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1 Examples of Completed Drug Cards Dextran Name: Classification: Actions: Indications: Contraindications: Precautions: Dosage Range: Delivery Method: How to prep: Pharmacokinetics: Notes: AKA’s: Artificial Colloid Volume Expander Hypovolemic shock CHF, Bleeding disorders Prevents accurate blood typing because dextran coats the red cells Titrate to effect IV Supplied as an IV fluid - use macro drop tubing half life of 12 hours Draw type and cross before administering dextran 2 Hetastarch AKA’s: hespan Name: Artificial colloid Classification: Volume expander Actions: Hypovolemc shock, especially burns Indications: Contraindications: No known contraindications when Precautions: Dosage Range: Delivery Method: How to prep: Pharmacokinetics: Notes: used for life saving treatment of shock watch for HTN, pulmonary edema, can interfere with coagulation Titrated to effect IV Comes as an IV fluid, use macro drop tubing half life of 24 - 36 hrs watch for nausea 3 Lactated Ringers AKA’s: Name: Isotonic Crystalloid Classification: Replaces water and electrolytes Actions: Hypovolemic shock, IV access (TKO) Indications: Contraindications: CHF, renal disease Watch for overload Precautions: Tiatrate to effect, 3:1 volume Dosage Range: Delivery Method: How to prep: Pharmacokinetics: Notes: replacement IV Comes as an IV solution Onset immeadate, half life depends on pt/kidney function, other Watch for overload, 3rd spacing