADOL: what are the adverse effects ?
drowsiness dizziness, headache, sedation, bronchospasm, dyspnea, edema, vasodilation, hypotension, hypertension GI bleeding, diarrhea, dyspepsia and nausea
TORADAL: WHAT ARE THE PRECAUTIONS?
MAY INCREASE BLEEDING TIME IN Patients taking aanticoagulants.
TORADOL: what is the dose & administration?
Adult: 30-60 mg IM
Pediatric: Not recommended
PHENEGRAN: WHAT IS THE GENERIC NAME?
PROMETHAZINE HYDROCHLORIDE
PHENEGRAN: WHAT IS THE DRUG CLASS?
PHENOTHIAZINE, ANTIEMETIC, ANTIHISTAMINE
PHENEGRAN: WHAT IS THE MECHANISM OF ACTION?
H-1 receptor antagonist; blocks action of histamine; possesses sedative, anti-motion, antiemetic, and anti- cholinergic activity; potentiates the effects of narcotics to induce analgesia.
PHENEGRAN: WHAT ARE THE INDICATIONS?
Nausea/vomiting, motion sickness, sedation for patient in labor, potentiates the analgesic effects of narcotics.
PHENEGRAN: WHAT ARE THE CONTRAINDICATIONS?
Coma, central nervous system depression from alcohol, barbiturates, or narcotics, Reye syndrome, lower respiratory symptoms (eg, asthma)
PHENEGRAN: What are the adverse effects?
Headache, dizziness, drowsiness, confusion, restlessness, wheezing, chest tightness, thickening of bronchial secretions, palpitations, bradycardia, reflex tachycardia, QT prolongation, postural hypotension, diarrhea, nausea, vomiting
PHENEGRAN: WHAT US THE DOSE & ADMINISTRATION?
Adult: 12.5-25 mg IV, deep IM, PO, PR. Pediatric (older than 2 years): 0.25-.5mg/kg dose deep IM
LASIX: WHAT IS THE GENERIC NAME?
FUROSEMIDE
LASIX What is the drug class?
Loop diuretic
LASIX: WHAT IS THE MECHANISM OF ACTION?
Blocks the absorption of sodium and chloride at the distal and proximal tubules and the loop of Henle, causing increased urine output.
LASIX: WHAT ARE THE INDICATIONS:
CHF, pulmonary hypertensive crisis
LASIX: What are the contraindications?
Hypovolemia, anuria, hypotension (rela- tive contraindication), hypersensitivity, hepatic coma, suspected electrolyte imbalances.
LASIX: what are the adverse effects?
Dizziness, headache, ECG changes, weakness, orthostatic hypotension, dysrhythmias, nau- sea, vomiting, diarrhea, dry mouth, may exacerbate hypovolemia and hypokalemia, hyperglycemia (due to hemoconcentration
LASIX: What is the precautions?
Lithium toxicity may be potentiated because of sodium depletion. Digitalis toxicity may be potentiated by potassium depletion.
LASIX; What is the dose & administration?
Adult: 0.5–1 mg/kg IV over 1–2 minutes. If no response, double the dose to 2 mg/kg slowly over 1–2 minutes. Pediatric: 1 mg/kg IV/IO.
BETAXIN: What is the generic name?
THIAMINE
BETAXIN: What is the drug class?
Vitamin BB
BETAXIN: What is the Mechanism of action?
Combines with ATP to form thiamine pyrophosphate coenzyme, which is a necessary component for carbohydrate metabolism. The brain is extremely sensitive to thiamine deficiency.
BETAXIN: What are the indications?
Coma of unknown origin, delirium tremens, beri- beri, Wernicke encephalopathy.
BETAXIN: What are the contrainadicatians?
none
BETAXIN: What are the adverse effects?
Anxiety, dyspnea, respiratory failure, vasodilation, hypotension, nausea, vomiting.
BETAXIN: What are the precautions?
Give Thiamine before glucose under all circumstances
BETAXIN: What is the dose & administration?
"Adult: 100 mg slow IV or IM.
Pediatric: 10–25 mg slow IV or IM"
VERSED: What is the generic name?
Midzolam Hydrochloride
VERSED: What is the drug class?
Benzodiazepine, short/intermediate acting; schedule IV drug.
VERSED: What is the mechanism of action?
Reversibly interacts with gamma-amino butyric acid (GABA) receptors in the central nervous system causing sedative, anxiolytic, amnesic, and hypnotic effects
VERSED: What are the indications?
sedation for medical procedures (eg. intubation, ventilated patients, cardioversion).
VERSED: What are the contraindications?
Acute narrow-angle glaucoma, shock, coma, alcohol intoxication, overdose, depressed vital signs. Concomitant use with barbiturates, alcohol, narcotics, or other central nervous system depressants.
VERSED: What are the adverse effects?
Headache, somnolence, respi- ratory depression, respiratory arrest, apnea, hypotension, car- diac arrest, nausea, vomiting, pain at the injection site.
VERSED: What are the precautions?
should not be used in patient who have taken central nervous system depressants.
VERSED: What is the dose & administration?
Adult: 2–2.5 mg slow IV (over 2–3 minutes). May be repeated to total maximum: 0.1 mg/ kg. Pediatric: 0.1–0.3 mg/kg IV/IO (maximum single dose: 10 mg).
ZOFRAN: What is the generic name?
ONDENSETRON HYDROCHLORIDE
ZOFRAN: What is the drug class?
Serotonin receptor antagonist; antiemetic.
ZOFRAN: What is the mechanism of action?
Blocks action of serotonin, which is a natural substance that causes nausea and vomiting.
ZOFRAN: What are the indications?
For the prevention and control of nausea or vomiting. Used in hospital for patients undergoing chemotherapy or surgical procedures.
PHENEGRAN: WHAT ARE THE PRECAUTIONS?
ADDITIVE WITH OTHER CENTRAL NERVOUS SYSTEM DEPRESSANT, increased extraphyramidal effextrs with MAOI's.
DEXTROSE: WHAT IS THE DOSE & ADMINISTRATION?
ADULT: 12.5-25 GRAMS OF A 50% SOLUTION SLOW IV PUSH. MAY BE REPEATED AS NECESSARY.
PEDS: 1 YEAR AND OLD; 0.5-1 gk OF A 25% SOLUTION SLOW IV/IO PUSH. MAY BE REPEATED AS NECESSARY.
NEONATES & INFANTS: 200-5000 mg/kg OF A 10%-25% SOLUTION SHOW IV PUSH. MAY BE REPEATED AS NECESSARY.,
MAXIMUM CONCENTRATION OF 12.5 % (VAS-CULATURE EXTREMELY SENSITIVE TO HIGH CONCENTRATIONS)
ATROVENT: WHAT ARE THE CONTRAINDICATIONS?
HYPERSENSITIVITY TO IPRATROPIUM, ATROPINE, ALKALOIDS, PEANUTS.
DEMEROL: WHAT IS THE GENERIC NAME?
MEPERIDINE HYDROCHLORIDE
DEMEROL: WHAT IS THE DRUG CLASS?
OOPIOD ANALGESIC, SCHEDULE II DRUG
BENDRYL: WHAT IS THE GENERIC NAME?
DIPHENHYDRAMINE
BENDRYL: what is the mechanism of action?
blocks cellular histamine receptors; decreases vasodilations ; decreases motion sickness. Reverses extrapyramidal reactions.
BENDRYL: what are the indications?
Symptomatic relief of allergies, allergic reactions, and anaphylaxis. Blood administration reactions: used for motion sickness and hay fever, relief of acute dystonic reactions caused by phenothiazine: may be useful in phenothiazine over-doses.
BENDRYL what are the contraindications?
Asthma, glaucoma, pregnancy, hypertension, narrow angle glaucoma, infants, patients taking MAOI'S
BENDRYL: what are the adverse effects?
drowsiness, sedation, seizures, dizziness, headache, blurred vision, paradoxical CNS excitement in children, wheezing, thickening of bronchial secretion, palpitations,"", hypotension, dysrhythmias, dry mouth, diarrhea, nausea, vomiting.
BENDRYL: what are the precautions?
potentiates effects of alcohol and other anti-cholinergics. May inhibit corticosteroid activity. MAOI's prolong anticholinergic effects of diphenhydramine.
BENDRYL: WHAT IS THE GENERIC NAME?
DIPHENHYDRAMINE
BENDRYL: what is the drug class?
antihistamine, anticholinergic
PHENEGRAN: WHAT ARE THE PRECAUTIONS?
ADDITIVE WITH OTHER CENTRAL NERVOUS SYSTEM DEPRESSANT, increased extraphyramidal effextrs with MAOI's.
ZOFRAN: What are the contraindications?
Known allergy to ondansetron or other 5-HT3 receptor antagonists.
ZOFRAN: What is the dose & administration?
"Adult: 4 mg IV/IM may repeat in
10 minutes. Pediatric: 0.1 mg/kg IV/IM"
VALIUM & OTHERS: What is the generic name?
DIAZEPAM
VALIUM & OTHERS: What is the drug class??
Benzodiazepine,
long-acting; sedative-hypnotic; anticon- oawal, muscle relaxant, seizure activity, sedation for medi- cal prpocedures (eg, intubation, ventilated patients, cardiover- sion), may be helpful in acute symptomatic cocaine overdose.
VALIUM & OTHERS: What are the adverse effects?
Dizziness, drowsiness, con- fusion, headache, respiratory depression, hypotension, reflex tachycardia, nausea, vomiting, muscle weakness, tissue necro- sis, ataxia, thrombosis, phlebitis.
VALIUM & OTHERS: What are the precautions?
Incompatible with most drugs, fluids
VALIUM & OTHERS: What is the dose & administration?
Adult: Seizure activity: 5–10 mg IV q 10–15 minutes PRN (5 mg over 5 minutes) (maximum dose: 30 mg). Premedication for cardioversion: 5–15 mg IV over 5–10 minutes prior to cardioversion. Pediatric: Seizure activ- ity: 0.2 mg/kg to 0.5 mg/kg slow IV q 2–5 minutes up to 5 mg (maximum dose 10 mg/kg). Rectal diazepam: 0.5 mg/kg via 2" rectal catheter and flush with 2–3 mL air after administration.
VALIUM & OTHERS: What are the contraindications?
Hypersensitivity, narrow-angle glaucoma, myasthenia gravis, respiratory insufficiency, coma, head injury.
ADRENALIN: What is the generic name?
Epinephrine
ADRENALIN: What is the drug class?
Sympathomimetic
ADRENALIN: What are the indications?
Cardiac arrest (asystole, PEA, ventricular fibrillation and pulseless ventricular tachycardia), symptomatic bradycardia as an alternative infusion to dopamine, severe hypotension sec- ondary to bradycardia when atropine and transcutaneous pacing are unsuccessful, allergic reaction, anaphylaxis, asthma.
ADRENALIN: What is the mehanism of action?
Direct-acting alpha and beta agonist. Alpha: ovasoconstriction. Beta-1: positive inotropic, chrono- tropic, and dromotropic effects. Beta-2: bronchial smooth muscle relaxation and dilation of skeletal vasculature. Blocks histamine receptors
ADRENALIN: What are the contraindications?
Hypertension, hypothermia, pulmonary edema, myocardial ischemia, hypovolemic shock
ADRENALIN: What are the adverse effects?
Nervousness, restlessness, headache, tremor, pulmonary edema, dysrhythmias, chest pain, hypertension, tachycardia, nausea, vomiting.
SUBLIMAZE: What is the generic name?
Fentanyl Citrate
SUBLIMAZE: What is the drug class?
Opioid analgesic, schedule II narcotic.
SUBLIMAZE: What is the mechanism of action?
Binds to opiate receptors, producing anelgesia and euphoriao
SUBLIMAZE: What are the indications?
Pain management, anesthesia adjunct.
SUBLIMAZE: What are the contraindications?
Known hypersensitivity. Use with caution in traumatic brain injury
SUBLIMAZE: What are the adverse effects?
Confusion, paradoxical excita- tion, delirium, drowsiness, CNS depression, sedation, respira- tory depression, apnea, dyspnea, dysrhythmias, bradycardia, tachycardia, hypotension, syncope, nausea, vomiting, abdomi- nal
pain, dehydration, fatigue.
SUBLIMAZE: What are the precautions?
Increased respiratory effects when given with other CNS depressants.
SUBLIMAZE: What is the dose & administration?
Adult: 50 to 100 μg (1μg/kg) IM or IV, IO slow push (over 1–2 minutes) to maximum of 150 μg. Pediatric: 1–2 μg/kg IM, IV, or IO slow push (over 1–2 minutes). The safety and efficacy in children younger than 2 years has not been established.
MAGNESIUM SULFATE: What is the generic name?
Magnesium sulfate
MAGNESIUM SULFATE: What is the drug class?
ELECTROLYTE, ANTI-INFLAMMATORY
MAGNESIUM SULFATE: What is the dose & adminitration?
Adult: Seizure activity associated with pregnancy: 1–4 g of a 10% solution IV/IO over 3 minutes; maximum dose of 30–40 g/day. Cardiac arrest due to hypomag- nesaemia or torsades de pointes: 1–2 g of a 10% solution IV/IO over 5–20 minutes. Torsades de pointes with a pulse: Loading dose of 1–2 g in 50–100 mL of D5W over 5–60 minutes IV. Fol- low with 0.5–1 g/h IV (titrate dose to control torsades). Pediatric: Pulseless ventricular tachycardias with torsades de pointes: 25–50 mg/kg IV/IO bolus of a 10% solution to a maximum dose of 2 grams. Torsades de pointes with pulses/hypomagnesaemia: 25–50 mg/kg IV/IO of a 10% solution over 10–20 minutes to maximum dose of 2 grams. Status asthmaticus: 25–50 mg/kg IV/IO of a 10% solution over 15–30 minutes to a maximum dose of 2 grams.
NUBAIN: What is the generic name?
Nalbuphine Hydrochloride
NUBAIN: What is the drug class?
Synthetic opioid agonist/antagonist.
NUBAIN: What is the mechanism of action?
Activates opiate receptor in limbic system of the CNS. Analgesic similar to morphine on a milligram for milligram basis. Agonist and antagonist properties. May be preferred for chest pain in setting of acute MI because it reduces the myocardial oxygen demand without reducing the blood pressure.
NUBAIN: What are the indications?
Chest pain associated with acute MI, moderate to severe acute pain.
INSTAL-GLUCOSE: What is the generic name?
ORAL GLUCOSE
INSTAL-GLUCOSE: What is the mechanism of action?
After absorption in the GI tract, glucose is distributed to the tissues providing an increase in circulating blood glucose levels.
INSTAL-GLUCOSE: What is the drug class?
Hyperglycemic, carbohydrate.
INSTAL-GLUCOSE: What are the indications?
Conscious patients with suspected hypoglycemia.
INSTAL-GLUCOSE: What are the contraindications?
Decreased level of consciousness, nausea, VOMITING
INSTAL-GLUCOSE: What are the adverse effects?
NAUSE VOMITING
INSTAL-GLUCOSE: What are the precautions?
none
INSTAL-GLUCOSE: What is the dose & administration?
Adult: 15–45 g PO in patients with an intact gag reflex and the ability to manage their own secretions. Pediatric: 5–45 g PO in patients with an intact gag reflex and the ability to manage their own secretions.
ROXANOL, MS CONTIN: what is the generic name?
Morphine Sulfate
ROXANOL, MS CONTIN: What is the drug class?
Opioid analgesic (schedule II narcotic)
ROXANOL, MS CONTIN: What is the mechanism of action?
Alleviates pain through CNS action. Suppresses fear and anxiety centers in the brain. Depresses brainstem respiratory centers. Increases peripheral venous capacitance and decreases venous return. Decreases preload and afterload, which decreases myocardial oxygen demand.
ROSANOL, MS CONTIN: What are the adverse effects?
Confusion, sedation, headache, CNS depression, respiratory depression, apnea, bronchospasm, dyspnea, hypotension, orthostatic hypotension, syncope, bra- dycardia, tachycardia, nausea, vomiting, dry mouth.
ROSANOL, MS CONTIN: What are the precautions?
Potentiates sedative effects of phenothi- azines. CNS depressants may potentiate effects of morphine. MAOIs may cause paradoxical excitation.
ROSANOL, MS CONTIN: What is the dose & administration?
Adult: STEMI: Initial dose: 2–4 mg slow IV (over 1–5 minutes). Repeat dose: 2–8 mg at 5–15 min- ute intervals. NSTEMI/Unstable angina. 1–5 mg IV push if symptoms not relieved by nitrates, use with caution. Pediatric: 0.1–0.2 mg/kg/dose IV, IO, IM, SC. Maximum dose: 5 mg.
ROXANOL, MS CONTIN: What are the contraindications?
Head injury, exacerbated COPD, depressed respiratory drive, hypotension, undiagnosed abdominal pain, decreased level of consciousness, suspected hypovolemia, patients who have taken MAOIs within 14 days.
ROXANOL, MS CONTIN: What are the indications?
Severe CHF, acute cardiogenic pulmonary edema, chest pain associated with acute myocardial infarction, analgesia for moderate to severe acute and chronic pain.
ATROPHINE SULFATE: What is the generic name?
Atropine Sulfate
ATROPHINE SULFATE: What is the drug class?
Anticholinergic agents
ATROPHINE SULFATE: What is the mechanism of action?
Inhibits the action of acetylcholine at postganglionic parasympathetic neuroeffector sites. Increases hea
t rate in life-threatening bradydysrthythmia .
ATROPHINE SULFATE: What are the indications?
Hemodynamically unstable bradycardia, organo- phosphate poisoning, nerve agent exposure, rapid sequence intubation in pediatrics, beta blocker or calciium channel blocker overdose
ATROPHINE SULFATE: What are the contraindications?
Tachycardia, hypersensitivity, unstable car- diovascular status in acute hemorrhage with myocardial isch- emia, narrow-angle glaucoma, hypothermic bradycardia.
ATROPHINE SULFATE: What are the adverse effects?
Drowsiness, confusion, head- ache, tachycardia, palpitations, dysrhythmias, nausea, vomiting, pupil dilation, dry mouth/nose/skin, blurred vision, urinary retention, constipation, flushed, hot, dry skin; paradoxical bradycardia when pushed too slowly or when given at low doses.
ATROPHINE SULFATE: What are the precautions?
Potential adverse effects when administered with digitalis, cholinergics, physostigmine. Effects enhanced by antihistamines, procainamide, quinidine, antipsychotics, ben- zodiazepines, and antidepressants.
ATROPHINE SULFATE: What is the dose & administration?
Adult: Unstable bradycardia: 0.5 mg IV/IO every 3–5 minutes as needed. Not to exceed total dose of 0.04 mg/kg (maximum 3 mg total). Use shorter dosing interval (3 minutes) and higher doses in severe clinical conditions. Organophosphate poisoning: Extremely large doses (2–4 mg or higher) may be needed. Pediatric: Unstable brady- cardia: 0.02 mg/kg IV/IO (minimum dose: 0.1 mg). May repeat once. Maximum single dose: Child: 0.5 mg. Adolescent: 1 mg. Maximum total dose: Child: 1 mg. Adolescent: 3 mg. ET dose: 0.04–0.06 mg/kg. Rapid sequence intubation: 0.01–0.02 mg/kg IV/IO (minimum: 0.1 mg, maximum: 0.5 mg).