NEURO, ENDOCRINE, BURNS, Medications Quiz 4

NEURO, ENDOCRINE, BURNS, Medications Quiz 4 Medications: ICP: • Methyl prednisone (solumedrol): push slow 2-3 minutes - BS - Taper - Thrush • Ativan/Dilantin (Anticonvulsant): • Indomethacin (NSAID) decrease ICP, increase cerebral perfusion pressure without compromising cerebral perfusion • Thiophanate/phenobarbital (Barbiturates) decrease cerebral metabolic rate - Drug levels - EEG monitoring • Mannitol (Osmotic diuretic) decrease parenchymal cell water - Foley cath - Avoid dehydration - Avoid latent hypotension - Not given until ICP is > 25 Stroke: • tPa—> clot buster • anticonvulsants • Heparin • Osmotic diuretics (hemorrhagic) • Corticosteroids decrease inflammation Bacterial Meningitis: • Ampicillin • gentamycin (peak/trough) • rifampin • ceftriaxone • vancomycin(trough) ………………………………………..CONTINUED…………………………………………….