Lets play the drug of choice game

[30days2nclex]

Name a disease and then name the drug that's mostly commonly associated with that disease or condition. Here's mine: Erythromicin is seen with chlamydia and syphilis. Anybody else got anything?

[30days2nclex]

Kayexalate is used in hyperkalemia. It is used to excrete potassium out of the body. Here is a quick way to remember kayexalate. For hyperkalemia: Be K.I.N.D to the patient. K- kayexalate I - INSULIN N- SODIUM BICARB D - DIURECTICS. Hope this helps

[psu_213, BSN, RN]

AllInRN said:

Here are a few antidotes:

Narcotics - naloxone (Narcan)

Coumadin - Vitamin K

Heparin - protamine sulfate

Acetaminophen - mucomyst

Magnesium sulfate - Calcium Gluconate

Don't forget:

Benzos (Valium, Ativan, etc) -- Flumazenil (Romazicon) although it has many contraindications.

[JustBeachyNurse, LPN]

psu_213 said:

Don't forget:

Benzos (Valium, Ativan, etc) -- Flumazenil (Romazicon) although it has many contraindications.

Yes. Never give Ronazicon unless absolutely certain the patient overdosed on a benzodiazepine. Whereas if you think it's a possible opiate OD there is much less risk in giving Narcan for an uncertain OD.

[psu_213, BSN, RN]

30days2nclex said:

Kayexalate is used in hyperkalemia. It is used to excrete potassium out of the body. Here is a quick way to remember kayexalate. For hyperkalemia: Be K.I.N.D to the patient. K- kayexalate I - INSULIN N- SODIUM BICARB D - DIURECTICS. Hope this helps

Also, Calcium (gluconate or chloride) to "protect" the heart. Plus you will usually give D50 before giving the IV insulin.

[JustBeachyNurse, LPN]

Mag Sulfate in premature labor not only to try and stop the contractions but for neuroprotection of the fetus to reduce the chances of IVH and CP. Betamethasone injection to promote fetal lung development in premature labor

[amoLucia]

emtb2rn said:

Ahh, dilantin. What's really important to remember when administering dilantin ivp?

Oh, the cobwebs since I last gave Dilantin IV! All I remember now (without looking it up) was give in saline, give it slow and it burned. Don't remember incompatibilities now, but then I'm not giving it.

Demerol used to be combined with vistaril if I recall.

And mag sulfate given for DTs - to help the tremors/shakes.

Penicillin injection for syphilis.

Flagyl for trich.

[emtb2rn, BSN, RN, EMT-B]

amoLucia said:

Oh, the cobwebs since I last gave Dilantin IV! All I remember now (without looking it up) was give in saline, give it slow and it burned. Don't remember incompatibilities now, but then I'm not giving .

If you push it fast it's incompatible with life.

[emtb2rn, BSN, RN, EMT-B]

psu_213 said:

Plus you will usually give D50 before giving the IV insulin.

Oh yeah. D50 goes in best through a 16g. Went kinda slow through a 22g last night but ya go with whatcha got.

[psu_213, BSN, RN]

emtb2rn said:

Oh yeah. D50 goes in best through a 16g. Went kinda slow through a 22g last night but ya go with whatcha got.

Plus if we are doing D50/insulin, more often than not it is a dialysis pt. A 16 ga might not be in the cards.

[AllInRN, ASN, BSN]

psu_213 said:

Don't forget:

Benzos (Valium, Ativan, etc) -- Flumazenil (Romazicon) although it has many contraindications.

True!

[Js4nrs]

Meds for Hyperlipidemia = statins, niacin, bile acid sequestrants, fibric acid derivatives, and/or cholesterol absorption inhibitors.

Statin = lovastatin

Niacin = Vitamin B3

Bile acid sequestrant = cholestyramine

Fibric acid derivative = fenofibrate, fenofibric acid

Cholesterol absorption inhibitors = ezetimibe

[JenERally]

Glucagon for beta blocker OD.

Benadryl for extra pyramidal side effects caused by Reglan.

Albuterol neb can help lower K+, though effect is minimal.

Dantrolene for malignant hyperthermia.