Pharmacology: Acetaminophen and Tylenol

Questions and Answers

What is the classification of Acetaminophen/Tylenol?

Non-narcotic analgesic/antipyretic

What is the primary action of Norepinephrine/Levophed?

Causes peripheral vasoconstriction

What is the indication for Succinycholine/Anectine?

Rapid Sequence Intubation (RSI)

What is the primary action of Tranexamic Acid (TXA)?

Promotes clotting factor Signup and view all the answers

What is a contraindication for Norepinephrine/Levophed?

Hypotension due to hypovolemia Signup and view all the answers

What is a common side effect of Succinycholine/Anectine?

Hypotension, bradycardia, and prolonged paralysis Signup and view all the answers

What is the dose and route of administration for Acetaminophen/Tylenol?

325-650 mg every 4-6 hours, orally Signup and view all the answers

What is a warning for Tranexamic Acid (TXA)?

Prompt clotting factor Signup and view all the answers

What is the classification of Norepinephrine/Levophed?

Sympathomimetic Signup and view all the answers

What is a common side effect of Acetaminophen/Tylenol?

Hypotension, dizziness Signup and view all the answers

What is the dose and route of vasopressin for multisystem trauma?

1-2g over 10 minutes Signup and view all the answers

What is the classification of vasopressin?

Hormone / Vasoconstrictor Signup and view all the answers

What is the indication for vasopressin in cardiac arrest?

Cardiac arrest Signup and view all the answers

What are the side effects of vecuronium?

Blanching of skin, hypertension, bradycardia Signup and view all the answers

What is the classification of vecuronium?

Neuromuscular Block Agent (Non-Depolarizing) Signup and view all the answers

What is the action of vecuronium?

Skeletal muscle relaxant Signup and view all the answers

What is the dose and route of vecuronium for RSI?

0.08-0.1 mg/kg IV Signup and view all the answers

What is the warning for vecuronium in RSI?

ET intubation must be ready immediately Signup and view all the answers

What is the side effect of vecuronium in RSI?

Prolonged paralysis Signup and view all the answers

What is the pediatric dose of vecuronium for RSI?

0.1 mg/kg IV Signup and view all the answers

Study Notes

Acetaminophen / Tylenol

Classification: Non-narcotic analgesic and antipyretic
Action: Inhibits cyclooxygenase
Indications: Mild pain, moderate pain, and fever
Dose and Route:
- 325-650 mg every 4-6 hours (oral)
- 650-1000 mg IV (intravenous)
- 1 gram (associated with nausea)
- PED: 10-15mg/kg every 4-6 hours
Warnings and Interactions:
- Use with caution in children
- Monitor BP (blood pressure)
- Syncope (fainting) can occur
- If hypotension occurs, immediately wipe paste off
Side Effects: Hypotension, dizziness

Norepinephrine / Levophed

Classification: Sympathomimetic
Action: Causes peripheral vasoconstriction
Indications:
- Systolic BP < 0.5 mEq/kg
- Hyperventilation
- Cardiac arrest
- Hyperkalemia
Dose and Route:
- Every 10 minutes
Warnings and Interactions:
- Delivers large sodium load
- Can deactivate catecholamines
Side Effects: Alkalosis

Succinylcholine / Anectine

Classification: Neuromuscular blocking agent (depolarizing)
Action: Skeletal muscle relaxer
Indications: RSI (rapid sequence intubation)
Dose and Route:
- 1-1.5 mg/kg IV
- 40-100 mg
Warnings and Interactions:
- Paralysis occurs within 1 minute and lasts 8 minutes
Side Effects: Hypotension, bradycardia, prolongs paralysis

Tranexamic Acid / TXA

Classification: Anti-fibrinolytic
Action: Promotes clotting factor
Indications: Multisystem trauma
Dose and Route:
- 1-2g over 10 minutes
Warnings and Interactions:
- Contraindicated in brain bleed
Side Effects: Nausea, vomiting, diarrhea, muscle pain

Vasopressin

Classification: Hormone / Vasoconstrictor
Action:
- Antidiuretic hormone
- Potent vasoconstrictor
Indications: Cardiac arrest
Dose and Route:
- 40 Units IV (single dose)
Warnings and Interactions: None in the emergency setting
Side Effects: Blanching of skin, hypertension, bradycardia

Vecuronium / Norcuron

Classification: Neuromuscular block agent (non-depolarizing)
Action:
- Skeletal muscle relaxant
- Paralyzes respiratory muscle
Indications: RSI
Dose and Route:
- 0.08-0.1 mg/kg IV
- Pediatric: 0.1 mg/kg IV
Warnings and Interactions:
- ET intubation must be ready immediately
- Effect within 1 minute and lasts 30 minutes
Side Effects: Prolonged paralysis, hypotension, bradycardia

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Description

This quiz covers the classification, action, and contraindications of Acetaminophen and Tylenol. Learn about its role as a non-narcotic analgesic and antipyretic.