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

2022
Views:

432

Pages:

2
Author:

Leilani Contreras

FLECAINIDE FLUMAZENIL FOSPHENYTOIN Name/Class: FLECAINIDE (Tambocor)/Antidysrhythmic Description: Flecainide is a local anesthetic and antidysrhythmic that slows myocardial conduction and effectively suppresses PVCs and a variety of atrial and ventricular dysrhythmias. Indications: Atrial flutter, atrial fibrillation, AV reentrant tachycardia, or SVT associated with WPW syndrome. Contraindications: Hypersensitivity, 2nd- or 3rd-degree heart block, right bundle branch block with left hemiblock, cardiogenic shock, or significant hepatic impairment. Precautions: CHF, sick sinus syndrome, or renal impairment. Dosage/Route: 100 mg PO/12 hour or 2 mg/kg IV at 10 mg/min. Ped: 1 to 3 mg/kg/day PO in three equal doses (max 8 mg/kg/day). Name/Class: FLUMAZENIL (Romazicon)/Benzodiazepine Antagonist Description: Flumazenil is a benzodiazepine antagonist used to reverse the sedative, recall, and psychomotor effects of diazepam, midazolam, and the other benzodiazepines. Indications: Respiratory depression secondary to the benzodiazepines. Contraindications: Hypersensitivity to flumazenil or benzodiazepines; those patients who take flumazenil for status epilepticus or seizures; seizure-prone patients during labor and delivery; tricyclic antidepressant overdose. Precautions: Hepatic impairment, elderly, pregnancy, nursing mothers, head injury, alcohol and drug dependency and physical dependence on benzodiazepines. Dosage/Route: 0.2 mg IV over 30 sec/min, up to 1 mg. Name/Class: FOSPHENYTOIN (Cerebyx)/Anticonvulsant Description: Fosphenytoin is a drug that, once administered, is converted to phenytoin and causes the anticonvulsant properties associated with that drug. Indications: Seizure control and status epilepticus. Contraindications: Hypersensitivity, seizures due to hypoglycemia, sinus bradycardia, heart block, StokesAdams syndrome, late pregnancy, and lactating mothers. Precautions: Hepatic or renal impairment, alcoholism, hypotension, bradycardia, heart block, severe CAD, diabetes, hyperglycemia, or respiratory depression. Dosage/Route: 15 to 20 mg PE/kg IV given at 100 to 150 mg PE/min (PE ⫽ phenytoin equivalent).