Pediatric
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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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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