Resp drug quiz 1

Albuterol trade name

Proventil

Albuterol Class

Sympathomimetic, bronchodilator, beta 2 agonist

Albuterol Description

Relaxes smooth muscles of bronchial tree and peripheral vasculature

Albuterol Onset

5-8 min after inhalation

Albuterol Duration

2-6 hrs after inhalation

Albuterol Indications

Anaphylaxis

Albuterol Contraindications

Hypersensitivity to albuterol or levalbuterol

Albuterol Adverse reactions

Tachycardia

Albuterol Adult Dose

2.5-5 mg in 3 mL NS via nebulizer

Albuterol Special considerations

Pregnancy category C

Etomidate Trade name

Amidate

Etomidate Class

Nonbarbiturate hypnotic, anesthetic

Etomidate Description

acts at the level of the reticular activating system to produce anesthesia

Etomidate Onset

Within 1 min

Etomidate Duration

5-10 min

Etomidate Indications

Pre-medication for tracheal intubation or cardioversion

Etomidate Contraindications

Hypersensitivity

Etomidate Adverse effects

N/V

Etomidate Adult dose

0.2-0.6mg/kg IV over 30-60 seconds

Etomidate Special considerations

Pregnancy Category C

Ipratroprium bromide Trade name

Atrovent

Ipratroprium Bromide Class

anticholinergic, bronchodilator

Ipratroprium Bromide Description

Inhibits interaction of acetylcholine at receptor sites on bronchial smooth muscles.

Ipratroprium Bromide Onset

Within 15 min

Ipratroprium Bromide Duration

2-4 hrs

Ipratropium Bromide Indications

Persistent bronchospasm

Ipratroprium Bromide Contraindications

Hypersensitivity to ipratropium, atropine, soybean protein, or peanuts

Ipratroprium Bromide Adverse Reactions

N/V

Ipratroprium Bromide Adult dose

0.5 mg nebulized, repeated twice

Ipratroprium Bromide Special Considerations

Pregnancy Category B

Ketamine Trade Name

Ketalar

Ketamine Class

Nonbarbituate anesthetic

Ketamine Description

Produces short acting amnesia without muscular relaxation

Ketamine Onset

Within 30 seconds

Ketamine Duration

5-10 min up to 1-2 hrs

Ketamine Indications

Treatment of severe agitation

Ketamine Contraindications

Hypersensitivity

Ketamine Adverse effects

hallucinations

Ketamine Adult Dose

2mg/kg IV over 1 min (excited delirium)

Ketamine Special Considerations

Pregnancy Category C

Methylprednisolone Trade Name

SoluMedrol

Methylprednisolone Class

Glucocorticoid

Methylprednisolone Description

Synthetic steroid that suppresses acute and chronic inflammation

Methylprednisolone Onset

1-2hrs

Methylprednisolone Duration

8-24 hrs

Methylprednisolone Indications

Anaphylaxis

Methylprednisolone Contraindications

Caution in pt's with GI bleeding, diabetes, or severe infection

Methylprednisolone Adverse effects

HA

Methylprednisolone Adult dose

2mg/kg (max 125mg) IV

Methylprednisolone Special Considerations

Pregnancy Category C

Oxygen Trade Name

n/a

Oxygen Class

gas

Oxygen Description

Necessary for cellular metabolism

Oxygen Onset

n/a

Oxygen Duration

n/a

Oxygen Indications

Hypoxia

Oxygen Contraindications

Non-hypoxic patients

Oxygen Adverse effects

Drying of mucous membranes

Oxygen Adult Dose

100% (cardiac arrest)

Oxygen Special Considerations

n/a

Rocuronium Bromide Trade name

Zemuron

Rocuronium Bromide Class

non-depolarizing neuromuscular blocker

Rocuronium Bromide Description

competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis.

Rocuronium Bromide Onset

1min (peak 4 min)

Rocuronium Bromide Duration

26-40min

Rocuronium Bromide Indication

chemical paralysis for airway placement

Rocuronium Bromide Contraindication

Hypersensitivity

Rocuronium Bromide Adverse effects

anaphylaxis

Rocuronium Bromide Adult dose

0.6-1.2 mg/kg IV

Rocuronium Bromide Special considerations

Pregnancy category C

Succinylcholine Trade Name

Anectine

Succinylcholine Class

Neuromuscular blocker (depolarizing)

Succinylcholine Description

Has the quickest onset and briefest duration of action of all neuromuscular-blocking drugs.

Succinylcholine Onset

within 1 min

Succinylcholine Duration

5-10min after single IV dose

Succinylcholine Indications

Facilitate intubation

Succinylcholine Contraindications

hypersensitivity

Succinylcholine Adverse effects

respiratory depression

Succinylcholine Adult Dose

1-1.5mg/kg IV/IO (RSI)

Succinylcholine Special Considerations

Pregnancy Category C

Vecuronium Bromide Trade name

n/a

Vecuronium Bromide Class

nondepolarizing neuromuscular blocker

Vecuronium Bromide Description

completely blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis

Vecuronium Bromide Onset

2.5-3min (peak 3-5min)

Vecuronium Bromide Duration

30-40min

Vecuronium Bromide Indications

Chemical paralysis for airway placement, particularly in controlled situations and settings

Vecuronium Bromide Contraindications

Hypersensitivity

Vecuronium Bromide Adverse effects

anaphylaxis

Vecuronium Bromide Adult dose

0.08-0.1 mg/kg IV

Vecuronium Bromide Special Considerations

Pregnancy category C