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87 Cards in this Set
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Adenosine
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Nucleoside, antiarrythmic
Indications: PSVT Contraindications: Hypersensitivity, 2 or 3 deg block, sick sinus syndrome, rapid arrythmia from an accessory pathway ie. WPW |
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Amiodarone
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Benzofuran derivative, ventricular and SV antiarrythmic
Indications: rapid AFIB, refractory PSVT, life threatening VF/ VT, wide complex tach from unknown origin Contraindications: AV block, pre-existing 2 or 3 deg block, bradycardia causing syncope, sinus node impairment, sensitivity to drug, cardiogenic shock |
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Aspirin
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Anti-platelet, anti-pyretic, analgesic
Indications: chest pain suggestive of AMI Contraindications: Hypersensitivity, Severe Allergy, |
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Atropine
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Anticholinergic, anti-arrythmic
Indications: symptomatic bradycardia, Asystole, PEA, organophosphate poisoning |
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Calcium Chloride
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Calcium Supplement
Indications: Hyperkalemia, Calcium Channel blocker OD, Hypocalcemia Contraindications: Hypercalcemia, Renal calculi |
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Dexamethasone
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Glucocorticoid, anti-inflammatory
Indications: Anaphylaxis, Acute Asthma exacerbation/ COPD, Cerebral edema, Croup Contraindications: Hypersensitivity, Systemic fungal infection, Severe immune system compromise |
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D50W
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Antihypoglycemic
Indications: Hypoglycemia, Coma of unknown origin. Contraindications: none in the emerg setting |
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Dimenhydrinate
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Antiemetic, anti-histamine, anticholinergic
Indications: Nausea, Vomiting, menieres disease Contraindications: Hypersensitivity, Seizures, any conditions that could be worsened by anticholinergic effect |
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Diphenhydramine
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Antihitamine, antiemetic, sedative-hypnotic
Indications: allergic reaction, nausea, vomiting, Contraindications: Hypersensitivity |
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Dopamine
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adrenergic, vasopressor, inotropic
Indications: Significant Hypotension with absence of hypovolomia, SBP <90mmHg, cardiogenic shock, Hypotension with bradycardia Contraindications:uncorrected tachydysrhythmias, MAO inhibitors, sulfite allergy, pheochromocytoma |
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Enoxaparin Sodium
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Anticoagulant
Ind: AMI as an adjunct tx with thrombolitic and PCI Contr: Hypersensitivity, Allergy to heparin or pork products, active major bleeding, bacterial endocarditis, suspected intercranial bleed, |
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Epinephrine
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adrenergic, bronchodilator, vasopressor
Ind: Cardiac arrest, symptomatic severe bradycardia with hypotension, anaphylaxis, severe asthma with an allergic component Contr: none in the emerg setting |
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Fentanyl
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opioid analgesic
Ind: Pain relief, Medication Facilitated Intubation MFI, analgesia for precedure Contra: Hypersensitivity, MAO inhibitors within 14 days |
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Glucagon
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Antihypoglycemic
Ind: Hypoglycemia, Beta Blocker OD Contra: Beef/ Pork allergy, pheochromocytoma |
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Glucose Oral
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Antihypoglycemic
Ind: Hypoglycemia Contr: Pt not alert, unable to follow commands |
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Haloperidol
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Butyrophenone, Antipsychotic
Ind: acute psychotic episodes Contra: parkinsons, allergy to drug, coma or CNS depression, narrow angle glaucoma |
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Ipratropium Bromide
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anticholinergic, Bronchodilator
Ind: Severe Bronchospasm in asthma Contra: allergy to atropine or it's derivatives. |
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Ketamine
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Anesthetic
Ind: anesthetic for diagnostic and surgical procedures, Hypotensive sedation in RSI, pain control with hypotension Contra:Hypersensitivity, HTN, CHF, ICP, thyrotoxicosis, psychosis |
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Ketorolac
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NSAID
Ind: Short term tx of severe acute pain Contra: Allergy to ASA or NSAID, Asthamatics due to bronhospastic reactivity, renal impairment, Active GI bleed, pregnancy or breast feeding |
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Lorazepam
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Benzodiazepine, sedative hypnotic
Ind: Status epilepticus, anxiety, agitation Contra: Hypersensitivity, acute-closure glaucoma |
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Magnesium Sulfate
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Mineral electrolyte
Ind: Adjunct therapy for severe asthma/ bronchospasm, Torsades de Pointes, eclamptic seizure PIH, refractory VF/ VT Contra: 3deg block, known hypermagnesemia, persistant hypotension |
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Metoclopramide
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Antiemetic, antidopiminergic
Ind: nausea, vomiting, gastric reflux, motion sickness, post radiant tx, delayed gastric emptying Contra: GI hemmorhage, Hypersensitivity |
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Metoprolol
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Beta Blocker
Ind: Pt's with AMI Contra: Allergy, CHF-severe Left side failure, Heart block >1 deg or 1 deg with PRI >.24 sec, bradycardia <60, cardiogenic shock, SBP <100mmhg, IV calcium channel blocker within 30min |
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Midazolam
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Benzodiazepine, concious sedation agent, amnestic agent
Ind: Status epilepticus/ seizures, pre-medication for cardioversion/ pacing, MFI Contra: Allergy, Myathania gravis, acute narrow-angle glaucoma |
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Morphine
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Opioid analgesic
Ind: AMI-ischemic chest pain, pulmonary edema, pain control Contra: Allergy, Hypotension, presence of MAO inhibitors, tricyclics |
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Naloxone
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Opioid antagonist
Ind: Complete/ partial reversal of opioid depression, coma of unknown origin Contra: Allergy |
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Nitroglycerin
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Nitrate, antianginal, vasodilator
Ind: Acute coronary syndromes, suspected ischemic chest pain, pulmonary edema Contra: allergy to nitrates, ICP, hypotensive, uncorrected hypovolemia, suspected tamponade or pericarditis, viagra within 24 hrs, extreme bradycardia <50 or tachy >180, right sided infarc |
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Nitrous Oxide
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Analgesic, Anesthetic
Ind: Musculoskeletal pain, burns, suspected AMI, active labor Contra: Altered LOC, COPD, chest injuries, abd pain, deompression sickness |
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Ondansetron
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Antiemetic
Ind: nausea/ vomiting from chemo, head injury or refractory to admin of gravol or maxeran Contra: Hypersensitivity |
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Oxytocin
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Xytocic
Ind: Management of 3rd stage labor, postpartum Hemmorhage Contra: hypersensitivity, still in labor |
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Rocuronium
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non-depolorizing neuromuscular blocker
Ind: MFI after admin of sedation/ analgesia, post-intubation to facilitate airway control and muscle relaxation Contra: Allergy, difficult intubation or patient that is self ventilating adequetly |
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Salbutamol
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adrenergic, bronchodilator
Ind: Brochospasm due to asthma, Bronchitis, COPD, respiratory distress with bronchospasms Contra: hypersensitivity |
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Sodium Bicarbonate
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Ind: Patients with metabolic acidosis in cardiac arrest, hyperkalemia, tricyclic or phenobarbital OD, long or protracted resuscitation efforts
Contra: Hypoxic lactic acidosis, early in cardiac arrest |
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Succinylcholine
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depolarizing neuro muscular blocking agent
Ind: MFI after sedation/ analgesia Contra: hypersensitivity, penetrating occular trauma, difficult intubation with patient who is self ventilating, Pseudoholinesterase deficiency. |
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Tenecteplase
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Fibronolytic Agent
Ind: Lysis of suspected occlusive coronary artery thrombi Contra: Recent surgery, active bleeding, recent hemmorhagic cva, uncontrolled HTN >200mmHg |
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Norepinephrine
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Sympathomimetic
Ind: Cardiogenic Shock, significant hypotensive states <70sys Contra: Hypotensive with hypovolemia, pregnancy |
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Racemic Epinephrine
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Sympathomimetic
Ind: Bronchial Asthma, Croup, Laryngeotracheobronchitis, tracheal edema Contra: HTN, underlying cardiovascular disease, epiglottitis |
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Benztropine Mesylate
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Anti-parkinsonian, anticholinergic
Ind: Dystonic reactions due to admin of chlorpromazine, haldol and droperidol. Contra: Hypersensitivity, Narrow angle glaucoma, children under 3 |
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Furosemide
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Loop Diuretic
Ind: CHF, Pulmonary edema, hypertensive crisis Contra: Hypovolemia, Anuria, Hypotension, Hypersensitivity, hepatic coma |
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Nifedipine
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Calcium channel blocker
Ind: HTN crisis, angina pectoris, premature labor pulmonary edema Contra: Compensatory HTN, Hypotension, hypersensitivity |
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Retaplase
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Fibronolytic , Thrombolytic
Ind: See thrombolysis protocol Contra: see Thrombolysis protocol |
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Propofol
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Anaesthetic, sedative
Ind: Procedural sedation Contra: Hypersensitivity, allergy to soy, egg, lecthin, glycerol, ICP or impaired cerebral circulation, hypotension |
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Acetaminophen
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Analgesic, Antipyretic
Ind: mild pain, symptomatic reduction of fever Contra: hypersensitivity |
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Codeine
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Narcotic opiate analgesic
Ind: Alone and in combination for pain, antitussif Contra: hypotension, respiratory depression, multiple trauma |
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Cimetidine
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Histamine H2 receptor antagonist
Ind: Tx of duodenal & gastric ulcers and management of upper GI bleed Contra: hypersensitivity |
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Diazoxide
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Antihypertensive, peripheral vasodilator
Ind: HTN crisis where BP reduction is required Contra: Tx of compensatory HTN, Hypersensitivity to diazoxide, thiazide or sulfonamides, dissecting aneurysm |
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Digoxin
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Cardiac glycoside
Ind: Afib/ Aflutter with rapid Vent resp, PSVT refractory to other therapies, Tx of chronic CHF Contra: Digitalis toxcity, hypersensitivity |
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Labetolol
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class III Antiarrythmic (beta blocker)
Ind: HTN emergencies Contra: Hypersensitivity, sinus brad, sick sinus syndrome, 2 or 3deg AV block, RV failure, cardiogenic shock, CHF, MI pt's |
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Diltiazem
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Class IV Antiarrythmic (calcium channel blocker)
Ind: Second line in tx of PSVT with narrow complexes, Afib/ Aflutter with rapid vent response Contra: cardiogenic shock/ failure, beta blocker use, AV blocks or sick sinus syndrome, hypotension, wide complex tach, WPW |
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Heparin
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Anticoagulant
Ind: To prevent clot extension in DVT and PE in comb with thrombolytic admin Contra: Hemophilia, severe liver damage, shock, hypersensitivity, active bleeding |
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Propranolol
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Class II antiarrythmic (beta blocker)
Ind: Long term treatment of angina, mild ot moderate HTN in combination with other antiHTN, post MI, control of recurrent VT, VF or SVT Contra: Sinus Brad, Sick sinus syndrome, 2 or 3dg AV block, RV failure, Cardiogenic shock, CHF, Asthma, COPD or potential bronchospasm |
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Sodium Nitroprusside
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antihypertensive, vasodilator
Ind: acute HTN refractory to standard therapeutic measures, acute LV failure with acompanying pulmonary congestion poorly controlled by diuretics Contra: Compensatory HTN, uncorrected hypovolemia, known inadequate cerebral circ |
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Ranitidine HCL
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Histamine H2 receptor agonist
Ind: duodenal & gastric ulcers, GERD, management of upper GI bleed Contra: hypersensitivity |
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Theophylline
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Bronchodilator
Ind: Bronchospasms associated with asthma, COPD, CHF, anaphylaxis and pulmonary edema Contra: Hypersensitivity to xanthines, arrhythmias, active peptic ulcer |
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Prochloperizine
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Antiemetic, antipsychotic, phenothiazine
Ind: Control of N/V resulting from stimulation of chemoreceptor trigger zone, psychotic disorders, anxiety control Contra: circulatory collapse, altered LOC, CNS depressed patients, liver and renal insufficiency, cardiovascular disorders |
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Ergometrine Maleate
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Oxytocic
Ind: Tx of post partum hemmorhage Contra: Hypersensitivity, pre-eclampsia or eclampsia, HTN, Labor/ placental delivery incomplete |
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Hydrocortisone
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Steroid, glucocorticoid, antiinflammatory
Ind: anaphylaxis, acute exacerbation of asthma Contra: hypersensitivity, systemic fungal infection, severely compromised immune system, premature infants |
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Dobutamine
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Sympathomimetic, inotropic agent
Ind: Cardiogenic shock, CHF, Left ventricular dysfunction Contra: Tachyarrhythmias, idiopathic hypertrophic subaortic stenosis, severe hypotension |
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Phenobarbital
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Barbituate, anticonvulsant
Ind: prevention & treatment of seizure activity, prophylaxis for febrile seizures, anxiety, apprehension, status epilepticus Contra: Pt's with porphyria, hypersensitivity, severe liver or respiratory diseases |
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Pancuronium
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Nondepolarizing neuromuscular blocker/ paralytic
Ind: Induction or maitenance of paralysis after intubation. Contra: Hypersensitivity, inability to control airway with BVM, myathenia gravis, hepatic or renal failure |
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Etomidate
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Anesthetic
Ind: Induction of anesthesia for RSI Contra: Hypersensitivity |
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Hydroxyzine
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Antihistamine, antiemetic, antianxiety agent
Ind: N/V, anxiety reactions, motion sickness, potentiate the effects of analgesics, pre-op and post-op sedation Contra: hypersensitivity |
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Streptokinase Recombinant TPA
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Thrombolytic Agent
Ind: STEMI Contra: recent surgery, active bleeding, recent hemmorrhagic CVA, prolonged CPR, recent trauma, uncontrolled HTN >200mmHg |
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Phentolamine
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Alpha antagonist, antihypertensive
Ind: HTN emergencies, HTN caused by pheochromocytoma, cocaine induced vasospasm of the coronary arteries Contra: Known sensitivity, Use caution in AMI, Angina, coronary insufficiency, peptic ulcer disease and evidence of coronary artery disease |
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Atenolol
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Beta Adrenergic antagonistt, antianginal, antiHTN Class II antiarrhythmic (beta blocker)
Ind: ACS, HTN, SVT, Afib, Aflutt Contra: Cardiogenic shock, Av block, brady, known sensitivity |
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HCTZ
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diuretic
Ind: fluid retention, HTN Contra: renal disease, urination problems |
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Bretylium
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Class III antiarrhythmic (K channel blocker)
Ind: prophylaxis and Tx of VF/ VT Contra: AV blocks, digoxin toxicity |
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Hydralazine
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antiHTN
Ind: severe HTN associated with PIH Contra: compensatory HTN, Hypersensitivity, dissecting AAA, RV failure due to pulmonary HTN |
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Neostigmine
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Parasympathomimetic
Ind: neutralize the effects produced by nondepolarizing neuromuscular blocking agents Contra: Hypersensitivity, Bronchial asthma, bowel/ urinary tract obstruction |
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Pulmicort
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Corticosteroid
Ind: maintenance treatment of asthma Contra: primary tx of status asthmaticus or acute bronchospasm, hypersensitivity to pulmicort |
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Pantoprazole
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Histamine H2 blocker
Ind: short term treatment of GERD Contra: known hypersensitivity |
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Prednisolone
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Glucocorticoid
Ind: Anaphylaxis, Bronchspasm Contra: altered LOC (PO med) Brochospasm, all ready taking prednisone |
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Calcium Gluconate
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Electrolyte
Ind: Hypocalcemic tetany, hypocalcemia, muscle cramping, magnesium sulfate OD Contra: VF, Hypercalcemia, Increase serum calcium levels |
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Potassium Chloride
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Electrolyte
Ind: Hypokalemia Contra: hyperkalemia |
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Activated Charcoal
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Absorbant
Ind: poisoning OD Contra: pt ingested corrosive or petroleum distillate, altered LOC, |
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Verapamil
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Calcium Channel Blocker, Antiarrhthymic
Ind: stable SVT, AF, AFLutt, multifocal AT Contra: beta blockers within 30min, allergy, cardiogenic shock, 2 or 3deg AV block, sick sinus syndrome, severe LV failure, severe hypotension, VT, AMI, WPW |
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Vecuronium
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nondepolarizing neuromuscular blocker
Ind: MFI after admin of sedation/ analgesia Contra: allergy, difficult intubation when patient self ventolating |
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Vasopressin
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ADH
Ind: cardiac arrest, VF/pulseless arrest, Contra: none in Cardiac Arrest |
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Procainamide
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Class 1A antiarrhythmic (Sodium Channel Blocker) Vent antiarrhythmic, SVT antiarrhythmic
Ind: recurrent VT, wide complex tach, refr VF, SVT, AFib/ AFlutt, Contra: digoxin toxicity induced dysrhythmia, Torsades de Pointes, TCA induced dysrhythmia, 2 or 3deg AV block, myasthania gravis |
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Phenytoin
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Anticonvulsant, hydantion derivative
Ind: status epilepticus Contra: hypersensitivity, Sinus brad, SA block, 2 or 3deg AV block, adams-stokes syndrome |
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Methylprednisolone
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glucocorticoid, antiinflammatory
Ind: antiinflammatory use in asthmas, anaphylaxis Contra: allergy, systemic fungal infections, premature infants |
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Meperidine
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Opioid analgesic
Ind: pain relief Contra: MAO inhibitors within the past 14 days, hypersensitivity |
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Mannitol
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Osmotic diuretic
Ind: to reduce intercranial pressure Contra: hypersensitivity, anuria, severe pumonary congestion, severe heart failure, dehydration, metabolic anemia, progressive renal disease, active intercranial bleeding |
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Lidocaine
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Ventricular Antiarrhythmic
Ind: Stable VT, VF, post VT/VF conversion, wide complex tachs, pre-intubation in trauma pt's Contra: Ventricular escape rhythms, idioventricular rhythms, severe degrees of SA,AV ir intraventricular block, stokes-adams syndrome |
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Isoproteranol
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Adrenergic, bronchodilator, cardiac stimulant
Ind: immediate temporary control of atropine-resistant hemodynamically significant bradycardia Contra: hypersensitivity, angina, tachycardia caused by digitalis toxicity |
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Flumazenil
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Benzodiazepine antagonist, antidote
Ind: reversal of benzodiazepine OD Contra: hypersensitivity, evidence of TCA OD, pt's receving benzo's for status epilepticus or increased ICP |
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Diazepam
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Benzodiazepine, skeletal muscle relaxant, amnesic, anticonvulsant, sedative hypnotic
Ind: status epilepticus/ seizures, skeletal muscle relaxation, severly anxious or agitated patients, Cocaine OD Contra: Allergy, narrow angle glaucoma |