| Question |
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| Answer |
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| Sodium Bicarb GENERIC NAME |
None |
| Sodium Bicarb BRAND NAME |
Sodium Bicarbonate 8.4% |
| Sodium Bicarb CLASS |
Buffer |
| Sodium Bicarb MECHANISM OF ACTION |
Counteracts existing acidosis |
| Sodium Bicarb INDICATIONS |
Acidosis, drug intoxications (barbiturates, salicylates, methyl alcohol) |
| Sodium Bicarb CONTRAINDICATIONS |
Alkalosis |
| Sodium Bicarb ADVERSE REACTIONS |
Metabolic alkalosis, Hypernatremia, Peripheral edema, Sodium and fluid retention |
| Sodium Bicarb NOTES ON ADMINISTRATION |
none |
| Sodium Bicarb INCOMPATABILITIES/DRUG INTERACTIONS |
Incompatible with other drug infusions. |
| Sodium Bicarb DOSE/ROUTE Adult Dosage Metabolic Acidosis Cardiac arrest |
1 mEq/kg, may repeat at 0.5 mEq/kg in 10 minutes |
| Sodium Bicarb Pediatric Dosage |
1 mEq/kg IV or IO NS Can contribute to acidosis and cause fluid overload |
| Sodium Bicarb ONSET OF ACTION |
Seconds |
| Sodium Bicarb PEAK EFFECTS |
1-2 minutes |
| Sodium Bicarb DURATION OF ACTION |
10 minutes |
| Sodium Bicarb AZ DRUG BOX SUPPLY RANGE |
100 mEq |
| Albuterol GENERIC NAME |
Albuterol |
| Albuterol BRAND NAME |
Proventil, ventolin |
| Albuterol CLASS |
Sympathomimetic, bronchodilator |
| Albuterol MECHANISM OF ACTION |
Binds and stimulates Beta2 receptors, resulting in relaxation of bronchial smooth muscle |
| Albuterol INDICATIONS |
COPD, Asthma, bronchitis |
| Albuterol CONTRAINDICATIONS |
Angioedema, sensitivity to Albuterol or levalbuterol |
| Albuterol ADVERSE REACTIONS |
tremors, dizziness, tachycardia, palpitations, N/V , hyperglycemia, Hypokalemia, HA, and paradoxical bronchospasm. |
| Albuterol NOTES ON ADMINISTRATION |
Pregnancy safety category C. antagonized by beta blockers |
| Albuterol INCOMPATABILITIES/DRUG INTERACTIONS |
Tricyclic antidepressants may potentiate vasculature effects. Beta blockers are antagonistic. May potentiate Hypokalemia caused by diuretics. |
| Albuterol DOSE/ROUTE Adult |
2.5mg. every 20 minutes up to 3 doses. |
| Albuterol DOSE/ROUTE Pediatric >12 years |
0.5mg/kg/hr |
| Albuterol DOSE/ROUTE Pediatric <12 years |
0.15mg/kg every 20min up to 3 doses |
| Albuterol ONSET OF ACTION |
5-15min. |
| Albuterol PEAK EFFECTS |
30min-2hours |
| Albuterol DURATION OF ACTION |
3-4 hours. |
| Albuterol AZ DRUG BOX SUPPLY RANGE |
10mg |
| Decadron GENERIC NAME |
Dexamethasone |
| Decadron BRAND NAME |
Decadron |
| Decadron CLASS |
Corticosteroid |
| Decadron MECHANISM OF ACTION |
Reduces inflammation and Immune responses. |
| Decadron INDICATIONS |
Anaphylaxis, spinal cord injury, asthma, croup, nonresponsive forms of shock |
| Decadron CONTRAINDICATIONS |
Hypersensitivity |
| Decadron ADVERSE REACTIONS |
HTN, Hyperglycemia, edema, N/V, Immunosuppresion |
| Decadron NOTES ON ADMINISTRATION |
Protect from heat |
| Decadron INCOMPATABILITIES/DRUG INTERACTIONS |
Calcium, Metaraminol. |
| Decadron DOSE/ROUTE Adult |
1-6mg/kg slow IV bolus |
| Decadron DOSE/ROUTE Pediatric |
0.25-1mg/kg/dose IV, IO, IM |
| Decadron ONSET OF ACTION |
Hours |
| Decadron PEAK EFFECTS |
8-12 hours |
| Decadron DURATION OF ACTION |
72 hours. |
| Decadron AZ DRUG BOX SUPPLY RANGE |
8mg optional |
| ETOMIDATE GENERIC NAME |
ETOMIDATE |
| ETOMIDATE BRAND NAME |
Amidate |
| ETOMIDATE CLASS |
Sedative/hypnotic agent |
| ETOMIDATE MECHANISM OF ACTION |
Produces hypnosis rapidly causing CNS depression and anesthesia No analgesic effect |
| ETOMIDATE INDICATIONS |
Induction of anesthesia for rapid sequence intubation (RSI) |
| ETOMIDATE CONTRAINDICATIONS |
Hypersensitivity |
| ETOMIDATE ADVERSE REACTIONS |
Hypotension, HTN, Hypoventilation, Hyperventilation, Arrhythmias, respiratory depression, temporary involuntary muscle movement, N/V |
| ETOMIDATE NOTES ON ADMINISTRATION |
none |
| ETOMIDATE INCOMPATABILITIES/DRUG INTERACTIONS |
none |
| ETOMIDATE DOSE/ROUTE ADULT |
0.3 mg/kg IV over 30-60 seconds |
| ETOMIDATE DOSE/ROUTE Peds |
>10 years. Same as adult. |
| ETOMIDATE ONSET OF ACTION |
1 minute |
| ETOMIDATE PEAK EFFECTS |
n/a |
| ETOMIDATE DURATION OF ACTION |
3-5 minutes |
| ETOMIDATE AZ DRUG BOX SUPPLY RANGE |
80mg |
| Solu-Medrol GENERIC NAME |
Methylprednisolone |
| Solu-Medrol BRAND NAME |
Solu-Medrol |
| Solu-Medrol CLASS |
Anti-inflammatory Glucocorticoid |
| Solu-Medrol MECHANISM OF ACTION |
Reduces inflammation by multiple mechanisms. |
| Solu-Medrol INDICATIONS |
Acute spinal cord trauma, anaphylaxis, Asthma, COPD |
| Solu-Medrol CONTRAINDICATIONS |
fungal infections, Cushing’s syndrome, measles, |
| Solu-Medrol ADVERSE REACTIONS |
HA, HTN, Sodium and water retention, CHF, Hypokalemia, N/V |
| Solu-Medrol NOTES ON ADMINISTRATION |
Pregnancy safety not established, crosses the placenta and may cause fetal harm. Not effective if spinal cord injury is greater then 8 hours. |
| Solu-Medrol INCOMPATABILITIES/DRUG INTERACTIONS |
Hypoglycemic responses to insulin and hypoglycemic agents may be blunted. Potassium-depleting agents may exacerbate hypokalemic effects. |
| Solu-Medrol DOSE/ROUTE Adult, Acute spinal cord injury |
30mg/kg IV over 30 minutes followed by an infusion. |
| Solu-Medrol Dose/route Adult asthma and COPD |
1-2mg/kg IV. |
| Solu-Medrol Dose/route Pediatric |
Same as adult |
| Solu-Medrol ONSET OF ACTION |
1-2 hours |
| Solu-Medrol PEAK EFFECTS |
Variable |
| Solu-Medrol DURATION OF ACTION |
8-24 hours |
| Solu-Medrol AZ DRUG BOX SUPPLY RANGE |
250mg |
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Science Vocab 147928
