-
Albuterol
- (Proventil, Ventolin) Sympathomimetic Bronchodilator
- Des: 1) causes bronchodilation 2) less cardiac effects than epinephrine 3) reduces mucus secretion 4) reduces pulmonary capillary leaking 5) reduces edema in the lungs during allergic rxns
- Ind: Brochospasm and asthma in COPD
- CI: Hypersensitivity
- PC: 1) tachycardia 2) anxiety 3) nausea 4) cough 5) wheezing 6) dizziness
- Dose: 2.5mg in 2.5 to 3mL NS via nebulizer. repeat as needed. duration of effect 3-6 hrs. PED: .15mg/kg in 2.5-3mL NS via nebulizer, repeat as needed.
-
Fentanyl
- (Sublimaze) Narcotic Analgesic
- Des: potent synthetic narcotic analgesic with more rapid/less prolonged action than morphine & meperidine
- Ind: Induce sedation for endotracheal intubation
- CI: 1) MAO inhibitors within 14 days 2) myasthenia gravis
- PC: 1) increased intracranial pressure 2) elderly 3) debilitated 4) COPD 5) respiratory problems 6) hepatic and renal insufficiency
- Dose: 25 to 100mcg slowly IV (2 to 3 min) PED: 2mcg/kg slow IV/IM
-
Ipratropium
- (Atrovent) Anticholinergic
- Des: bronchodialator used in treatment of respiratory emergencies. causes 1) bronchodilation & 2) dries respiratory tract secretions by blocking acetylcholine receptors
- Ind: 1) bronchospasm associated with asthma 2) COPD 3) inhaled irritants
- CI: 1) hypersensitivity to atropine or its derivatives 2) as a primary treatment for acute bronchospasm 3) nut allergy
- PC: 1) elderly 2) cardiovascular disease 3) hypertension
- Dose: 500mcg in 2.5 to 3mL NS via nebulizer or 2 sprays from metered dose inhaler. PED: 125-250mcg in 2.5-3mL NS via nebulizer or 1 or 2 sprays of a metered dose inhaler.
-
Morphine Sulfate
- (Morhine) Narcotic Analgesic
- Des: potent analgesic & sedative. 1) causes some vasodilation 2) reducing venous return 3) reduced myocardial O2 demand
- Ind: 1) moderate to severe pain & 2) in MI & 3) to reduce venous return in pulmonary edema
- CI: 1) hypersensitivity to opiates 2) undiagnosed head or abdominal injury 3) hypotension or volume depletion 4) acute bronchial asthma 5) COPD 6) severe respiratory depression 7) pulmonary edema due to chemical inhalation
- PC: 1) elderly 2) children 3) debilitated [naloxone available to counteract effects of morphine]
- Dose: (pain) 2.5 to 15mg IV or 5 to 20mg IM/SQ, (AMI or pulmonary edema) 1-2mg per 6-10 minute to response. PED: (pain) .05 to .10mg/kg IV; .10-.20mg/kg IM/SQ
-
Naloxone
- (Narcan) Narcotic antagonist
- Des: 1) blocks the effects of narcotics 2) may reduce respiratory depression
- Ind: 1) narcotic overdose 2) coma of unknown origin
- CI: 1) hypersensitivity to the drug 2) non-narcotic induced respiratory depression
- PC: 1) possible dependency (including newborn) 2) shorter half-life than narcotics: (pt may relapse)
- Dose: 0.4 to 2mg IV/IM/IN (2 to 2.5 the dose ET) repeated every 2 to 3 min as needed up to 10mg. PED: .01mg IV/IM (2 to 2.5 the dose ET) repeated every 2 to 3 min as needed up to 10mg.
-
-
Tramadol, Ultram
analgesic
-
Xanax, Alprazolam
anxiety disorder
-
Lexapro
antidepressants ssri
-
-
Xanax
- anxiety disorder
- (same as Alprazolam)
-
Alprazolam
- anxiety disorder
- (same as Xanax)
-
Tramadol
- analgesic
- (same as Ultram)
-
Ultram
- analgesic
- (same as Tramadol)
-
Drug Test 1 Drugs
- 1. Albuterol
- 2. Fentanyl
- 3. Ipratropium
- 4. Morphine Sulfate
- 5. Naloxone
- 6. Delaudid
- 7. Tramadol
- 8. Ultram
- 9. Xanax
- 10. Alprazolam
- 11. Lexapro
- 12. Paxil
|
|
