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Details

TBI, Neuroendocrine, DI/SIADH
Meds
23
Nursing
Undergraduate 2
06/01/2011

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Cards

Term
Nimotop: Use, Frequency
Definition
-calcium channel blocker
-promotes smooth muscle relaxation, vasodilation, and enhances oxygenation and perfusion.
-used for SAH
-given q4h
-AKA: Nimodipine
Term
Labetalol- Use
Definition
-used to control b/p in a SAH patient
Term
Labetalol: dose
Definition
10-20 mg IVP q5-15min
Term
Apresoline: use
Definition
used to control b/p in a SAH patient
Term
Apresoline: dose
Definition
10-20mg IVP q5-15 mins
Term
Cardene: Use
Definition
SAH patient, if other meds dont work
Term
Cardene: Dose
Definition
-start at 5mg/hr
-15-20mg/hr max
-titrate to MAP
Term
Neosynephrine: Use
Definition
-used with SAH patient if MAP is <80-90
-potent vasoconstrictor
-cousin to levophed, but more gentle
-more effective when CO2 is also a problem
Term
Keppra: Use
Definition
-antiseizure med to prevent seizures in TBI patients (only is seizures are present)
-effective, but expensive
-no SE
-preferred over dilantin if possible
Term
Dilantin-Use
Definition
-antiseizure med used with TBI patients when seizures are present
-cheaper than keppra
Term
Dilantin: SE, Concerns
Definition
Side Effects: thrush
Concerns: cannot mix w/ tube feedings, easily toxic
Term
Magnesium: Use, Normal & Needed Level
Definition
-SAH patients have a megnesium protocol to decrease vasospasms.
-needs to be >2.5 (normal is 1.8-2.2)
-can be given via gtt or IVPB
Term
Verapamil: Use
Definition
-vasodilator used to test vasospasms
-injected via artery direct into cerebral vessel via angiography approach
Term
Papaverine: Use
Definition
-vasodilator used to trest vasospasms
-injected via artery direct into cerebral vessel via angiography approach
Term
Mannitol: Classification, Use
Definition
-osmotic diuretic
-used to decrease intracranial pressure
(serum osmolality levels should be assessed prior to admnistration, should be <320)
Term
Mannitol: Dose, Route
Definition
-25-50gm q4-6h
-IVPB
Term
Drugs used to induce coma (7)
Definition
1 Diprivan
2 Pentabarbital
3 Fentanyl
4 Ativan
5 Pancuronium OR
6 Vecronium OR
7 Nimbex
Term
Diabetes Insipidous: Treatment (2)
Definition
-Hypotonic solution (0.45% sodium chloride)
-ml/ml replacement

-Vasopressin gtt (ADH)
Term
Desmopressin- Use, Route, AKA
Definition
-used to remove tumor in DI patients
-IV, nasal, oral
- AKA: DDAVP
Term
SIADH Treatment (2 r/t fluid)
Definition
-fluid restriction <500-800ml/24h
-hypertonic saline (3% sodium solution, recommended for Na <110)
Term
Lasix- Use, Dose
Definition
-used to treat SIADH
-20-40mg q6-8h
-used with isotonic or hypertonic salutions
Term
Declomycin: Use
Definition
-Treatment for SIADH
-* Induces ID
-For chronic conditions and if patient is noncompliant with water restriction.
Term
Declomycin: Dose
Definition
300-600mg PO bid
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