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drugs

lasix, d50, amiodarone, versed, succs

QuestionAnswer
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