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118 Cards in this Set
- Front
- Back
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Adenosine
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>50kg 6mg RIVP followed by Rapid 20ml NS flush
repeat with 12 mg RIVP in 1-2 minutes x 2 <50kg 0.05-0.1 mg/kg flush with 20ml NS |
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Amiodarone HCL
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UNSTABLE - VF or Pulseless VT 300mg IVP diluted in 20ml NS/D5W repeat 150mg in 3-5min
STABLE - Rapid Infusion 150mg IV over 10min repeat x1 prn Maintenance 540mg over 18hrs max 2.2Gm / 24hrs |
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Acetylsalicylic Acid
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160-325mg chewed , give even if patient has already taken ASA
975mg for Antiinflammatory effect Don't use with peds |
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Atropine Sulfate (bradycardia)
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0.5-1.0mg IVP repeat q3-5 min if necessary until HR >60 or abatement of s&s
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Atropine Sulfate (Asystolic Cardiac Arrest)
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1 mg IVP repeat q3 min to 0.04mg/kg
ET dose 1.0-2.0mg diluted to a total of 10ml |
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Atropine Sulfate (organophosphate poisoning)
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2-5mg IVP q5 min until s&s improved/ relieved
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Calcium Chloride 10%
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Hyperkalemia & Calcium channel blocker Standard dose 2-4mg/kg
OD 8-16mg/kg SIVP Max 200mg/min Peds Max 50mg/min |
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Activated Charcoal
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1g/kg PO/NG/OG preferably within 30 min of ingestion
Give 5-10 times the estimated Grams of the drug. |
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Diazepam
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Seizure control 2.5mg increments SIVP undiluted, repeat PRN
Peds 0.1-0.3 mg/kg SIVP or 0.3mg PR Max 5mg <5yo Max 10mg >5yo Cocaine OD causing HTN, SVT or seizures 5mg SIVP repeat PRN to 20mg |
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Dimenhydrinate
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25-50mg SIVP/IM/SC diluted to 10ml NS
Peds 2-5yo max 25mg, 5-12yo max 50mg |
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Diphenhydramine
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25-50mg SIVP/IM 1mg/kg
Peds 1-2mg/kg max 50mg |
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Dopamine
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2-5.0 mcg/kg/min for renal perfusion
5- 20mcg/kg/min in hypoperfusion |
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D50W
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25g D50W SIVP x 2
if suspected head injury 12.5g SIVP Peds dilute to D25W give 0.5-1g/kg (2-4ml-kg) Neonate dilute to D10W give 200mg/kg (2ml/kg) |
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Epinephrine (Cardiac Arrest)
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IV 1mg every 3-5min 1:10,000
ETT 2-2.5mg 1:1000 diluted to 10ml Infusion 30mg 1:1000 in 250ml NS 100-170ml/hr |
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Epinephrine (Bradycardia with hypotension)
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2-10mcg/min titrate to effect
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Epinephrine (Anaphylaxis)
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0.01mg/kg to 0.3mg-0.5mg SQ/IM 1:1000
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Epinephrine (severe Asthma)
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0.3-0.5mg 1:1000 SQ/IM
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Fentanyl Citrate
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Pain control/Analgesia 1mcg/kg or 25-50mcg SIVP per dose over 1-2 min
MFI 3-5mcg/kg SIVP MFI W/Hypotension 1-5mcg/kg SIVP max single dose 200mcg |
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Furosemide
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0.5-1.0mg/kg undiluted, if no response in 15 min double dose
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Glucagon
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1mg IM/SQ repeat in 15-20min PR
Beta Blocker OD 2-5mg SIVP Peds <5yo 0.5mg |
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Oral Glucose
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25gm
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Ipratropium Bromide
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250-500mcg nebulized with Salbutamol repeat to max total 500mcg
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Lidocaine
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Alive Initial loading IV bolus 1.0mg/kg
Dead Initial loading IV 1.5mg/kg repeat to a max of 3mg/kg Infusion 2-4mg/min |
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Magnesium Sulfate (Bronchospasm)
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2g IV diluted in 50-100ml infused over 15-20min
Peds 25mg/kg IV/IO diluted in 50ml NS infuse over 20min |
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Magnesium Sulfate (Cardiac Arrest, Ref VF, Pulseless VT , Torsades)
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2g diluted in 10ml NS IVP over 1-2 min
Peds 50mg/kg IV IO dilute in 50ml NS infuse over 5min |
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Magnesium Sulfate (Seizures in Pregnancy induced HTN, PIH)
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4g IV/IO in 50ml NS infused cover 20min
Maintenance dose of 2g /hr diluted in 1000ml NS infused over 60min |
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Meperidine
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50-100mg IM
25-50mg SIVP diluted to 10mg/ml |
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Methylprednisolone
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100-250mg IV diluted in 50-100ml NS over 15min
Peds 1-2mg/kg |
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Metoprolol
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5mg SIVP over 2min x3 prn then 50mg PO tab in 15 min
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Midazolam (seizure control)
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0.05-0.1mg/kg SIVP
max single dose 10mg |
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Midazolam (Concious Sedation)
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1.0-2.5mg SIVP repeat PRN
in hypotension max 2.5mg total dose |
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Midazolam (Medication facilitated Intubation)
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0.1mg/kg SIVP
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Morphine Sulfate
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0.1-0.2mg/kg IV/IM
max 5mg per dose |
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Naloxone
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0.1mg/kg
max 2mg per dose |
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Nitroglycerine
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SL 0.3mg tab
SL 0.4mg spray repeat q5 prn IV mix 25mg/250ml NS (100mcg/ml) start at 10-20mcg/min increase 5 mcg/min q5-10min prn |
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Nitrous Oxide
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blended 50% nitrous 50% O2
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Oxytocin
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10U IM then 20U in 1000ml @ 200ml/hr
Drip to control bleeding 10U IM in 3rd stage of labor |
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Procainamide
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20-30mg/min
Max 17mg/kg |
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Rocuronium
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0.6-1.2mg/kg IVP
maintenance 0.2mg/kg every 20-30minutes |
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Salbutamol
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2.5-5.0mg repeat q10min prn
mdi 6puffs max 20 |
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Sodium Bicarbonate
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Cardiac Arrest
1mEq/kg IVP repeat 0.5mEq/kg q10min prn Tricyclic OD 1.5-2.0 mEq/kg SIVP repeat prn q10min |
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Succinylcholine
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1.5mg/kg SIVP
Peds 1.5-2.0mg/kg |
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Thiamine
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100 mg SIVP or IM
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Vasopressin
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40 IU units IV
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Vecuronium
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pre-intubation 0.1mg/kg IVP
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Verapamil
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2.5-5.0mg SIVP over 2 min
elderly administer 2.5mg IVP repeat 5-10mg in 15-30min if stable max 30mg |
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Pancuronium
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0.04-0.1mg/kg IV
Maintenance 0.015-0.1mg/kg IV q30-60min |
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Codeine
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15-30mg PO/SC or IM q4-6hrs PRN
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Dexamethasone
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10mg SIVP
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Diltiazem
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0.25mg/kg IV over 2 min
repeat after 15min at 0.35mg/kg infusion 5-15mg/hr up to 24hrs |
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Dobutamine
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2-20mcg/kg/min titrated to effect
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Flumazenil
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initially 0.2mg IV over 15 sec repeat after 45 seconds then 1minute intervals to a max of 1mg
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Haloperidol
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2.0-5.0 mg IM
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Heparin
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DVT, PE 80 IU/kg iv bolus then infusion of 18 IU/kg/hr
Unstable Angina 60-70 IU/kg IV then infusion 12-15 IU/kg/hr max of 1000 IU/hr |
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Hydrocortisone Sodium Succinate
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0.5-2g IV repeat at 2-6hr intervals
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Insulin
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loading dose of 0.15 IU/kg IV
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Ketamine Hydrochloride
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Airway Sedation 1.5mg/kg SIVP/IO
Maintenance 0.5mg/kg SIVP/IO q10 Pain 0.2mg/kg SIVP/IO Procedural Sedation 0.5mg/kg SIVP |
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Ketorolac
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<65 yrs initially 60mg IM or 30mg IV repeat at 30mg IM/IV q6hrs
>65 yrs, renal impairment 30mg IM or 15 mg IV initially, repeat 15mg IM/IV q6hrs |
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Labetolol
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Initially 20-80mg IV over 2min
Repeat 40-80mg IV q2min max 300mg IV infusion 0.5-2mg/min |
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Lorazepam
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0.05-0.1mg/kg IV
repeat q10min 1mg SL q5min prn max 2mg |
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Mannitol
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Osmitrol
>12yrs 1.5-2g/kg IV over 30-60min Peds 2g/kg IV over 30-60min |
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Metoclopramide
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Nausea Vomiting, Headache 10mg IV diluted in 50ml NS infused over 5 min or
10 -20mg IM |
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Nitroprusside
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Initial dose 0.25-0.3mcg/kg/min IV infusion titrate to desired BP
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Norepinephrine
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0.5-1.0mcg/min titrated to effect
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Phenobarbital
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10-20mg/kg IV over 10-15min
Do not exceed 60mg/min |
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Phenytoin
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Loading dose 10-15mg/kg slow IV do not exceed 50mg/min
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Potassium Chloride
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20-40mEq/L no more than 40 mEq/hr, must be diluted greater than 80 mEq/L
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Propranolol
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1-3mg IV diluted in 50mls NS
Do not exceed 1mg/min repeat once up to 3mg in 2 min |
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Propofol
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2-2.5mg/kg IV
elderly or hypovolemia use 1/2 dose |
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tetracaine
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1-3 drops per eye
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Ondansetron
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Zofran
8mg IV mix in 50ml NS infuse over 5 min or 8mg IM No repeat |
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tranexamic acid
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TXA
1g IV/IO dilute in 250ml D5W or NS infuse over 10min |
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Acetylcysteine Sodium
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Loading dose 150mg/kg IV in 200ml D5W over 15min then 50mg/kg IV in 500ml D5W over 4 hrs then 100mg/kg IV in 1000ml D5W over16hrs
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Benztropine Mesylate
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1-2mg IV/IM
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Bretylium
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VF/pulseless VT 5mg/kg IV repeat 10mg/kg q5min to a total 35 mg/kg
VT w/perfusion 5-10mg/kg diluted in 50ml NS over 8-10min maintenance 1-2mg/min |
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Calcium Gluconate
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2.25-14mEq SIVP
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Diazoxide
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1-3mg/kg IV max 150mg every 5-15min until BP is reduced to desired
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Digoxin
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10-15 mcg/kg lean body weight
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Ergonovine Maleate
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0.2mg IM q2-4hrs max 5 doses
0.2mg IV over 1 min dilute in 5ml NS |
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Esmolol
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50-200mcg/kg/min
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Hydralazine HCL
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10-50mg IM
10-20mg IV repeat prn |
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Isoproterenol
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2-10mcg/min IV infusion
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Nifedipine
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30-60mg po
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Phentolamine
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5mg SIVP
Peds 1mg |
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Phenylephrine
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1-5mg SC/IM
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Prochlorperazine
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1-10mg deep IM, SIVP
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Streptokinase
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1,500,000 IU IV infusion over 60min
maintenance 2,000 IU/min over 6 hours |
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Theophylline
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loading dose 4.7mg/kg SIV
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Xylometaxoline HCL
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>12 yrs 2-3drops or sprays of 0.1% to nasal mucosa q8-10hrs
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Oxygen
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5-7ml/kg
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Enoxaperin Sodium
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>75 0.75mg/kg SQ
<75 30mg IV followed by 1mg/kg SQ |
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Racemic Epinephrine
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neb of diluted 5ml 1% in 5ml NS
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Retaplase
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Retavase
10IU over 2 min repeat 1 in 30min |
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Acetaminophen
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650-1000mg q4-6hrs daily max 4000mg
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Sodium Nitroprusside
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Nipride
initial 0.3mcg/kg/min titrate to effect max 10mcg/kg/min |
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Ranitidine HCL
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Zantac
Duodenal, Gastric Ulcer, GERD 300mg po Upper GI bleed 50mg in 20ml NS over 5min q6-8hrs |
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Etomidate
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Amidate
0.3mg/kg IV over 30-60sec, 20mg max |
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Hydroxyzine
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Atarax
25-100 mg IM |
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Streptokinase Recombinant TPA
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R-TPA, Altepase
as per VHR |
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Atenolol
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Tenormin
5mg IV/IO over 5min repeat in 5min |
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Ibuprofen
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Advil
mild/moderate pain 400mg po q4hrs max 1200mg/day Fever 200-400mg po q4-6hrs max 1200mg/day |
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Cefazolin
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Ancef
250 mg-1g q8h |
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Tetanus Toxiod
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250 IU IM
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Hydrohlorothizide
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HCTZ, Diazide
capsule containing 25mg HCTZ and 37.5mg triamterene |
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Hydralazine
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Apresoline
10-50mg IM or 10-20mg IV prn |
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Neostigmine
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Prostigmin
0.5-2mg IVP |
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Piptaz
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Piperacillin-tazobactam
4.5g/hr IV infused over 30min |
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Ciprofloxacin
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Cipro
250-500mg po q12h |
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Ceftriaxone
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Rocephen
250mg-2g 1-2 times a day |
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Levofloxacin
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Levaquin
500-750mg po /24hrs |
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Metronidazole
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Flagyl
7.5mg/kg q6hrs max 4000mg/24hrs |
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Indomethacin
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Indocid
25-50mg 2-3times/day |
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Famotidine
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Pepcid
Ulcers 40mg po/day GERD 20mg po/day |
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hydromorphone
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dilaudid
2-4mg q4-6hrs |
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Octreotide
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Sandostatin
50 mcg in 50-200ml D5W over 15-30min |
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Pulmicort
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Budesonide
Neb 0.5mg/day in 1 or 2 equal doses Oral 1mg/day in 1-2 equal doses |
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Pantoprazole
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Pantoloc
40mg diluted in 10ml added to 100ml NS, LR or D5W infused over 15 min |
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Naproxen
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Naprosyn
250-500 mg |
