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32 Cards in this Set
- Front
- Back
Albuterol (class) |
Sympathomimetic bronchodilator |
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Albuterol (pharm and action) |
1. Selective beta2 bronchodilator. 2. Minimal beta1 or alpha stimulation 3. Inhibits histamine release |
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Albuterol (indication) |
1. Bronchospasm 2. Hyperkalemia 3. Crush syndrome |
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Albuterol (contraindication) |
1. Hypersensitivity 2. Symptomatic tachycardia 3. Cardiac arrhythmia 4. HTN |
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Albuterol (precautions and side effects) |
1. Tremors 2. Anxiety 3. Dizziness 4. Headache 5. Diaphoresis 6. Angina 7. Palpitations 8. Tachycardia 9. Hypertension |
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Albuterol (dose adult) |
2.5 – 5mg via nebulizer (repeat PRN) |
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Albuterol (dose pediatric) |
Less than 20kg 1.25mg in 3ml saline via nebulizer More than 20kg 2.5mg in 3ml saline via nebulizer |
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Diazepam/valium/ (class) |
1. Anti-anxiety 2. Anti-convulsant 3. Sedative/hypnotic |
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Diazepam/valium/ (pharm and action) |
Benzodiazepine sedative. Skeletal muscle relaxant reducing tremors and recurrence of seizures. Induces amnesia. |
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Diazepam/valium/ (indications) |
1. Seizures, status epilepticus 2. Pre-med before cardioversion 3. Muscle tremors due to injury 4. Anxiety attack |
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Diazepam/valium/ (contraindications) |
1. Shock 2. Coma 3. Depressed vital signs 4. Neonates
|
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Diazepam/valium/ (side effects) |
1. Hypotension 2. Tachycardia 3. Edema 4. Cardiovascular collapse |
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Diazepam/valium/ (dose adult) |
Seizures 5-10mg IV/IO/IM Anxiety 2-5mg IV/IM Premedication 5-15mg IV/IO |
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Diazepam/valium/ (pedi dose) |
Pedi seizures & anxiety 0.5-2mg IV/IO/IM Pedi premedication 0.2-0.5mg/kg |
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Ipratropium bromide/atrovent/ (class) |
Parasympatholytic (anticholinergic) bronchodilator |
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Ipratropium bromide/atrovent/ (pharm and action) |
1. Acetylcholine antagonist 2. Relaxes bronchiole constriction by blocking parasympathetic responses |
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Ipratropium bromide/atrovent/ (indications) |
1. Asthma (w/ other bronchodilators) 2. COPD |
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Ipratropium bromide/atrovent/ (contraindications) |
1. Hypersensitivity to atrovent, atropine or atropine derivatives 2. Not to be used as the primary treatment for bronchospasm |
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Ipratropium bromide/atrovent/ (side effects) |
1. Dry mouth 2. G.I. distress 3. N/V 4. Nervousness 5. Dizziness 6. Headache 7. Palpitations 8. Blurred vision |
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Ipratropium bromide/atrovent/ (dose) |
Adult 500mcg in 3ml saline nebulized Pedi 250mcg in 3ml saline nebulized |
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Nitroglycerin (class) |
1. Nitrate 2. Anti-anginal |
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Nitroglycerin (pharm and action) |
1. Vasodilitory effects decreasing preload and after load. 2. Relief of coronary artery spasm via dilation |
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Nitroglycerin (indications) |
1. Angina 2. Chest pain suggestive of AMI 3. Pulmonary edema |
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Nitroglycerin (contraindications) |
1. Hypotension 2. Chest trauma 3. Head trauma 4. Cerebral bleeding 5. Increased ICP 6. Use of ED meds 24-72 hrs 7. Hypersensitivity 8. Systolic pressure below 90 |
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Nitroglycerin (side effects) |
1. If hypotension occurs after adminstration give fluid bolus 2. Gain vascular access prior to administration 3. Inferior MI may cause drastic drop in preload 4. Headache 5. Dizziness 6. Tachycardia 7. Feeling flush |
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Nitroglycerin (dose) |
0.4mg tablet or spray sublingual repeat every 5 min until pain subsides Not indicated for pedi |
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Vasopressin (class) |
1. Hormone 2. Vasopressor |
|
Vasopressin (pharm and action) |
1. A hormone with vasoconstrictive and antidiuretic properties. 2. Improves CPR through peripheral vascular resistance. 3. Reduce bleeding from esophageal varices |
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Vasopressin (indications) |
1. Cardiac arrest 2. Esophageal varices |
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Vasopressin (contraindications) |
1. Ischemic heart disease other than cardiac arrest 2. PVCs 3. 1st stage of labor 4. Chronic nephritis with nitrogen retention |
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Vasopressin (side effects) |
1. Hypertension 2. Bradycardia 3. PACs 4. Heart block |
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Vasopressin (dose) |
Cardiac Arrest 40u IV/IO Esophageal Varices 0.2-0.4u/min IV drip |