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165 Cards in this Set
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Adult dose of Verapamil (Isoptin)
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2.3-4 mg slow IV repeat in 15-30 min at 5-10 mg or 5mg q 15 min (Max 30mg)
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Inhibits the movement of calcium ions across cell membranes; decreases atrial automaticity, reduces AV conduction velocity, and prolongs the AV nodal refractory period, depresses myocardial contractility, reduces vascular smooth musce tone, and dilates coronary arteries and arterioles in normal and ischemic tissues
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Adult dose of Atenolol (Tenormin)
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5 mg slow IV; repeat x1 after ten minutes
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Competes with beta adrenergic agonists to bind with available beta receptors on cardiac smooth muscle, bronchiole smooth muscle and the smooth muscle of the blood vessels; at the beta 1 receptors heart rate, conduction velocity, myocardial contractility, and cardiac output are decreased
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Adult dose of Labetalol (Normodyne, Trandate)
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10 mg IV; repeat or double q 10 minutes (Max 150 mg)
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Competitive alpha 1 receptor blocker and non-selective beta receptor blocker than alpha blocker; reduces BP without reflex tachycardia and total peripheral resistance is decreased to help maintain CO
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Adult dose of Magnesium Sulfate for seizure
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1-4g IV
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Adult dose of Mag Sulfate for pulseless arrest
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1-2 g IV diluted in 10 mL of D5W
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Adult dose of Mag Sulfate for Torsades de Pointes with pulse, AMI
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1-2 g in 50-100mL D5W over 5-60 min followed by infusion 0.5-1g/hr
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Reduces striated muscel contractions and blocks peripheral neuromuscular transmission by reducing acetylcholine release at myoneural junction
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Rocuronium (Zemuron) adult dose
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1mg/kg IV
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Binds to the receptor for acetylcholine at the neuromuscular junction producing complte muscular relaxation without initiating depolarization of the muscle membrane
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Succinylcholine (Anectine) adult dose
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1.5-2mg/kg IV
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Binds to receptors for acetylcholine, causes depolarization of the muscle membrane which often leads to fasciculations and some muscular contractions
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Etomidate (Amidate) Adult dose
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0.3 mg/kg IV (max 20mg)
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Works on reticular activating system to produce anethesia; relieves apprehension impairs memory
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Vecuronium (Norcuron) adult dose
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0.1 mg/kg IV
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Inhibits transmission of nerve impulses by binding with cholinergic receptor sites, antagonizing action of acetylcholine
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Pancuronium (Pavulon) adult dose
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0.04-0.1 mg/kg slow IV; repeat q 30-60 min PRN
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Binds to the receptor for acetylcholine at the neuromuscular junction producing complete muscular relaxation without initiating depolarization of the muscle membrane
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Diphenhydramine (Benadryl)
Adult dose |
10-50 mg IM or slow IV
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Blocks H1 receptors in blood vessels and bronchioles to stop further effects of histamines also effective in treatment of dystonic reactions
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Methylprednisolone (Solu-medrol) adult dose
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125mg IV
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Suppresses acute and chronic inflammation; potentiates vascular smooth muscle relaxation by beta-adrenergic 1 agonists and may alter airway hyperactivity
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Procainamide (Pronestyl) adult dose
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100 mg IV q 5 min (Max 17 mg/kg)
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Suppresses phase 4 depolarization in normal ventricular muscle and Purkinje fibers to reduce the automaticity of ectopic pacemakers; suppresses reentry dysrhythmias by slowing intraventricular conduction
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Lidocaine (Xylocaine)
Adult dose V-fib, V-tach |
1.5mg/kg IV; repeat q 3-5 minutes (max 3 mg/ kg)
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Lidocaine (Xylocaine) infusion dose
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1-4mg/min; mix 1g in 250mL of NS or D5W
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Lidocaine (Xylocaine) wide complex tachycardia Dose
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1-1.5 mg/kg IV, follow with 0.5-0.7 mg/kg after 5-10min then start infusion
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Cimetidine (Tagamet) adult dose
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300 mg IV
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Adenosine (Adenocard) adult dose
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6mg rapid IV; second dose: 12 mg rapid IVP may repeat times one followed by 10-20mL rapid bolus, elevate extremity
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Slows conduction at the AV node
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Metoprolol (Lopressor) adult dose
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5 mg slow IV q5min to total of 15mg
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Competes with beta adrenergic agonists for available beta receptors sites on the membrane of cardiac muscle; bronchial smooth muscle and smooth muscle of the blood vessels, the beta 1 blocking action on the heart decreases heart rate, conduction velocity, myocardial contractility, and cardiac output, used to control ventricular response in supraventricular tachy dysrhythmias
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Propanolol (Inderal) adult dose
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1-3 mg slow IV, repeat after 2min (Max dose 0.1 mg/kg)
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Non-selective beta-adrenergic blocker that inhibits chronotropic, inotropic, and vasodilator response to beta-adrenergic stimulations; slows the sinus rate, depressses AV conduction, decreases CO, and reduces BP; decreases myocardial O2 demand to reduce the risk of sudden death in pts with AMI
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Dopamine (Inotropin) adult dose
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5-20mcg/kg/min IV
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Moderate dose: works on beta1 adrenergic receptors enhancing myocardial contractility and increasing CO and BP
High Dose: acts on alpha 1 adrenergic receptors to cause peripheral arterial and venous constriction |
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Mannitol (Osmitrol) adult dose
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0.5-1g/kg IV over 5-10 minutes
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Promotes the movement of fluid from the intracellular into the extracellular space, most often emergent use is to decrease cerbral edema and ICP caused by head injury or mass lesions
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Racemic Epinephrine (MicroNefrin) Adult dose
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dilute 5mL in 5mL saline, administer as neb
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Bronchodilator that works on beta 2 receptors to cause relaxation of bronchial smooth muscle; also found useful in treating laryngeal edema; inhibits release of histamine
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Levalbuterol (Xopenex) adult dose
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0.63-1.25 mg nebulized
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Selective beta2 agonists that works on the smooth muscles of all airways from the trachea to the terminal bronchioles to cause relaxation
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Morphine (Astramorph, Duramorph, MS Contin) adult dose
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2-4 mg slow IV q 5-30 min
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Primary effect is analgesia; increases peripheral venous capacitance and decreases venous return, peripheral vasodilation causing decreased preload and afterload, thought to decrease myocardial oxygen demand
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Ipratropium Bromide (Atrovent) adult dose
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0.5 mg Nebulized
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Albuterol (Proventil, Ventolin) adult dose
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2.5 mg nebulized
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Glucagon adult dose hypoglycemia
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0.5-1mg IM may repeat in 7-10min
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Glucagon adult dose for calcium channel or beta-blocker OD
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3mg IV followed by infusion 3mg/hr
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Exerts positive inotropic action and decreases renal vascular resistance making it effective in managing patients with calcium channel blocker and beta blocker cardiotoxicity
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Glutose (Insta-glucose) adult dose
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15-50g PO
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Thiamine (Betaxin) adult dose
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100mg slow IV/IM
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Combines with adenosine triphosphate to form thiamine pyrophosphate a coenzyme necessary for carb metabolism
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Dextrose 50% (D50) adult dose
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12.5-25g slow IV may repeat x1
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Flumazenil (Romazicon) adult dose
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0.2mg IV/0.3mgIV/O.5mgIV
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Antagonizes effects of benzodiazepines
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Epinephrine (Adrenalin) adult dose for pulseless arrest
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1mg IV (1:10000) repeat 3-5 min during resuscitation
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Stimulates alpha, beta one, and beta two adrenergic receptors
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Epinephrine (Adrenalin) adult dose Anaphylaxis/ bronchoconstriction
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0.3 - 0.5 mg IM/SQ
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Stimulates beta 2 adrenergic receptors
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Atropine Sulfate adult dose for brady dysrhythmias
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0.5mg IV (Max 3mg)
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Blocks vagal effects to increase heart rate and enhance AV conduction
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Atropine Sulfate adult dose for Asystole/ brady PEA
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1mg IV (Max 0.04 mg/kg)
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Blocks vagal effects to increase heart rate and enhance AV conduction
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Atropine Sulfate adult dose for anticholinesterase poisoning
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1-2mg IV q 5-15 minutes until effects are seen
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Inhibits acetylcholine at postganglionic parasympathetic receptor sites to dry secretions
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Diazepam (Valium) adult dose for seizure
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5-10 mg slow IV may repeat q 10-15 PRN (Max 30mg)
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Diazepam (Valium) adult dose for Premedication
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5-15mg IV 5-10 minutes before procedure
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Acts on CNS to potentiate the effects of inhibitory neurotransmitters; induces amnesia and sedation
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Midazolam (Versed) adult dose
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1-2.5 mg slow IV; may repeat PRN (Max 0.1mg/kg)
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Midazolam (Versed) elderly dose
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0.5 mg slow IV (Max 1.5 mg/2min)
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Depresses all leves of CNS, including limbic and reticular formation
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Calcium Chloride adult dose
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500-1000 mg IV may repeat after 10 min PRN
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Key in normal cardiac and renal cell function as well as repiration, blood coagulation, and cell membrane and capillary permeability; replaces lost calcium
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Lorazepam (Ativan) adult dose
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1-4 mg Slow IM/IV may repeat in 15-20 minutes (max 8mg)
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has antianxiety and anticonvulsant effects; thought to suppress the propagation of seizure activity produced by foci in the cortex, thalamus and limbic areas
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Sodium Bicarbonate adult dose
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1 meg/kg IV repeat at 0.5 meg/kg q 10min
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Reacts with hydrogen ions to form water and carbon dioxide
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Naloxone (Narcan) adult dose
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0.4-2mg IV/IM/SQ; may repeat q 5 min (max 10 mg)
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Vasopressin (Pitressin) adult dose
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40 U IV
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Directly stimulating smooth muscle V1 receptors; acts as a nonadrenergic peripheral vasoconstrictor in high doses
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Furosemide (Lasix) adult dose
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0.5-1mg/kg slow IV not to exceed 20 mg/min
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Inhibits reabsorption of sodium and chloride in the proximal loop of Henle
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Hydroxocobalamin adult dose
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5g IV/IO infused over 15 min
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Binds to cyanide ion to form cyanocobalamin which is then excreted
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Activated Charcoal (Actidose) adult dose
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50-100g PO/NG/OG
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Works best if administered within 1 hour of ingestion. Class: Adsorbent; Antidote
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Amyl Nitrite Adult dose
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0.3mL inhaled
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Causes oxidation of hemoglobin to methemoglobin, cyanide binds more readily to methemoglobin freeing hemoglobin for oxygen transport
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Pralidoxime (2-Pam, Protopam) adult dose
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600mg IM or 1-2 g IV over 15 to 30 min
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Reactivates the enzyme acetylcholinesterase to allow acetylcholine to be degraded
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Oxytocin (Pitocin) adult dose
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3-10 U IM post-partum hemorrhage
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stimulates uterine smooth muscle contractions and helps expedite the normal contractions of a spontaneous labor
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Haloperidol (Haldol) adult dose
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2-5 mg IM
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Thought to block dopamine receptors in the brain to modify behavior and mood
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Promethazine (Phenergan) adult dose
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12.5-25 mg IV/Deep IM
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Blocks actions of histamine at H1 receptors in blood vessels and bronchioles; also possess sedative, antimotion, antiemetic, and considerable anticholinergic activity
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Metoclopramide (Reglan) adult dose
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10 mg slow IV
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Blocks dopamine receptors in chemoreceptor trigger zone of CNS; stimulates motility of upper GI tract and accelerates gastric emptying
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Odansetron (Zofran) adult dose
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4mg slow IV
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Reduces the activity of the vagus nerve that activates the vomiting center in the medulla obloganta
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Prochlorperazine (Compazine) adult dose
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5-10 mg IV/IM
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Blocks dopaminergic receptors in the brain; also has weak anticholinergic properties
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Ketorolac (Toradol) adult dose
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60 mg IM or 30 mg IV
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Anti-inflammatory drug that also exhibits peripherally acting non-narcotic analgesic activity by inhibiting prostaglandin synthesis
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Ketamine (Ketalar) adult dose
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1-4 mg/kg IV
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Acts on the limbic system and cortex to block afferent transmission of impulses associated with pain perception; produces short-acting amnesia without muscular relaxation
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Hydromorphone (Dilaudid) adult dose
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1-2mg slow IV
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Inhibits ascending pain pathways in CNS; alter pain perception; increases pain threshold
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Acetaminophen (Tylenol) adult dose
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325-650 mg PO or 650 mg PR (Max 4g/day)
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Works on the heat-regulating center of the hypothalmus; raises pain threshold
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Fentanyl (Sublimaze) Adult dose
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50-100 mcg IV/IM
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Binds with receptors in the brain to produce potent analgesic effects, used with benzodiazepines for conscious sedation
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Aspirin (St. Joseph, Bayer, Ecotrin) adult dose
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162-324 mg PO
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MOA: Prevents formation of thromboxane A2
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Meperidine (Demerol) Adult Dose
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50-100 mg IM; 15-35 mg IV; Elderly 25 mg IM
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Works at opiod receptors to produce analgesia and euphoria
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Tetracaine (Pontocaine) adult dose
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1-2 drops
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MOA: Inhibits conduction of nerve impulses from sensory nerves
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Nitroglycerin (Nitrostat) adult dose
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0.3-0.4 mg SL repeat x2 q 5 min PRN
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Dilates arterioles and veins in periphery reduces preload, after load, decreases workload of heart and lowers myocardial O2 Demand
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Amiodarone (Cordarone) adult dose pulseless
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300 mg IV IO second Dose in 3-5 min: 150 mg IV/IO
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Amiodarone (Cordarone) adult dose stable
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150 mg in 100mL D5W over 10 min, may repeat every ten minutes
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MOA: Delays repolarization and prolongs duration of action potential and effective refractory period
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Diltiazem (Cardizem) adult dose
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0.25 mg/kg slow IV (over 2 min)
2nd dose in 15 min: 0.35 mg/kg slow IV |
MOA: Blocks the calcium Channels to slow conduction and increase refractory period at the AV node, thus slowing the ventricular response in patients with tachycardias originating about the ventricles
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Indication of Verapamil (Isoptin).
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PSVT, A-Flutter or A-Fib with RVR; Vasospastic and unstable angina, Chronic stable angina
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Class IV antidysrhythmic (Calcium Channel Blocker)
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Contraindication of Verapamil (Isoptin).
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Sick sinus syndrome w/o artificial pacemaker; 2nd or 3rd degree AVB, brady, hypotension, Cardiogenic shock, Severe CHF, WPW, patients receiving IV beta-blockers, Wide complex tachycardias
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Indication of Labetalol (Normodyne, Trandate).
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Hypertensive crisis
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Alpha and Beta-adrenergic blocker
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Contraindication of Labetalol (Normodyne, Trandate)
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2nd or 3rd degree AVB; bradycardia, cardiogenic shock, pulmonary edema, uncompensated CHF; bronchial asthma
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Indication of Atenolol (Tenormin).
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Refractory PSVT, Atrial fibrillation or flutter
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Non-selective beta-blocking agent
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Contraindication of Atenolol (Tenormin).
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Heart failure, cardiogenic shock, bradycardia, hypotension, 2nd/3rd degree AVB
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Indication of Magnesium Sulfate.
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Seizures of eclampsia; Torsades de Points; suspected hypomagnesemia, refractory ventricular fibrillation; status asthmaticus; dysrhythmias from TCA OD
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Electrolyte; anticonvulsant
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Contraindication of Magnesium sulfate.
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Heart block; myocardial damage
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Indication of Rocuronium (Zemuron).
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Maintenance of paralysis following intubation to assist ventilations.
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Neuromuscular blockade (non-depolarizing)
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Contraindication of Rocuronium (Zemuron).
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Patient not intubated, known sensitivity to neuromuscular blocking agents
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Indication of Succinylcholine (Anectine).
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Facilitate intubation, terminate laryngospasm; muscle relaxation.
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Neuromuscular blockade (depolarizing)
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Contraindications of Succinylcholine (Anectine)
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Inabilitiy to control airway and/or support ventilation with oxygen and positive pressure; recent burn or crush injury (after 1st 24 hrs); personal or family history of malignant hyperthermia, acute rhabdomyolysis; skeletal muscle myopathies
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Indications of Etomidate (Amidate).
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Premedicate for intubation or cardioversion.
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Nonbarbiturate hypnotic; anesthetic
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Contraindications of Etomidate (Amidate)
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Labor/delivery
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Indications of Vecuronium (Norcuron).
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Maintenance of paralysis following intubation to assist ventilations
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Neuromuscular blockade (Non-depolarizing)
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Contraindications of Vecuronium (Norcuron)
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Patient not intubated
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Indications of Pancuronium (Pavulon)
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Induction or maintenance of paralysis following intubation to assist ventilations
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Neuromuscular blockade (non-depolarizing)
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Contraindications of Pancuronium (Pavulon)
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Inability to control airway and or support ventilations with oxygen and positive pressure; neuromuscular disease (myasthenia gravis)
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Indications of Diphenhydramine (Benadryl)
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Moderate to severe allergic reactions; anaphylaxis; acute extrapyramidal reactions
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Antihistamine
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Contraindications of Diphenhydramine (Benadryl)
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Newborns, nursing moms, narrow angle glaucoma; patients taking MAOIs
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Indications of Methylprednisolone (Solu-medrol).
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Anaphylaxis; bronchodilator;
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Glucocorticoid
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Contraindications of Methylprednisolone (Solu-medrol).
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GI bleed, Diabetes, severe infection
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Indications of Procainamide (Pronestyl)
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Refractory PSVT (if normotensive); stable wide-complex tachycardia of unkown origin, A-fib with RVR in WPW syndrome; PVCs and recurrent V-Tach uncontrolled by Lidocaine
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class IA antidysrhythmic (sodium channel blocker)
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Contraindications of Procainamide (Pronestyl).
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2nd or 3rd degree AVB without artificial pacemaker; digitalis toxicity; Torsades; TCA OD
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Indications of Lidocaine (Xylocaine)
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V-Tach, V-Fib, wide complex tachycardia of uncertain origin, significant ventricular ectopy with myocardial ischemia/infarction
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Class IB antidysrhythmic (sodium channel blocker)
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Contraindications of Lidocaine (Xylocaine)
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2nd or 3rd degree AVB, Adams-stokes syndrome
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Indications of Adenosine (Adenocard)
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PSVT, SVT
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antidysrhythmic, endogenous nucleoside
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Contraindications of Adenosine (Adenocard)
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2nd or 3rd degree AVB;
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Indications of Metoprolol (Lopressor)
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Refractory PSVT; a-flutter; a-fib; reduced myocardial ischemia and damage in patients with acute myocardial infarction
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Beta-blocking agent
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Contraindications of Metoprolol (Lopressor)
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Heart failure, 2nd or 3rd degree AVB; cardiogenic shock, hypotension, bradycardia, lung disease associated with bronchospasm
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Indications of Propanolol (Inderal)
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Hypertension, angina, V-tach, V-fib, refractory SVTs
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Class II antidysrhythmic (beta-adrenergic blocker)
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Contraindications of Propanolol (Inderal)
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2nd or 3rd degree AVB; bradycardia, asthma, cardiogenic shock, pulmonary edema, uncompensated CHF, COPD, cocaine intoxication
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Indications of Dopamine (Intropin)
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Hypotension in absence of hypovolemia
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Sympathomimetic
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Contraindications of Dopamine (Inotropin)
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Tachydysrhythmias; VF; Pheochromocytoma
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Indications of Mannitol (Osmitrol)
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Cerebral edema; Increased ICP; rhabdomyolysis
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Osmotic diuretic
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Contraindications of Mannitol (Osmitrol)
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Severe hypotension; active intracranial bleed; dehydration, hyponatremia, severe pulmonary edema, severe renal disease,
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Indications of Racemic Epinephrine (MicroNefrin)
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Bronchial asthma, bronchospasm, laryngeal edema; croup
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Sympathomimetic
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Contraindications of Racemic Epinephrine (MicroNefrin)
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Hypertension, epiglottits, underlying cardiovascular disease
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Indications of Morphine (Astramorph)
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CP associated with MI; pulmonary edema with or without pain, moderate to severe acute and chronic pain
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Opiod analgesic
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Contraindications of Morphine (Astramorph)
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Hypovolemia, hypotension, head injury, undiagnosed abd pain, increased ICP; severe respiratory depression; MAOIs in past 14 days
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Indications of Flumazenil (Romazicon)
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Reversal of benzodiazepines
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Benzodiazepine receptor antagonists
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Contraindications of Flumazenil (Romazicon)
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Cyclic antidepressant OD; Cocaine or other stimulant intoxication; known seizure disorder
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Indications of Epinephrine (Adrenalin)
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Acute allergic reaction/anaphylaxis; cardiac arrest; bronchial asthma; profound symptomatic bradycardia
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Sympathomimetic
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Contraindications of Epinephrine (Adrenalin)
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Hypovolemic shock, use caution in presence of coronary insufficiency
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Indications of Atropine
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Bradycardia, asystole, PEA with absolute bradycardia; organophosphate or nerve gas poisoning; PED pretreatment for RSI to counteract vagal effects of intubation
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Anticholinergic agent
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Contraindications of Atropine
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Tachycardia; obstructive disease of GI tract; narrow angle glaucoma
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Indications of Diazepam (Valium)
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Seizure, acute anxiety, acute alcohol wd, skeletal muscle relaxation, premedication for cardioversion or pacing
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Benzodiazepine
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Contraindications of Diazepam (Valium)
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respiratory depression, CNS depression from head injury, coma; caution with current history of substance abuse
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Indications of Midazolam (Versed)
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Premedication for painful procedures; intubation; seizures in kids
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Short-acting benzodiazepine
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Contraindications of Midazolam (Versed)
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Shock; coma; depressed VS; concomitant use of barbiturates; alcohol; narcotics; other CNS depressants
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Indications of Calcium Chloride
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Calcium channel blocker toxicity; block effects of calcium channel blocking agents
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Electrolyte
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Contraindications of Calcium Chloride
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VF; Digitalis toxicity; renal or cardiovascular disease
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Indications of Lorazepam (Ativan)
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Agitation requiring sedation; initial control of status epilepticus; or severe recurrent seizures
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Benzodiazepine; sedative; anticonvulsant
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Contraindications of Lorazepam (Ativan)
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Substance abuse; coma; severe hypotension; shock; preexisting CNS depression
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Indications of Sodium Bicarbonate
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TCA OD; intubated patient with long arrest interval; PEA; ROSC after long arrest period
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Buffer; alkanizing agent; electrolyte supplement
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Contraindications of Sodium Bicarbonate
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Severe pulmonary edema; abdominal pain of unkown origin
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Indications of Vasopressin (Pitressin)
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Alternative pressor to Epi in shock refractory V-Fib; pulseless V-tach; cardiac arrest; vasodilatory shock
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naturally occuring antidiuretic hormone
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Contraindications of Vasopressin (Pitressin)
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Responsive patients with coronary artery disease
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Indications of Furosemide (Lasix)
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Pulmonary edema associated with CHF; hepatic or renal disease;
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Loop diuretic
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Contraindications of Furosemide (Lasix)
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Hypovolemia/dehydration; severe electrolyte depletion; anuria; hypersensitivity to sulfonamides
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Indications of Amyl Nitrite
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Cyanide poisoning
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Coronary Vasodilator
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Contraindications of Amyl Nitrite
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None; Pregnancy class X
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Indications of Pralidoxime (2-Pam, Protopam)
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Organophosphate poisoning (after Atropine)
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Contraindications of Pralidoxime (2-Pam, Protopam)
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None in true emergency
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Indications of Oxytocin (Pitocin)
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Postpartum hemorrhage following deliver of infant and placenta; uncontrolled hemorrhage after incomplete or elective abortion
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Contraindications of Oxytocin (Pitocin)
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Presence of second fetus; hypertonic or hyperactive uterus; fetal distress; Pregnancy class X
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Indications of Haloperidol (Haldol)
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Acute psychotic episodes; emergent sedation of severly agitated or delirious patients
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Antipsychotic; neuroleptic
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Contraindications of Haloperidol (Haldol)
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CNS depression; Coma; Pregnancy; Severe liver or cardiac disease
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Indications of Promethazine (Phenergan)
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N/V; motion sickness; allergic reactions; sedation; potentiate the effects of analgesia
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Phenothiazine; antiemetic; antihistamine
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Contraindications of Promethazine (Phenergan)
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Coma; CNS depression from ETOH, barbiturates, or narcotics; signs associated with Reye's syndrome
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Indications of Metoclopramide (Reglan)
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N/V
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Antiemetic
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Contraindications of Metoclopramide (Reglan)
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GI obstruction or bleeding; seizure disorder; pheochromocytoma
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Indications of Odansetron (Zofran)
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N/V
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Antiemetic; serotonin receptor antagonist
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Contraindications of Odansetron (Zofran)
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Known sensitivity
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Antiemetic
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Indications of Prochlorperazine (Compazine)
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severe n/v; acute psychosis
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Phenothiazine; antiemetic; antipsychotic
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Contraindications of Prochlorperazine (Compazine)
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Hypersensitivity to phenothiazines; coma; patients who have received large doses of CNS depressants
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Indications of Ketorolac (Toradol)
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Moderate to severe pain
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NSAID
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Contraindication of Ketorolac (Toradol)
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Allergies to ASA; bleeding disorders; renal failure; active peptic ulcer disease
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Indications of Ketamine (Ketalar)
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pain control; adjunct to nitrous oxide
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nonbarbiturate anesthetic
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Contraindications of Ketamine (Ketalar)
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CVA; Increased ICP; Hypertension; cardiac decompensation
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Indications of Hydromorphone (Dilaudid)
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Moderate to severe pain; CP; musculoskeletal pains; burns
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Narcotic analgesic
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Contraindications of Hydromorphone (Dilaudid)
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Decreased ventilatory function
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Indications of Fentanyl (Sublimaze)
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pain control; sedation
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Opiod analgesic
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Contraindications of Fentanyl (Sublimaze)
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Respiratory depression; hypotension; head injury; cardiac dysrhythmias
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Indications of Meperidine (Demerol)
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Moderate to severe pain
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Opiod analgesic
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Contraindications of Meperidine (Demerol)
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Patients taking MAOIs or SSRIs; labor or delivery of a premature infant; head injury
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Indications of Tetracaine (Pontocaine)
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Short-term relief from eye pain or irritation; patient comfort before eye irrigation
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Topical opthalmic anesthetic
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Contraindications of Tetracaine (Pontocaine)
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Open eye injury
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Indications of Nitroglycerin (Nitrostat)
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Ischemic CP; CHF; hypertensive emergencies; pulmonary hypertension
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vasodilator
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Contraindications of Nitroglycerin (Nitrostat)
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Use of ED in past 24-48 hrs; hypotension; head injury; systolic BP <90 or 30 mmHg below baseline; heart rate <50 or >100; cerebral hemorrhage; volume depletion
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Indications of Amiodarone (Cordarone)
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VF; VT; refractory PSVT (Not responding to other treatments)
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Class III antidysrhythmic (Potassium channel blocker)
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Contraindications of Amiodarone (Cordarone)
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Cardiogenic shock; hypotension; bradycardia; pulmonary congestion; sick sinus syndrome; 2nd or 3rd degree AVB
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Indications of Diltiazem (Cardizem)
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Uncontrolled A-Fib/Flutter; PSVT; Multifocal atrial tachycardias
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Class IV antidysrhythmic (Calcium channel blocker)
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Contraindications of Diltiazem (Cardizem)
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2nd or 3rd degree AVB; sick sinus syndrome; cardiogenic shock; A-Fib/Flutter with WPW or P-R interval syndrome; VT; AMI; IV beta-blocker usage
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