atrovent, nos, narcan, verapamil, compazine

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Answer

Compazine GENERIC NAME

Prochlorperazine

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Compazine BRAND NAME

Compazine

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Compazine CLASS

Antiemetic, antipsychotic

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Compazine MECHANISM OF ACTION

Alters the affects of dopamine in the CNS. Possesses significant anticholinergic and alpha-adrenergic blocking activity.

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Compazine INDICATIONS

N/V, psychoses, and anxiety.

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Compazine CONTRAINDICATIONS

Narrow-angle glaucoma, liver or cardiovascular disease, children < 2 years.

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Compazine ADVERSE REACTIONS

Sedation, blurred vision, ECG changes, hypotension, tachycardia

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Compazine INCOMPATABILITIES/DRUG INTERACTIONS

Additive hypotension with antihypertensives, nitrates, or acute ingestion of alcohol.

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Compazine DOSE/ROUTE Adult Antiemetic, Antipsychotic, and Antianxiety IV

2.5-10mg not to exceed 40mg day

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Compazine ONSET OF ACTION

rapid

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Compazine PEAK EFFECTS

Unknown

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Compazine DURATION OF ACTION

4 hours

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Compazine AZ DRUG BOX SUPPLY RANGE

Not carried

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Verapamil GENERIC NAME

Verapamil

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Verapamil BRAND NAME

Isoptin

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Verapamil CLASS

Antiarrhythmic

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Verapamil MECHANISM OF ACTION

Calcium channel blocker. Prolongs av nodal refractory period, dilates coronary arteries, and arterioles.

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Verapamil INDICATIONS

PSVT, PAT, A-fib and A-flutter with RVR

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Verapamil CONTRAINDICATIONS

2nd or 3rd degree AV block, S.S.S., hypotension, CHF, pulmonary edema, wide complex tachycardia, <12 months of age.

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Verapamil ADVERSE REACTIONS

Hypotension, AV block, Bradycardia, Asystole, dizziness, HA, N/V, peripheral edema.

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Verapamil INCOMPATABILITIES/DRUG INTERACTIONS

Increases serum concentration of digoxin. Antihypertensives may potentiate Hypotensive effects.

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Verapamil DOSE/ROUTE Adult

2.5-5mg IV bolus over 2 minutes. Repeat doses of 5-10mg may be given every 15-30 minutes to a maximum of 20mg.

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Verapamil DOSE/ROUTE Pediatric

0.1-0.2 mg/kg/dose IV, IO push over 2 minutes. Repeat dose in 30 minutes if not effective. Don’t use in children <12 months

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Verapamil ONSET OF ACTION

5 minutes

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Verapamil PEAK EFFECTS

Variable

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Verapamil DURATION OF ACTION

60 minutes

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Verapamil AZ DRUG BOX SUPPLY RANGE

10mg

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Nitrous Oxide GENERIC NAME

Nitrous Oxide

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Nitrous Oxide BRAND NAME

Nitronox

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Nitrous Oxide CLASS

Gaseous analgesic and anesthetic

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Nitrous Oxide MECHANISM OF ACTION

Affects cns phospholipids

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Nitrous Oxide INDICATIONS

pain, anxiety, apprehension

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Nitrous Oxide CONTRAINDICATIONS

Decreased LOC, head injury, undiagnosed abdominal pain or marked distention, hypotension, COPD, cyanosis.

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Nitrous Oxide ADVERSE REACTIONS

Dizziness, drowsiness, apnea, cyanosis, N/V, malignant hypothermia, euphoria.

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Nitrous Oxide NOTES ON ADMINISTRATION

NOS increases the incidence of spontaneous abortion.

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Nitrous Oxide INCOMPATABILITIES/DRUG INTERACTIONS

NONE

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Nitrous Oxide DOSE/ROUTE dult and pediatric

pt will inhale deeply through mask or mouth piece.

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Nitrous Oxide ONSET OF ACTION

5 minutes

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Nitrous Oxide PEAK EFFECTS

Variable

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Nitrous Oxide DURATION OF ACTION

5 minutes

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Nitrous Oxide AZ DRUG BOX SUPPLY RANGE

50/50 mix nos and oxygen. (optional)

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Atrovent GENERIC NAME

IPRATROPIUM BROMIDE

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Atrovent BRAND NAME

Atrovent

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Atrovent CLASS

anticholinergic, bronchodilator

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Atrovent MECHANISM OF ACTION

Anticholinergic (Parasympatholytic) agent appears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholine.

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Atrovent INDICATIONS

bronchospasm assoc. with COPD. To be used either alone or in combination with albuterol.

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Atrovent CONTRAINDICATIONS

hypersensitivity to Atrovent or to atropine and its derivatives. used with caution in narrow angle glaucoma.

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Atrovent ADVERSE REACTIONS

Coughing, Dizziness, Tremor, Nervousness, Nausea

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Atrovent NOTES ON ADMINISTRATION

None

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Atrovent INCOMPATABILITIES/DRUG INTERACTIONS

None.

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Atrovent DOSE/ROUTE

500 mcg in 2.5 ml NS via SVN

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Atrovent ONSET OF ACTION

15 minutes

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Atrovent PEAK EFFECTS

2hours

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Atrovent DURATION OF ACTION

8hours

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Atrovent AZ DRUG BOX SUPPLY RANGE

5ml.

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Narcan GENERIC NAME

Naloxone Hydrochloride

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Narcan BRAND NAME

Narcan

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Narcan CLASS

Narcotic antagonist

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Narcan MECHANISM OF ACTION

Competitive inhibition at narcotic receptor sites.

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Narcan INDICATIONS

Narcotic overdoses

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Narcan CONTRAINDICATIONS

Use with caution in narcotic dependent patients.

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Narcan ADVERSE REACTIONS

Withdrawal symptoms, N/V, diaphoresis, tachycardia, hypertension.

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Narcan INCOMPATABILITIES/DRUG INTERACTIONS

Incompatible with bisulfite and alkaline solutions.

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Narcan DOSE/ROUTE Adult:

2.0 mg IV, IM, SC, or ET. Repeat every 5 minutes to a max of 10mg.

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Narcan DOSE/ROUTE Peds

0.1 mg/kg/dose IV, IM, SC, ET. Max dose of 0.8mg. May repeat once in ten minutes if needed.

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Narcan ONSET OF ACTION

2minutes

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Narcan PEAK EFFECTS

Variable

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Narcan DURATION OF ACTION

60 minutes

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Narcan AZ DRUG BOX SUPPLY RANGE

10mg

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Created by: klindley