EXAM 1 critical.txt

• Increase Pulse rate
• Decrease mucous secretions
• Decrease Gl motility
• Increase urinary retention
• Dilate pupils

• ↓ BP
• ↓ Pulse rate
• Dilate blood vessels
• ↓ Heart rate
• ↑ secretions of Gl, lung, skin
• ↑ Gl movement
• Bladder contraction
• Skeletal contraction
• Constrict bionchi
• Constrict pupils

• ↓ Pulse rate
• ↓ BP
• Constrict Bronchioles
• Constrict pupils

• ↑ BP
• ↑ pulse rate
• ↑ blood flow/fight or fnght
• ↑ metabolism
• ↑ breakdown of glycogen
• ↑ increase blood sugar
• ↑ mental activity
• ↑ muscle strength
• ↑ blood coagulation
• ↑ respiratory rate
• Pupil dilates to help with vision

1. Dilate blood vessels

2. ↑ secretions - GI, lung, skin

3. ↓ HR

4. ↑ GI

5. No blood sugar effects

6. No chg mental activity

7. No chg muscle strength

8. No chg blood coagulation

9. Bronchi constriction

10. Pupil constriction

11. Bladder contraction

12. Skeletal contraction

1. ↑ BP/cardiac output

2. ↑ blood flow for "fight or flight"

3. ↑ metabolism and use of O₂

4. ↑ breakdown of glycogen

5. ↑ blood sugar

6. ↑ mental activity

7. ↑ muscle strength

8. Blood coagulation increased

9. ↑ respiratory rate

10. Pupil dilation to help vision

• IV: 0.4 to 2 mg
• may repeat q2-3min
• max 10mg

• IV: 0.2 mg over 30 sec
• may repeat with 0.3 mg in 30 sec
• max: 3 mg total dose

• Benzodiazepine Antagonists
• (OD antidote)

PO: 10 to 30 mg q4h PRN

SR: 15 to 30 mg, q8-12h PRN

IV/IM/subQ: 2.5 to 15 mg q2 to 6h PRN

Epidural: 2 to 10 mg over 24h


SR=sustained release

PO: 325 to 650 mg q4-6h PRN; max: 4000 mg/d

Rectal supp: 650 mg q.i.d.

• Analgesic:
• PO: 325 to 650 mg q4h prn; max: 4 g/d

• TIA and thromboemboliccondition:
• PO: 81 to 325 mg/d

• Arthritis:
• PO: 3.6 to 5.4 g/d in divided doses

TDM: 15 to 30 mg/dL; 150 to 300 mcg/mL

• Symptoms:
• - CNS depression
• - Cardiovascular collapse

• Tx:
• - Airway
• - Charcoal
• - Fluids
• - EKG monitoring
• - Antiseizure meds

• Symptoms:
• - Adrenergic

• Tx:
• - Diuretics
• - Acidify urine
• - Hemodialysis

• Symptoms:
• - Agitation
• - Seizures

• Tx:
• - Supportive
• - Charcoal
• - anti-seizure meds

• Symptoms:
• - Altered levels of consciousness
• - Hallucinations
• - Convulsions (seizure)
• - Diminished urine output
• - Low Na⁺ (Na/K pump shot)
• - Oliguria
• - Coma
• - Death

• Tx:
• - Supportive
• - Fluid and electrolyte correction
• - Hemodialysis

• Symptoms:
• - CNS stimulation

• Tx:
• - Airway & charcoal