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;
50 Cards in this Set
- Front
- Back
Albuterol
|
Wheezing associated with asthma
COPD ( emphysema) Chronic bronchitis |
|
Albuterol
|
Adult- (2.5-5 mg) in 3 ml nebulized
Max up to 10 mg Pediatric-(1.25-2.5 mg) in 3 ml nebulized Max up to 5 mg |
|
Albuterol
|
Beta adrenergic agents- potentates the effects
|
|
Albuterol
|
MAO inhibitors- may lead to hypertensive crisis
|
|
Albuterol
|
Sympathomimetic, Beta 2 selective adrenergic bronchodilator
|
|
Diazepam (Valium)
Midazolam (Versed) |
Anticonvulsant,anti-anxiety,sedative, muscle relaxant
|
|
Diazepam (Valium)
Midazolam (Versed) |
Controls seizures
Sedation for cardio version Used with paralysis to help intubation Skeletal Muscle Relaxant |
|
Diazepam (Valium)
Midazolam (Versed) |
Contraindication:
Hypersensitivity CNS depression |
|
Diazepam (Valium)
|
Adult: 2-20 mg IV/IO, slow push with running fluid
Pediatric: 0.05-1mg/kg IV/IO |
|
Rectal dose 0.5 mg/kg, if no venous access available
|
Diazepam (Valium)
|
|
Antihistamine, H-1 blocker
|
Diphenhydramine HCL (Benadryl)
|
|
Allergic reactions
Anaphylaxis Motion sickness Antiemetic |
Diphenhydramine HCL (Benadry)
|
|
Adult-12.5-50 mg,slow IV/IO
Pediatric- 1 mg/kg, slow IV/IO |
Diphenhydramine HCL (Benadryl)
|
|
Diphenhydramine
|
Contraindication:
Acute Asthma |
|
Used in conjunction with albuterol and epinephrine during a asthma attack or allergic reaction
|
Diphenhydramine HCL (Benadryl)
|
|
Epi 1:1000
|
Severe Bronchospasm
Bronchospasm unresponsive to albuterol Anaphylaxis |
|
Adult- 0.3 mg SQ or IM
Pediatric-0.01mg/kg SQ or IM |
Epi 1:1000
|
|
Epi 1:1000
|
Sympathomimetic
|
|
When used for allergic reactions,increased cardiac workload can precipitate angina or AMI in susceptible individuals
|
Epi1:1000
|
|
Epi 1:1000
|
Adult-0.1mg (1:10,000) IV/IO over 5 minutes. Infuse at 1-4mcg/ min
Pediatric-max dose of 0.3mg/dose |
|
CNS depressant, electrolyte, smooth muscle relaxant
|
Mag sulfate
|
|
Mag sulfate
|
Initial treatment for seizures
Acute asthma, when effects of beta adrenergic medications have not worked |
|
Acute asthma- (1-2 gm) slow IVP or IO, or IV infusion over 10 minutes
|
Mag sulfate
|
|
Contraindication:
Hypermagnesemia Hypocalcemia Anuria Heart blocks |
Mag sulfate
|
|
Mag sulfate
|
Monitor deep tendon reflexes often, especially in patients recieveing maintenance infusion
|
|
Corticosteroid
Reactive airway disease with no response to albuterol and other treatments |
Methylprednisolone
|
|
Methylprednisolone
|
Anti- inflammatory, immunosuppressant
|
|
Adults-125-250 mg IV q. 6 hours
Pediatrics-1-2 mg/kg q. 6 hours |
Methylprednisolone
|
|
Adverse effects-hyperglycemia, psychosis
|
Methylprednisolone
|
|
Diazepam(Valium), Lorazepam (Ativan), Midazolam (Versed)
|
Benzodiazepines
|
|
Midazolam (Versed)
|
Adult:1-5mg IVP, slow (over 2 minutes) with running IV
Pediatric: 0.05-0.1mg/kg IV or IO |
|
Has a short half life, additional doses may be needed
|
Midazolam (Versed)
|
|
Diazepam (Valium)
Midazolam (Versed) |
Primary purpose of sedation to faccilitate placement of advanced airway
|
|
Synthetic Corticosteroid
|
Prednisone
|
|
Prednisone
|
Exacerbated Asthma
|
|
Contraindication:
Systemic Fungal infection |
Prednisone
|
|
Adult:1mg/kg to a max dose of 60mg PO
|
Prednisone
|
|
Suppresses the immune system and causes retention of sodium and fluids
|
Prednisone
|
|
May increase requirements for insulin in diabetic patients
|
Prednisone
|
|
Dexamethasone (Decadron)
|
Anti-inflammatory, immunosuppressant
|
|
Brain injury associated with trauma-CONTACT MCEP
|
Dexamethasone (Decadron)
|
|
Indicated for reactive airway disease with no response to Albuterol or other treatments
|
Dexamethasone (Decadron)
|
|
Dexamethasone (Decadron)
|
Corticosteroid
Adults: 4-10mg PO/IV/IM Pediatrics: 0.6mg/kg (range 0.15-1.0mg/kg) PO/IV/IM |
|
Contraindications:
Hypersensitvity Hypothyroidism,thromboembolic disorders, active infection |
Dexamethasone (Decadron)
|
|
Atrovent
|
Ipratroprium
|
|
Ipratroprium (Atrovent)
|
Anticholinergic
|
|
1.Bronchial Asthma
2.Reversible bronchospasm associated with chronic bronchitis and emphysema |
Ipratroprium (Atrovent)
|
|
Should be used with beta agonist therapy;
Adults: 1-2 inhalations via metered dose inhaler (250-500mcg via nebulization) |
Ipratroprium (Atrovent)
|
|
Contraindication:
Hypersensitivity to drug, especially with Atropine products, soy and peanuts |
Ipratroprium (Atrovent)
|
|
Ipratroprium (Atrovent)
|
1.Vital signs must be monitored during therapy
2.Caution when used with elderly patients and those with cardiovascular disease or hypertension |