Reading...
Play button
Play button
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;
5 Cards in this Set
- Front
- Back
|
Abciximab
(ReoPro) |
Class: Antithrombotic; Antiplatelet
MOA: Inhibits platelet aggregation by preventing Fibrinogen and other adhesive molecules from binding with receptor sites on active platelets. Indications: Prevention of cardiac ischemic complications. Contraindications: Active internal bleeding; Recent GI/GU bleed; Stroke within last 2 years; Thrombocytopenia; Intracranial neoplasm; Vasculitis. Dosage (adult): 250 mcg/kg, IV bolus followed with maintenance dose of 10 mcg/min for 18-24 hours. Side Effects: Bleeding; Thrombocytopenia; Rales; Pleural effusion; Bronchospasm; Pulmonary embolism. Interactions: Anticoagulants, NSAIDs, Dipyridamole, Ticlopidine, and Dextran may increase risk of bleeding. Onset: Immediate Duration: 48 hours. Pregnancy Class: C Additional Precautions: Monitor for signs of bleeding at all potential sites. |
|
|
Acetaminophen
(Tylenol) |
Class: Analgesic; Antipyretic
MOA: Produces analgesia by elevation of pain threshold and antipyresis through action on hypothalamic heat regulating center. Indications: Temp. reduction of fever and mild/moderate pain. Contraindications: Hypersensitivity; Children < 3yo Dosage (adult): 325-650 mg, PO, every 4-6 hrs. Dosage (pediatric): 15 mg/kg, PO, every 4-6 hrs. Side Effects (poisoning): Nausea/Vomiting; Epigastric pain; Diarrhea; Coma; Diaphoresis; Hypoglycemia. Interactions: None Onset: 30 min Duration: 3-4 hrs. Pregnancy Class: A Additional Precautions: Consumption of alcohol or malnutrition increase risk for hepatoxicity. |
|
|
Activated Charcoal
|
Class: Absorbant
MOA: Binds to toxic substances, inhibiting absorption. Indications: Acute ingested poison. Contraindications: Poisoning via Cyanide, Mineral acids, Caustic alkalies, Organic solvents, Heavy metals, Ethanol, and Methanol. Dosage (all): 1 g/kg, mixed with 6-8 oz water, PO/NG Side Effects: Nausea/Vomiting; Abdominal cramping; Bloating; Constipation; Diarrhea (from additives). Interactions: My decrease absorption of other oral medications. Administer at least 2 hrs apart. Onset: Immediate. Duration: Unknown Pregnancy Class: C Additional Precautions: Most effective when administered ASAP. Within 30 min of ingestion of toxin is preferable. |
|
|
Adenosine
(Adenocard) |
Class: Antidysrhythmic
MOA: Slows conduction time through AV node. Indications: Conversion of PSVT to sinus rhythm. Contraindications: Preexisting AV block; Sinus node disease in absence of pacemaker. Dosage (adult): 6 mg rapid IV. Follow with rapid IV flush. May repeat in 1-2 min at 12 mg. Dosage (pediatric): 0.1 mg/kg rapid IV. Follow with rapid IV flush. May repeat in 1-2 min at 0.2 mg/kg. Side Effects: Flushing; Palpitations; A-fib/flutter; Chest pain; Hypotension; SOB; Dyspnea; Numbness; Blurred vision; Nausea/Vomiting; Metallic taste; Transient asystole. Interactions: Antagonized by Methylxanthines (caffeine, theophylline, etc); Potentiated by Dipyridamole; Carbamazepine may increase degree of produced heart block. Onset: 20-30 sec Duration: 10-20 sec Pregnancy Class: C Additional Precautions: Monitor ECG, BP, and HR every 15-30 sec for several minutes following administration. |
|
|
Albuterol
(Proventil; Ventolin) |
Class: Sympathomimetic bronchodilator
MOA: Causes relaxation of smooth muscles of bronchial tree, decreasing airway resistance and facilitating mucus drainage. Indications: Relief of bronchospasm in patients with reversible obstructive airway disease; Acute bronchospasm. Contraindications: Hypersensitivity Dosage (adult): 2.5 mg in 3 ml NS, Neb Dosage (pediatric): 0.15 mcg/kg in 3 ml NS, Neb Side Effects: Tremor; Anxiety; Nausea; Nasal congestion; Palpitations; Tachycardia; Hypertension; Cough. Interactions: Other sympathomimetics (such as epinephrine), MAOIs, and Tryciclic antidepresants may potentiate effects; Beta-blocking agents will antagonize effects. Onset: 5-15 min Duration: 3-6 hrs Pregnancy Class: C Additional Precautions: Children 2-6 yo are more prone to CNS stimulation (hyperactivity, excitement, etc) and GI symptoms. |
