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common IV
Common IVs
| Question | Answer |
|---|---|
| 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? | Syst. dilation results in decreased BP; Coronary dilation results in decreased freq. &severity of angina attacks; Supress arrhyth.(Inhibits Ca transport into myocard. and vas. smooth muscle cells; results 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 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 anxiety; Sedation; Amnesia (depresses CNS, pontentiating GABA, an inhibitory neurotransmitter; produces skeletal muscle relaxation by inhibiting spinal polysynaptic afferent pathways; 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 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 vial sizes: 10 ml bolus vial 100 ml infusion vial. Infuse up to 72 hrs w/vented tubing. Incompatible with Lasix. Always check Cr and platelets b4 admin. Dose 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? | CM; IV pump; Dose less in pts with hepatic impairment & CHF; For VT w/impaired 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 signs or sx or toxicity |
| 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 slowly over 10 m; 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? | Give accord. to body wt; Max dose is given for pts wt greater than or = to 110kg; No antidote for OD; Excreted by kidneys; Reduce dose in RI 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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