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MFR#2
Pharmacology
Question | Answer |
---|---|
A synthetic catecholamine and beta agent that increases strength of cardiac contraction w/o appreciably increasing rate. | Dobutamine (Sympathomimetic) |
Indicated to increase cardiac output in CHF/cardiogenic shock. | Dobutamine (Sympathomimetic) |
Contraindicated for V-Tach and hypovolemia w/o fluid resuscitation. | Dobutamine (Sympathomimetic) |
Precautioned for A-Fib or preexisting hypertension. | Dobutamine (Sympathomimetic) |
Dosage of 2-20mcg/kg/min IV titrated to effect. | Dobutamine (Sympathomimetic) |
A naturally occuring catecholamine that increases cardiac output w/o increasing myocardial O2 consumption. | Dopamine (Sympathomimetic) |
Maintains renal and mesenteric blood flow while inducing vasoconstriction and increasin systolic BP. | Dopamine (Sympathomimetic) |
Indicated for Nonhypovolemic hypotension (70-100mmHg) and cardiogenic shock. | Dopamine (Sympathomimetic) |
Contraindicated for hypovolemic hypotension w/o aggressive fluid resusitation, tachydysrhythmias, V-Fib, pheochromocytoma. | Dopamine (Sympathomimetic) |
Precautioned for occlusive vascular disease, cold injury, arterial embolism. | Dopamine (Sympathomimetic) |
Ensure adequate fluid ressuscitation of hypovolemic pt. | Dopamine (Sympathomimetic) |
Naturally occuring catecholamine that increases HR, cardiac contractile force, myocardial electrical activity, systemic vascular resisance, and systolic BP. | Epinephrine (Sympathomimetic) |
Naturally occuring catecholamine that decreases overall airway resistance and automaticity. | Epinephrine (Sympathomimetic) |
Through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity. | Epinephrine (Sympathomimetic) |
Indicated to restore rhythm in cardiac arrest and sever allergic reactions. | Epinephrine (Sympathomimetic) |
Contraindicated for Narrow-angle glaucoma, hemorrhagic-traumatic-cardiac shock, coronary insufficiency. | Epinephrine (Sympathomimetic) |
Contraindicated for dysrhythmias, organic brain-heart disease, during labor. | Epinephrine (Sympathomimetic) |
Cautioned for elderly or debilitated pts, hypertension, diabetes, hyperthyroidism, Parkinson's, TB, asthma, emphysema, kids<6. | Epinephrine (Sympathomimetic) |
Dosage: Arrest: 1mg 1:10,000 IV q 3-5min PED: 0.01mg/kg 1:10,000 IV/IO q 3-5min | Epinephrine (Sympathomometic) |
Dosage: Allergic: 0.3-0.5mg 1:1,000 SQ/IM q 5-15min prn OR .5-1mg of 1:10,000 IV if SQ ineffective or severe reaction. | Epinephrine (Sympathomimetic) |
Dosage: Allergic: PED: 0.01mg/kg of 1:1,000 SQ q 10-15min OR 0.01mg/kg of 1:10,000 IV if SQ ineffective or severe reaction. | Epinephrine (Sympathomimetic) |
Potent synthetic narcotic analgesic similar to morphine & meperidine with a more rapid and less prolonged action. | Fentanyl (Narcotic Analgesic) |
Indicated to induce sedation for ET placement and moderate to severe pain. | Fentanyl (Narcotic Analgesic) |
Contraindicated for MAOI within the last 14 days, myasthenia gravis. | Fentanyl (Narcotic Analgesic) |
Cautioned for increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic/renal insufficiency. | Fentanyl (Narcotic Analgesic) |
Dosage: 25-100mcg slow IV (2-3min) PED: 2mcg/kg slow IV/IM. | Fentanyl (Narcotic Analgesic) |
A benzodiazapine antagonist used to reverse the sedative, recall, and psychomotor effects of diazepam, midazolam and other diazapines. | Flumazenil (Benzodiazepine Antagonist) |
Indicated for respiratory depression secondary to the benzodiazepines. | Flumazenil (Benzodiazepine Antagonist) |
Contraindicated for pts taking flumazenil for status epilepticus or seizures, seizure-prone pts during labor/delivery, and tricyclic antidepressant OD. | Flumazenil (Benzodiazepine Antagonist) |
Cautioned for hepatic impairment, elderly, pg or nursing mothers, head injury, alcohol and drug dependency, physical dependence on benzodiazepines. | Flumazenil (Benzodiazepine Antagonist) |
Dosage: 0.2mg IV/15sec, repeat at 0.3mg/30sec, if no response then 0.5mg/30sec q min till affect or 3mg. | Flumazenil (Benzodiazepine Antagonist) |