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Hospital Meds

Acetaminophen; Class Trade Name -Non narcotic analgesic, antipyretic
Acetaminophen; Description Indications -Elevates the pain threshold in the CNS, and acts on the hypothalamic thermoregulatory centers decreasing temperature -fever and mild to moderate pain
Acetaminophen; Contraindications 1. hypersensitivity 2.hepatitis, hepatic/renal dysfunction 3.alchoholism 4.anemia
Acetaminophen; Side effects - Dizziness, anaphylactic reaction, epidermal reactions, hepatic failure, renal failure, thrombocytopenia, diaphoresis and chills
Acetaminophen; Administration Onset /Duration Adult: 325-650 mg PO q 4-6 hrs, 650 mg PR q 4-6 hrs (max 4g/day) Pediatric: 15 mg/kg q 4-6 hrs (PO or PR) (max 2.6 g/day) -30-60 min, 3-4 hrs
Insulin; Class Trade names -Hormone, Hypoglycemic agent -NPH, Humulin, Novolin, Novolog
Insulin; Indications 1. Diabetic Ketoacidosis 2. Patients with severely high BG levels 3. Hyperkalemia
Insulin; Contraindications 1. Hypoglycemia 2. Caution in hypokalemia
Insulin; Side Effects 1.Allergic reactions 2.Headache 3.Hypoglycemia 4.Hypokalemia
Insulin; Administration Onset/Duration Adult/Peds: 10-25 units SQ. Infuse: 0.1 U/kg/hr IV 30 minutes- 1 hr; 2-3 hrs
Meperidine Hydrochloride; Class Trade name -Opioid Analgesic, CNS depressant, Schedule 2controlled substance -Demerol
Meperidine Hydrochloride; Description Depresses pain perception by acting on the opioid receptor in the CNS
Meperidine Hydrochloride; Indication Moderate to severe pain
Meperidine Hydrochloride; Contraindications Hypersensitivity MAO inhibitors within 2 weeks Head injury Abdominal Pain of unknown etiology Hypovolemia
Meperidine Hydrochloride; Side Effects Headache, CNS depression, Respiratory/Cardiovascular Depression, Dry mouth/nausea/vomiting, Flushing/Uticaria/Diaphoresis/Pruitus, Constipation, QT prolongation, Constipation, Pupil constriction(Miosis)
Meperidine Hydrochloride; Administration Onset/Duration Adult: IV 25-50 mg. IM 50-100 mg Pediatrics: 1 mg/kg 5 min IV, 10 min IM; 2-4 hrs
Hydromorphone; Class Trade Name -Synthetic opioid analgesic, CNS depressant, Schedule 2 controlled substance. - Dilaudid
Hydromorphone; Description Centrally acting analgesic that binds to the opiate receptor sites in the CNS. Suppresses cough via suppression of the medulla.
Hydromorphone; Indications Moderate to severe pain. Antitussive.
Hydromorphone; Contraindications 1. Hypersensitivity 2. Head injury 3. Abdominal pain 4. Hypovolemia
Hydromorphone; Side Effects 1. Headache 2. CNS depression 3. Respiratory/Cardiovascular Depression 4. Dry mouth/nausea/vomiting 5. Flushing/uticaria/diaphoresis/pruritus 6. Constipation 7. QT prolongation 8. Pupil constriction (miosos)
Hydromorphone; Administration Onset/Duration Adult: IV 1 mg followed by .5-1 mg q 3-5 min prn IM 2-4 mgq 3-4 hrs. Pediatrics: not recommended - 2-3 min, 3-6 hrs
TDaP: Tetanus toxoid and reduced Diptheria toxoid and Acellular Pertussis
TDap; Class Trade Name - Vaccine Combo - Adacel, Boostrix, Tdap
TDaP; Description Stimulates active immunity to diphtheria, tetanus, and pertussis toxins due to antibody production following exposure to the weakened toxins in the vaccine.
TDaP; Indications Initial vaccination is recommended for all individuals to prevent infection with tetanus, diphtheria, and pertussis. Boosters are recommended every 5-10 years and with each pregnancy.
TDaP; Tetanus (lockjaw) Enviornmentally prevalent bacterium that produces toxins that lead to severe tonic muscle spasms. Early spasms typically effect jaw, face and neck. Full body spasms cause fractures, muscle/tendon rupture, and death from respiratory paralysis.
TDaP; Diphtheria Highly contagious respiratory infection that causes a thick pseudomembrane to form on the lining of the airway passages. Can cause fatal asphyxiation.
TDaP; Pertussis (Whooping Cough) Highly contagious respiratory infection causing upper respiratory symptoms and severe bronchitis with a severe cough. Can cause fatal respiratory failure.
TDaP; Contraindications 1. Anaphylactic reaction to a prior dose, or any of the components. 2. Encephalopathy within 7 days of a previous dose.
TDaP; Side Effects 1. Swelling, redness, rash and pain at injection site 2. Nausea, vomiting, and diarrhea 3. Fever, Chills, body aches, muscle weakness 4. Headache 5. Seizure
TDaP; Administration 0.5 mL IM (typically in the deltoid)
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