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

2022
Views:

314

Pages:

2
Author:

ilikemyicons0y5

ISOETHARINE ISOPROTERENOL KETOROLAC Name/Class: ISOETHARINE (Bronkosol)/Sympathomimetic Bronchodilator Description: Isoetharine is a synthetic sympathomimetic with rapid onset and prolonged duration that relaxes the bronchial smooth muscles, decreasing airway resistance and helping clear secretions. Indications: Bronchospasm in asthma and COPD. Contraindications: Hypersensitivity to or use of sympathomimetic amines, preexisting tachydysrhythmias, allergy to sodium bisulfite agents. Precautions: Elderly, hypertension, acute coronary artery disease, CHF, hyperthyroidism, diabetes, tuberculosis, or seizures. Dosage/Route: 1 or 2 sprays via metered dose inhaler, 0.5 mL in 2 to 3 mL saline via nebulizer. Ped: 0.01 mL/kg of 1% solution (max 0.5 mL) diluted in 2 to 3 mL saline by nebulizer. Name/Class: ISOPROTERENOL (Isuprel)/Sympathomimetic Description: Isoproterenol is a synthetic sympathomimetic that results in increased cardiac output by increasing the strength of cardiac contraction and somewhat increasing rate. It also reduces peripheral vascular resistance and venous return. Indications: Bradycardia refractory to atropine when pacing is not available and for severe status asthmaticus. Contraindications: Cardiogenic shock. Precautions: Tachydysrhythmias and those associated with digitalis and acute myocardial infarction. Dosage/Route: Bradycardia: 2 to 10 mcg/min titrated to cardiac rate. Ped: 0.1 mcg/kg/min titrated to cardiac rate. Status asthmaticus: 1 or 2 sprays, metered dose inhaler. Ped: same as adult. Name/Class: KETOROLAC (Toradol)/Nonsteroidal Antiinflammatory Drug (NSAID) Description: Ketorolac is an injectable NSAID that exhibits analgesic, antiinflammatory, and antipyretic properties without sedative effects. Indications: Mild or moderate pain. Contraindications: Hypersensitivity to ketorolac, aspirin, or other NSAIDs, and asthma. Precautions: Peptic ulcers, renal or hepatic impairment, or elderly. Dosage/Route: 30 mg IV/IM (15 mg > 65 years or weighs < 50 kg)