University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

365

Pages:

2
Author:

rehinhea0c

SOTALOL STREPTOKINASE SUCCINYLCHOLINE Name/Class: SOTALOL (Betapace)/Beta Blocker, Antidysrhythmic Description: Sotalol is a nonselective beta blocker that slows heart rate and decreases AV conduction and irritability. Indications: Ventricular and supraventricular dysrhythmias. Contraindications: Hypersensitivity, bronchial asthma, sinus bradycardia, 2nd- and 3rd-degree heart block, long QT syndromes, cardiogenic shock, uncontrolled CHF, or COPD. Precautions: CHF, electrolyte disturbances, recent MI, diabetes, sick sinus rhythms, or renal impairment. Dosage/Route: 1 to 1.5 mg/kg IV at 10 mg/min or 80 mg PO bid or 160 mg PO QD. Name/Class: STREPTOKINASE (Streptase)/Fibrinolytic Description: Streptokinase is a fibrinolytic that acts by activating the process that converts plasminogen to plasmin and results in the degradation of fibrin and fibrinogen and decreases erythrocyte aggregation. Indications: AMI, deep vein thrombosis (DVT), or pulmonary embolism. Contraindications: Active internal bleeding, aortic dissection, traumatic CPR, recent stroke, intracranial or intraspinal surgery or trauma (within 2 months), intracranial tumors, uncontrolled hypertension, pregnancy, hypersensitivity to anistreplase or streptokinase. Precautions: Recent major surgery (10 days), patients > 75 years, cerebral vascular disease, GI or GU bleeding, recent trauma, hypertension, hemorrhagic conditions, ophthalmic conditions, or oral anticoagulant use. Dosage/Route: AMI: 1.5 million units IV over 1 hour. DVT and pulmonary emboli: 250,000 units IV over 30 min, then 100,000 units/hr. Name/Class: SUCCINYLCHOLINE (Anectine)/Depolarizing Neuromuscular Blocker Description: Succinylcholine is an ultra–short-acting depolarizing neuromuscular blocker. Indications: Facilitated endotracheal intubation. Contraindications: Hypersensitivity, family history of malignant hyperthermia, penetrating eye injury, narrow-angle glaucoma. Precautions: Severe burn or crush injury; electrolyte imbalances; hepatic, renal, cardiac, or pulmonary impairment; fractures; spinal cord injury; dehydration; severe anemia; porphyria. Dosage/Route: 1 to 1.5 mg/kg IV/IM. Ped: 1 to 2 mg/kg IV/IM.