Which drugs combine to form a neuroleptanalgesia?
Fentanyl (Sublimaze), & Droperidol (Inapsine)
What are side effects of antitussives?
Constipation & dizziness
What occurs when you combine Dextromethorphan and MAOIs?
Patients may experience hypotension, jerking motions to the leg, and coma.
What are some uses of mucolytics?
Trach care, pulmonary complications of cystic fibrosis, atelectasis related to mucous production,& acetaminophen overdose.
Cetirizine is contraindicated for patients that are taking what?
If taking Hydroxyzine
Sustained release pseudoephedrine is contraindicated in what?
Children younger than 12 years.
What are beta-adrenergic bronchodilators used for?
bronchospasms associated with both acute and bronchial asthma, exercise induced bronchospasms, & bronchiactasis.
There is an increased risk of asthma related deaths for persons taking this?
Characteristics of acute bronchospasms
Dyspnea, Forceful expiration, severe respiratory distress, and wheezing.
What is the purpose of salicyclates(aspirins)?
management of pain, management of swelling, and manage fever.(anypyretic, analgesic, and anit-inflammatory)
These NSAIDS are not used to treat osteoarthritis or rheumatoid arthritis?
Keterolac, mefenamic, and meloxicam.
When are migraine medications contraindicated?
If taking MAOIs, ischemic heart disease, if doesn't have diagnosis, and if have TIA (transient ischemic attack)
A person with PKU should avoid what migraine medications?
Rizatriptan (Maxalt) and Zolmitriptan (Zomig) because these drugs have phenylananine.
Which opioid is referred to as the gold standard and prototype?
Contraindications of opioids
Intracranial pressure, emphysema, upper airway obstruction, and acute bronchial asthma
Which drug is an opioid antagonist?
Uses for methodone
Heroine recovery and pain.
What is the action of opioids?
Changes how pain is perceived.
What should you have readily available if patient is receiving opioids by PCA pump?
Oxygen, resuscitative equipment, intubation equipment.
Forms of regional anesthetics
Epidural, brachial plexus, transsacral, sacrococcygeal.
This drug is not added to lidocaine when it is used to numb the extremities
Most commonly used gas and the chief danger is hypoxemia.
Volatile liquid that needs special vaporizer
This is why many anesthetics are combined with skeletal muscle relaxants
To facilitate insertion of an endotracheal tube
What are the actions of neuroleptanalgesics?
decreases motor activity, profound analgesia and general quietness.
Side effects of salicylates
Anorexia, GI bleed
When are salicylates contraindicated?
Until been healed from surgery, influenza, chicken pox related to Reye's syndrome, GI bleed, one week prior to surgery
What is the purpose of nonsalicylates?
Manage fever & pain
Side effects of nonsalicylates?
Pancytopenia, jaundice, hypoglycemia, hemolytic anemia
What is an anecdote for acetaminophen overdose?
Treatment for acetaminophenase overdose
Gastric lavage in the first 24 hrs
When is a nonsalicylate contraindicated?
If person is alcoholic
Special property of celebrex
Inhibits COX-2 without inhibiting COX-1
S/S of acetaminophen toxicity
abdominal pain, confusion, arrhythmias and liver tenderness, hypotension, jaundice.
Side effects of NSAIDS
Confusion, arrhythmias, depression, bloating, psychic disturbances, rhinitis, increased BUN levels, SJS syndrome, vertigo, jaundice, pancytopenia.