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CSM NUR 2115 Exam 3 Pharmacology Review Questions and Answers

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Methylprednisone (Solumedrol): class, use, dosage recommendations corticosteroids Used in high dosages to prevent swelling/ induction of a secondary spinal cord injury Dose: bolus then drip within 8 hrs 30 mg/kg bolus 5.4 mg/kg/hr drip for 23 hrs Dextran used in SCI to increase blood flow to the spinal cord and treat hypotension Naloxone used in SCI 5.4 mg/kg bolus 4.0 mg/kg/hr for 23 hrs Studies vary on usefulness of this treatment Metaneb device that includes 3 therapies: lung expansion, airway clearance and aerosol delivery Indicated for mobilization of secretions and lung hyperinflation/lung expansion to open airways and treat/prevent pulmonary atelectasis Can provide supplemental O2 Time effective treatment Can be used in adults and pediatrics Acetylcysteine (Mucomyst) used in SCI to loosen secretions Albuterol given to SCI pt as a respiratory treatment to cause vasodilation of the bronchioles May cause tachycardia Meds to treat neurogenic shock vasopressors

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CSM NUR 2115 Exam 3 Pharmacology
Review Questions and Answers
Methylprednisone (Solumedrol): class, use, dosage recommendations
✅corticosteroids

Used in high dosages to prevent swelling/ induction of a secondary spinal cord injury

Dose: bolus then drip within 8 hrs

30 mg/kg bolus
5.4 mg/kg/hr drip for 23 hrs

Dextran ✅used in SCI to increase blood flow to the spinal cord and treat hypotension

Naloxone used in SCI ✅5.4 mg/kg bolus
4.0 mg/kg/hr for 23 hrs

Studies vary on usefulness of this treatment

Metaneb ✅device that includes 3 therapies: lung expansion, airway clearance and
aerosol delivery

Indicated for mobilization of secretions and lung hyperinflation/lung expansion to open
airways and treat/prevent pulmonary atelectasis

Can provide supplemental O2

Time effective treatment

Can be used in adults and pediatrics

Acetylcysteine (Mucomyst) ✅used in SCI to loosen secretions

Albuterol ✅given to SCI pt as a respiratory treatment to cause vasodilation of the
bronchioles

May cause tachycardia

Meds to treat neurogenic shock ✅vasopressors

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