Rationale ai

• Midazolam


  Used to sedate patients who have difficulty in breathing and thus use a machine to breathe
• Diphenhydramine


  Drug used for the treatment of allergic reactions
• Adenosine


  Maximum dose: 12 mg
• Adenosine


  Drug used for the treatment of paroxysmal ventricular tachycardia
• Bumetanide


  Side effects: Hypokalemia, hyponatremia, weakness, and loss of appetite
• Bumetanide is unique with regard to loss of appetite
• Verapamil/Isoptin


  Treatment of supraventricular tachycardia (SVT)
• Sodium bicarbonate (NaHCO3)


  Treatment of metabolic acidosis
• Naloxone


  Antidote for fentanyl overdose
• Sodium bicarbonate (NaHCO3)


  Side effects: Frequent urge to urinate, restlessness, swelling of feet or lower legs, unpleasant taste
• Oxytocin


  Used to induce labor
• Isosorbide dinitrate (ISDN)


  Used for the treatment of chest pain (angina pectoris)
• Heparin


  Drug that can cause vomiting of blood that appears like coffee grounds
• Amiodarone


  Side effects: Reversible corneal microdeposits, Blue skin discoloration
• Isosorbide

  Maximum dose: 20 mg per hour
• Mannitol


  Used to induce diuresis and can reduce intracranial pressure
• Isoptin


  Drug that can cause sore throat, pale skin, and coughed pinkish sputum
• Oxytocin


  Side effects: Asphyxia and uterine rupture that can lead to patient death
• Emergency drugs

  • Adenosine
  • Aminophylline
  • Amiodarone
  • Atropine
  • Bumetanide
  • Calcium gluconate
  • Dextrose
  • Diazepam
  • Digoxin
  • Diphenhydramine
  • Dobutamine
  • Dopamine
  • Epinephrine
  • Furosemide
  • Heparin
  • ISDN
  • Labetalol
  • Mannitol
  • Midazolam
  • Morphine
  • Naloxone
  • Nicardipine
  • Levophed
  • Oxytocin
  • Luminal
  • Sodium bicarbonate
  • Isoptin
• Nicardipine


  Used to treat short-term hypertension
• Acute hypertension = Nicardipine
• Morphine


  Drug that can cause a tingling feeling on the extremities
• Tingling feeling is a side effect of morphine
• Epinephrine


  Drug used for cardiac arrest with no pulse
• Majority of medication errors occur in the PRESCRIBING and ADMINISTERING phase
• Examples of documentation

  • Therapy plans for the patient
  • Procedure that is not yet done
  • Patient's allergy to drugs and food
  • Patient education on how to take antibiotics
• Defibrillator


  Controls heart fibrillation by placing an electric current to the heart
• "Clear"


  Phrase shouted by a lead physician before using a defibrillator
• 1. cart


  Wheeled cabinet that ensures availability of supplies and drugs
• EMPs should be present at the bedside to facilitate the delivery of patient care involving HAM or procedures
• Medication orders must be reviewed by a physician prior to administration - false
• Pharmacists can improve patient outcomes by improving patient safety and inducing medication errors - false
• Resuscitation is one of the roles of an EMP - true
• EMPs may not be involved in the decision-making process regarding which medications will be made available immediately within the ED- false
• The PSHP was first established in 1961 - false
• In larger hospitals, satellite pharmacies may be established for convenience - true
• Some hospitals can manufacture and assay their own drugs - true
• Hospital is a place devoted primarily for the maintenance and operation of health facilities for the diagnosis, treatment, and care of individuals - true
• Hospital is an organized structure that pools together all the health professions, the diagnostic and therapeutic facilities, equipment and supplies, and the physical facilities into a coordinated system for delivering health care to both private and public individuals
• Central Sterile Department


  In charge of keeping and providing all the instruments used in the hospital clean and sterilized