ACCS Drugs from Study Exam Questions and answers, 100% Accurate

ACCS Drugs from Study Exam Questions and answers, 100% Accurate Fentanyl, Morphine, and Hydromorphone (Dilaudid) are all Narcotics, what drug reverses the adverse affects of decreased Respiratory Rate and Heart Rate? - -Narcan A drug that blocks pain is considered what class? - -An Opiod Ketorolac (Toradol) and Ibuprofen are Nsaids. Which drug out of these two have an adverse affect of renal failure? - -Toradol (Ketorolac) Why are Nsaids used in combination with opiods? - -To reduce the amount of opiods used since Nsaids combat pain as well. Diazepam (Valium), Lorazepam ( Ativan), Midazolam (Versed) are all anti anxiety medications. These drugs can also suppress respiratory drive, what drug reverses this adverse affect? - -Flumazenil PHenobarbital and pentobarbital are barbiturates (usually now replaced by benzos) for treatment of ICU sedation and seizures. Adverse effect is a decrease is HR, RR, and BP. What drug reduces this, PH is a clue. Also, what differentiates these two drugs for a specific treatment? - -Physostigmine, Phenobarbital is used for sedation and alcohol withdrawal issues What type of agent is physostigmine? - -An arousal agent, so this does NOT REVERSE. Mostly used on barbiturates. Used with adverse affect of a decrease in HR, RR, and BP. Dexmedetomidine (Precedex) is used alternatively to Propofol and is a good choice for patients struggling to wean off of Propofol and other drugs, especially from vent. Why? - -This drug does not result in respiratory depression Propofol (Diprivan) is a medication used for pain and sedation. This drug wears off quickly (NO REVERSAL NEEDED). If there is a hemo compromise shortly after started or increasing (Decrease in BP), what is your action? - -Discontinue! Very common on exam Etomidate (Amidate) is a very common medication used in Rapid Sequence Intubation. What is the adverse affect? - -May increase ICP, so do NOT use with TBI or Seizures Ketamine (Ketalar) is another common RSI medication, what are the pros and cons of this drug? - -Does not suppress respiratory drive, so it is a good medication for an awake intubation. DO NOT use if patient is severely hypertensive. Haloperidol (Haldol) is used for what type of delirium, and what agent is used for reversal, only if patient developed anaphylaxis? What drug