Emergency Drug Cards 21 | West Coast University

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

2022
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308

Pages:

2
Author:

5prinzg1s

MAGNESIUM SULFATE MANNITOL MEPERIDINE Name/Class: MAGNESIUM SULFATE (Magnesium)/Electrolyte Description: Magenesium sulfate is an electrolyte that acts as a calcium channel blocker, acting as a CNS depressant and anticonvulsant. It also depresses the function of smooth, skeletal, and cardiac muscles. Indications: Refractory ventricular fibrillation and pulseless ventricular tachycardia (especially torsade de pointes), AMI, eclamptic seizures. Contraindications: Heart block, myocardial damage, shock, persistent hypertension, and hypocalcemia. Precautions: Renal impairment, digitalized patients, other CNS depressants, or neuromuscular blocking agents. Dosage/Route: Ventricular fibrillation or tachycardia: 1 to 2 g IV over 2 min. Torsade de pointes: 1 to 2 g IV followed by infusion of 0.5 to 1 g/hr IV. AMI: 1 to 2 g IV over 5 to 30 min. Eclampsia: 2 to 4 g IV/IM. Name/Class: MANNITOL (Osmitrol)/Osmotic Diuretic Description: Mannitol is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis. Indications: Cerebral edema. Contraindications: Hypersensitivity, pulmonary edema, CHF, organic CNS disease, intracranial bleeding, shock, or severe dehydration. Precautions: Dosage/Route: 1.5 to 2 g/kg slow IV. Ped: 0.25 to 0.5 g/kg over 60 min. Name/Class: MEPERIDINE (Demerol)/Narcotic Analgesic Description: Meperidine is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects. Indications: Moderate to severe pain. Contraindications: Hypersensitivity, seizure disorders, or acute abdomen prior to diagnosis. Precautions: Increased intracranial pressure, asthma or other respiratory conditions, supraventricular tachycardias, prostatic hypertrophy, urethral stricture, glaucoma, elderly or debilitated patients, renal or hepatic impairment, hypothyroidism, or Addison’s disease. Dosage/Route: 25 to 50 mg IV, 50 to 100 mg IM. Ped: 1 mg/kg IV/IM.