drugs for wk of 8:9:10

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Methotrexate C

Antineoplamic Agent
What is a side effect of methotrexate?

Nausea
Darvocet C & T
- Narcotic Analgesic
- Darvon
Adderall C

ADHD Amphetamine
What is the C & T for Tramadol?
- Analgesic
- Ultram
What is the C & T of Oxycontin?
- Opiod Analgesic
- Oxycodone
What narcotic has the highest potential for abuse?

Oxycodone
What does the fact that a narc is schedule IV mean?
- Low potential for abuse
- Has currently accepted medical use
- Causes limited addiction
What is the C & T of Inderal?
- Beta Blocker
- Propranolol
What is the C & T of metformin?
- Antihyperglycemic
- Glucophage
What is the C & T of prednisone?
- Steroid
- Deltasone
What is the C & T or Enalapril?
- ACE inhibitor
- Vasotec
What is the C of vicodin & what TV show made it famous?
- Opiod Analgesic
- House
What is depakote indicated for?
- anti-psychotic
- Epileptic Agent
What C is methadone?

Opiod agonist
What is the C & T of Amoxicillin?
- Antibiotic PCN
- Augmentin
What is the C & T of Cephalexin?
- Antibiotic
- Keflex
What is zetia indicated for?

Lipid lowering agent
What is the C of skelaxin?

Skeletal muscle relaxant
Mobic is classed as an ____?

NSAID
Digoxin (aka ____) is classed as a ____ ____?
- Lanoxin
- Cardiac Glycoside
What can we use to reverse digoxin toxicity?

Dilantin
Dilantin (aka____) is a ____?
- Phenytoin
- antiepileptic
Premarin is the hormone _____?

Estrogen
Zyprexa is a ____?

Psychotropic
Hydroxyzine (aka___) is a ____.
- Vistaril
- Sedative
Lotrel is a HTN med that acts as an ____ ____?

ACE inhibitor
Avandia is an _____ ____.

Antidiabetic Agent
Ritalin is classed as a _____?

Stimulant
Vasopressin C & T
- Hormone/Vasopressor
- Pitressin
Vasopressin Description

Hormone w/ strong vasopressive & antidiuretic properties but that may precipitate angina or AMI
Indications for vasopressin (2)
- ^ peripheral resistance in arrest
- Esophageal Varices
Contraindications for Vasopressin
- PVCs
- 1st stage of labor
Vasopressin precautions (8)
- Epilepsy
- Migraine
- Heart failure
- Angina
- Vascular Disease
- Hepatic impairment
- Elderly
- Children
Vasopressin Dosage
- Arrest-- 40 units IV
- Varices-- 0.2-0.4 units/min drip
What is a distonic reaction?

The abrupt side effect fr restarting psychotropic drugs.
To combat a distonic reaction I would give ____ in the dosage of _____?
- Benadryl
- 50-100 mg IV/IM
Why does benadryl work for dystonic reactions?

Because of it anticholinergic properties.
Fentanyl C & T
- Narcotic Analgesic
- Sublimaze
Fentanyl Description
- Synthetic Narcotic Analgesic
- Rapid onset, short acting
Fentanyl Indication (1)

Sedation for intubation
Fentanyl Contraindication (2)
- MAO inhibitors
- Myasthenia Gravis
Fentanyl Precautions (6)
- ^ ICP
- Elderly
- Debilitated pts
- COPD
- Resp Probs
- Hepatic & Renal Insufficiency
Fentanyl Dosages

25-100 mcg over 2-3 mins IV
Diazepam Description

Sedative, skeletal muscle relaxant
Diazepam Indications (5)
- Motor Seizures
- Status Epilepticus
- Premed for painful procedures
- Muscle tremors fr inj
- Acute anxiety
Diazepam Contraindications (6)
- Shock
- Coma
- Acute Alcoholism
- Depressed vital signs
- OB pts
- Neonates
Diazepam Precautions (4)
- Psychosis
- Depression
- Myasthenia Gravis
- Short Half life causing seizure to return
Diazepam Dosages
- Seizure-- 5-10 mg IV/IM
- Anxiety-- 2-5 mg IV/IM
- Premed-- 5-15 mg IV
What is the trade & generic name of prototype benzo?
- Lorazepam
- Ativan
Furosemide C & T
- Diuretic
- Lasix
Furosemide Description
- Rapid acting potent diuretic & antihypertensive
- Inhibits Na reabsorption by kidneys
- Reduces venous return & cardiac workload
Furosemide Indications (2)
- CHF
- Pulmonary Edema
Furosemide Contraindications (3)
- Fluid & electrolyte depleted states
- Hepatic coma
- Pregnancy
Furosemide Precautions (8)
- Infants
- Elderly
- Hepatic Impairment
- Nephrotic Syndrome
- Cardiogenic Shock assoc w/ MI
- Gout
- Pts receiving digitalis
- K depleting steroids
Furosemide Dosage

40-120 mg slow IV
How does Lasix work?

It reduces Na reabsorption in the loop of henle
What is the immediate action of lasix in HTN?

Lasix causes vasodilation lowering BP
Metoclopromide C & T
- Antiemetic
- Reglan
Metoclopromide Description
- Dopamine antagonist similar to procainamide but w/ few antidysrhythmic or anesthetic props
- Antiemetic props fr gastric emptying & desensitization of vomiting reflex
Metoclopromide Indications (2)
- Nausea
- Vomiting
Metoclopromide Contraindications (6)
- Allergy to sulfite agents
- Seizure Disorders
- Pheochromocytoma
- Mechanical GI obstruction
- Breast Cancer
Metoclopromide Precautions (5)
- CHF
- Hypokalemia
- Renel Impairment
- GI hemorrhage
- Intermittent porphyria
Metoclopromide Dosage

10-20 mg IM; 10 mg slow IV (over 1-2 mins)
Why are we precautioned in using Reglan in my CHF pt?

B/c it is a dopamine antagonist & we would not want to block dopamine when the heart is already failing
Why dont we give Zofran to our botulism pt?

B/c he/she will die
Vecuronium C & T
- Nondepolarizing Skeletal Muscle Relaxant
- Norcuron
Vecuronium Description

Nondepolarizing Neuromuscular blocker w/ minimal cardiovascular effects
Vecuronium Indications

ET intubation
Vecuronium Contraindications

none
Vecuronium Precautions (2)
- Severe obesity
- Myasthenia Gravis
Vecuronium Dosages

0.08-0.1 mg/kg IV
What does nondepolarizing mean?

These drugs do not depolarize the motor end plate but instead they block Ach receptors
Amiodarone C & T
- Antidysrhythmic
- Cordarone, Pacerone
Amiodarone Description
- Prolongs duration or action potential & refractory periods
- Relaxes smooth muscles
- Reduces peripheral vascular resistence
- Increases coronary blood flow
Amiodarone Indications
- Life threatening ventricular & superventricular dysrhythmias
- Frequently A-Fib
Amiodarone Contraindications (3)
- Cardiogenic Shock
- Severe sinus bradycardia
- Advanced heart block
Amiodarone Precautions

None
Amiodarone Dosage

150-300 mg IV over 10 mins then 1 mg/min for 6 hrs
Chlordiazepoxide C & T
- Sedative/ Hypnotic
- Librium
Chlordiazepoxide Description

BENZO DERIVATIVE producing mild sedation & anticonvulsant, skeletal muscle relaxant, prolonged hypnotic effects
Chlordiazepoxide Indications (2)
- Severe anxiety & tension
- Acute alcohol WD symptoms (DTs)
Chlordiazepoxide Contraindications (2)
- Pregnant & nursing Mothers
- Children under 6
Chlordiazepoxide Precautions
- Primary depressive disorders or pyschosis
- Acute alcohol intox
Chlordiazepoxide Dosage

50-100 mg IV/IM
What are Dts?

Delirium tremens cause by alcohol withdrawl

Author

medic11

29534

Card Set

drugs for wk of 8:9:10

Description

Drugs for wk of 8/9/10

Updated

2010-08-10T17:12:46Z

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