Med Pharm 1

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209 Terms

1
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What 4 classes is epi

Sympoathomimetic

Vasopressor

inotrope

2
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What is the MOA for epi

Stimulates beta and alpha receptors

beta more than alpha

3
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What is the concentration and dose for IM epi for anaphylaxis

1g/1mL

0.3-0.5

4
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What is the duration of IM Epi

5-15 minutes

5
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What is the RPT time and dose for IM epi anaphylaxis

0.3-0.5mg q5-15 minutes

or start drip

6
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What are 2 indications for respiratory epi

bronchodilator

croupe

7
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What is 2 routes and dosages for respiratory epi

0.3-0.5mg IM

0.5mg Neb in 3mL of saline over 15 minutes

8
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What is the RPT dosage and time for respiratory IM epi

q20min x3

9
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What is the repeat time and dosage for neb respiratory epi

q2hr

0.5mg in 3mL NS over 15 minutes

10
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What is the pediatric dosage for IM epi and max dosage

0.01mg/kg

0.3mg MAX

11
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What is the pediatric dosage for neb epi

0.05mg/kg in 3mL NS over 15 minutes

12
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What are the indications for vasopressor epi drip

hypotension

unstable bradycardia

13
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What is the concentration for vasopressor epi drip vial

1mg/10mL

14
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What is the dosage for vasopressor epi drip

2-20mcg/min IV/IO

15
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How do you set up the fluid bag for a vasopressor epi drip (concentration, amount in bag, volume of bag)

1mg in 500mL NS

2mcg/mL

16
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what is the dosage for pediatric vasopressor epi drip and how do you set up the bag

1mg/500mL NS

0.1-1mcg/kg/min IV/IO

17
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What is the indication for push dose epi 2

hypotension

bradycardia

18
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What is the dosage for push dose epi

5-20mcg

19
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How do you reconstitute push dose epi and from what vial do you pull from. What is the reconstituted concentration

0.1mg from 1mg/10mL vial

+ 9mL NS

10mcg/mL

20
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What is the RPT dose and time for push dose epi

5-20mcg

q2-5min

21
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What is the weight cutoff for push dose epi

don’t use for less than 50kg

22
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What is the indication for cardiac epi

Cardiac arrest

23
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What is the dosage for cardiac epi

1mg IVP

24
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What is the RPT dose and time for cardiac epi

1mg q3-5 min

25
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What are 4 contraindications for respiratory epi

tachycardia

hypertension

arrythmia

chest pain

26
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What is the indication for dphenhydramine (Benadryl)

Allergy

Anaphylaxis

27
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What is the dosage for diphenhydramine (benadryl)

25-50mg IV IO PO

28
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What is the class for diphenhydramine (benadryl) 2 things

Antihistamine

H1 blocker

29
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What is the MOA for diphenhydramine (benadryl) 3

H1 receptor antagonist

sedative and anticholinergetic

Reverses EPS

30
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What is the max dose and time for diphenhydramine (benadryl)

Max 50mg

31
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What is the duration for diphenhydramine (benadryl)

4-8hr

32
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What are 2 considerations to think of with diphenhydramine (benadryl)

Minor sedation

Pediatric paradoxal reactions

33
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What is the pediatric dose for diphenhydramine (benadryl)

1mg/kg

34
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What is the duration of anaphylaxis epi

5-15min

35
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What is the duration of respiratory epi

5-15 min

36
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What is the duration of push dose epi

1-2min

37
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What is the duration of cardiac epi

3-5min

38
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What is the indication for methylprednisalone (solumedrol) 3

Anaphylaxis

Asthma

Allergy

39
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What class is methylprednisolone (solumedrol)

Systematic corticosteroid

40
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What is the dose for methylprednisolone (solumedrol)

125mg IV IO

41
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What is the MOA for methylprednisolone (solumedrol)

Synthetic glococorticoid that supresses inflammation

42
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What is the duration for methylprednisolone (solu medrol)

4hrs

43
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Can you repeat solu medrol

no

44
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What are 3 contraindications for methylprednisolone (solu medrol)

head Tx

systematic fungal infection

GI bleed

45
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What is the pediatric dosage for methylprednisolone (solumedrol)

1-2mg/kg

46
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What is the indication for acetaminophen 2

fever

mild to moderate pain

47
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What is the class for acetaminophen 2

antipyretic

analgesic

48
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What is the MOA for acetaminophen

Unclear

Works centrally to reduce fever and pain pathways

49
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What is the dosage and repeat time for acetaminophen

1000mg PO

q8h

50
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What is the pediatric dose for acetaminophen and RPT time

15mg/kg

q4-6h

51
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What is the adult max dose daily for acetaminophen

4g

52
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Why do you caution use of acetaminophen and percocet

percocet is a combination drug

53
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What class is acetazolamide 2

diuretic

carbonic anhydrase inhibitor

54
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What is the MOA for acetazolamide 3

Inhibits carbonic anhydrase

Decreases H+ renal secretion

Increases Na, K, bicarb, h20 secretion

55
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What is the prophylactic dose for acetazolamide

125mg PO

56
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What is the treatment dose for acetazolamide

250mg PO

57
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What is the max dose for acetazolamide and RPT time

250mg

q12h

58
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What is the pediatric dose for acetazolamide

2.5mg/kg PO

59
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What is the indication for acetazolamide

Acute mountain sickness

60
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What is one contraindication for acetazolamide

Sulfa allergy

61
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What are 3 adverse effects of acetazolamide

parasthesia

polyuria

dehydration

62
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What is the duration for acetazolamide

4-12hr

63
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What class is dexamethasone

systematic cortico steroid

64
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What is the MOA for dexamethasone 3

Long acting

decreases inflammation

supresses normal immune response

65
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What is the acute mountain sickness dose for dexamethasone

4mg PO

66
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What is the HACE dose for dexamethasone

8mg IV IO PO

then 4mg q6h

67
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What is the pediatric dose for dexamethasone

0.15mg/kg IV IO PO

68
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What is the indication for dexamethasone 2

HACE

Severe acute mountain sickness

69
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What are 4 considerations with dexamethasone (adverse effects and consideratioin)

descent is required

Restlessness

hyperglycemia

hypertension

70
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What is the RPT time for dexamethasone

q6h

71
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What is the duration of dexamethasone

24-72h

72
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What class is Nifedipine

Calcium channel blocker

73
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What is the MOA for Nifedipine 4

Inhibit Ca movement

vasodilation

reduce preload and afterload

no AV effect

74
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What is the dosage for nifedipine ER and RPT time

30mg PO q12h

75
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What is the normal release dose for nifedipine and RPT time

20mg PO q8h

76
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What is the pediatric dose for nifedipine and RPT time

0.5mg/kg PO q8h

not recommended

77
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What is the indication for nifedipine

HAPE

78
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What are 2 considerations when using nifedipine

Descent is required

avoid hypotension

79
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What is the duration for nifedipine

6-8h

80
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What class is naloxone (narcan) 2

Antidote

Opioid Antagonist

81
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What is the MOA for Naloxone (narcan)

Compettive opioid receptor inhibitor

82
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What is the dose for naloxone

0.4-2mg IV IO IM IN

83
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What is the pediatric dose for naloxone

0.1mg/kg IV IO IM IN up to adult dose

84
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What is the indication for naloxone 2

respiratory depression from opioids

Unknown coma

85
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What are 2 considerations when using naloxone

Use minimum needed

Caution in opioid dependents and neonates

86
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What is the duration for naloxone

20-60 minutes

87
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What is the RPT time and max dosage for naloxone

q2-3min

max 10mg

88
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What class is flumazenil 2

Antidote

GABA (benzo) antagonist

89
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What is the MOA for flumazenil

Inhibits activity on benzo receptor site on GABA benzo receptor complex

90
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What is the dose for flumazenil 1st and 2nd

1st 0.2mg IV over 30 seconds

2nd 0.3mg over 30 seconds

91
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What is the pediatric dose for flumazenil

0.01mg/kg up to adult dose

92
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What is the indication for flumazenil

Reverse respiratory depression and sedation of benzo od

93
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What are 3 contraindications for flumazeil

Chronic benzo use

TCA overdose

Seizure prone

94
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What is the RPT dose for flumazenil and time

0.5mg over 30s

q1m

95
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What is the max dose for flumazenil

3mg

96
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What class is pralidoxme chloride (2-Pam) (duodote ATNAA) 2

Antidote

Cholinesterase reactivator

97
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What is the MOA for pralidoxime chloride (2-pam)(duodote ATNAA)

reactivate acetylcholinesterase that has been inactiviated by poisoning

98
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What is the dose for pralidoxime chloride (2pam)(duodote ATNAA)

600mg IM

99
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What is the pediatric dose for pralidoxime chloride (2pam)(duodote ATNAA) and MAX dose

15mg/kg IM

max 600mgW

100
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What is the indication for pralidoxime chloride (2pam)(duodote ATNAA) 2

Organophosphate

Nerve agent