Shared Flashcard Set

Details

solu-medrol
Paramedic
10
Pharmacology
Professional
01/31/2013

Additional Pharmacology Flashcards

 


 

Cards

Term
Class
Definition
Corticosteroid
Term
Mechanism of Action
Definition
Highly potent synthetic glucocorticoid that suppresses acute and chronic inflammmation; potentiates vascular smooth muscle relaxation by beta-adrenergic agonists.
Term
Indications
Definition
Acute spinal cord trauma, anaphylaxis, broncodilator for unresponsive asthma
Term
Contraindications
Definition
Premature infants, systemic fungal infections, use with caution in patients with gastrointestinal bleeding.
Term
Adverse reactions/side effects
Definition
Depression, euphoria, headache, restlessness, seizure, increased ICP, pulmonary tuberculosis, hypertension, CHF, nausea, vomiting, peptic ulcer, fluid retention, hypernatremia, hyperkalemia.
Term
Drug interactions
Definition
Hypoglycemic responses to insulin and hypoglycemic agents may be blunted.
Term

Dosage and administration 

Adult

Definition
Acute spinal cord trauma; 30 mg/kg IV over 30 minutes followed by:  Infusion: 5.4 mg/kg/h.  Asthma, COPD, anaphylaxis: 1-2 mg/kg IV.
Term

Dosage and administration 

Pediatrics

Definition
Acute spinal cord trauma: Same as adult.  Status asthmaticus/anaphylaxis: 2 mg/kg/dose IV/IO/IM to a maximum dose of 60 mg.
Term
Duration of action
Definition

Onset: 1-5 minutes

Peak effect: variable

Duration: 6-8 hours. 

Term
Special Considerations
Definition
Pregnancy Safety: Category C.  Not effective if time of spinal cord injury greater than 8 hours.  Crosses the placenta and may cause fetal harm.
Supporting users have an ad free experience!