Thiamine Drug Card Flashcards
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Questions and Answers

What class does Thiamine belong to?

Vitamin B1

What is the description/actions of Thiamine?

Combines with ATP in the liver, kidneys, and leukocytes to produce thiamine diphosphate which acts as a coenzyme in carbohydrate metabolism.

What is the onset/duration of Thiamine?

Unknown

Which of the following are indications for Thiamine? (Select all that apply)

<p>AMS</p> Signup and view all the answers

What are the contraindications for Thiamine?

<p>Hypersensitivity to thiamine products</p> Signup and view all the answers

Which of the following are side effects of Thiamine? (Select all that apply)

<p>Nausea</p> Signup and view all the answers

What are the adverse reactions associated with Thiamine? (Select all that apply)

<p>Restlessness</p> Signup and view all the answers

What drug interactions are associated with Thiamine? (Select all that apply)

<p>Neuromuscular blockers</p> Signup and view all the answers

In what forms is Thiamine supplied?

<p>1-ml ampules, vials, syringes</p> Signup and view all the answers

What is the dosage and administration of Thiamine?

<p>100mg slow IV injection over one to two minutes, often administered in conjunction with D50.</p> Signup and view all the answers

What special considerations should be taken prior to the administration of Thiamine?

<p>Obtain adequate dietary history prior to administration, keep epinephrine ready.</p> Signup and view all the answers

Study Notes

Thiamine Overview

  • Thiamine, also known as vitamin B1, is essential for energy metabolism.

Mechanism of Action

  • Thiamine combines with ATP in liver, kidneys, and leukocytes to form thiamine diphosphate.
  • Acts as a vital coenzyme in carbohydrate metabolism.

Timing of Effect

  • Onset and duration of action for thiamine is currently unknown.

Clinical Indications

  • Commonly indicated for:
    • Altered mental status (AMS)
    • Delirium tremens
    • Hypoglycemia

Contraindications

  • Should not be used in patients with hypersensitivity to thiamine products.

Side Effects

  • Possible side effects include:
    • Hyposensitivity
    • Anxiety
    • Nausea and vomiting
    • Angioedema

Adverse Reactions

  • Serious warnings include:
    • Restlessness
    • Cyanosis
    • Severe gastrointestinal bleeding
    • General weakness and tenderness
    • Potential for pulmonary edema

Drug Interactions

  • May interact with:
    • Alkaline solutions
    • Sulfites
    • Neuromuscular blockers

Presentation

  • Available in forms such as:
    • 1-ml ampules
    • Vials
    • Syringes

Dosage & Administration

  • Recommended dosage is 100 mg administered as a slow IV injection over one to two minutes.
  • Frequently given alongside D50 for best results.

Special Considerations

  • It is important to obtain a thorough dietary history before administration.
  • Epinephrine should be readily available in case of an allergic reaction.

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Description

Test your knowledge on Thiamine, also known as Vitamin B1, through these informative flashcards. Delve into its class, actions, indications, and contraindications to enhance your understanding of this essential nutrient in carbohydrate metabolism.

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