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Dimenhydrinate (Gravol, Dramamine)
Class
Antihistamine
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Dimenhydrinate (Gravol, Dramamine)
Action
Antiemetic
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Dimenhydrinate (Gravol, Dramamine)
Indications
- Nausea and Vomiting
- Motion Sickness
- To potentiate the effects of analgesics
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Dimenhydrinate (Gravol, Dramamine)Contraindications
- Comatose states
- Patients who have receved large amounts of depressants (including alcohol)
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Dimenhydrinate (Gravol, Dramamine)
Precautions
- Use with caution in patients with seizure disorder
- Asthma
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Dimenhydrinate (Gravol, Dramamine)
Side effects
- May impair mental and physical ability
- Dowsiness
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Dimenhydrinate (Gravol, Dramamine)
Dosage
- Slow IV: 12.5-25.0 mg
- IM or PO: 50-100 mg
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Dimenhydrinate (Gravol, Dramamine)
Route
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Dimenhydrinate (Gravol, Dramamine)
Ped dose
Un availabile
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Insulin (Humilin, Novolin, Iletin)
Class
Hormone (hypoglycemic agent)
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Insulin (Humilin, Novolin, Iletin)
Action
- Causes uptakeĀ of glucose level
- Promotes glucose storage
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Insulin (Humilin, Novolin, Iletin)
Indication
- Elevated blood glucose
- Diabetic ketoacidosis
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Insulin (Humilin, Novolin, Iletin)
Contraindications
Avoid over combisation of blood glucose level; if possible admin should wait till the pt is in the ER
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Insulin (Humilin, Novolin, Iletin)
Precautions
- Administration of excessive dose may induse hypoglycemia
- Glucose should be availble
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Insulin (Humilin, Novolin, Iletin)
Dosage
10-25 units regular insulin IV followed by an infusion at 0.1 units/kg/hr
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Insulin (Humilin, Novolin, Iletin)
Route
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Insulin (Humilin, Novolin, Iletin)
Ped dosage
based on glucose level
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Glucagon
Action
- Causes brakedown of glycogen to glucose
- Inhidits glycogen synthesis
- Increases cardiac contractial force
- Increases heart rate
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Glucagon
Indication
- Hypoglycemia
- Beta-blocker overdose
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Glucagon
Contraindication
Hypersensativity to the med
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Glucagon
Precautions
- effective only if there are sufficent stores of glycogen with in the liver
- Use caution in patients with cardiovascular or reanal disease
- draw blood for glucose before admin
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Glucagon
side effects
Few in emergincy situation
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Glucagon
Dosage
- IV: 0.25-0.5 unit
- IM: 1.0 mg
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Glucagon
Ped dose
0.03 mg/kg
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