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MFR#4
Pharmacology
| Question | Answer |
|---|---|
| A short acting synthetic steroid that inhibits histamine formation, storage, and release from mast cells, reducing allergic response | Hydrocortisone |
| Used for inflammation during allergic reactions, sever anaphylaxis, asthma, COPD | Hydrocortisone |
| Contraindicated for hypersensitivity to glucocorticoids. | Hydrocortisone |
| Has limited precautions in acute care | Hydrocortisone |
| Dosage of 40-250mg IV/IM | Hydrocortisone |
| PED dosage of 4-8 mg/kg IV/IM divided over 24hrs. | Hydrocortisone |
| NSAID | Ibuprofen |
| Is the prototype NSAID with significant analgesic and antipyretic properties. | Ibuprofen |
| Inhibits platelet aggregation and increases bleeding time. | Ibuprofen |
| Used to reduce fever and relieve minor to moderate pain. | Ibuprofen |
| Contraindicated for sensitivity to aspirin or other NSAIDS, active peptic ulcer, bleeding abnormalities. | Ibuprofen |
| Cautioned for GI ulceration, hepatic/renal impairment, cardiac decompensation. | Ibuprofen |
| Dosage of 200-800mg PO q 4-6hrs up to 120mg/day. | Ibuprofen |
| PED dosages is 5-10mg/kg PO q 4-6hrs up to 40mg/kg/day. | Ibuprofen |
| A naturally occuring protein that promotes the uptake of glucose by the cells. | Insulin |
| Indicated for hyperglycemia and diabetic coma. | Insulin |
| Contraindicated for hypersensitivity and hypoglycemia. | Insulin |
| Dosage of 5-10 units IV/IM/SC | Insulin |
| PED dosage of 2-4 units IV/IM/SC | Insulin |
| A gastric irritant and acts on the emetic centers of the medulla to induce vomiting. | Ipecac Syrup |
| Emesis usually occurs with in 5-10 min. | Ipecac Syrup |
| Indicated for poisoning and overdose. | Ipecac Syrup |
| Contraindicated for reduced LOC,and ingestion of: corrosive, petroleum distillate, alkali, antiemetic (especially phenothiazine. | Ipecac Syrup |
| Monitor the airway and have suction ready. | Ipecac Syrup |
| Administer activated charcoal only after emesis. | Ipecac Syrup |
| Cautioned for heart disease pts. | Ipecac Syrup |
| 30mL PO, followed by 1-2 glasses of water, repeat in 20 mins prn | Ipecac Syrup |
| PED dosage of 15mL PO followed by 1-2 glasses of water, repeat in 20 min prn. | Ipecac Syrup |
| Atrovent | Ipratropium |
| Anticholinergic | Ipratropium |
| A bronchodilator used in treatment of respiratory emergencies that causes bronchial dilation. | Ipratropium |
| Dries respiratory tract secretions by blocking acetylcholine receptors. | Ipratropium |
| Indicated for bronchospasms associated with asthma, COPD, inhaled irritants. | Ipratropium |
| Contraindicated for hypersensitivity to atropine or its derivitives, or as a primary treatment for acute bronchospasm. | Ipratropium |
| Cautioned in elderly, cardiovascular diseas, hypertension. | Ipratropium |
| Dosage is 500mcg in 2.5-3mL NS via Neb | Ipratropium |
| Dosage of 2 sprays from MDI | Ipratropium |
| PED dosage of 125-250mcg in2.5-3mL NS via Neb. | Ipratropium |
| 1-2 sprays from MDI | Ipratropium |