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23 Cards in this Set
- Front
- Back
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Acetaminophen |
Tylenol, class: analgesic, antipyretic indications: fever in peds pts contraindications: hypersensitivity, hepatic failure/impairment drug interactions: phenithiazines-hypothermia, phenobarbital- ^hepatic toxicity dosage: Peds [10-15mg/kg] Orally MAX: 50mg/kg 24 hours |
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Acetyl salicylic Acid |
ASA, Aspirin class: anti-inflammatory, analgesic, antipyretic, anticoagulant indications: MI patients and suspected AMI contraindications: hypersensitivity, bleeding disorders, asthma(relative) dosage: Adult [162-324 mg] NO peds |
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Activated Charcoal |
class: GI Absorbent indications: poisoning contraindications: acids/alkali ingestion, GI obstruction drug interactions: charcoal interferes with function of antidote for Tylenol OD, milk decreases effectiveness dosage: Adult [1gm/kg], Peds Same. notes: pts must be able to protect airway |
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Albuterol |
Proventil, Ventolin class: sympathomimetic, Beta 2 adrenergic bronchodilator indications: treat reversible airway obstruction caused by: wheezing(asthma), COPD(emphysema), chronic Bronchitis contraindications: hypersensitivity drug interactions: beta adrenergic agents ^effects, MAO inhibitors- hypertension dosage: Adult: [2.5-5.0 mg] 10mg MAX in 3mL NS Peds: [1.25-2.5 mg] 5mg MAX in 3mL NS, 5-15 mins as needed. notes: side effects dose related, may have paradoxical effect |
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ondansetron |
Zofran class: anti-emetic indications: treatment/prevention vomit/nausea contraindications: hypersensitivity drug interactions: none dosage: Adult [4mg] IV,IM, IO may repeat 30 mins, [8mg] ODT Peds:[0.1mg/kg] IV, IM, IO, [4mg] ODT (12-17 y/o) notes: no use in pts with prolonged QT syndrome |
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promethazine |
phenergan class: anti-emetic indications: treatment/prevention nausea/vomiting contraindications: hypersensitivity tophenothiazines, comatose pts, CNS depression, children <2 y/o, lactation drug interactions: CNS depressants, anticholinergic, MAO inhibitors dosage: Adult[6.25-25mg] PO, IV, IO, IM, or Rectal every 4 hrs, >2 y/o[0.25-0.5 mg/kg] PO, IM, Rectal, every 4 hrs notes: drowsiness, caution with pts with HTN, epilepsy, sleep apnea, cardiovascular disease, prego, liver impairment |
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atropine |
class: anticholinergic (parasympatholytic) indications: anticholinesterase poisonings, nerve gases contraindications: none drug interactions: antihistamines, tricyclic antidepressants ^effects dosage: Adult[2.0mg] repeat till effect, Peds SAME |
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dextrose |
class: carbohydrate, nutrient, short acting osmotic diuretic indications: symptomatic hypoglycemia, unconsciousness unknown origin, seizures(associated w/decresed BGL) of: unknown etiology, new onset of seizures, known diabetic seizing, refractory medical cardiac arrest contraindications: intracranial bleed, DTs with dehydration, administration through same set as blood, unconscious for oral glucose, suspected CVA drug interactions: none dosage: Oral Adult[12-25gm], Slow IV Adult[12.5-25gm] Peds make D25[0.5-1.0g/kg] Neonates make D10[0.2gm/kg] notes: document hypoglycemia before administration, insure IV line |
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diphenhydramine |
Benadryl class: antihistamine, H1 blocker indications: allergic reactions, anaphylaxis, dystonic reaction to phenothiazines contraindications: acute asthma drug interactions: additive CNS depression w/alcohol, sedatives, narcotics dosage: Adult[12.5-50mg] Slow IV/IO @1mL/min or deep IM Peds[1mg/kg] Slow IV/IO or deep IM max 50mg notes: may have immediate effect in dystonic reactions, no early benefit to allergic reactions |
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epinephrine |
adrenaline class: sympathomimetic indications: severe bronchospasm, bronchospasms unresponsive to albuterol, anaphylaxis, cardiac arrest contraindications: none drug interactions: reduced effects w/beta adrenergic blocker dosage: CARDIAC Adult[1mg](1:10,000) every 3-5mins IV/IO Peds[0.01mg/kg](1:10,000) IV/IO every 3-5mins ANAPHYLAXIS Adult[0.3mg](1:1,000) SQ/IM, [1.0mg](1:10,000) IV/IO over 5 mins infuse [1-4mcg/min] Peds [0.01mg/kg (1:1,000)] SQ/IM MAX 0.3mg notes: increased cardiac workload can precipitate angina, use w/caution on pts w/peripheral vascular insufficiency, consider PE or pulmonary embolus in wheezing pts w/HX of RAD |
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fentanyl |
sublimaze class: opiate analgesic indications: analgesia for pts with moderate to severe pain contraindications: hypersensitivity, pts with respiratory depression, myasthenia Gravis, pregnancy drug interactions: benzodiazephines, sedatives, CNS depressants, MAO inhibitors dosage: Adult[25-50 mcg] IV/IO Peds 2-12 yrs old [0.5-1mcg/kg] IV/IO notes: use caution with pts head trauma, increased ICP, undiagnosed ABD pain, cardiac disease |
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glucagon |
class: hormone hyperglycemic agent indications: documented hypoglycemia BGL <60mg/mL when IV/IO can't be started, Beta blocker OD w/serious S&S, anaphylaxis refractory to epi contraindications: pts unable to receive supplemental glucose, hypersensitivity to pork or beef, use w/caution on pts w/pheochromocytoma drug interactions: hyperglycemic effects intensified and prolong by epi, will precipitate when mixed with calcium dosage: Adult[0.5-1mg] IM may repeat 10-20 mins if no response, Peds [0.1mg/kg] IM may repeat 10-20 mins if no response notes: pt must be given supplemental glucose, glucagon is in powder form and must be reconstituted in NS or sterile water 1mL:1mg |
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Hydromorphone |
Dilaudid class: opiate analgesic indications: analgesia for moderate to severe pain contraindications: hypersensitivity, HTN, head/ABD injuries, pts in respiratory difficulties, major blood loss drug interactions: additive effects w/other CNS depressants, MAO inhibitors dosage: Adult[0.5-1.0mg] SLOW IV push until desired effect, NOT for peds notes: take vitals 2 min before and 2 mins after, IV/IO only, can cause vomiting/nausea, MCEP for non-cardiac pt |
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Ipratropium |
Atrovent class: anticholinergic indications: bronchial asthma, reversible bronchospasm associated w/chronic Bronchitis and emphysema l contraindications: hypersensitivity, atropine products, soy/peanuts, acute treatment of bronchospasm drug interactions: oxivent and Spiriva dosage: administered w/beta agonist therapy Adult[1-2 inhalations] dose inhaler [250-500mcg(0.25-0.5mg)] via neb notes: vitals monitored, caution on elderly pts w/HX cardiovascular disease or HTN |
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Lidocaine |
class: local anesthetic indications: analgesia for pts w/IO contraindications: hypersensitivity drug interactions: additive cardiac depression phenytoin, quinidine, procainamide, propranolol dosage: 60mg slow IO push, allow to sit for 60 secs then flush 10cc, if second dose needed only 30mg |
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morphine |
class: opiate analgesic indications: analgesia for pts w/moderate to severe pain contraindications: hypersensitivity, HTN, head/ABD injuries, pts w/respiratory problems, major blood loss drug interactions: CNS depressants, MAO inhibitors dosage: Adult[2-10mg] SLOW IV push, Peds[0.05mg-0.1mg] SLOW IV Push notes: take vitals 2 mins before and 2 mins, IV/IO only, can cause vomiting and nausea, MCEP for non-cardiac pt |
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naloxone |
Narcan class: narcotic antagonist indications: reversal of narcotic effects respiratory depression, unconscious of unknown etiology to rule out narcotic depression of CNS contraindications: hypersensitivity, absence of indication drug interactions: may induce narcotic withdrawal dosage: Adult[0.4mg-2.0mg] IV/IO (total 2.0mg), [0.4-2.0mg] if IM/SQ titrate to respiratory rate, may repeat 2-3 mins, 2mg (1mg per nare) IN, Peds[0.1mg/kg] <5 y/o or <20kg [2mg] >5 y/o or >20kg may repeat if no response, Neonate same as peds (can mix 1 mL of naloxone and 9mL of D5W to get 0.04mg/mL) |
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Nitroglycerin |
class: anti-anginal agent, vascular dilating agent indications: chest pain, anginal pain contraindications: hypersensitivity, severe HTN, pericardial temponade, intracranial pressure, hypovolemia, severe anemia drug interactions: additive HTN w/beta adrenergic blocker, anti-HTN, calcium channel blockers, phenothiazines, tricyclic antidepressants, antihistamines, ED medication within 48 hrs dosage: Adult[0.3-0.4mg] SQL 3-5 mins as needed three times, no peds use notes: side effects of- headache, flushing, dizziness, burning under tongue, use only with MCEP if BP <100mmHg |
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Nitrous Oxide |
nitronox class: inhalation anesthetic, gas indications: used for pain management for: fractures, burns, kidney stones, musculoskeletal trauma, ABD pain, back pain, acute urinary retention contraindications: altered LOC, head/chest injuries, intoxication, maxillofacial injuries, psychotic issues, COPD, <12 yrs or <75 lbs, respiratory distress, inner ear pain side effects: dizziness, apnea, cyanosis, nausea/vomiting, Hypotension, dosage: pt uses until they determine effectiveness using PT held demand valve |
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Oxygen |
class: class 3 Gas, oxidizer indications: suspected hypoxia, acute chest pain in which MI is suspected, shock, trauma, CO poisoning contraindications: none drug interactions: none dosage: NC 1-2 LPM, NC 4-6 LPM, NRB 10-15 LPM
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Potassium |
class: electrolyte indications: IV prep used for treatment or prophylaxis of hypokalemia contraindications: severe renal impairment, hyperkalemia, untreated Addison disease, severe tissue trauma drug interactions: none dosage: Adult[10-20mEq/hour], <20mEq/1000mL Peds[2-3mEq/kg/day] IV notes: |
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Pralidoxime |
2pam class: cholinesterase re-activator indications: nerve agent poisoning after atropine contraindications: myasthenia Gravis, renal failure, inability to perform ET intubation, drug interactions: none dosage: Adult[600mg] notes: must be given concurrent with atropine |
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Methylprednisolone |
solu-medrol class: anti-inflammatory, immunosuppressant indications: reactive airway disease unresponsive to albuterol, allergic reaction contraindications: hypersensitivity, immunocomprocomised state: serious infection, psychotic disorders drug interactions: none dosage: Adult[125-250mg] IV q 6 hrs peds[1-2mg/kg] q 6hrs notes: adverse hyperglycemia, psychosis, no longer given routinely for spinal injuries |
