| Term 
 
        | Trade Name: Pentothal Generic Name: Thiopental Classification: Anesthetic Dosage: 500mg, 1g, 2.5g, 5g  Route: Inj |  | Definition 
 
        | Indication: general anesthesia induction and general anesthesia maintenance Effects on body: Reduction in neuronal activity.The effectiveness of thiopental in reducing intracranial pressure is attributable to its ability to decrease cerebral blood flow and volume by increasing cerebral vascular resistance. Potential mechanisms of action include a reduction in cerebral metabolic rate, inhibition of vasoparalysis, and free radical scavenger activity.  Side effects: adrenal insuficiency, anemia, asthma, hypotension, shock, renal impairment, renal failure |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Diprivan Generic Name: Propofol Classification: nonbarbiturate anesthetic  Dosage: 10mg/ml  Route: IV, Inj |  | Definition 
 
        | Indication: general anesthesia induction, maintenance, sedation Effects on body: Propofol activates chloride channels in the β1 subunit of gama-aminobutyric (GABA), but it is unknown if propofol binds directly to the receptor, binding sites, or if the effects are a result of mediation of distinct mechanisms, such as second messengers. Side effects: asthma, angina, seosis, stroke |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Novocain Generic Name: Procain Classification: anesthetic (short acting) Dosage: 1%, 2%, 10% Route: Injection |  | Definition 
 
        | Indication: anesthetic for procedures (ex: dental, infiltration, local anesthesia, peripheral nerve block, spinal, sympathetic nerve block Effects on body: Like all local anesthetics, procaine causes a reversible blockade of nerve conduction by decreasing nerve membrane permeability to sodium. This decreases the rate of membrane depolarization, thereby increasing the threshold for electrical excitability. The blockade affects all nerve fibers in the following sequence: autonomic, sensory, and motor, with effects diminishing in reverse order. Side effects: AV block, infection, hypertension, hypotension, shock |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Dramamine Generic Name: Dimenhydrinate Classification: antihistamine Dosage: 25mg, 50mg Route: PO |  | Definition 
 
        | Indication: motion sickness, nausea/vomiting, vertigo Effects on body: The anticholinergic effects of dimenhydrinate are proposed to inhibit vestibular stimulation which occurs during motion sickness and vertigo Side effects: asthma, bronchitis, cardia arrhythmias, constipation, seizures, urinary retention |  | 
        |  | 
        
        | Term 
 
        | Trade Name:  Generic Name: Morphine Classification: Analegesic (opiate agonists) Dosage: 15mg, 10 mg, 30 mg, 120 mg, 10mg/5ml, 100mg/5ml Route: PO, Inj, Solution |  | Definition 
 
        | Indication: moderate pain, severe pain Effects on body: Morphine is a potent mu-opiate receptor agonist. Opiate receptors includemu (mu), kappa (kappa), and delta (delta. Blocks pain mechanism, causes severe constipation slowing everything down in GI tract Side effects: angina, asthma, coma, urinary retention |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Dolophine Generic Name: Methadone Classification: Analgesics (opiate agonists) Dosage: 5mg, 10mg, 40mg, 5mg/ml, 10mg/ml Route: PO, Inj, Solution |  | Definition 
 
        | Indication: severe pain, opiate dependence or withdrawal Effects on body: Methadone is a potent µ-opiate receptor agonist. Opiate receptors include µ (mu), kappa (kappa), and delta (delta) Side effects: angina, anxiety, asthma, respiratory depression, constipation, hypoxemia |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Demerol Generic Name: Meperidine Classification: Analgesics (opiate agonists) Dosage: 50mg, 100mg, 25mg/ml, 50mg/ml, 75mg/ml Route: PO, Inj, Solution |  | Definition 
 
        | Indication: general anesthesia maintaince, moderate pain, sedation inductions, severe pain Effects on body: Meperidine is a mu- and kappa-opiate receptor agonist that also has local anesthetic effects.  Side effects: angina, asthma, hypotension |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Narcan Generic Name: Naloxone Classification: Antidotes (opiate antagonsits) Dosage: 50mg/0.5mg, 0.4mg/ml, 1mg/ml, 0.02mg/ml Route: PO, Inj, Solution |  | Definition 
 
        | Indication: opiate agonist overdose, induced respiratory depression Effects on body: pure antagonist with little or no agonistic activity. Opiate receptors include mu, kappa, and delta. Side effects: hypersensitivity |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Phenergan Generic Name: Promethazine
 Classification: Antiemetic
 Recommended Dose: 12.5, 25 and 50 mg tablets
 ROA: Oral, suppositories or IV
 |  | Definition 
 
        | How works in body: blocks acetylcholine receptors Drug Uses: tx of nausea
 Side Effects: bradycardia, bradypnea, twitching, hallucinatons
 |  | 
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        | Term 
 
        | Trade Name: Streptase Generic Name: Streptokinase
 Classification: Thrombolytic
 Recommended Dose: 1,500,000 IU within 60 min.
 ROA: IV or Intracoronary
 |  | Definition 
 
        | How works in body:stimulates extra production of plasmin Drug Uses: tx of acute MI, lysis of pulmonary emboli
 Side Effects: nausea \ dizziness, low blood pressure
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Activase Generic Name: Alteplase
 Classification: tissue-type plasminogen activator/fibrinolytic
 Recommended Dose: 15 mg injection followed by 50 mg or 0.75 mg/kg (up to 50 mg) infused over 30 minutes then 35 mg or 0.5 mg/kg (up to 35 mg) over 60 minutes. The total dose is 100 mg.
 |  | Definition 
 
        | How works in body:attaching to the fibrin in abnormal blood clots, such as those in the arteries supplying the heart. It then activates the production of plasmin, which causes the clots to disintegrate. This unblocks the blood vessel and allows blood flow to resume to the affected organ. Drug Uses: MI, pulm emobolism
 Side Effects: arythmias, hypotension, chest pain
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Neostigmine Generic Name: prostigmin
 Classification: Anticholinesterase muscle stimulant
 Recommended Dose: 25-50 mcg/kilo
 ROA: Intramuscular, subcutaneous or slow intravenous injection
 |  | Definition 
 
        | How works in body: by interfering with the breakdown of acetylcholine, neostigmine indirectly stimulates both nicotinic and muscarinic receptors Drug Uses: used to improve muscle tone in people with myasthenia gravis and routinely in anesthesia to reverse the effects of non-depolarizing muscle relaxants
 Side Effects: headache, blurred vision, bradycardia
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Tensilon or Enlon Generic Name: Edrophonium
 Classification: Cholinergic muscle stimulant
 Recommended Dose: 0.05 to 0.1 mL/kg
 ROA: IV
 |  | Definition 
 
        | How works in body:prevents breakdown of the neurotransmitter acetylcholine and acts by competitively inhibiting the enzyme acetylcholinesterase, mainly at the neuromuscular junction Drug Uses: used to differentiate myasthenia gravis from cholinergic crisis and Lambert-Eaton myasthenic syndrome
 Side Effects: bradycardia, weakness, nausea
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Tubocurarine chloride Classification: Nondepolarizing neuromuscular blocking agent
 Recommended Dose: 3 mg/ml
 ROA: IV
 |  | Definition 
 
        | How works in body: block the cholinergic transmission between somatic motor nerve endings and the nicotninc receptors on the end plate of skeletal muscle Drug Uses: Muscle relaxant during surgery or setting of fractures and dislocations; spasticity caused by injury to or disease of CNS. Treat seizures electrically induced or induced by drugs. Diagnosis of myasthenia gravis
 Side Effects: Apnea, Cardiovascular collapse, Ganglionic blockage, Postoperative respiratory failure
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Pancuronium Bromide Generic Name: Pavulon
 Classification: Nondepolarizing neuromuscular blocking agent
 Recommended Dose: 0.04 to 0.1 mg/kg
 ROA: IV
 |  | Definition 
 
        | How works in body: competitive acetylcholine antagonist on neuromuscular junctions Drug Uses: adjunct to general anesthesia, to facilitate tracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation.
 Side Effects: hypotension, problems with circulation, bronchospasm
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Anectine Generic Name: Suxamethonium chloride/succinylcholine
 Classification: nicotinic acetylcholine receptor agonist
 Recommended Dose: 0.6 mg/kg
 ROA: injection
 |  | Definition 
 
        | How works in body: acts on nicotinic receptors resulting in persistent depolarization of the motor end plate Drug Uses: induce muscle relaxation and short-term paralysis, usually to facilitate tracheal intubation
 Side Effects: malignant hyperthermia, hyperkalaemia, and anaphylaxis
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Cyclobenzaprine Generic Name: Flexeril
 Class: Muscle Relaxer
 ROA: Oral
 Dosage: Tablet 10mg
 |  | Definition 
 
        | Relives skeletal muscle system of local origin without interfering with muscle function. Adjuct to restrand physical therapy. |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Carisoprodol Generic Name: Soma
 Classification: Musle Relaxer
 Dose: Tablet
 ROA: Oral
 |  | Definition 
 
        | HOW-Musle relaxer that works by blocking pain sensations between nerves and the brain. USE-Impairs your thinking or reactions, paralysis, weakness,lightheadedness, increase heart rate, and can cause seizures
 |  | 
        |  | 
        
        | Term 
 
        | Trade name: Diazepam Generic Name: Valium
 Class: Benzodiazepine
 Doseage: Tablet
 2,5,or 10 mg
 ROA: Oral
 |  | Definition 
 
        | HOW-Manages anxiety ot the short term relief of the symptoms of anxiety. SE-Confusion,depression, dysarthria, headache, tremors, and vertigo
 |  | 
        |  | 
        
        | Term 
 
        | Trade: Midazolam Generic: Versed
 Class: Short acting Benzodiazepine
 ROA: Injection
 Dosage:
 |  | Definition 
 
        | HOW- Reduces anxiety or produced drowsiness or anesthesia before procedures. SE- Blurred vision,change in BP, breathing and HR issues, nausea, and pain
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Zolpidem Generic Name: Ambien
 Classification: Non-benzodiazepine hypnotic
 ROA: Tablet
 Reccomended Dose: Oral 10mg
 |  | Definition 
 
        | How- helps patients fall asleep who have imsomnia. SE- rash, itching, hives, change in vision, confusion, depressed mood, faint, or lightheadedness
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Phenobarbital Generic Name: Barbituate
 Class: anticovulsant
 Dose: Tablet
 ROA: Oral
 |  | Definition 
 
        | How- Can be used to help sleep or treat seizures. SE- rash,itching, hives, breathing problems, fever, chills, or sore throat.
 |  | 
        |  | 
        
        | Term 
 
        | Trade Name: Phenytoin Generic Name: Dilantin
 Classification: Anti-epileptic/anticovulsant
 Dosage: extended release capsule
 ROA: Oral
 |  | Definition 
 
        | How- SLows down impulses in the brain that causes seizures. SE- Fever, Swollen glands, body aches, flu symptoms, skin rash
 |  | 
        |  | 
        
        | Term 
 
        | Heparin;unfractionated heparin class;Anticoagulant
 route; sub q inj, IV
 dose; 47 units/kg-600 units/kg IV
 30-40 mg sub q
 Short half life
 |  | Definition 
 
        | ind; venous thromboembolism, PE, AFib, DVT body; binds with antithrombin III to inhibit the conversion of thrombin to Fibrinogen
 SE; hemorrhage, hematoma, thrombocytopenia, hyperkalemia, increased liver enzymes
 |  | 
        |  | 
        
        | Term 
 
        | enoxaparin;lovenox class; low molecular weight heparin (anitcoagulant)
 dose; same as heparin
 Long half life
 |  | Definition 
 
        | ind; same as heparin body; same as heparin, just longer half life
 se; same as heparin
 |  | 
        |  | 
        
        | Term 
 
        | Warfarin;coumadin class; anticoagulant
 dose; 1-10 mg tablet
 5 mg IV powder for solution
 |  | Definition 
 
        | ind; same as heparin body; inhibit vitamin K which inhibits the conversion of thromboplastin to pro thrombin
 Se; same as heparin
 |  | 
        |  | 
        
        | Term 
 
        | Glipizide;glucotrol class; hypoglycemic
 dose; 5-10 mg tablet
 route; oral-30 mins before meal
 |  | Definition 
 
        | ind; diabetes mellitius type 2 body; stimulate insulin secretion from pancreas in response to a meal. also increases insulin sesnsitivity and decreases hepatic glucose production
 |  | 
        |  | 
        
        | Term 
 
        | Nitrous oxide; laughing gas class; anesthetic
 dose; 70% NOS to 30% O2
 route;inhalation
 |  | Definition 
 
        | ind;general anestesia in combination with O2 and another stronger anesthetic Body; binds to protein-binding site in the Neurons of the CNS
 Se;hypoxia, mental confusion, respiratory distress, neuropathy
 |  | 
        |  | 
        
        | Term 
 
        | Halothane; ethrane, enflerane class;anesthetic
 dose; labor/delivery: 0.25-1% concentration
 General anesthesia: 2-4.5% mixed with NOS
 |  | Definition 
 
        | ind; general anesthesia, analgesia for labor/delivery body; rapid-acting general anesthetic drug that causes muscle relaxation and decreases pharygeal and laryngeal reflexes
 Se; N/V, cardiac dysrhythmia, hypotension, seizure
 |  | 
        |  | 
        
        | Term 
 
        | Clopidogrel;plavix class; anitplatelet
 dose; loading 300-600 tablety
 maintenance 75 mg tablet
 route; oral
 |  | Definition 
 
        | ind;MI, thrombosis, prophylazis, cerebrovascular accidents body; inhibits platelet aggregation, doesnt allow for release of thromboplastin
 Se; peptic ulcer, renal disfunction, hypertension, pulmonary dysfunction
 |  | 
        |  | 
        
        | Term 
 
        | Odansetron; Zofran class; anitemetic
 dose; IM- 2mg/ml
 IV- 32mg/50ml
 Tablet- 4-8 mg
 Route; IM, IV, oral tablet
 |  | Definition 
 
        | ind; chemo-therapy induced N/V body; blocks 5-HT3 receptor peripherally in valgul nerve terminals
 Se; AFib, prolonged QT-interval, Torsades de Pointes
 |  | 
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