Summa Drug Book
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| Activated Charcoal Therapeutic Effects | Decreases the absorption of a poison or a drug by binding with any unabsorbed drug in the digestive tract
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| Activated Charcoal Indications | Gastrointestinal poisoning or drug abuse, emesis contraindicated
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| Activated Charcoal Side Effects | Black stools
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| Activated Charcoal Adult Dose | Two tablespoons (50g) mixed with a glass of water, OR 1-2 grams/ kg
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| Aminophylline Therapeutic Effects | Relaxes bronchial smooth muscles, but does not act on adrenergic receptors, stimulates the respiratory center of the brain
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| Aminophylline Indications | Bronchial asthma, reversible bronchospasm associated with chronic bronchitis and emphysema, CHF, pulmonary edema
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| Aminophylline Contraindications | Angina, pre-existing dysrhythmias, peptic ulcer disease, liver disease, renal disease, patients already taking Theo-Dur or Slo-Bid, children < 6 months
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| Aminophylline Side Effects | Vomiting, diarrhea, palpitations, irritability, seizures, insomnia, flushing
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| Aminophylline Adult Dose | Using a 100 ml bag of D5W, add 250 mg (10 ml) to 90 ml of fluid (withdrawl 10 ml before adding medication) 500 mg (20 ml)in 80 ml ( withdrawl 20 ml before adding medication) total infusion = 100ml slow IV over 20-30 minutes.
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| Adenosine Therapeutic Effects | Slows the sinus rate and conduction time through the AV node which can effectively terminate rapid supraventricular arrhythmias such as PSVT
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| Adenosine Indications | Conversion of PSVT to Sinus Rhythm, narrow complex PSVT refractory to common vagal maneuvers
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| Adenosine Contraindications | Second or third degree AV blocks, sick sinus syndrome, A-flutter, A-fib, V-tach
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| Adenosine Side Effects | Facial flushing, chest pain, lightheadedness, hypotension, paresthesia, shortness of breath, headache, nausea, diaphoresis, palpitations, metallic taste
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| Adenosine Adult Dose | Initial: 6 mg rapid IVP (1-3 seconds) immediatley followed with a 20 cc flush Repeat: 12 mg rapid IVP (1-3 seconds) immediately followed with a 20 cc flush Third: 12 mg rapid IVP (1-3 seconds) immediately followed with a 20 cc flush
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| Albuterol Therapeutic Effects | Selective B2 agonist with minimal amount of side effects Causes bronchodilation quickly by relaxing bronchial smooth muscle
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| Albuterol Indications | Bronchial Asthma Reversible bronchospasm associated with chronic bronchitis and emphysema
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| Albuterol Contraindications | Known hypersensitivity Excessive prior use of beta stimulants Shortness of breath not caused by broncho-constrtiction
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| Albuterol Side Effects | H/A Dizziness Nervousness Increased Heart Rate Palpitations N/V
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| Albuterol Adult Dose | 2.5 mgs in NS via aerosol device @ 6-10 L/Min over 5-15 min (0.5 ml [2.5mg] added to 2.5 ml NS = 3 ml) may repeat prn
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