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IntraV

QuestionAnswer
Action of Adenosine? Restores normal SR by interrupting re entrant pathways in the AV node/ also produces coronary artery vasodilatation
Other name for Adenosine? Adenocard
Dose of Adenosine? 6mg IVP then 12 mg IVP x 2 at 1-2 minute intervals
Rate of Adenosine? Rapid IVP over 1-2 minutes
Nursing Considerations with Adenosine? Cardiac monitor; may produce transient heart block, asystole or chest pain; portable bedside cardiac monitor should be used during administration of medication
Action of Albumin? Provides colloidal oncotic pressure, which serves to mobilize fluid from extravascular tissues back into the intravascular space
Therapeutic effect of albumin? increases the intravascular fluid volume
What does the administration of albumin require? concurrent administration of appropriate crystalloid
Dose of Albumin? 25-125 gms over 24 hrs in divided doses
Rate of Albumin? 60 ml/hr
Do not exceed what rate of albumin in hypovolemic shock? 180ml/hr
Nursing considerations with Albumin? I &Os
Action of Amicar? useful in enhancing homeostasis when fibrinolysis contributes to bleeding. In life- threatening situations, transfusion of appropriate blood products and other emergency measures may be required
Other name for Amicar? Aminocaproic
Dose of Amicar? Loading dose:4-5 grams, continuous IV 1 gm/hr
Rate of Amicar ? loading dose over 1 hr, cont IV 1 gm/hr
Nursing considerations with Amicar? infusion pump;doses over 30 gm per day not recommended
Action of Amiodarone? Cordarone, Pacerone
Dose of Amiodarone ? loading dose: 150mg then 360mg over
Rate of Amiodarone? Loading dose: 150 mg then 360mg over next 6 hrs. Maintenance dose 0.5 mg/ml/min x 18 hrs
Amount of Amiodarone for cardiac arrest? 300 mg IVP, may repeat with 150 mg in 3-5 min
Action of Apresoline? Direct acting peripheral arteriolar vasodilator; lowering of blood pressure in hypertensive pts and decreased afterload in pts with CHF
Other name for Apresoline? Hydralazine
Dose of Apresoline? 10-20 mg IVP may be repeated q 4-6 hrs. prn
Rate of Apresoline? IVP given slowly
Nursing considerations of Apresoline? Monitor for orthostatic hypotension
Action of Amrinone?
Other name for Incor? Amrinone
Dose of Incor? loading dose 0.75mg/kg; continuous IV 5-10 mcg/kg/min
Rate of Incor? IVP over 5 min; IV injection not to exceed 1 mg/min
Nursing considerations of Incor? Check apical pulse before administration; notify MD id slower then 60/mn;moniyot BP frequently
Which receptor sites do Atenolol effect? Blocks stimulation of B1 (myocardial) adrenergic receptors. Does not usually affect B2 ( pulmonary, vascular, uterine) receptor sites
Action of Atenolol? Decreased BP and HR; Decreased frequency of attacks; Prevention of MI
Other name for Atenolol? Tenormin
Dose of Atenolol? 5 mg IVfollowed by another 5 mg 10 minutes later
Rate of Atenolol ? IVPP over 5 min; IV injection not to exceed 1 mg/min
Nursing considerations of Atenolol? Check apical pulse before administration; notify MD if 60/min; monitor BP frequently slower than
Action of Ativan? Sedation, decreased anxiety and decreased seizures (depresses the CNS, probably by potentiating GABA, an inhibitory neurotransmitter)
Other name for Ativan? Lorazepam
Dose of Ativan? 2-4 mg IVP; May be repeated q 10-15 minutes to a total of 10 mg
Rate of Ativan? IVP 2 mg/min
Action of Atropine? Inhibits the action of acetylcholine at postganglionic sites in the smooth muscle, secretory glands and CNS (antimuscarinic activity)
Low doses of Atropine result in? Decreased sweating, salivation and resp secretions; Intermediate doses of Atropine result in?
Larger doses of Atropine result in? GI and GU tract motility are decreased
Therapeutic effects of Atropine are? Increased HR, Decreased GI and Resp secretions, Reversal of muscarinic effects; may have a spasmolytic action on the biliary and GU tracts
Dose of Atropine? 0.5-1mg IVP
Rate of Atropine? rapid IVP
Nursing considerations of Atropine? PO atropine doses are usually given 30 min b4 meals
Action of Benadryl? may be repeated q 3-5 minutes for total of .04 mg/kg (3mg average)
Other name for Benadryl? Diphenhydramine
Dose of Benadryl? 25-100 mg IVP
Rate of Benadryl? IVP over 1-5min
Max dose for Benadryl? 400 mg per day
Action of Esmolol? Decreased HR, AV conduction
Esmolol blocks stimulation of which receptors? B1 (myocardial) adrenergic receptors, usually doesn’t effect B2 (pulmonary, vascular, or uterine receptors
Other name for Esmolol? Brevibloc
Dose of Esmolol? Different Concentrations of Esmolol….DON’T CONFUSE, RESULT MAY BE FATAL; Loading dose:500mcg/kg/min for 1 min then 50 mcg/kg/min for 4 min; continuous IV:25-200 mcg/kg/min
Nursing considerations for Esmolol? infusion pump; may increase serum digoxin level
Action of Bumex? Inhibit the reabsorption of Na and Cl for the loop of Henle and distal renal tubule; Increase renal excretion of H2O, Na, Cl, Mg, Hydrogen, and Ca
Other name for Bumex? Bumetanide
Dose of Bumex? 0.5-1 mg IVP
Rate of Bumex? IVP over 1-2 minutes; IVMS over 15minutes
Nursing considerations for Bumex? mix metriset in 50 ml of D5W/ NS/ RL; not to exceed10 mg/day except for renal patients; may be repeated
Action of Calcium Chloride? Activator in the transmission of nerve impulses and contraction of cardiac, skeletal, and smooth muscle; essential for bone formation and blood coagulation, maintain cell membrane and capillary permeability, essential or nervous and skeletal systems
Dose of Calcium Chloride? 500 mg – 1 GM IVP
Rate of Calcium Chloride? not to exceed 1 ml/min
Nursing considerations for Calcium Chloride? caution with digitaized patient
Action of Cardizem? Systemic dilation results in decreased BP; Coronary dilation results in less freq and severity of angina attacks; Supress arrhythmias(Inhibits Ca into myocardial and vascular smooth muscle cells; resulting in inhibition of excitation contraction coupling
Other name for Cardizem? Diltiazem
Dose of Cardizem? loading dose:0.25 mg/kg then 0.35 mg/kg in 15 minutes; continuous Iv: 5-15 mg/hr
Rate of Cardizem ? loading dose over 2 minutes
Nursing considerations for Cardizem? mc 125 mg of cardizem in 100 ml of diluent for a final concentration of 125 mg/ 125 ml; cardiac monitor; incompatible with Lasix
Action of Compazine? Diminished N&V; Diminished signs of psychoses or anxiety
(Alters the effects of dopamine in the CNS; Possesses significant anticholinergic and alpha adrenergic blocking activity; Depresss the chemoreceptor trigger zone (CTZ) in the CNS)
Other name for Compazine? Prochlorperazine
Dose of Compazine? 2.5-10 mg not to exceed 40 mg daily
Rate of Compazine not to exceed? 5 mg/min
Action of DDAVP? Prevention of nocturnal enuresis; maintenance of appropriate body H2O content in Diabetes Insipidus (An analogue of naturally occurring vasopressin (ADH) Primary action is enhanced reabsorption of H2O in the kidneys
Other name for DDAVP? Desmopressin
Dose of DDAVP (anti-hemorrhagic)? 0.3mcg/kg
Dose of DDAVP (anti-diuretic)? 0.5-1ml daily in 2 divided doses
Rate of DDAVP? IVMS infusion over 15 -30 min
Nursing considerations for DDAVP? when used as an antihemorrhagic, should be mixed in 50 ml of NS and infused as a metriset; antidiuretic dose given as a IVP
Action of Dexamethasone? decreased inflammation and the normal immune response, suppresses adrenal function at chronic doses..used for replacement therapy in adrenal insufficiency
Other name for Dexamethasone? corticosteroids
Dose of Dexamethasone? 2-10 MG
Rate of Dexamethasone? RAPID IV or IVMS over 30 minutes
Nursing considerations for Dexamethasone? SHOULDN’T BE D/C’D ABRUPTLY
Action of Dextrose? Prevention and tx for hypoglycemia
Dose of Dextrose 50%? 50 ml (1 amp) IVP
Rate of Dextrose? rapid IVP
Action of Diazepam? Relief anxiety; Sedation; Amnesia (depresses CNS, potentiating GABA, an inhibitory neurotransmitter; produces skeletal muscle relaxation by inhibiting spinal polysynaptic afferent pathways; has anticonvulsant prop. due to enhanced presynaptic inhibition
Other name for Diazepam? Valium
Dose of Diazepam? 5-10mg IVP
Rate of Diazepam? IVP over 1 min
Nursing considerations for Diazepam? may be increased to total of 30 mg if necessary
Action of Digoxin? Inotropic effect and negative chronotropic effect (increased cardiac output, slowing of the HR) (increases the force of myocardial contraction; prolongs refractory period of the AV node; decreases conduction through the SA and AV nodes)
Other name for Digoxin? Lanoxin
Dose of Digoxin? 0.125-0.5mg
Rate of Digoxin? IVP over 1-2 minutes
Nursing considerations for Digoxin? not to exceed 1 mg per 24 hours; check serum digoxin levels; check apical rate prior to administration
Action of Demerol? Decreases severity of pain (binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression).
Other name for Demerol? Meperidine
Dose of Demerol? 10-50 mg IVP
Rate of Demerol? IVP over 1 minute
Nursing considerations for Demerol? contraindicated in pts taking MAO inhibitors; patients receiving dosages over 10 mg IVP should be closely monitored
Action of Dilaudid? Decrease of moderate to severe pain, suppression of cough
Other name for Dilaudid? Hydromorphone
Dose of Dilaudid? 1-6 mg
Rate of Dilaudid? IVP over 2-5 minutes
Nursing considerations for Dilaudid? may cause respiratory depression
Action of Dobutrex? Stimulates (increased CO without significantly increased heart rate)
Dobutrex effects which receptors? B1 (myocardial)adrenergic receptors with relatively minor effect on heart rate or peripheral blood vessels
Other name for Dobutrex? dobutamine
Dose of Dobutrex? continuous IV 2.5-10 mcg/kg/min
Rate of Dobutrex? titrated to pt; standard concentration 500 mg/500 ml D5W
Nursing considerations for Dobutrex? may wean off
Action of Dopamine? Increased cardiac output, increased BP, and improved renal blood flow
Intermediate dose of Dopamine? 2-10 mcg/kg/min
High of Dopamine? greater than 10 mcg/kg/min
Low dose Dopamine? 0.5-3 mcg/kg/min
Action of Intermediate dose Dopamine? Stimulate dopaminergic and B1 adrenergic receptors, producing cardiac stimulation and renal vasodilation
Action of high Dopamine? Stimulates alpha-adrenergic receptors and may cause renal vasoconstriction
Action of low Dopamine? Stimulates dopaminergic receptors, producing renal vasodilation
Other name for Dopamine? Intropin
Dose of Dopamine? titrate to pt
Dopamine concentration: 400 mg/500 ml D5W
Nursing considerations for Dopamine? Correct hypovolemia with volume expanders before initiating dopamine therapy
Intervention if extravasation occurs? Affected area should be infiltrated liberally with 10-15 ml of 0.9% NaCl containing 5-10 mg of phentolamine
Action of Dramamine? Motion sickness
Other name for Dramamine? dimenhydrinate
Dose of Dramamine? 50-100 mg q 4 H not to exceed 400 mg/day
Rate of Dramamine? 50 mg in 10 ml NaCl injection given over 2 min
Rate of Dopamine? IVP over 1 min
Nursing considerations for Dopamine? used 5 min pre IVCS agents in endoscopy
Action of Epinephrine? Manage reversible airway disease due to asthma or COPD, manage severe allergic reactions, cardiac arrest
Other name for Epinephrine? Adrenalin
Dose of Epinephrine? 1 mg IVP 1:10,000 dilution
Rate of Epinephrine? rapid IVP
Action of Epogen? Stimulates RBCs (erythropoiesis)
Other name for Epogen? erythopoietin
Dose of Epogen? 50-100units/kg
Nursing considerations for Epogen? refrigerate; do no shake
Action of Fentanyl? Analgesia, induction of anesthesia
Dose of Fentanyl? 25- 50 mcg
Rate of Fentanyl? IVP over 1-2 min
Nursing considerations for Fentanyl? monitor BP, respirations
Action of Glucagon? +inotropic,+chronotropic effects, relaxes the musculature of the GI tract, stimulates hepatic production of glucose from glycogen stores, unlabeled use: antidote to beta blockers and Ca Channel blockers
Dose of Glucagon? 0.25-1 unit
Rate of Glucagon? Rapid IVP
Nursing considerations for Glucagon? Reconstitute with diluent provided; may be repeated once or twice in 5-20 min if no response; if pt fails to respond, IV Dextrose should be considered
Action of Haldol? decreases signs and symptoms of psychoses (alters the effects of dopamine in the CNS; also has anticholinergic and alpha-adrenergic blocking activity) (unlabeled for NV from surgery or chemotherapy)
Other name for Haldol? haloperidol
Dose of Haldol? 1st dose:1 mg IVP administered by MD; subsequent doses:1 -4 mg
Rate of Haldol? IVP over 1-2 min
Nursing considerations for Haldol? doses of 5 mg or greater must be administered by MD; Ativan may be used in conjunction with IV Haldol to enhance its effect
Action of Heparin? Prevention of thrombus formation (prevents conversion of prothrombin to thrombin); prevention of extension of existing thrombi (full dose prevents fibrinogen to fibrin)
Dose of Heparin? loading: 75 units/kg or 34 units/lb (to nearest hundred units); Continuous IV: 13 units/kg/hr or 6 units/lb/hr (to nearest hundred units)
Rate of Heparin? Loading dose give rapid IVP; continuous infusion: Heparin 25,000 units in 500 ml D5W unless otherwise ordered
Nursing considerations for Heparin? acute bleeding
Action of Hydralazine? peripheral arteriolar vasodilator (lower BP and decreases afterload in pts with CHF)
Other name for Hydralazine? Apresoline
Action of Inderal? Decrease HR,BP; prevent MI; suppression of arrhythmias
Inderal acts on which receptors? Blocks stimulation of B1 and B2 adrenergic receptors
Other name for Inderal? Propranolol
Dose of Inderal? 0.5-3 g IVP slowly
Rate of Inderal? not to exceed 1mg/min second dose may be given in 2 minutes
Nursing considerations for Inderal? first dose by MD only; Cardiac monitor
Use with caution in patients with? renal impairment, bronchospastic dx, hepatic dx, and diabetes; monitor for drug-drug interactions (esp with anti-hypertensive agents)
Action of Regular Insulin? lowers BS by increasing transport into cells and promoting the conversion of glucose to glycogen
Dose of Regular Insulin? Per MD/NP order
Rate of Regular Insulin? rapid IV push; continuous IV: as per MD order
Nursing considerations for Regular Insulin? infusion pump for continuous infusion
Action of Integrilin? Loading: 180 mg/kg IVP slowly over 1-2 min
Other name for Integrilin? Eptifibatide
Dose of Integrilin? loading 180 mcg/kg IVP slowly over 1-2 min. follow with continuous infusion directly from 100 cc vial. Continuous infusion 2mcg/kg/min. infusion 2 mcg/kg/min. infusion for renal impairment 1 mcg/kg/min
Nursing considerations for Integrilin? Refrigerator. 2 size vials: 10 ml bolus & 100 ml infusion vial. Infuse up to 72 hrs. Use vented tubing. Incompatible with Lasix. Always check Cr and platelets before administer. Dose altered for renal impairment and contra for a Cr level over 4.
Action of Isuprel? Bronchodialation and Increased chronotrophy and inotropy
Other name for Isuprel? Isoproterenol
Dose of Isuprel? 2-10 mcg/min, titrated to response
Rate of Isuprel? Continuous IV: 1-2 mg in 500 D5W
Nursing considerations for Isuprel? Should never be given IVP, may cause hypotension
Action of Labetalol? blocks B1and B2, also has Alpha 1 blocking act. Which may result in ortho hypotension
Other name for Labetalol? Trandate, Normodyne
Dose of Labetalol? IVMS: 20-80 mg (repeat up to maximum total of 200 mg) Continuous IV: 2 mg/min until satisfactory response; IVP: 20 mg slowly over 2 min
Rate of Labetalol? IVMS: over 10-15 min q 6-12 hrs as needed; continuous IV: 200 mg in 160 cc D5W for total concentration of 200 mg/200cc; IVP: 20 mg over 2 min
Nursing considerations for Labetalol? Pt should be in supine position ; BP should be monitored before and q 5- 10 min until stable post treatment
Action of Lasix? diuresis and decrease BP
Other name for Lasix? Furosemide
Dose of Lasix? 20-120 mg
Rate of Lasix? IVP:10 mg/min
Nursing considerations for Lasix? monitor BUN, creatinine, electrolytes; doses up to 300 mg may be necessary for patients with renal failure
Action of Levophed?
Other name for Levophed? Norepinephrine
Dose of Levophed? continuous IV: initial dose 8-12 mcg/min
Rate of Levophed? continuous IV; 4 mg/500 D5W titrated to effect
Nursing considerations for Levophed? contraindicated in severe blood loss; titrate slowly; extravasation may cause tissue necrosis
Action of Lidocaine?
Dose of Lidocaine? 1-1.5 mg/kg IVP; Continuous: 1-4 mg/min
Rate of Lidocaine? 25-50 mg/min IVP; Continuous infusion: 2 Gm/500 ml D5W
Nursing considerations for Lidocaine? C. monitor; IV pump; Less dosage in pts w/ hepatic impairment & CHF; For VT impairment with pulse, repeat ½ loading dose Q 5 min. up to total of 3 mg/kg; for pulseless V tach/Vfib repeat initial dose in 3-5 min for total of 3 mg/kg; watch for s/s of tox
Action of Lopressor? increase BP and CO
Levophed stimulates which receptors? Alpha adrenergic receptors located mainly in blood vessels, minor B effects
Other name for Lopressor? metoprolol
Dose of Lopressor? 5 mg Q 2 min x 3
Rate of Lopressor? IVP over 1 min
Nursing considerations for Lopressor? Cardiac monitor
Action of Magnesuim Sulfate?
Dose of Magnesuim Sulfate? Loading dose: 4 gms; IVMS: 1-2 gms
Rate of Magnesuim Sulfate? Continuous IV: 1-2 gm/hr; IVMS given over 5-60 min
Nursing considerations for Magnesuim Sulfate? May be given over 1-2 minutes by MD in code 99; monitor BP
Action of Mannitol? Inhibits reabsorption of H2o and Na, K, Cl, Ca, Phosphorus, Mg, urea, uric acid
Dose of Mannitol? 50-100 gms
Rate of Mannitol? IVMS over 30-6- minutes
Nursing considerations for Mannitol? Use blood filter; Do not use if crystals are present; Change tubing after each infusion
Action of Morphine? Decreases pain; produces CNS depression
Analgesia (PCA) dose of Morphine? 10-140 mg/hr
APE dose of Morphine? 2 mg/ml IVP. My repeat to a total of 10 mg/ml
Sedative dose of Morphine? 2-10 mg/ml IVP
Nursing considerations for Morphine? High doses may be ordered for pts with end stage/ terminal illness; monitor BP, respirations
Action of Neosynephrine? vasoconstrictor; restoration of NSR
Other name for Neosynephrine? Phenylephrine
Dose of Neosynephrine? Continuous IV: 100 – 180 mcg/ min titrated to effect
Rate of Neosynephrine? Mix 10 mg/ 250- 500 D5W
Nursing considerations for Neosynephrine? Cardiac Monitor; Infusion pump; watch for extravasation; Change IV site frequently/ as required
Action of Neupogen? Stimulates immature neutophils to divide and differentiate, activate mature neutrophils
Other name for Neupogen? Filgrastin
Dose of Neupogen? 5-10 mcg/kg/ day
Rate of Neupogen? IVP only if specifically ordered by MD; IVMS: dilute in 50-100 ml and infuse over 15-60 min
Nursing considerations for Neupogen? Baseline CBC and platelets should be obtained; Vials are single use only; Discard after use; Refrigerate and avoid shaking; If stored at room temperature, should be discarded after 6 hours
Action of Narcan? Reversal of opiod excess (helps with resp depression)
Other name for Narcan? naloxone
Suspected overdose dose of Narcan? 0.4-2 mg up to 10 mg maximum
Post op narcotic depression dose of Narcan? 0.1-0.2 mg/ml at 2-3 minute intervals until desired effect.
Continuous infusion dose of Narcan? 2 mgm/500 ml D5W or NS and titrate to effect
Rate of Narcan? Mix 10 mg/250 ml of D5W
Nursing considerations for Narcan? Cardiac monitor; infusion pump; Watch for extravasation; Change IV site frequently or as required.
Action of Nipride? Produces peripheral vasodilation by a direct action on venous and arteriolar smooth muscle….lowers BP, Cardiac preload and afterload
Other name for Nipride? Nitroprusside
Dose of Nipride? 50-200 mcg/min
Rate of Nipride? Continuous IV: 50/250 ml D5W
Nursing considerations for Nipride? Reconstitute only using D5W; infusion pump; Protect container from light; Cardiac monitor; Cyanide levels q 72 hrs
Action of Nitroglycerin? Increases coronary blood flow by dilating coronary arteries; produces vasodilation, decreases LVEDP and LVEDV (volume, preload)
Nitro produces dilation where? Produces greater venous than arterial dilation
Other name for Nitroglycerin? Tridil
Dose of Nitroglycerin? 50-400 mcg/min
Rate of Nitroglycerin? Continuous IV: 50/250ml D5W
Nursing considerations for Nitroglycerin? Must be mixed in glass bottle
Action of Pavulon? skeletal muscle paralysis
Other name for Pavulon? Pancuronium
Dose of Pavulon? 1-4 mg IVP; May be repeated Q ½ hr prn
Rate of Pavulon? Rapid IVP Administration
Nursing considerations for Pavulon? Refrigerate; Mechanical ventilation; Give with sedation concurrently; May raise HR and BP
Action of Phenergan? relief of symptoms of histamine excess usually seen in allergic conditions; diminished N&V; sedation
Other name for Phenergan? Promethazine
Dose of Phenergan? 25-50 mg IVP
Rate of Phenergan? Not to exceed 25 mg/min
Nursing considerations for Phenergan? Watch for extravasation
Action of Phenobarbitol? anticonvulsant; sedation
Dose of Phenobarbitol? Up to 200-600 mg
Rate of Phenobarbitol? IVMS: Mi in 50 ml D5W or NS; Run over 15-30 min; IVP not to exceed 60 mg/min
Nursing considerations for Phenobarbitol? May cause precipitation if mixed with acidic solutions; Decreases effect of oral contraceptives
Action of Pepcid? healing of ulcers; GERD; decreased secretion of gastric acid
Other name for Pepcid? famotidine
Dose of Pepcid? 20 mg Q 12 H
Rate of Pepcid? IVP: Dilute in 8 ml of NaCl for injection and administer over a period of not less than 2 min; IVMS only if specifically ordered by MD
Nursing considerations for Pepcid? Store in refrigerator until ready for use
Action of Pitressin? high doses, nonadrenergic peripheral vasoconstrictor, causes reabsorption of H2O (decreases UO in DI); stimulates musculature of GI tract
Other name for Pitressin? Vasopressin
Dose of Pitressin? GI bleeding: 0.2-0.4 units/ min up to 0.9 units/ min intra arterially
Action of Potassium Chloride? 10-20 meq IVMS; May be repeated Q 1 H as ordered
Rate of Potassium Chloride? Dilute 10-20 meq in 100 ml D5W or NS and infuse over 1 hr
Nursing considerations for Potassium Chloride? Check for signs of redness and pain; NEVER GIVE IVP
Action of Primacor? +Inotropic effect, decreases preload and afterload by dilating vascular smooth muscle
Other name for Primacor? Milrinone lactate
Dose of Primacor? Loading: 50 mcg/kg slow over 10 min; Infusion: mix 50 mg. (50 ml) in 200 ml D5W or NS for a final concentration of 50 mg in 250 ml (200mcg/ml); Standard dose for infusion 0.5 mcg/kg/min (range:0.375-0.75 mcg/kg/min); Dosage not to exceed 1.13 mg/kg/day
Rate of Primacor? Load slowly over 10 min
Nursing considerations for Primacor? Infusion pump; Monitor for ventricular arrhythmias, increased ventricular rate in A fib; A flutter, thrombocytopenia and hypotension; Solution may be pale yellow; Reductions in infusion may be required in renal impairment; Adjust to hemodynamic response
Primacor is incompatible with which 3 meds? Lasix, Bumex, Pronestyl
Action of Pronestyl? Supress arrhythmias; decreases myocardial excitability; may depress myocardial contractility
Other name for Pronestyl? Procainamide
Dose of Pronestyl? Loading dose:250-500 mg IVMS over 20-30 min; May be repeated prn to total of 17 mg/kg; Continuous IV 1-4 mg/min
Rate of Pronestyl? Continuous IV 2 GM/500 D5W; Infuse at 20-0 mg/min or as ordered
Nursing considerations for Pronestyl? Cardiac monitor; Infusion pump; Monitor for hypotension, heart block and CHF
Action of Protamine Sulfate? inactivate heparin
Dose of Protamine Sulfate? 1 mg/Q90-115 units of Heparin
Rate of Protamine Sulfate? Slow IVP over 10 min not to exceed 50 mg/ dose
Nursing considerations for Protamine Sulfate? Refrigerate; May ac as anticoagulant in very high doses
Action of Refludan? anticoagulation with prevention of thromoembolic comp.
Other name for Refludan? Lepiridin
Dose of Refludan? Loading dose 0.4mg/kg (concentration 5 mg/ml) Slowly over 15-20 sec. maximum 44mg; Infusion: Mix 100 mg (reconstituted) in 500 ml D5W o NS (0.2mg/ml)
Rate of Refludan? 0.15 mg/kg/hr not to exceed 16.5 mg/hr
Nursing considerations for Refludan? Given to body wt; Max dose for pts weigh greater than or = to 110kg; No antidote for overdose; Excreted by kidneys ; Reduce dose in renal insufficiency; Watch for S/S bleeding; Monitor PTT; Caution with thromolytics and other anticoags. Refer to PDR
Action of Reglan? decrease NV, gastric stasis; easier passage of NGT into small bowel
Other name for Reglan? Metoclopramide
Dose of Reglan? 1-2 mg/kg 30 min before chemotherapy
Rate of Reglan? Mix in 50 ml NS or D5W; Infuse over 15 min
Nursing considerations for Reglan? May repeat Q2 H x2 if ordered
Action of Romazicon? reversal of Benzos
Other name for Romazicon? Flumazenil
Reversal of Sedation dose of Romazicon? 0.2 mg repeated prn at Q 1 min intervals to a total of 1 mg
Dose of Romazicon for OD? 0.2 mg then 0.3 mg0.5 mg repeated at 1 min intervals up to 3 mg total
Rate of Romazicon? Rapid IVP
Nursing considerations for Romazicon? Watch for signs of resedation due to short half life
Action of Sodium Bicarbonate? Alkalinization; Neutralization of gastric acid
Dose of Sodium Bicarbonate? 1 Meq/kg IVP; May be repeated q 10 min at ½ initial dose
Rate of Sodium Bicarbonate? Rapid IVP
Nursing considerations for Sodium Bicarbonate? Incompatible with Dopamine and catecholamines; Monitor ABGs
Action of Solucortef? supress inflam and immune response, suppress adrenal function
Other name for Solucortef? Hydrocortisone
Dose of Solucortef? 100-250 mg
Rate of Solucortef? IVP not to exceed 25 mg/min; IVMS; over 15-20 minutes
Action of Solumedrol? supress inflam and immune response, suppress adrenal function
Other name for Solumedrol? Methylprednisolone
Dose of Solumedrol? 10-250 mg
Rate of Solumedrol? IVP over 1 min; IVMS: over 15-20 min
Action of Synthroid? replace thyroid ca and hypothyroidism
Other name for Synthroid? levothyroxine
Dose of Synthroid? Initial dose 0.025-0.05 mg; Maintenance dose: 0.1-0.4 mg daily
Rate of Synthroid? IVP over 1-2 min
Nursing considerations for Synthroid? Dosage adjustment may be necessary if being switched from maintenance po administration; Dosage may be less for patients over 65 yrs old; Patients on anticoagulants may require decrease dosage: monitor PT
Action of Thiamine? Required for Carb metabolism
Other name for Thiamine? Vitamin B1
Dose of Thiamine? 5-100 mg daily
Rate of Thiamine? IVP slowly over 2-5 min
Nursing considerations for Thiamine? Unstable in alkaline solutions
Action of Toradol? Decreased pan, antipyretic and anti-inflammatory properties
Other name for Toradol? Ketorolac
Dose of Toradol? Loading dose: 30-60 mg; Maintenance dose:1/2 loading dose Q 6H
Rate of Toradol? IVP given slowly
Nursing considerations for Toradol? Use with caution in pts with GI (peptic ulcer), hepatic, renal disease; Can prolong bleeding times
Action of Vasotec? ACE I
Other name for Vasotec? Enalapril
Dose of Vasotec? 0.625 to 1.25 mg IV Q 6H
Rate of Vasotec? Administered over at least 5 min
Nursing considerations for Vasotec? 0.625 mg dose may be repeated in 1 h if necessary; Monitor for s/ sx of hypotension and hypoglycemia; NSAIDs may reduce antihypertensive effect; Monitor potassium levels
What do ACE I do? lower BP; decrease afterload in pts with CHF; decreased progression of diabetic nephropathy (captopril only)
Action of Verapamil? syst. Vasodilation, decrease BP, coronary vasodilation (helps angina), suppression of VT
Dose of Verapamil? 5-10 mg Q 15-30 min
Rate of Verapamil? IVP given over 2-3 min
Nursing considerations for Verapamil? After 1st doses given by MD; Cardiac monitor when administered IVP; Monitor BP
Action of Versed? Short term sedation; postop amnesia
Other name for Versed? Midazolam
Dose of Versed? 1-2 mg IVP
Rate of Versed? IVP given slowly 1 mg over 2 min
Nursing considerations for Versed? Monitor respirations; Pulse oximeter
Action of Vitamin K? prevention of bleeding due to hypoprothrombinemia
Other name for Vitamin K? Aquamephyton, Mephyton
Dose of Vitamin K? 2.5-25 mg IVMS
Rate of Vitamin K? Dilute in 50 ml D5W or NS; Not to exceed 1mg/min IVMS
Nursing considerations for Vitamin K? Protect from light/ wrap infusion container with foil
Action of Zofran? decrease NV
Dose of Zofran? IVMS: 0.15 mg/kg x 3 doses; IVP: 4 mg
Other name form Zofran? Ondansetron
Rate of Zofran? IVMS: Infuse over 15 min
Nursing considerations for Zofran? Should be given 30 min prior to chemotherapy administration
Action of Adenosine? Restores normal SR by interrupting re entrant pathways in the AV node/ also produces coronary artery vasodilatation
Other name for Adenosine? Adenocard
Dose of Adenosine? 6mg IVP then 12 mg IVP x 2 at 1-2 minute intervals
Rate of Adenosine? Rapid IVP over 1-2 minutes
Nursing Considerations with Adenosine? Cardiac monitor; may produce transient heart block, asystole or chest pain; portable bedside cardiac monitor should be used during administration of medication
Action of Amiodarone? Cordarone, Pacerone
Dose of Amiodarone ? loading dose: 150mg then 360mg over
Rate of Amiodarone? Loading dose: 150 mg then360mg over next 6 hrs. Maintenance dose 0.5 mg/ml/min x 18 hrs
Nursing considerations with Amiodarone?
Action of Apresoline? Direct acting peripheral arteriolar vasodilator; lowering of blood pressure in hypertensive pts and decreased afterload in pts with CHF
Other name for Apresoline? Hydralazine
Dose of Apresoline? 10-20 mg IVP may be repeated q 4-6 hrs. prn
Rate of Apresoline? IVP given slowly
Nursing considerations of Apresoline? Monitor for orthostatic hypotension
Action of Amrinone? Amrinone is a positive inotropic; vasodilator,
Other name for Incor? Amrinone
Dose of Incor? loading dose 0.75mg/kg; continuous IV 5-10 mcg/kg/min
Rate of Incor? IVP over 5 min; IV injection not to exceed 1 mg/min
Nursing considerations of Incor? Check apical pulse before administration; notify MD id slower then 60/mn;moniyot BP frequently
Which receptor sites do Atenolol effect? Blocks stimulation of B1 (myocardial) adrenergic receptors. Does not usually affect B2 ( pulmonary, vascular, uterine) receptor sites
Action of Atenolol? Decreased BP and HR; Decreased frequency of attacks; Prevention of MI
Other name for Atenolol? Tenormin
Dose of Atenolol? 5 mg IVfollowed by another 5 mg 10 minutes later
Rate of Atenolol ? IVPP over 5 min; IV injection not to exceed 1 mg/min
Nursing considerations of Atenolol? Check apical pulse before administration; notify MD if 60/min; monitor BP frequently slower than
Action of Ativan? Sedation, decreased anxiety and decreased seizures (depresses the CNS, probably by potentiating GABA, an inhibitory neurotransmitter)
Other name for Ativan? Lorazepam
Dose of Ativan? 2-4 mg IVP; May be repeated q 10-15 minutes to a total of 10 mg
Rate of Ativan? IVP 2 mg/min
Action of Atropine? Inhibits the action of acetylcholine at postganglionic sites in the smooth muscle, secretory glands and CNS (antimuscarinic activity)
Low doses of Atropine result in? Decreased sweating, salivation and resp secretions; Intermediate doses of Atropine result in?
Larger doses of Atropine result in? GI and GU tract motility are decreased
Therapeutic effects of Atropine are? Increased HR, Decreased GI and Resp secretions, Reversal of muscarinic effects; may have a spasmolytic action on the biliary and GU tracts
Dose of Atropine? 0.5-1mg IVP
Rate of Atropine? rapid IVP
Nursing considerations of Atropine? PO atropine doses are usually given 30 min b4 meals
Action of Esmolol? Decreased HR, AV conduction
Esmolol blocks stimulation of which receptors? B1 (myocardial) adrenergic receptors, usually doesn’t effect B2 (pulmonary, vascular, or uterine receptors
Other name for Esmolol? Brevibloc
Dose of Esmolol? Different Concentrations of Esmolol….DON’T CONFUSE, RESULT MAY BE FATAL; Loading dose:500mcg/kg/min for 1 min then 50 mcg/kg/min for 4 min; continuous IV:25-200 mcg/kg/min
Nursing considerations for Esmolol? infusion pump; may increase serum digoxin level
Action of Calcium Chloride? Activator in the transmission of nerve impulses and contraction of cardiac, skeletal, and smooth muscle; essential for bone formation and blood coagulation, maintain cell membrane and capillary permeability, essential or nervous and skeletal systems
Dose of Calcium Chloride? 500 mg – 1 GM IVP
Rate of Calcium Chloride? not to exceed 1 ml/min
Nursing considerations for Calcium Chloride? caution with digitaized patient
Action of Cardizem? System dilation result in decreased BP; Coronary dilation result in less freq &severity of angina attacks; Supression of arrhythmias (Inhibit Ca into myocardial and vascular smooth muscle cells; result in inhibition of excitation contract. coupling a
Other name for Cardizem? Diltiazem
Dose of Cardizem? loading dose:0.25 mg/kg then 0.35 mg/kg in 15 minutes; continuous Iv: 5-15 mg/hr
Rate of Cardizem ? loading dose over 2 minutes
Nursing considerations for Cardizem? mc 125 mg of cardizem in 100 ml of diluent for a final concentration of 125 mg/ 125 ml; cardiac monitor; incompatible with Lasix
Action of DDAVP? Prevention of nocturnal enuresis; maintenance of appropriate body H2O content in Diabetes Insipidus (An analogue of naturally occurring vasopressin (ADH) Primary action is enhanced reabsorption of H2O in the kidneys
Other name for DDAVP? Desmopressin
Dose of DDAVP (anti-hemorrhagic)? 0.3mcg/kg
Dose of DDAVP (anti-diuretic)? 0.5-1ml daily in 2 divided doses
Rate of DDAVP? IVMS infusion over 15 -30 min
Nursing considerations for DDAVP? when used as an antihemorrhagic, should be mixed in 50 ml of NS and infused as a metriset; antidiuretic dose given as a IVP
Action of Dextrose? Prevention and tx for hypoglycemia
Dose of Dextrose 50%? 50 ml (1 amp) IVP
Rate of Dextrose? rapid IVP
Action of Diazepam? Relief of anxiety; Sedation; Amnesia (depresses the CNS,pontentiating GABA, an inhibitory neurotransmitter; produces skeletal muscle relaxation by inhibiting spinal polysynaptic afferent pathways; has anticonvulsant properties
Other name for Diazepam? Valium
Dose of Diazepam? 5-10mg IVP
Rate of Diazepam? IVP over 1 min
Nursing considerations for Diazepam? may be increased to total of 30 mg if necessary
Action of Digoxin? Inotropic effect and negative chronotropic effect (increased cardiac output, slowing of the HR) (increases the force of myocardial contraction; prolongs refractory period of the AV node; decreases conduction through the SA and AV nodes)
Other name for Digoxin? Lanoxin
Dose of Digoxin? 0.125-0.5mg
Rate of Digoxin? IVP over 1-2 minutes
Nursing considerations for Digoxin? not to exceed 1 mg per 24 hours; check serum digoxin levels; check apical rate prior to administration
Action of Dilaudid? Decrease of moderate to severe pain, suppression of cough
Other name for Dilaudid? Hydromorphone
Dose of Dilaudid? 1-6 mg
Rate of Dilaudid? IVP over 2-5 minutes
Nursing considerations for Dilaudid? may cause respiratory depression
Action of Dobutrex? Stimulates (increased CO without significantly increased heart rate)
Dobutrex effects which receptors? B1 (myocardial)adrenergic receptors with relatively minor effect on heart rate or peripheral blood vessels
Other name for Dobutrex? dobutamine
Dose of Dobutrex? continuous IV 2.5-10 mcg/kg/min
Rate of Dobutrex? titrated to pt; standard concentration 500 mg/500 ml D5W
Nursing considerations for Dobutrex? may wean off
Action of Dopamine? Increased cardiac output, increased BP, and improved renal blood flow
Intermediate dose of Dopamine? 2-10 mcg/kg/min
High of Dopamine? greater than 10 mcg/kg/min
Low dose Dopamine? 0.5-3 mcg/kg/min
Action of Intermediate dose Dopamine? Stimulate dopaminergic and B1 adrenergic receptors, producing cardiac stimulation and renal vasodilation
Action of high Dopamine? Stimulates alpha-adrenergic receptors and may cause renal vasoconstriction
Action of low Dopamine? Stimulates dopaminergic receptors, producing renal vasodilation
Other name for Dopamine? Intropin
Dose of Dopamine? titrate to pt
Dopamine concentration: 400 mg/500 ml D5W
Nursing considerations for Dopamine? Correct hypovolemia with volume expanders before initiating dopamine therapy
Intervention if extravasation occurs? Affected area should be infiltrated liberally with 10-15 ml of 0.9% NaCl containing 5-10 mg of phentolamine
Rate of Dopamine? IVP over 1 min
Nursing considerations for Dopamine? used 5 min pre IVCS agents in endoscopy
Action of Epinephrine? Manage reversible airway disease due to asthma or COPD, manage severe allergic reactions, cardiac arrest
Other name for Epinephrine? Adrenalin
Dose of Epinephrine? 1 mg IVP 1:10,000 dilution
Rate of Epinephrine? rapid IVP
Action of Fentanyl? Analgesia, induction of anesthesia
Dose of Fentanyl? 25- 50 mcg
Rate of Fentanyl? IVP over 1-2 min
Nursing considerations for Fentanyl? monitor BP, respirations
Action of Glucagon? +inotropic,+chronotropic effects, relaxes the musculature of the GI tract, stimulates hepatic production of glucose from glycogen stores, unlabeled use: antidote to beta blockers and Ca Channel blockers
Dose of Glucagon? 0.25-1 unit
Rate of Glucagon? Rapid IVP
Nursing considerations for Glucagon? Reconstitute with diluent provided; may be repeated once or twice in 5-20 min if no response; if pt fails to respond, IV Dextrose should be considered
Action of Haldol? decreases signs and symptoms of psychoses (alters the effects of dopamine in the CNS; also has anticholinergic and alpha-adrenergic blocking activity) (unlabeled for NV from surgery or chemotherapy)
Other name for Haldol? haloperidol
Dose of Haldol? 1st dose:1 mg IVP administered by MD; subsequent doses:1 -4 mg
Rate of Haldol? IVP over 1-2 min
Nursing considerations for Haldol? doses of 5 mg or greater must be administered by MD; Ativan may be used in conjunction with IV Haldol to enhance its effect
Action of Heparin? Prevention of thrombus formation (prevents conversion of prothrombin to thrombin); prevention of extension of existing thrombi (full dose prevents fibrinogen to fibrin)
Dose of Heparin? loading: 75 units/kg or 34 units/lb (to nearest hundred units); Continuous IV: 13 units/kg/hr or 6 units/lb/hr (to nearest hundred units)
Rate of Heparin? Loading dose give rapid IVP; continuous infusion: Heparin 25,000 units in 500 ml D5W unless otherwise ordered
Nursing considerations for Heparin? acute bleeding
Action of Hydralazine? peripheral arteriolar vasodilator (lower BP and decreases afterload in pts with CHF)
Other name for Hydralazine? Apresoline
Action of Inderal? Decrease HR,BP; prevent MI; suppression of arrhythmias
Inderal acts on which receptors? Blocks stimulation of B1 and B2 adrenergic receptors
Other name for Inderal? Propranolol
Dose of Inderal? 0.5-3 g IVP slowly
Rate of Inderal? not to exceed 1mg/min second dose may be given in 2 minutes
Nursing considerations for Inderal? first dose by MD only; Cardiac monitor
Use with caution in patients with? renal impairment, bronchospastic dx, hepatic dx, and diabetes; monitor for drug-drug interactions (esp with anti-hypertensive agents)
Action of Regular Insulin? lowers BS by increasing transport into cells and promoting the conversion of glucose to glycogen
Dose of Regular Insulin? Per MD/NP order
Rate of Regular Insulin? rapid IV push; continuous IV: as per MD order
Nursing considerations for Regular Insulin? infusion pump for continuous infusion
Action of Integrilin? Loading: 180 mg/kg IVP slowly over 1-2 min
Other name for Integrilin? Eptifibatide
Dose of Integrilin? loading 180 mcg/kg IVP slowly over 1-2 min. follow with continuous infusion directly from 100 cc vial. Continuous infusion 2mcg/kg/min. infusion 2 mcg/kg/min. infusion for renal impairment 1 mcg/kg/min
Nursing considerations for Integrilin? Refrigerator. 2 size vials: 10 ml bolus vial 100 ml infusion vial. Infuse up to 72 hrs; vented tubing; Incompat w/ Lasix. Always check Cr and platelets be4 administration Dose is altered for RI and contraindicated for a creatinine level of 4 or over.
Action of Isuprel? Bronchodialation and Increased chronotrophy and inotropy
Other name for Isuprel? Isoproterenol
Dose of Isuprel? 2-10 mcg/min, titrated to response
Rate of Isuprel? Continuous IV: 1-2 mg in 500 D5W
Nursing considerations for Isuprel? Should never be given IVP, may cause hypotension
Action of Labetalol? blocks B1and B2, also has Alpha 1 blocking act. Which may result in ortho hypotension
Other name for Labetalol? Trandate, Normodyne
Dose of Labetalol? IVMS: 20-80 mg (repeat up to maximum total of 200 mg) Continuous IV: 2 mg/min until satisfactory response; IVP: 20 mg slowly over 2 min
Rate of Labetalol? IVMS: over 10-15 min q 6-12 hrs as needed; continuous IV: 200 mg in 160 cc D5W for total concentration of 200 mg/200cc; IVP: 20 mg over 2 min
Nursing considerations for Labetalol? Pt should be in supine position ; BP should be monitored before and q 5- 10 min until stable post treatment
Action of Lasix? diuresis and decrease BP
Other name for Lasix? Furosemide
Dose of Lasix? 20-120 mg
Rate of Lasix? IVP:10 mg/min
Nursing considerations for Lasix? monitor BUN, creatinine, electrolytes; doses up to 300 mg may be necessary for patients with renal failure
Action of Levophed? increase BP and CO
Levophed stimulates which receptors? alpha adrenergic receptors in the blood vessels minor Beta adrenergic activity
Other name for Levophed? Norepinephrine
Dose of Levophed? continuous IV: initial dose 8-12 mcg/min
Rate of Levophed? continuous IV; 4 mg/500 D5W titrated to effect
Nursing considerations for Levophed? contraindicated in severe blood loss; titrate slowly; extravasation may cause tissue necrosis
Action of Lidocaine? Control of VT and local anesthesia
Dose of Lidocaine? 1-1.5 mg/kg IVP; Continuous: 1-4 mg/min
Rate of Lidocaine? 25-50 mg/min IVP; Continuous infusion: 2 Gm/500 ml D5W
Nursing considerations for Lidocaine? Card monitor; IVpump; Low dosage in pts with hepatic impairment & CHF; For VT impairment with pulse, repeat ½ loading dose Q 5 m up to total of 3 mg/kg; for pulseless V tach/Vfib repeat initial dose in 3-5 min for total of 3 mg/kg; watch for s/s of tox.
Action of Lopressor? increase BP and CO
Levophed stimulates which receptors? Alpha adrenergic receptors located mainly in blood vessels, minor B effects
Other name for Lopressor? metoprolol
Dose of Lopressor? 5 mg Q 2 min x 3
Rate of Lopressor? IVP over 1 min
Nursing considerations for Lopressor? Cardiac monitor
Action of Magnesuim Sulfate? /replacement in deficiency states; resolution of eclampsia
Dose of Magnesuim Sulfate? Loading dose: 4 gms; IVMS: 1-2 gms
Rate of Magnesuim Sulfate? Continuous IV: 1-2 gm/hr; IVMS given over 5-60 min
Nursing considerations for Magnesuim Sulfate? May be given over 1-2 minutes by MD in code 99; monitor BP
Action of Morphine? Decreases pain; produces CNS depression
Analgesia (PCA) dose of Morphine? 10-140 mg/hr
APE dose of Morphine? 2 mg/ml IVP. My repeat to a total of 10 mg/ml
Sedative dose of Morphine? 2-10 mg/ml IVP
Nursing considerations for Morphine? High doses may be ordered for pts with end stage/ terminal illness; monitor BP, respirations
Action of Neosynephrine? vasoconstrictor; restoration of NSR
Other name for Neosynephrine? Phenylephrine
Dose of Neosynephrine? Continuous IV: 100 – 180 mcg/ min titrated to effect
Rate of Neosynephrine? Mix 10 mg/ 250- 500 D5W
Nursing considerations for Neosynephrine? Cardiac Monitor; Infusion pump; watch for extravasation; Change IV site frequently/ as required
Action of Neupogen? Stimulates immature neutophils to divide and differentiate, activate mature neutrophils
Other name for Neupogen? Filgrastin
Dose of Neupogen? 5-10 mcg/kg/ day
Rate of Neupogen? IVP only if specifically ordered by MD; IVMS: dilute in 50-100 ml and infuse over 15-60 min
Nursing considerations for Neupogen? Baseline CBC and platelets should be obtained; Vials are single use only; Discard after use; Refrigerate and avoid shaking; If stored at room temperature, should be discarded after 6 hours
Action of Narcan? Reversal of opiod excess (helps with resp depression)
Other name for Narcan? naloxone
Suspected overdose dose of Narcan? 0.4-2 mg up to 10 mg maximum
Post op narcotic depression dose of Narcan? 0.1-0.2 mg/ml at 2-3 minute intervals until desired effect.
Continuous infusion dose of Narcan? 2 mgm/500 ml D5W or NS and titrate to effect
Rate of Narcan? Mix 10 mg/250 ml of D5W
Nursing considerations for Narcan? Cardiac monitor; infusion pump; Watch for extravasation; Change IV site frequently or as required.
Action of Nipride? Produces peripheral vasodilation by a direct action on venous and arteriolar smooth muscle….lowers BP, Cardiac preload and afterload
Other name for Nipride? Nitroprusside
Dose of Nipride? 50-200 mcg/min
Rate of Nipride? Continuous IV: 50/250 ml D5W
Nursing considerations for Nipride? Reconstitute only using D5W; infusion pump; Protect container from light; Cardiac monitor; Cyanide levels q 72 hrs
Action of Nitroglycerin? Increases coronary blood flow by dilating coronary arteries; produces vasodilation, decreases LVEDP and LVEDV (volume, preload)
Nitro produces dilation where? Produces greater venous than arterial dilation
Other name for Nitroglycerin? Tridil
Dose of Nitroglycerin? 50-400 mcg/min
Rate of Nitroglycerin? Continuous IV: 50/250ml D5W
Nursing considerations for Nitroglycerin? Must be mixed in glass bottle
Action of Pavulon? skeletal muscle paralysis
Other name for Pavulon? Pancuronium
Dose of Pavulon? 1-4 mg IVP; May be repeated Q ½ hr prn
Rate of Pavulon? Rapid IVP Administration
Nursing considerations for Pavulon? Refrigerate; Mechanical ventilation; Give with sedation concurrently; May raise HR and BP
Action of Phenergan? relief of symptoms of histamine excess usually seen in allergic conditions; diminished N&V; sedation
Other name for Phenergan? Promethazine
Dose of Phenergan? 25-50 mg IVP
Rate of Phenergan? Not to exceed 25 mg/min
Nursing considerations for Phenergan? Watch for extravasation
Action of Phenobarbitol? anticonvulsant; sedation
Dose of Phenobarbitol? Up to 200-600 mg
Rate of Phenobarbitol? IVMS: Mi in 50 ml D5W or NS; Run over 15-30 min; IVP not to exceed 60 mg/min
Nursing considerations for Phenobarbitol? May cause precipitation if mixed with acidic solutions; Decreases effect of oral contraceptivesAction of Pitressin?
Other name for Pitressin? Vasopressin
Dose of Pitressin? GI bleeding: 0.2-0.4 units/ min up to 0.9 units/ min intra arterially
Action of Potassium Chloride? 10-20 meq IVMS; May be repeated Q 1 H as ordered
Rate of Potassium Chloride? Dilute 10-20 meq in 100 ml D5W or NS and infuse over 1 hr
Nursing considerations for Potassium Chloride? Check for signs of redness and pain; NEVER GIVE IVP
Action of Primacor? +Inotropic effect, decreases preload and afterload by dilating vascular smooth muscle
Other name for Primacor? Milrinone lactate
Dose of Primacor? Loading: 50 mcg/kg slow over 10 min; Infusion : mix 50 mg. (50 ml) in 200 ml dextrose or NS for a final concen. of 50 mg in 250 ml (200mcg/ml); Standard dose for infusion 0.5 mcg/kg/min (range:0.375-0.75 mcg/kg/min); Dosage not to exceed 1.13 mg/kg/day
Rate of Primacor? Load slowly over 10 min
Nursing considerations for Primacor? Infusion pump; Monitor for ventricular arrhythmias, increased ventricular rate in A fib; A flutter, thrombocytopenia and hypotension; Solution may be pale yellow; Reductions in infusion may be required in renal impairment; Adjust to hemodynamic response
Primacor is incompatible with which 3 meds? Lasix, Bumex, Pronestyl
Action of Pronestyl? Supress arrhythmias; decreases myocardial excitability; may depress myocardial contractility
Other name for Pronestyl? Procainamide
Dose of Pronestyl? Loading dose:250-500 mg IVMS over 20-30 min; May be repeated prn to total of 17 mg/kg; Continuous IV 1-4 mg/min
Rate of Pronestyl? Continuous IV 2 GM/500 D5W; Infuse at 20-0 mg/min or as ordered
Nursing considerations for Pronestyl? Cardiac monitor; Infusion pump; Monitor for hypotension, heart block and CHF
Action of Protamine Sulfate? inactivate heparin
Dose of Protamine Sulfate? 1 mg/Q90-115 units of Heparin
Rate of Protamine Sulfate? Slow IVP over 10 min not to exceed 50 mg/ dose
Nursing considerations for Protamine Sulfate? Refrigerate; May ac as anticoagulant in very high doses
Action of Refludan? anticoagulation with prevention of thromoembolic comp.
Other name for Refludan? Lepiridin
Dose of Refludan? Loading dose 0.4mg/kg (concentration 5 mg/ml) Slowly over 15-20 sec. maximum 44mg; Infusion: Mix 100 mg (reconstituted) in 500 ml D5W o NS (0.2mg/ml)
Rate of Refludan? 0.15 mg/kg/hr not to exceed 16.5 mg/hr
Nursing considerations for Refludan? Given 2 body wt; Max dose 4 pts weigh greater than or = to 110 kg; No antidote for overdose; Excreted by kidneys ; Reduce dose in renal insufficiency; Watch for S/S bleeding; Monitor PTT; Caution with thromolytics and other anticoagulants. Refer to PDR
Action of Reglan? decrease NV, gastric stasis; easier passage of NGT into small bowel
Other name for Reglan? Metoclopramide
Dose of Reglan? 1-2 mg/kg 30 min before chemotherapy
Rate of Reglan? Mix in 50 ml NS or D5W; Infuse over 15 min
Nursing considerations for Reglan? May repeat Q2 H x2 if ordered
Action of Romazicon? reversal of Benzos
Other name for Romazicon? Flumazenil
Reversal of Sedation dose of Romazicon? 0.2 mg repeated prn at Q 1 min intervals to a total of 1 mg
Dose of Romazicon for OD? 0.2 mg then 0.3 mg0.5 mg repeated at 1 min intervals up to 3 mg total
Rate of Romazicon? Rapid IVP
Nursing considerations for Romazicon? Watch for signs of resedation due to short half life
Action of Sodium Bicarbonate? Alkalinization; Neutralization of gastric acid
Dose of Sodium Bicarbonate? 1 Meq/kg IVP; May be repeated q 10 min at ½ initial dose
Rate of Sodium Bicarbonate? Rapid IVP
Nursing considerations for Sodium Bicarbonate? Incompatible with Dopamine and catecholamines; Monitor ABGs
Action of Solucortef? supress inflam and immune response, suppress adrenal function
Other name for Solucortef? Hydrocortisone
Nursing considerations for Thiamine? Unstable in alkaline solutions
Action of Toradol? Decreased pan, antipyretic and anti-inflammatory properties
Other name for Toradol? Ketorolac
Dose of Toradol? Loading dose: 30-60 mg; Maintenance dose:1/2 loading dose Q 6H
Rate of Toradol? IVP given slowly
Nursing considerations for Toradol? Use with caution in pts with GI (peptic ulcer), hepatic, renal disease; Can prolong bleeding times
Action of Vasotec? ACE I
Other name for Vasotec? Enalapril
Dose of Vasotec? 0.625 to 1.25 mg IV Q 6H
Rate of Vasotec? Administered over at least 5 min
Nursing considerations for Vasotec? 0.625 mg dose may be repeated in 1 h if necessary; Monitor for s/ sx of hypotension and hypoglycemia; NSAIDs may reduce antihypertensive effect; Monitor potassium levels
What do ACE I do? lower BP; decrease afterload in pts with CHF; decreased progression of diabetic nephropathy (captopril only)
Action of Verapamil? syst. Vasodilation, decrease BP, coronary vasodilation (helps angina), suppression of VT
Dose of Verapamil? 5-10 mg Q 15-30 min
Rate of Verapamil? IVP given over 2-3 min
Nursing considerations for Verapamil? After 1st doses given by MD; Cardiac monitor when administered IVP; Monitor BP
Action of Versed? Short term sedation; postop amnesia
Other name for Versed? Midazolam
Dose of Versed? 1-2 mg IVP
Rate of Versed? IVP given slowly 1 mg over 2 min
Nursing considerations for Versed? Monitor respirations; Pulse oximeter
Action of Zofran? decrease NV
Dose of Zofran? IVMS: 0.15 mg/kg x 3 doses; IVP: 4 mg
Other name form Zofran? Ondansetron
Rate of Zofran? IVMS: Infuse over 15 min
Nursing considerations for Zofran? Should be given 30 min prior to chemotherapy administration
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