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

2022
Views:

57

Pages:

2
Author:

rehinhea0c

BUMETANIDE BUTORPHANOL CALCIUM CHLORIDE Name/Class: BUMETANIDE (Bumex)/Loop Diuretic Description: Bumetanide is related to furosemide, though it has a faster rate of onset, a greater diuretic potency (40 times), shorter duration, and produces only mild hypotension. Indications: To promote diuresis in CHF and pulmonary edema. Contraindications: Hypersensitivity to bumetanide and other sulfonamides. Precautions: Pregnancy (use only for life-threatening conditions). Dosage/Route: 0.5 to 1 mg IM/IV over 1 to 2 min, repeat in 2 to 3 hours as needed. Name/Class: BUTORPHANOL (Stadol)/Synthetic Narcotic Analgesic Description: Butorphanol is a centrally acting synthetic narcotic analgesic about 5 times more potent than morphine. A schedule IV narcotic. Indications: Moderate to severe pain. Contraindications: Hypersensitivity, head injury, or undiagnosed abdominal pain. Precautions: May cause withdrawal in narcotic-dependent patients Dosage/Route: 1 mg IV or 3 to 4 mg IM/3 to 4 hours. Name/Class: CALCIUM CHLORIDE (Calcium Chloride)/Electrolyte Description: Calcium chloride increases myocardial contractile force and increases ventricular automaticity. Indications: Hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity. Contraindications: Ventricular fibrillation, hypercalcemia, and possible digitalis toxicity. Precautions: It may precipitate toxicity in patients taking digoxin. Ensure the IV line is in a large vein and flushed before using and after calcium. Dosage/Route: 2 to 4 mg/kg IV (10% solution)/10 min, as needed. Ped: 20 mg/kg IV (10% solution) repeat at 10 min, as needed.