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Pediatric

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Ritalin (methylphenidate) CNS Stimulant PO  
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show Dexadrine (dextroamphetamine) CNS Stimulant PO  
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show Reglan (metroclopramide) antiemetic PO, IV, IM  
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GERD reflux   show
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Seizures (tonic-clonic) anticonvulsant   show
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Seizures (grand mal) sedative febrile   show
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show Prednisone (corticosteroid) PO  
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show Solu-Medrol (methylprednisone) cotocosteroid, anti-inflam PO,IM,IV,Rect  
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Tx mild pain, fever   show
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Don't use for Peds.. only exception is for 2 types of cardiac issues   show
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show DDAVP (demopressin) hormones, antidiuretic Nasal  
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Antidote for Iron poisinig d/t blood transfusions   show
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decreases HR increases myocardial efficiency   show
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show Lasix (furosemide) loop diuretic PO< IM< IV  
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show Pancrease (pancrelipase) digestive agent pancreatic enzyme PO  
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Nocturia Enuresis; spina bifida   show
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Severe HTN, decreases myocontractibility and O2 demand   show
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Infections, highly resistant otitis media (given IM if parents non-compliant   show
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show Rifampin (antitubercular, rifmycins) PO,IV  
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show Vancomycin (antiinfective, antibiotics) IV  
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Tx serious gram (-) infection/staph PCN resistant infection, used in combo w/other agents in mgmt of serious enterococcal infections   show
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show Acyclovir (antiviral, purine analogues) PO,IV  
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Local anesthetic, prior to minor procedres   show
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Sedation prior to MRI/Xray   show
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show Ventolin/Albuterol (bronchodilator) PO, INH  
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show Albumin (volume expander) IV  
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Increases dopamine and norepinephrine levels = stim of inhibitory system of CNS   show
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Increases dopamine and norepinephrine levels = stim of inhibitory system of CNS   show
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Stimulates motility of upper GI tract and increases lower esophageal sphincter tone. Blocks dopamine receptors at chemoreceptor trigger zone.   show
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show Prevacid (lansoprazole) antiulcer agent PO  
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Decreases synaptic transmission in CNS by affecting Na= channels in seizure prevention   show
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Prod all levels of CNS depression. Depresses sensory cortex, motor activity, alter cerebellar fx. Raisese siezure threshold, can speed up enzymes in liver that metab drugs, bilirubin, etc.   show
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Suppress inflammation and normal immune response   show
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show Solu-Medrol (methylprednisone) cotocosteroid, anti-inflam PO,IM,IV,Rect  
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show Tylenol (acetominophen) antipyretic non-opiod analgesic PO, Rect  
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Produces analgesia, reduces inflammation and fever by inhibition production of prostaglandins, also decreases platelet aggregation   show
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Analogue of anti-diuretic hormone (vasopressin)   show
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show Desferal (deferoxamine) antidotes IM, IV, SQ  
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show Digoxin (antiarrythmics, gigitalia glycosides, inotropics) IV, PO  
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show Lasix (furosemide) loop diuretic PO< IM< IV  
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Contains lipolytic, amolytic, proteolytic activity. Increases digestion of fats, carbs, and protein in GI tract   show
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show Ditropan (oxybutynin) urinary tract antispasmodic, anitcholinergics PO  
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Relaxes smooth muscle causing arteriolar vasodilation, decreases peripheral vascular resistance   show
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show Rocephin (ceftriaxone) antiinfective 3rd generation Cephalosporin IM,IV  
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Inhibits RNA synthesis by bocking RNA transcription in susceptible organisms + bactericidal action   show
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Bind to bacterial wall = cell death   show
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Inhibit protein synthesis at level of 30S ribosome (bactericidal)   show
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Interferes w/viral DNA synthesis   show
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Inhibits transport of ions across neural membranes; prevent initiation and conduction of normal nerve impulses   show
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Acts at many levels of CNS to produce anxiolytic effect; depress CNS=sedation, relief of anxiety   show
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Bronchodilator, relaxes smooth muscle in airways   show
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Provides collodial oncotic pressure, which serves to metabolize fluid from extravascular tissues back into intravascular space. Requires concurrent admin of appropriate crystalloid   show
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Ritalin (methylphenidate)CNS Stimulant PO   show
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Dexadrine(dextroamphetamine)CNS Stimulant PO   show
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Reglan(metroclopramide)antiemetic PO, IV, IM   show
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show Admin before meals at set time Q/day, may sprinkle med on applesauce, pudding, cottage cheese, yogurt. Look for and report S/S jaundice  
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show Assess frequency, location, duration and characteristics of seizure activity. Have pt report fever, sore throat, mouth ulcers, easy bruising, unusual bleeding, dark urine pale stools, jaundice immediately. Do not stop med abruptly  
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show Monitor respirator status, BP, pulse esp w/IV admin. Respiratory depression is dose dependent. Assess location duration, characteristics of seizure activity. Do not stop med abruptly.  
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show Keep away from highly populated areas to decrese risk of exposure to infections (playroom). Avoid vaccines w/o consulting MD 1st. Instruct to notify is severe abd pain, tarry stools, unusual wt. gain, tiredness, bone pain, nonhealing sores, and visual di  
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Solu-Medrol(methylprednisone)cotocosteroid, anti-inflam PO,IM,IV,Rect   show
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show Assess pain, fever. Monitor for S/S hepatotoxicity due to overdose. Teach parents about infant drops and syrup. DROPS ARE 10X CONCENTRATION OF SYRUP  
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Aspirin(salicylates)antipyretic, non-opiod analgesic PO,Rect   show
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DDAVP(demopressin)hormones, antidiuretic Nasal   show
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Desferal (deferoxamine)antidotes IM, IV, SQ   show
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Digoxin(antiarrythmics, gigitalia glycosides, inotropics)IV, PO   show
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Lasix(furosemide)loop diuretic PO< IM< IV   show
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show Give w/ or before meals. Can open capsule and sprinkle on foods. Med destroyed by acid. Use w/sodium bicarb or antacids. Pt should follow diet high in calorie, protein, and low in fat.  
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Ditropan(oxybutynin)urinary tract antispasmodic, anitcholinergics PO   show
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show Monitor BP, pulse. Monitor ECG periodically for prolonged use, I/O's. Assess for signs of CHF. Pt on Digoxin concurently should be monitored for dig level routinely. COmes in XR capsule -open and give SL if necessary.  
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show Obtain cultures. Asses for Hx of PCN. Observe for s/s anaphylaxis. ***Unique med that can be given in 24 hour single dose IM or IV  
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show Administer on empty stomach (1hour before/2hrafter meal) w/full glass of water. May admin w/food if GI upset.  
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Vancomycin(antiinfective, antibiotics)IV   show
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Gentamycin antiinfetive, aminoglycoside, antibiotic)IM,IV   show
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show Keep adequately hydrated, topical products not approved for Pedi use  
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show Do not put on open sores, contraindicated infants ,6mos who are receiveing methemoglobin-inducing agents. Use cautiously in pts ,20kg or 37 weeks. Apply 1-2 hours before procedure  
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Chloral Hydrate )sedative)PO   show
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show Assess lungs, observe for paradoxical bronchospasm (wheezing) If present, stop med and call MD. Place in puffer, aerosol, does come in liquid form.  
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Albumin(volume expander)IV   show
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Ritalin (methylphenidate)CNS Stimulant PO   show
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show Hyperactivity, insomnia, restless, tremor, depression, palpitatons, tach, anorexia, dry mouth, N/V, metallic taste, HTN, dependence  
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Reglan(metroclopramide)antiemetic PO, IV, IM   show
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Prevacid(lansoprazole)antiulcer agent PO   show
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show Blurred vision, agranulocytosis, aplstic anemia, dizziness, leukocytopenia, fatigue, atxia, dry mouth, hypotension, rash, syncope, urinary hesitancy, LOC decreased WBC, GI upset  
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show Drowsiness, depressed respiratory system, vomiting. fever, CNS hangover, delirium, depression, hypotension, constipation, diarrhea, N/V  
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Prednisone(corticosteroid)PO   show
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show DecreaSed wound healing, muscle wasting, stomach ulcers, weight gain (fluid retention), hunger, cushingold,increased hair, mood swings, depression, euphoria, HA, HTN, anorexia, acne, N/V, hypokalemia, intense metabolic effects, INCREASED SUSCEPTIBILITY TO  
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Tylenol(acetominophen)antipyretic non-opiod analgesic PO, Rect   show
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show GI bleed, bleeding general, dyspepsia, epigastric distress, heartburn, nausea, anorexia, hemolysis, increased bleeding time  
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show Hypernatremia, water toxicity (FVE), drowsiness, HA, listlessness, rhinitis, HTN, vulval pain  
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show Red urine (can stain), anemia, diarrhea, erythema, hypotension, tachy, abd pain, leg cramps, ototoxicity  
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Digoxin(antiarrythmics, gigitalia glycosides, inotropics)IV, PO   show
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Lasix(furosemide)loop diuretic PO< IM< IV   show
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show Diarrhea, nausea, stomach cramps, nasal stuffiness, dyspnea, SOB, abd pain, hematura, hives  
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Ditropan(oxybutynin)urinary tract antispasmodic, anticholinergics PO   show
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Procardia(nifedipine)antihypertensive calcium channel blocker PO   show
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Rocephin(ceftriaxone)antiinfective 3rd generation Cephalosporin IM,IV   show
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show Red discoloration body fluids, adb pain, diarrhea, flatulence, heartburn, N/V, loss of appetite, Jaundice  
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show Nephrotoxicity, "RED NECK" syndrome, ototoxicity, phlebitis, anaphylaxis, N/V, back and neck pain, hypotension  
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show Nephrotoxicity,ototoxicity, impaired renal function  
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show Seizures, renal failure, HA, diarrhea, N/V, pain, phlebitis, trembling, bleeding  
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EMLA cream(lodocaine/prilocaine)anesthtic-topical/local   show
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Chloral Hydrate )sedative)PO   show
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show Tachy, excitement insomnia, nervous, restless, tremor, chest pain, palpitaions  
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Albumin(volume expander)IV   show
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