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

2022
Views:

76

Pages:

2
Author:

Accinkiquicpqw

ESMOLOL ETOMIDATE FENTANYL Name/Class: ESMOLOL (Brevibloc)/Beta Blocker Description: Esmolol is an ultra–short-acting cardioselective beta blocker that inhibits the actions of the catecholamines. Indications: Supraventricular tachycardias with rapid ventricular responses. Contraindications: Cardiac failure, 2nd- and 3rd-degree block, sinus bradycardia, and cardiogenic shock. Precautions: Allergies or bronchial asthma, emphysema, CHF, diabetes, and renal impairment. Dosage/Route: 500 mcg/kg/min IV for 1 min, loading dose, then 50 mcg/kg/min for 4 min. If unsuccessful, repeat loading dose every 4 min and increase maintenance dose by 50 mcg/kg to 200 mcg/kg/min. Name/Class: ETOMIDATE (Amidate)/Hypnotic Description: Etomidate is an ultra–short-acting nonbarbiturate hypnotic with no analgesic effects and limited cardiovascular and respiratory effects. Indications: Induce sedation for rapid sequence intubation. Contraindications: Hypersensitivity. Precautions: Marked hypotension, severe asthma, or severe cardiovascular disease. Dosage/Route: 0.1 to 0.3 mg/kg IV over 15 to 30 sec. Ped: children > 10 years, same as for adults. Name/Class: FENTANYL (Sublimaze)/Narcotic Analgesic Description: Fentanyl is a potent synthetic narcotic analgesic similar to morphine and meperidine but with a more rapid and less-prolonged action. Indications: Induce sedation for endotracheal intubation. Contraindications: MAO inhibitors within 14 days, myasthenia gravis. Precautions: Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency. Dosage/Route: 25 to 100 mcg slowly IV (2 to 3 min). Ped: 2 mcg/kg slow IV/IM.