Suzanne Shared "Pharm 1 Week 13" - 14 Picmonics
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Pharm 1 Week 13
Types of Shock
- Hypovolemic
- Depleted Volume
- Cardiogenic
- Pump Failure
- Obstructive
- Indirect Pump Failure
- Distributive
- Lost Vascular Tone
- Neurogenic
- Anaphylactic
- Septic
2 mins
IV Solutions
- Hypotonic (< 280 mOsm/L)
- 1/4 Normal Saline (0.225% NaCl)
- 1/2 Normal Saline (0.45% NaCl)
- Isotonic (280-300 mOsm)
- Normal Saline (0.9% NaCl)
- Lactated Ringer's (LR)
- Dextrose 5% in Water (D5W)
- Hypertonic (> 300 mOsm)
- 3% or 5% NaCl
- Dextrose 5% in 0.45% NaCl
- Dextrose 10% in Water (D10W)
3 mins
Types of Blood Products
- Types
- Whole Blood
- Packed Red Blood Cells
- Fresh Frozen Plasma
- Immunoglobulins
- Clotting Factors
- Albumin
- Platelets
- Considerations
- Use within 24 Hours
- Washing Removes Antibodies
- Irradiation Destroys WBCs
2 mins
Anaphylaxis Intervention
- Intervention
- Assess Airway and Oxygen Needs
- Reassure Patient with Anxiety
- Supine Position
- Methylprednisolone (Solu-medrol)
- Epinephrine
- Diphenhydramine (Benadryl)
- Medical Alert Bracelet
2 mins
Epinephrine (Adrenaline)
- Mechanism
- Alpha and Beta Agonist
- Indications
- Anaphylaxis
- Primary Open Angle Glaucoma (POAG)
- Bleeding
- Cardiac Arrest
- Side Effects
- Tachycardia
- Hypertension
- Tremors
- Insomnia
- Considerations
- Multiple Strengths
2 mins
Norepinephrine (Levophed)
- Mechanism of Action
- Alpha Agonist
- Beta-1 Agonist
- Indications
- Severe Hypotension
- Side Effect
- Decreases Renal Blood Flow
- Arrhythmias
- Hypertension
- Considerations
- Tissue Necrosis
- Last Resort Medication
2 mins
Beta Blockers
- "-olol" suffix
- Mechanism
- Decreases Heart Rate and Contractility
- Decreases Peripheral Vascular Resistance
- Decreases Renin Release
- Indications
- Hypertension
- Heart Failure
- Angina Pectoris
- Contraindications
- Asthma and Heart Block Patients
- Nursing Considerations
- Assess Blood Pressure and Heart Rate
- Masking Signs of Hypoglycemia
- Do Not Stop Abruptly
2 mins
Calcium Channel Blockers (Verapamil and Diltiazem)
- Mechanism of Action
- Slows AV Conduction
- Indications
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Side Effects
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
- Nursing Consideration
- Medication Education
2 mins
Amiodarone
- Mechanisms
- Class III Antiarrhythmic (K+ Channel Blocker)
- Decreases SA and AV Node Conduction
- Inhibits Cytochrome P450
- Indications
- Supraventricular Tachycardia with Heart Failure
- Ventricular Tachycardia
- Side Effects
- Hepatotoxicity
- Pulmonary Fibrosis
- Bradycardia
- Heart Block
- Thyroid Disorders
- Blue/Gray Skin Deposits
- Corneal Deposits
3 mins
Phases of Disaster Management
- Mitigation
- Preparedness
- Response
- Recovery
2 mins
Triage
- Simple Triage And Rapid Treatment (START)
- Tags
- Red: Immediate (Critical)
- Yellow: Delayed (Urgent)
- Green: Minor (Ambulatory)
- Black: Deceased (Expired)
- Step 1: Movement
- Ability to Walk
- Step 2: Respirations
- Spontaneous Breathing
- Respiratory Rate
- Step 3: Perfusion
- Check Circulation
- Step 4: Mental Status
- Mental Status
4 mins
Activated Charcoal (Actidose)
- Mechanism
- Binds to Toxins
- Indications
- Ingested Poison
- Side Effects
- Black Stool
- GI Distress
- Considerations
- Give As Soon As Possible
- Via Mouth or NG Tube
- Gastric Lavage
- Do Not Administer with Antidotes
2 mins
Ebola Virus
- RNA Virus
- Filovirus
- Marburg Virus
- Linear
- Helical
- Enveloped
- Negative Sense
- Bat Reservoir
1 min
Ebola Virus Symptoms
- 10 Day Incubation
- Flu-like Symptoms
- Impaired Blood Clotting
- Hematemesis and Hemoptysis
- Mucous Membrane Bleeding
- Skin Bruising
- Internal Hemorrhage
1 min
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