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Pharm meds
Final review
| Question | Answer |
|---|---|
| What is the pharmacodynamics of Albuterol | It's a Beta 2 agonist with a preference for Beta 2 receptors |
| What are the indications for Albuterol | Bronchospasm Allergies - anaphylaxis Hyperkalemia (High potassium levels Kidney disease more than 5.0–5.5 mEq/L ) |
| What are the contraindications to Albuterol? | Known hypersensitivity to medication |
| What are the adverse effects of Albuterol? | Palpitations (racing, pounding, fluttering, or skipping heart) Anxiety Headache Dizziness Tachycardia |
| What is the adult dose for Albuterol? | 2.5 mg in 3 mL's via small volume nebulizer repeat every 15-20 min PRN |
| What is the pediatric dose for Albuterol? | 1.25-2.5 mg in 1.5 -3 mL 1 1/4 or 2 1/2 mg in 1 1/2 or 3 mL Repeat every 15-20 min PRN |
| What is the pharmacodynamics of Terbutaline (Brethine) | Beta agonist Beta 2 Selective |
| What are the indications for Terbutaline (Brethine) | Bronchial asthma For emphysema and bronchitis its a reversible airway obstruction Used to stop preterm labor |
| What are the Contraindications for Terbutaline (Brethine) | Known hypersensitivity to medication Patients under 12 years of age |
| What are the adverse effects for Terbutaline (Brethine) | Palpitations Anxiety Headache Dizziness Tachycardia |
| What is the dose for Terbutaline (Brethine) | 0.25 mg IM 1/4 mg IM |
| What is the Pharmacodynamics of Epi 1:1,000 | Strong Alpha and Beta agonist |
| What are the indications for Epi 1:1,000 | Severe bronchospasm Allergies-Anaphylaxis |
| What are the contraindications for Epi 1:1,000 | Benefits may outweigh the risks |
| What are the Adverse Effects of Epi 1:1,000 | Can worsen cardiac ischemia Palpitations Anxiety Headache Dizziness Tachycardia |
| What is the Adult dose for Epi 1:1,000 | 0.3 mg IM |
| What is the Pediatric dose for Epi 1:1,000 | 0.01 mg/kg IM Max dose 0.3 mg |
| What is the classification of Atropine? | Parasympatholytic |
| What is the pharmacodynamics of Atropine? | Selectively blocks muscarinic receptors inhibiting the parasympathetic nervous system – letting the sympathetic take over. |
| What are the contraindications of Atropine? | Allergic to drug Hypothermic bradycardia Use with extreme caution in myocardial ischemia and hypoxia Doses of less than 0.5 mg may result in slowing of the heart May not be effective for infranodal blocks (prepare pacing) |
| What is the dose of Atropine for bradycardia with or without ACS? | 1 mg IV every 3-5 min as needed Max dose; 0.04 mg/kg or 3mg |
| What is the dose of Atropine for Organophosphate Poisoning? | 2-4 mg (or more) IVP |
| What are the pharmacodynamics of Ipratropium (Atrovent)? | Anticholinergic (Selectively blocks muscarinic receptors) |
| What are the indications for Atrovent (Ipratropium)? | Bronchospasm with obstructive lung diseases (Asthma, COPD) |
| What are the contraindications for Ipratropium (Atrovent) ? | Known hypersensitivity to medication |
| What are the adverse effects for Atrovent (Ipratropium) ? | ØBlurred vision ØDry mouth ØDilated pupils ØCough ØConfusion |
| What is the Pediatric dose for Atrovent (Ipratropium)? | 250-500 mcg in 1.25-2.5 mL |
| What is the Adult dose for Ipratropium? | 500 mcg/2.5 mL |