Hospital Meds
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| Acetaminophen; Class Trade Name | -Non narcotic analgesic, antipyretic
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| Acetaminophen; Description Indications | -Elevates the pain threshold in the CNS, and acts on the hypothalamic thermoregulatory centers decreasing temperature
-fever and mild to moderate pain
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| Acetaminophen; Contraindications | 1. hypersensitivity
2.hepatitis, hepatic/renal dysfunction
3.alchoholism
4.anemia
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| Acetaminophen; Side effects | - Dizziness, anaphylactic reaction, epidermal reactions, hepatic failure, renal failure, thrombocytopenia, diaphoresis and chills
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| Acetaminophen; Administration Onset /Duration | Adult: 325-650 mg PO q 4-6 hrs, 650 mg PR q 4-6 hrs (max 4g/day)
Pediatric: 15 mg/kg q 4-6 hrs (PO or PR) (max 2.6 g/day)
-30-60 min, 3-4 hrs
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| Insulin; Class Trade names | -Hormone, Hypoglycemic agent
-NPH, Humulin, Novolin, Novolog
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| Insulin; Indications | 1. Diabetic Ketoacidosis
2. Patients with severely high BG levels
3. Hyperkalemia
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| Insulin; Contraindications | 1. Hypoglycemia
2. Caution in hypokalemia
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| Insulin; Side Effects | 1.Allergic reactions
2.Headache
3.Hypoglycemia
4.Hypokalemia
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| Insulin; Administration Onset/Duration | Adult/Peds: 10-25 units SQ.
Infuse: 0.1 U/kg/hr IV
30 minutes- 1 hr; 2-3 hrs
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| Meperidine Hydrochloride; Class Trade name | -Opioid Analgesic, CNS depressant, Schedule 2controlled substance
-Demerol
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| Meperidine Hydrochloride; Description | Depresses pain perception by acting on the opioid receptor in the CNS
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| Meperidine Hydrochloride; Indication | Moderate to severe pain
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| Meperidine Hydrochloride; Contraindications | Hypersensitivity
MAO inhibitors within 2 weeks
Head injury
Abdominal Pain of unknown etiology
Hypovolemia
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| Meperidine Hydrochloride; Side Effects | Headache, CNS depression, Respiratory/Cardiovascular Depression, Dry mouth/nausea/vomiting, Flushing/Uticaria/Diaphoresis/Pruitus,
Constipation, QT prolongation, Constipation, Pupil constriction(Miosis)
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| Meperidine Hydrochloride; Administration Onset/Duration | Adult: IV 25-50 mg. IM 50-100 mg
Pediatrics: 1 mg/kg
5 min IV, 10 min IM; 2-4 hrs
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| Hydromorphone; Class Trade Name | -Synthetic opioid analgesic, CNS depressant, Schedule 2 controlled substance.
- Dilaudid
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| Hydromorphone; Description | Centrally acting analgesic that binds to the opiate receptor sites in the CNS. Suppresses cough via suppression of the medulla.
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| Hydromorphone; Indications | Moderate to severe pain. Antitussive.
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| Hydromorphone; Contraindications | 1. Hypersensitivity
2. Head injury
3. Abdominal pain
4. Hypovolemia
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| Hydromorphone; Side Effects | 1. Headache
2. CNS depression
3. Respiratory/Cardiovascular Depression
4. Dry mouth/nausea/vomiting
5. Flushing/uticaria/diaphoresis/pruritus
6. Constipation
7. QT prolongation
8. Pupil constriction (miosos)
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| Hydromorphone; Administration Onset/Duration | Adult: IV 1 mg followed by .5-1 mg q 3-5 min prn
IM 2-4 mgq 3-4 hrs.
Pediatrics: not recommended
- 2-3 min, 3-6 hrs
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| TDaP: | Tetanus toxoid and reduced Diptheria toxoid and Acellular Pertussis
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| TDap; Class Trade Name | - Vaccine Combo
- Adacel, Boostrix, Tdap
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| TDaP; Description | Stimulates active immunity to diphtheria, tetanus, and pertussis toxins due to antibody production following exposure to the weakened toxins in the vaccine.
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| TDaP; Indications | Initial vaccination is recommended for all individuals to prevent infection with tetanus, diphtheria, and pertussis. Boosters are recommended every 5-10 years and with each pregnancy.
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| TDaP; Tetanus (lockjaw) | Enviornmentally prevalent bacterium that produces toxins that lead to severe tonic muscle spasms. Early spasms typically effect jaw, face and neck. Full body spasms cause fractures, muscle/tendon rupture, and death from respiratory paralysis.
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| TDaP; Diphtheria | Highly contagious respiratory infection that causes a thick pseudomembrane to form on the lining of the airway passages. Can cause fatal asphyxiation.
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| TDaP; Pertussis (Whooping Cough) | Highly contagious respiratory infection causing upper respiratory symptoms and severe bronchitis with a severe cough. Can cause fatal respiratory failure.
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| TDaP; Contraindications | 1. Anaphylactic reaction to a prior dose, or any of the components.
2. Encephalopathy within 7 days of a previous dose.
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| TDaP; Side Effects | 1. Swelling, redness, rash and pain at injection site
2. Nausea, vomiting, and diarrhea
3. Fever, Chills, body aches, muscle weakness
4. Headache
5. Seizure
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| TDaP; Administration | 0.5 mL IM (typically in the deltoid)
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