Drug Quiz 1

aspirin: Drug Trade/Brand Name

Bayer, St. Joseph Children’s

aspirin: class

Acetylsalicylic acid, analgesic, antipyretic, anti-inflammatory, platelet inhibitor

aspirin: description

Decreases inflammation, pain, and fever. It powerfully inhibits platelet aggregation (keeps from allowing certain things to thin the blood)

aspirin: indication

chest pain consistent with MI or cardiac etiology

aspirin: contradiction

known hypersensitivity, asthma HX, active bleeding ulcer

aspirin: precaution

Allergies to other NSAIDs, bleeding disorders, children or teenagers with varicella (chicken pox), influenza-like symptoms

aspirin: side effects

Nausea/vomiting, heartburn, bleeding, bronchospasm, rash, angioedema (swelling around the mouth/lips)

aspirin: dose/route

ADULT- 4 chewable baby ASA (81mg each or 324mg total) PO

• PED: Not indicated

nitroglycerin: Drug Trade/Brand Name

Nitrostat, Nitrospray

nitroglycerin: class

Nitrate

nitroglycerin: description

Vasodilates (relaxes) blood vessels, which lessens heart workload and allows for more blood to circulate to the heart’s blood vessels

nitroglycerin: indication

chest pain associated with angina and acute myocardial infarction

nitroglycerin: contraindication

BP< 100mmHg, HYPOtension, use of phosphodiesterase inhibitors (i.e. Viagra, Cialis) in last 24 hours, known hypersensitivity, severe anemia, trauma, increased ICP, glaucoma, shock

nitroglycerin: precaution

Nitroglycerin can lose potency when exposed to light or to the air. Monitor vital signs closely; can cause severe HYPOtension

nitroglycerin: side effect

Headache, HYPOtension, diaphoresis, flushed skin, palpitations

nitroglycerin: Dose/Route

Adult: 0.4mg SL/spray every 5 min. until pain free or BP <100mmHg, MAX 3 doses

PED: not indicated

nitroglycerin: important information

Administration is restricted to ONLY patients who already have a doctor’s order with a prescription for the medication. This can include meter-dosed inhaler

oxygen: class

medical gas

oxygen: description

odorless, colorless tasteless gas

oxygen: indication

Hypoxia, anticipated hypoxia, any patient with a need to improve respiratory efficiency

oxygen: contradiction

COPD patient that is not hypoxic and used for a prolonged period of time

oxygen: Precaution

Supports combustion; because it’s compressed gas in cylinders, do not drop, throw or cause damage to tank

oxygen: side effects

dry oxygen can irritate mucous membrane

oxygen: dose/route

Adult-NC: 1-6L/min; NRB: 10-15:/min; BVM: 15L/m

PED-NC: 1-6L/min; NRB: 10-15L/min; BVM: 15L/min

Nasal Cannula

• be set anywhere between 1-6 liters per minute (usually between 2-4)

Non-Rebreather Mask (NRM)

• usually set between 10-15 liters per minute

• usually severely hypoxic but can still breathe patients would receive this

Bag Valve Mask (BVM)

• patients who need assistance in ventilation or are not able to ventilate on their own at all

• minimum of 15L to a maximum of 25L

• does not have to have oxygen connected to it to work but would be better if it is