| Question |
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| Answer |
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| BUMETANIDE GENERIC NAME |
BUMETANIDE |
| BUMETANIDE BRAND NAME |
Bumex |
| BUMETANIDE CLASS |
Loop diuretic |
| BUMETANIDE MECHANISM OF ACTION |
Inhibits electrolyte reabsorption. |
| BUMETANIDE INDICATIONS |
Pulmonary edema, CHF |
| BUMETANIDE CONTRAINDICATIONS |
Hypersensitivity, Anuria, Electrolyte deficiencies, Hepatic coma. |
| BUMETANIDE ADVERSE REACTIONS |
Dizziness , headache, Hypotension, ECG changes, N/V, ringing in the ears. |
| BUMETANIDE INCOMPATABILITIES/DRUG INTERACTIONS |
Lithium toxicity may be potentiated by electrolyte depletion. Potentiates effects of various antihypertensive drugs |
| BUMETANIDE DOSE/ROUTE Adult |
0.5 to 1.0 mg IV slowly over 1 to 2 minutes, or IM |
| BUMETANIDE ONSET OF ACTION |
IV Immediate |
| BUMETANIDE PEAK EFFECTS |
IV 15-30 minutes |
| BUMETANIDE DURATION OF ACTION |
2-4 hours |
| BUMETANIDE AZ DRUG BOX SUPPLY RANGE |
4mg |
| Promethazine GENERIC NAME |
Promethazine |
| Promethazine BRAND NAME |
Phenergan, |
| Promethazine CLASS |
Antiemetics, antihistamine, sedative/hypnotics |
| Promethazine MECHANISM OF ACTION |
Decreases N/V by antagonizing H1 receptors |
| Promethazine INDICATIONS |
Treatment and prevention of N/V |
| Promethazine CONTRAINDICATIONS |
Narrow-angle glaucoma, children less then 2yr. |
| Promethazine ADVERSE REACTIONS |
Confusion, disorientation, sedation, dizziness, nervousness. Blurred vision, diplopia. |
| Promethazine INCOMPATABILITIES/DRUG INTERACTIONS |
Potentiates other CNS depressants, Potentiates other drugs possessing anticholinergic properties. |
| Promethazine DOSE/ROUTE Adult antihistamine IV |
25mg, may repeat in 2hr. |
| Promethazine DOSE/ROUTE Adult antiemetic IV |
25mg Q4hr PRN. |
| Promethazine DOSE/ROUTE Peds antihistamine IV |
Not recommended |
| Promethazine DOSE/ROUTE Peds antiemetic IV |
0.25-0.5 mg/kg q 4-6 hours |
| Promethazine ONSET OF ACTION |
IV 5 minutes |
| Promethazine PEAK EFFECTS |
Unknown |
| Promethazine DURATION OF ACTION |
12 hours |
| Promethazine AZ DRUG BOX SUPPLY RANGE |
Not carried |
| Thiamine GENERIC NAME |
None |
| Thiamine BRAND NAME |
Thiamine |
| Thiamine CLASS |
Vitamin B1 |
| Thiamine MECHANISM OF ACTION |
Combines with ATP to form thiamine pyrophosphate coenzyme, a necessary component for carbohydrate metabolism. Thiamine INDICATIONS |
| Thiamine CONTRAINDICATIONS |
None |
| Thiamine ADVERSE REACTIONS |
Hypotension from to rapid of an injection or to high of a dose, diaphoresis, N/V. |
| Thiamine INCOMPATABILITIES/DRUG INTERACTIONS |
Give thiamine before glucose under all circumstances. |
| Thiamine DOSE/ROUTE Adult |
100mg slow IV, or IM |
| Thiamine DOSE/ROUTE Pediatric |
25mg slow IV, or IM |
| Thiamine ONSET OF ACTION |
Rapid |
| Thiamine PEAK EFFECTS |
Variable |
| Thiamine DURATION OF ACTION |
Variable |
| Thiamine AZ DRUG BOX SUPPLY RANGE |
100mg |
| Diazepam GENERIC NAME |
Diazepam |
| Diazepam BRAND NAME |
Valium |
| Diazepam CLASS |
Benzodiazepine, sedative hypnotic, anticonvulsant |
| Diazepam MECHANISM OF ACTION |
Potentiates effects of inhibitory neurotransmitters. Raises seizure threshold. Induces amnesia and sedation. |
| Diazepam INDICATIONS |
anxiety, alcohol withdrawal, muscle relaxant, seizure activity, agitation. Analgesia for medical procedures. |
| Diazepam CONTRAINDICATIONS |
glaucoma, coma, shock, substance abuse, head injury |
| Diazepam ADVERSE REACTIONS |
Respiratory depression, hypotension. Drowsiness, nausea, confusion, |
| Diazepam INCOMPATABILITIES/DRUG INTERACTIONS |
Incompatible with most drugs, fluids. |
| Diazepam DOSE/ROUTE Adult, seizure activity |
5-10mg IV q 10-15 minutes prn. Max dose 30mg. |
| Diazepam DOSE/ROUTE Adult, cardioversion sedation |
5-15mg IV over 5-10 minutes prior to cardioversion. |
| Diazepam DOSE/ROUTE Pediatric, seizure activity |
0.2-0.5mg slowly q 2-5 minutes up to 5mg. max dose 10mg/kg. |
| Diazepam DOSE/ROUTE Pediatric, rectally |
0.5 mg/kg via 2’’ rectal catheter and flush with 2-3ml of air after administration. |
| Diazepam ONSET OF ACTION |
5 minutes |
| Diazepam PEAK EFFECTS |
minutes |
| Diazepam DURATION OF ACTION |
50 minutes |
| Diazepam AZ DRUG BOX SUPPLY RANGE |
20mg. Rectal 20mg (optional) |
| Morphine GENERIC NAME |
Morphine Sulfate |
| Morphine BRAND NAME |
Astramorph/pf |
| Morphine CLASS |
Opioid analgesic (schedule II narcotic) |
| Morphine MECHANISM OF ACTION |
Alleviates pain through CNS action, Suppresses fear and anxiety centers in brain |
| Morphine INDICATIONS |
CHF, pulmonary edema, chest pain associated with acute MI, analgesia for pain |
| Morphine CONTRAINDICATIONS |
depressed respiratory drive, hypotension, undiagnosed abdominal pain, decreased LOC, Shock, |
| Morphine ADVERSE REACTIONS |
Respiratory depression, hypotension, decreased LOC, N/V, Bradycardia, tachycardia, syncope |
| Morphine INCOMPATABILITIES/DRUG INTERACTIONS |
CNS depressant may potentiate effects of morphine. MAOIs may cause paradoxical excitation. |
| Morphine DOSE/ROUTE Adult Initial dose |
2-4 mg IV. |
| Morphine DOSE/ROUTE Repeat dose |
2-8 mg at 5-15 minute intervals. |
| Morphine DOSE/ROUTE Pediatric |
.1-.2 mg/kg per dose via IV. IO. IM, or SC; Maximum dose of 5mg. |
| Morphine ONSET OF ACTION |
Immediate |
| Morphine PEAK EFFECTS |
20 minutes |
| Morphine DURATION OF ACTION |
7 hours |
| Morphine AZ DRUG BOX SUPPLY RANGE |
20mg |
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