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72 Cards in this Set
- Front
- Back
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Butorphanol - Names
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Stadol
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Butorphanol - Classification
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synthetic narcotic analgesic
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Butorphanol - Indications
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moderate to severe pain
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Butorphanol - Contraindications
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hypersensitivity
head injury undiagnosed abdominal pain |
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Butorphanol - Side Effects
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may cause withdrawal in narcotic dependant patients
respiratory depression palpitations increased or decreased BP headache |
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Butorphanol - Dose
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1 mg IV
or 3 - 4 mg IM/3 - 4 hours |
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Butorphanol - Action
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unknown
has both agonist and antagonist effects on opioid receptors has analgesic effects similar to morphine |
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Droperidol - Names
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Inapsine
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Droperidol - Classification
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antiemetic
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Droperidol - Action
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antagonizes emetic properties of morphine-like analgesics
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Droperidol - Indications
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N/V
to produce tranquilizing effects in some cases, may be used as an antipsychotic |
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Droperidol - Contraindications
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intolerance
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Droperidol - Side Effects
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drowsiness
lightheadedness rapid heart rate |
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Droperidol - Adult Dose
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2.5 - 10 mg IV
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Droperidol - Peds
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0.088 - 0.165 mg/kg IV
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Droperidol - Notes
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use with caution in elderly patients and in patients with hypotension, Parkinson's disease, and hepatic, renal, and cardiac impairment
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Glucagon - Names
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Glucagon
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Glucagon - Classification
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pancreatic hormone
insulin antagonist |
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Glucagon - Action
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increases breakdown of glycogen to glucose and stimulates glucose synthesis, elevating blood glucose levels
exerts positive inotropic action on the heart and decreases renal vascular resistance |
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Glucagon - Onset
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within 1 minute
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Glucagon - Duration
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60 - 90 minutes
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Glucagon - Indications
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persistent hypoglycemia despite glucose supplementation
calcium channel blocker or beta-blocker toxicity |
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Glucagon - Contraindications
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hypersensitivity
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Glucagon - Side Effects
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hypotension
N/V tachycardia urticaria |
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Glucagon - Notes
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effects of anticoagulants may be increased if given with glucagon
do not mix with saline not a first line choice for hypoglycemia |
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Glucagon - Pregnancy Class
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Class B
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Glucagon - Adult Dose, Hypoglycemia
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0.5 - 1 mg/IM, may repeat in 7 - 10 minutes
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Glucagon - Adult Dose, Calcium Channel Blocker/Beta-Blocker Toxicity
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1 - 5 mg over 2 - 5 min IV
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Glucagon - Peds Dose, Hypoglycemia
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0.025 - 1 mg IM, may repeat in 7 - 10 minutes
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Epinephrine - Names
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Adrenaline
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Epi - Classification
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sympathomimetic
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Epi - Action
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Beta-1 stimulation increases contractility, increases heart rate, and increases AV conduction.
Beta-2 stimulation results in bronchodilation and vasodilation of vessels in skeletal muscle. Stimulation of Alpha-1 receptors causes vasoconstriction. Low doses decrease peripheral resistance and decreases blood pressure. Higher doses increase vascular resistance and increases blood pressure. |
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Epi - Onset
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SQ: 5 - 10 minutes
IV/ET: 1 - 2 minutes |
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Epi - Duration
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5 - 10 minutes
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Epi - Indications
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anaphylaxis
asystole bronchial asthma cardiac arrest PEA profound symptomatic bradycardia V-fiv & pulseless V-tach unresponsive to initial defibrillation |
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Epi - Contraindications
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hypovolemic shock
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Epi - Side Effects
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dysrhythmias
headache hypertension nausea precipitation of angina pectoris restlessness tachycardia weakness |
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Epi - Pregnancy Class
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Class C
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Epi - Notes
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may increase myocardial oxygen demand
MAOI may potentiate effects may be deactivated by alkaline solutions (sodium bicarb, furosemide) |
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Epi - Adult Dose, Bradycardia/Hypotension
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30 mg 1:1000 in 250 mL NS, run at 100 cc/hr and titrate to response
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Epi - Adult Dose, Pulseless Arrest
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1 mg 1:10,000 IV push or ET (2 - 2.5 mg diluted in 10 cc NS) every 3 - 5 minutes, followed by 20 cc flush
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Epi - Adult Dose, Anaphylaxsis
(2) |
mild: 0.3 - 0.5 mL 1:1000 SQ
moderate to severe: 1 - 2 mL 1:10,000 slow IV over 10 minutes |
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Epi - Peds Dose, Bradycardia/Hypotension
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0.01 mg/kg 1:10,000 (0.1 cc/kg) IV/IO
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Epi - Peds Dose, Pulseless Arrest
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0.01 mg/kg 1:10,000 IV/IO (ET 0.1 - 0.2 mg/kg 1:1000) may repeat every 3 - 5 minutes with up to 10 times the dose
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Epi - Peds Dose, Anaphylaxsis
(2) |
mild: 0.01 mL/kg 1:10,000 SQ, max 0.3 cc
moderate to severe: 0.05 - 0.15 mcg/kg/minute IV infusion |
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Diazepam - Names
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Valium
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Diazepam - Class
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benzodiazepine
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Diazepam - Action
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raises seizure threshold in the motor cortex
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Diazepam - Indications
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acute anxiety
acute alcohol withdrawal premedication for countershock or pacing seizure activity skeletal muscle relaxation |
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Diazepam - Contraindications
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CNS depression resulting from head injury
coma (unless seizing or having severe muscle rigidity) respiratory depression shock substance abuse (use w/caution) |
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Diazepam - Side Effects
(7) a,c,h,n,p,2r |
ataxia
confusion hypotension nausea psychomotor impairment reflex tachycardia (rare) respiratory depression |
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Diazepam - Adult Dose, Seizures
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5 mg over 2 min (up to 10 mg) IV q 10 - 15 minutes PRN (max dose 30 mg)
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Diazepam - Adult Dose, Premedicate Cardioversion & Pacing
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5 - 15 mg IV, 5 - 10 minutes before procedure
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Diazepam - Peds Dose, Seizures
(2) |
30 days - 5 yo: 0.2 to 0.5 mg slow IV q 2 - 5 min to max 5 mg
5 yo+: 1 mg q 2 - 5 min to max 10 mg slow IV |
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Diazepam - Pregnancy Class
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Class D
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Diazepam - Onset
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IV: 1 - 5 min
IM: 15 - 30 min |
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Diazepam - Duration
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15 min - 1 hour
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Diazepam - Notes
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reduce dose by 50% in elderly patients
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Dopamine - Names
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Intropin
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Dopamine - Classification
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sympathomimetic
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Dopamine - Action
(3) |
low dose: acts on dopaminergic receptors, causing renal, mesenteric, & cerebral vascular dilation
moderate dose (cardiac doses): stimulates beta adrenergic receptors, causing enhanced myocardial contractility, increased cardiac output, & rise in BP high dose (vasopressor dose): has alpha-adrenergic effect, producing peripheral, arterial, & venous constriction |
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Dopamine - Indication
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hemodynamically significant hypotension in the absence of hypovolemia
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Dopamine - Contraindications
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tachycardia
V-fib |
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Dopamine - Side Effects
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dose related tachydysrhythmias
increased myocardial oxygen demand hypertension |
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Dopamine - Adult Low Dose
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1 - 5 mcg/kg/min
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Dopamine - Adult Moderate (Cardiac) Dose
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5 - 10 mcg/kg/min
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Dopamine - Adult High (Vasopressor) Dose
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10 - 20 mcg/kg/min
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Dopamine - Peds Dose
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2 - 20 mcg/kg/min IV/IO titrated to patient response, max dose 20 mcg/kg/min
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Dopamine - Pregnancy Class
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Class C
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Dopamine - Onset
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2 - 4 minutes
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Dopamine - Duration
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10 - 15 minutes
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Dopamine - Notes
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correct hypovolemia
use large stable vein |
