(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
may cause fatal respiratory depression in children < 2yo p. 642
Promethazine
need to ask pts about glaucoma, peptic ulcer dis. pregnancy & urinary retention b/4 use p 640
1st Generation H1 Receptor Antagonists
main risk w/adrenergic bronchodilators p. 657
excessive CNS/cardiac stimulation
severe hypotension may result p 642
rapid IV injection of anithistamine
Histamine p. 635
1st chemical mediator released in immune & inflammatory response
Collaborate w/provider
asthma action plan specifying action to take if sx worsen p 653
'Azole' anitfungals (fluconazole, ketoconazole, miconazole) & Macrolides increase its concentration p. 646
3rd Generation H1 Receptor Antagonists
Anticholinergic Prototype
Ipratropium
Atrovent)
Peak expiratory flow rate p. 653
PEFR
shake well before use hold breath x 10 sec, exhale slowly and rinse mouth p 660
Inhaler
Initiating this during worsening sx may be life-threatening p 660
salmeterol
agitation, anxiety, insomnia, Sz, tremors, serious dysrhythmia and cardiac arrest
p 657
CNS stimulation
issued for Promethazine due to chemical irritation & tissue damage regardless of route of admin p. 642
FDA Black Box Warning
shouldn't be taken within 14 days of MAO inhibitor - risk of overstimulating sympathetic nvs system p. 640
Diphenhydramine (Benadryl)
used together within 14 days could precipitate hypertensive crisis p 659
MAO inhibitors and beta-adrenergic blockers
caused by turbulent air flow thru obstructed airway p. 653
wheezing
inhibit bronchodilation and may induce bronchospasm in pts taking albuterol p. 659
beta-adrenergic blockers
anticholinergics - ineffective at relieving bronchospasm alone p 661
work synergistically with adrenergic bronchodiltors
more likely to be combined with a steroid p 657)
Long Acting Maintenance meds
Triggers for asthma p. 652
Viral infections, Environmental factors NSAIDS's, sulfites
these patients may get paradoxical excitement from H1 Gen receptor antagonists
p. 641
Children
bronchodilator first, followed by steroid
status asthmaticus
inhaled selective beta 2-agonist would be drug of choice in lieu of the one showing due to beta- stimulation and increased heart rate & force of contraction
Epinephrine
