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drugs
lasix, d50, amiodarone, versed, succs
| Question | Answer |
|---|---|
| D50 GENERIC NAME | D50 |
| D50 BRAND NAME | Dextrose 50%, |
| D50 CLASS | Carbohydrate, hyperglycemic |
| D50 MECHANISM OF ACTION | Increases blood glucose concentrations |
| D50 INDICATIONS | hypoglycemia, Hyperkalemia, ALOC of unknown etiology |
| D50 CONTRAINDICATIONS | DT’S, Intracranial and intraspinal hemorrhage, and solution not clear. |
| D50 ADVERSE REACTIONS | Hyperglycemia, Warmth, burning, or pain of the peripheral veins. |
| D50 INCOMPATABILITIES/DRUG INTERACTIONS | Diazepam will precipitate if given concurrently without flushing |
| D50 ADULT DOSE/ROUTE Hypoglycemia, ALOC of unknown etiology | 10-25g, IV |
| D50 ADULT DOSE/ROUTE Hyperkalemia | 25g IV |
| D50 ADULT DOSE/ROUTE Pediatric Dosage >2 years | 2ml/kg of dextrose 50% |
| D50 ADULT DOSE/ROUTE Pediatric Dosage <2 years | 2-4ml/kg of 10% |
| D50 ONSET OF ACTION | Seconds |
| D50 PEAK EFFECTS | Variable |
| D50 DURATION OF ACTION | Variable |
| D50 AZ DRUG BOX SUPPLY RANGE | 2 - 4 prefilled syringe |
| Lasix GENERIC NAME | Furosemide |
| Lasix BRAND NAME | Lasix |
| Lasix CLASS | Loop diuretic |
| Lasix MECHANISM OF ACTION | Inhibits electrolyte reabsorption and promotes excretion of sodium, potassium, chloride. |
| Lasix INDICATIONS | CHF, Pulmonary edema, hypertensive crisis. |
| Lasix CONTRAINDICATIONS | Hypovolemia, hypersensitivity to sulfonamides. |
| Lasix ADVERSE REACTIONS | orthostatic hypotension, Hypokalemia, ECG changes, vertigo, weakness |
| Lasix NOTES ON ADMINISTRATION | Ototoxicity and deafness can occur with rapid administration. |
| Lasix INCOMPATABILITIES/DRUG INTERACTIONS | Lithium toxicity may be potentiated by sodium depletion. Digitalis toxicity may be potentiated by potassium depletion. |
| Lasix Adult DOSE/ROUTE | 0.5-1.0 mg/kg injected IV over 1-2 minutes. If no response dose at 2 mg/kg over 2 minutes. |
| Lasix Pediatric DOSE/ROUTE | 1 mg/kg/dose IV, IO |
| Lasix ONSET OF ACTION | 5 minutes |
| Lasix PEAK EFFECTS | 60 minutes |
| Lasix DURATION OF ACTION | 6 hours |
| Lasix AZ DRUG BOX SUPPLY RANGE | 100 mg |
| Succinylcholine GENERIC NAME | Succinylcholine |
| Succinylcholine BRAND NAME | Anectine |
| Succinylcholine CLASS | Depolarizing paralyzing agent |
| Succinylcholine MECHANISM OF ACTION | Binds to the receptors for acetylcholine, resulting in muscle paralysis |
| Succinylcholine INDICATIONS | To facilitate intubation. |
| Succinylcholine CONTRAINDICATIONS | Malignant hypothermia, burns, truama |
| Succinylcholine ADVERSE REACTIONS | Apnea, Malignant Hyperthermia, arrhythmias, hypertension, hypotension, |
| Succinylcholine INCOMPATABILITIES/DRUG INTERACTIONS | Effects potentiated by oxytocin, beta blockers, and organophosphates. Diazepam may reduce the duration of action. |
| Succinylcholine ADULT DOSE/ROUTE | 1-2mg/kg rapid IV. Repeat once if needed. |
| Succinylcholine PEDIATRIC DOSE/ROUTE | 1-1.5 mg/kg rapid IV/IO. Repeat once if needed. |
| Succinylcholine ONSET OF ACTION | 1 minute |
| Succinylcholine PEAK EFFECTS | 1-3 minutes |
| Succinylcholine DURATION OF ACTION | 5 minutes |
| Succinylcholine AZ DRUG BOX SUPPLY RANGE | 400mg. |
| Versed GENERIC NAME | Midazolam |
| Versed BRAND NAME | Versed |
| Versed CLASS | Short-acting benzodiazepine CNS depressant |
| Versed MECHANISM OF ACTION | Anxiolytic and sedative properties similar to other benzodiazepines, memory impairment |
| Versed INDICATIONS | Sedation, anxiety, skeletal muscle relaxation |
| Versed CONTRAINDICATIONS | Narrow angle glaucoma,Pregnant women |
| Versed ADVERSE REACTIONS | Respiratory depression/arrest, Hypotension, N/V, Headache, Cardiac arrest |
| Versed INCOMPATABILITIES/DRUG INTERACTIONS | Should not be used in patients who have taken a CNS depressant |
| Versed ADULT DOSE/ROUTE | 2-2.5 mg over 2 minutes. May repeat in 2 min. |
| Versed Peds DOSE/ROUTE >12 | same as adult |
| Versed Peds DOSE/ROUTE >6 AND <12 | 0.05mg/kg up to .4 mg/kg |
| Versed ONSET OF ACTION | 3 minutes |
| Versed PEAK EFFECTS | variable |
| Versed DURATION OF ACTION | 6 hours |
| Versed AZ DRUG BOX SUPPLY RANGE | 10mg optional |
| AMIODARONE GENERIC NAME | AMIODARONE |
| AMIODARONE BRAND NAME | CORDARONE |
| AMIODARONE CLASS | ANTIARRHYTHMIC |
| AMIODARONE MECHANISM OF ACTION | Blocks myocardial sodium, and potassium channels |
| AMIODARONE INDICATIONS | Ventricular arrhythmias, second line agent for atrial arrhythmias. |
| AMIODARONE CONTRAINDICATIONS | S.S.S., 2nd and 3rd degree heart block, cardiogenic shock |
| AMIODARONE ADVERSE REACTIONS | Hypotension, bradycardia |
| AMIODARONE INCOMPATABILITIES/DRUG INTERACTIONS | Beta blockers, and calcium channel blockers may potentiate Bradycardia, sinus arrest and av heart blocks. |
| AMIODARONE ADULT DOSE/ROUTE for V-fib and pulseless V-Tach | 300mg IV/IO. May repeat at 150mg in 3-5 minutes |
| AMIODARONE PEDS DOSE/ROUTE for V-fib and pulseless V-Tach | 5mg/kg (max dose 300mg) may repeat up to 2 times. |
| AMIODARONE ADULT DOSE/ROUTE for relatively stable pt’s with arrhythmias like PVC’s or wide complex tachycardia with a strong pulse | 150mg in 100ml of D5W over 10 min. |
| AMIODARONE PEDS DOSE/ROUTE for relatively stable pt’s with arrhythmias like PVC’s or wide complex tachycardia with a strong pulse | 5mg/kg over 20 min. |
| AMIODARONE ONSET OF ACTION | Immediate |
| AMIODARONE PEAK EFFECTS | 15 min. |
| AMIODARONE DURATION OF ACTION | 45 min. |
| AMIODARONE AZ DRUG BOX SUPPLY RANGE | 300mg optional |
Created by:
klindley
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