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20 Cards in this Set
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- Back
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What is the MOA for Abciximab?
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Prevents the aggregation of platelets by inhibiting the integrin GP iib/iia receptor.
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What are the indications for Abciximab?
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UA/NSTEMI patients undergoing planned or emergent PCI
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What are the adverse reactions for Abciximab?
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Bleeding from theGI tract, internal bleeding, intracranial hemorrhage, hypotension, stroke, anaphylactic shock
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What are the contraindications for Abciximab?
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Bleeding from any source, uncontrolled hypertension, surgery or trauma within the previous 6 weeks, stroke within the past 30 days, renal failure, thrombocytopenia, intracranial mass
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What is the dosage for Abciximab?
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Planned PCI within 24 hours:
.25 mg/kg IV, IO (10-60 minutes before procedure) then .125 mcg/kg/min IV, IO infusion for 12-24 hours PCI only: .25 mg/kg IV, IO then 10 mcg/min IV, IO infusion |
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What is the MOA for Activated Charcoal?
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When certain chemicalsand toxins are ingested they attach to the surface of the charcoal and become trapped
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What are the indications for Activated Charcoal?
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Toxic ingestion
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What are the adverse reactions for Activated Charcoal?
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Nausea/vomiting, constipation/vomiting, if aspirated can turn into pneumonia
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What are the contraindications for Activated Charcoal?
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Ingestion of acids, alkalis, ethanol, methanol, cyanide, ferrous sulfate or other iron salts, lithium, coma, GI obstruction
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What is the dosage for Activated Charcoal?
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Adult: 50-100 g/dose
Peds: 1-2 g/kg |
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What is the MOA for Adenosine?
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Slows the electrical impulses at the AV node
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What are the indications for Adenosine?
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Stable reentry SVT, does not convert AF, atrial flutter, or VT
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What are the adverse reactions for Adenosine?
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Sense of impending doom, complaints of flushing, chest pressure, throat tightness, numbness, may be a brief episode of systole
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What are the contraindications for Adenosine?
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Sick sinus syndrome
Second- or third-degree heart block Poison- or drug-induced tachycardia |
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Whqt is the dosage for adenosine?
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Adult: 6mg rapid IV/IO immediately followed by a 20mL rapid saline flush. If first dose does not eliminate rhythm in 1-2 minutes, 12mg rapid IV/IO repeat 2nd time if needed
Peds: for children >50kg same as adult dosing For children <50kg .1mg/kg IV/IO immediately followed by no more than 5mL rapid saline flush, may repeat at .2mg/kg (max dose 12mg) |
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What is the MOA for Albumin?
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Increases oncotic pressure in intravascular space.
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What are the indications for albumin?
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Expand intravascular volume
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What are the adverse reactions for Albumin?
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Allergic reaction for some, excessive amount of fluid can result in CHF and pulmonary edema in susceptible patients
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What are the contraindications for Albumin?
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Severe anemia or cardiac failure in the presence of normal or increased intravascular volume, solution appears turbid or if 4 hours has elapsed since the container was opened , known sensitivity
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What isthe dosage for Albumin?
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Adults:
5% albumin: 500 to 1000 mL IV, IO 25% albumin: 50 to 200 mL IV, IO Peds: 5% albumin: 12 to 20 mL IV, IO; initial dose may be repeated in 15 to 30 mins if the clinical response is inadequate 25% albumin: 2.5 to 5 mL IV, IO One may administer based on grams of albumin at .5 to 1 g/kg/dose IV, IO; may repeat as needed (max dose 6g/kg/day) |
