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32 Cards in this Set
- Front
- Back
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Acetaminophen
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Class: Analgesic, Antipyretic
Action: Proven analgesic and antipyretic with little effect on platlet function RX: Mild to moderate pain and fever when aspirin is otherwise not tolerated Contraindications: Hypersensitivity Precautions: High Doses cause Liver Damage Adult Dose: 325mg to 650mg 4 to 6hrs. Ped Dose: 40mg to 325mg (Refer to Broslow Tape) |
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Activated Charcoal
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Class: Absorbent
Action: Absorbs toxins in the GI tract RX: Poison/Overdose Contraindication: None Adult Dose: 1g/kg PO or by NG mix w/Water Ped Dose: Same Side Effects: Nausea, Vomiting |
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Adenosine (Adenocard)
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Class: Antiarrhythmic
RX: PSVT refractory to Vagal Manuevers Action: Chemically converts PSVT to NSR Contraindication: Advanced Block, VT Adult Dose: 6mg IV rapid over 1-3 sec (Flush with 20cc NS, Elevate IV Arm) If no effect give 12mg over 1-3sec, May repeat 12mg bolus one more time. Ped Dose: 0.1-0.2mg/kg IV rapidly IV/IO up to 6mg. May double dose if no effects, Max 12mg dose Precautions: Respiratory Impairments Side Effects: Dysrhythmias, Hypotension, dyspnea, chest pressure, headache, bronchospasm, Nausea, facial flushing. |
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Albuterol (Ventolin)
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Class: Sympathomimetic Bronchodilator
Action: Bronchodilation RX: Bronchospasm, COPD, Asthma Contraindication: Tachydysrhythmias Adult Dose: 1.25-2.5mg mixed in 3ml Ped Dose: 0.03ml/kg nebuilized max 1ml Side Effects: Tachydysrhythmias, anxiety, nausea vomiting |
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Amiodarone (Cordarone)
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Class: Antiarrhythmic
Action: Prolongs action potential and refractory period, slows sinus rate RX: Cardiac Arrest, VF/VT, Stable Wide Complex Tachycardia Contraindication: Cardiogenic shock, bradycardia, advanced block Adult Dose: Cardiac Arrest, VF/VT: 300mg IV Push, 150mg IVP q 3-5. Stable WCT: 150mg IV over 10min. May repeat 150mg IVP q 10min Ped Dose: 5mg/kg IV/IO Side Effects: Vasodilation, Decrease B/P, HR, AV Block, VF, VT |
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Amyl Nitrate
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Class: Cyanide Antidote
Action: Binds to hemoglobin to help biograde cyanide RX: Cyanide Poisoning Contraindication: None Adult Dose: Administer vapors from crushed inhalant for 30 sec, then administer oxygen for 30 sec, repeat continuously (0.3mg in Inhalant ) Side Effects: Hypotension, Headache, Nausea |
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Aspirin (Bayer)
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Class: Antiplatlet & Antinflammatory
Action: Inhibits platlet aggregation Indication: Chest Pain Contraindication: Hypersensitivity Adult Dose: 160mg to 325mg chewed PO Ped Dose: Not recommended Side Effects: Heartburn, NV and Wheezing, Upset Stomach |
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Atropine Sulfate
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Class: Parasympatholytic
Action: Blocks parasympatholytic nervous system RX: Asystole, PEA< Symptomatic Bradycardia, Organophosphate Poison Contraindication: Tachycardia Adult Dose: Asystole, PEA: 1mg IVP(2-3mg ET) q 3-5 Symptomatic Bradycardia: 0.5-1mg IVP q 3-5 Organophosphate Poison: 2-5mg IV q 15-30min Ped Dose: Symtomatic Bradycardia 0.02mg/kg min 0.1mg IV/IO Side Effects: Dilated Pupils, Increase HR, Headache, drymouth |
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Calcium Cholride
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Class: electrolyte
Action: Increase cardiac contractility RX: Calcium channel blocker overdose and antidote for magsulfate Contraindication: Patient recieveing digitalis Adult Dose: 500-1000mg IV over 5-10min Ped Dose: 10-20mg/kg IV/IO slowly Side Effects: Bradycardia, Asystole, hypotension |
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Dextrose 50%
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Class: Carbohydrate
Action: Increase blood glucose level rapidly RX: Hypoglycemia Contraindication: none in emergency setting Precaution: Obtain blood sugar before use Adult Dose: 25g(50ml)IV Ped Dose: 0.5g/kg slow iv dilute 1:1ns Side Effects: Tissue Necrosis if blow vein |
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Diazepam (Valium)
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Class: Anticonvulsant
Action: RX: Seizures, premedicate before cardioversion Contraindications: Hypotension Adult Dose: Seizure 5-10mg slow IV Sedation 5-15mg slow IV Ped Dose: Seizures 0.1-0.2mg/kg Side Effects: Drowsiness, Respiratory Depression, hypotension |
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Magnesium Sulfate
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Class: Electrolyte and CNS Depressant
Action: CNS depressant, anticonvulsant RX: Torsades, Eclampatic Seizure Contraindication: Shock, heart block, hx renal disease Precautions: Pt receiving digitalis, hypotension Adult Dose: Torsades- 1-2g IVP Eclampatic Seizures 1-4g SIVP Peds Dose: 25-50mg/kg IV/IO over 10-20min max 2g Side Effects: Hypotension, asystole, CNS & Resp. Depression |
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Digoxin (Lanoxin)
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Class: Cardiac Glycoside
Action: Increase cardiac output increases contractile force & slows av conduction RX: A-Fib/A-Flutter, Stabilize SVT, Increase cardiac output in CHF Contraindications: VF Precautions: Incomplete Heart Block Adult Dose: 0.25-0.50mg IV Ped Dose: 25-40mcg Side Effects: Seizures, Confusion, EKG Abnormalities and Head Ache |
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Morphine (Ms Cotin)
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Class: C-Opiate/Analgesic
Action: Block pain receptors on brain and decrease myocardial o2 demand RX: Severe pain, AMI, Pulmonary Edema Contraindication: Head Injury, COPD, decrease resp. drive undiagnosed abdominal pain Precaution: Have Naxolone on hand Adult Dose: 2-5mg IV/IM/SQ may repeat q 5min max 10mg Ped Dose: 0.1-0.2mg IV,IO,IM,SQ Side Effects: Decrease resp. drive, hypotension, decrease HR n/v alt mental status |
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Nitrous Oxide
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Class: Analgesic
Action: Self Administer composed with 50% o2 + 50% No2 RX: Anxiety, burns, musculoskeletal pain, Chest Pain Contraindication: Pneuma, tension pneuma, head injury and COPD Precaution: Ventilate areas only short lived effects Adult Dose: Self-Admin until pt drops mask or pain relief Side Effects: Decrease LOC light headed dizzy halucinations |
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Nitro (Nitrostat)
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Class: Nitrate/Vasodilator
Action: Vasodilator of both veins and arteries RX: Chest Pain Contraindication: Hypotension ED meds within 24 hrs. increase ICP. Adult Dose: 0.3-0.4 SL q3-5min max 3 doses Peds Dose: None Side Effects: Hypotension, head Ache, postural syncope |
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Dopamine (Intropin)
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Class: Sympathomimetic
Action: Stimulates Alpha and Beta Receptors Indications: Hypotension associated with cardiogenic shock or bradycardia. Contraindications: Hypovolemic Shock in prehospital setting (concentrate on fluid replacement and rapid transport). Adult Dose: Mix 400mg with 250 ml D5W or N/S Low dose: 1-5 mcg /kg / min. Moderate dose: 5-10 mcg / kg / min. High dose: 10-20 mcg/kg/min. Peds Dose: None Side effects: Ectopic heart beats, tachycadrdia, bradycardia, angina, nausea & vomiting, hypertension and headache. |
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Pralidoxime (Protopam)
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Class-Cholinesterase reactivator
Action-Deactivates certain organophosphates Indication-Severe organophosphate poisoning Contraindication-Inorganic phosphate poisoning Precautions-none Adult Dose- 1-2g in 250-500 mL NS over 30 min Peds Dose- 20-40mg/kg in 250-500 mL NS over 30 min Side Effects-Tachycardia, H/A, alt LOC, N and V |
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Midazolam (versed)
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Class-Sedative
Action-Hypnotic, Sedative Indication-Seizures, premed before cardioversion Contraindication-Shock Precautions-none Adult Dose- Seizures- 2.5mg IV may repeat every 5 min Sedation-0.1mg/kg IV, max dose 5 mg Peds Dose- 0.1mg/kg IV max 2.5mg/dose repeat if needed Side Effects- Resp. depression, hypotension, decrease HR, H/A, N and V |
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Meperidine (Demerol)
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Class-Analgesic
Action-CNS depressant and decrease pain sensitivity Indication-Moderate to severe pain Contraindication-Pt receiving MAOI’s, undiagnosed abdominal pain Precaution-Have Naloxone ready Adult Dose- 50-100 mg SIV, IM, SQ Peds Dose- 1mg/kg IV, IO, IM, SQ Side Effects- Apnea, hypotension, increase ICP, N and V, increase HR |
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Glucagon
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Class-Hormone
Action-Causes breakdown of glycogen to glucose Indication-Hypoglycemia, beta blocker OD Contraindication-none in emergency setting Precaution- caution w/Pt w/Hx of cardiovascular and/or renal disease (your call) Adult Dose- Hypoglycemia-0.5-1mg (or Unit) IM, SQ, IV Peds Dose- 0.1mg/kg IV, IO, IM, SQ max 1mg Side Effects -none in emergency setting |
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Vecuronium (Noreuron)
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Class-Neuromuscular blocking agent (nondepolarizing)
Action-Paralyzes skeletal and resp. muscles Indication-For RSI Contraindication-Newborns, known hypersensitivity Precautions-lasts for about 30 min Adult Dose- 0.1mg/kg IVP Peds- 0.1 mg/kg IV, IO Side Effects- apnea, hypotension, brady, weakness |
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Thiamine (vitamin B1)
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Class-Nutrient
Action-Allows normal breakdown of glucose Indication-Malnutrition suspected (starvation, severe alcoholism) and thiamine deficiency Contraindication-Hypersensitivity or none (your call) Precaution- none Adult Dose- Co-administration w/D50 % Water- 100mg SIV or IM Peds Dose -rarely indicated Side Effects -N and V, hypotension |
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Trebutaline (Brethine)
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Class-sympathomimetic
Action-relaxes smooth muscles of bronchial tree and peripheral vasculature Indication-Asthma, chronic bronchitis, emphysema, COPD Contraindication-Hypersensitivity, tachydysrhythmias, digitalis induced tachycardia Precautions- none Adult Dose -0.25 mg SQ may repeat in 15-30min Peds 0.01mg/kg SQ Side Effects- Tachycardia, PVC’s, anxiety, H/A |
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Diphenhydramine (Benadryl)
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Class-Antihistamine
Action-blocks histamine receptor sites Indication-Allergic reactions Contraindication-Asthma, pregnant or nursing mothers Precaution-hypotension Adult Dose 25-50 mg IV or deep IM Peds 1-2mg/kg IV, slow IO, or IM Side Effects -sedation, anticholinergic effects |
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Ipratropium (Atrovent)
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Class-Bronchodilator
Action-Causes bronchodilation by inhibiting cholinergic receptors; dries resp. tract secretions Indication-Bronchospasm, COPD, asthma Contraindication- Soy and peanut allergy, glaucoma Precaution- none Adult Dose - 0.5mg SVN w/ albuterol Peds Dose - 25mcg/kg SVN Side Effects- dry mouth, H/A, cough |
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Methylprednisone (Solu-Medrol)
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Class-Steroid
Action-Anti-inflammatory Indication-Asthma, Spinal cord trauma Contraindication-GI bleed, DM, seizures Precaution- 2-6 hr onset Adult Dose Asthma-40-250 mg IV; Spinal trauma- 30mg/kg IV Peds Dose -Asthma-2mg/kg IV,IO,IM; spinal trauma- 30mg/kg IV,IO,IM Side Effects- Hyperglycemia, hypokalemia, peptic ulcer |
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Verapamil (Isoptin)
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Class-Calcium Channel Blocker
Action-Slows AV conduction, inhibits reentry during PSVT, Decrease myocardial O2 demand Indication-PSVT Contraindication-HB, shock, Pt using IV beta-blockers, SSS, hypotension Precaution-None Adult Dose- 2.5-5 mg SIVP; a repeat dose of 5-10mg after 15-30 min w/o conversion (max 30mg in 30 min) Peds Dose -0.1-0.2 mg/kg SIVP, IO Side Effects- Hypotension, N and V, AV blocks, bradycardia |
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Naloxone (Narcan)
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Class-Narcotic antagonist
Action-Binds and blocks all opiate receptor sites Indication- Narcotic/Opiate overdoses Contraindication-none Precaution-short action about 5 min, SIVP Adult Dose- 2mg IV,IM (ET dose 2-2.5 times more than IV dose) Side Effects- withdrawls from addicted Pt’s |
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Fentanyl (Sublimaze)
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Class- Narcotic analgesic
Action- CNS depressant and decreases pain sensitivity Indication-Severe pain, adjunct of RSI, Contraindication-shock, undiagnosed abdominal pain, severe hemorrhage Precaution- Resp. depression (have naloxone ready), hypotension Adult Dose- 2-20 mcg IV slowly over 2 min Peds Dose- 2-10 mcg/kg IV, IO slowly Side Effects -decrease LOC, bradycardia, apnea |
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Succinylcholine (Anectine)
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Class- Neuromuscular blocking agent (depolarizing)
Action-Paralyzes skeletal and resp. muscles Indication-For RSI Contraindication-Massive crush injury, known hypersensitivity Precautions-paralysis occurs w/in 1 min and lasts for about 8 min Adult Dose- 1-2mg/kg IV Peds Dose- 1mg/kg IV Side Effects -Hypotension, bradycardia, apnea |
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Pancuronium (Pavulon)
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Class- Neuromuscular blocking agent (non-depolarizing)
Action- Paralyzes skeletal and resp. muscles Indication- For RSI Contraindication- 1st trimester, known hypersensitivity Precautions- paralysis occurs w/in 3-5 min lasts for about 60min Side Effect- hypotension, brady, apnea Adult Dose 0.04-0.1 mg/kg; repeat doses of 0.01-0.02mg/kg IV every 20-40min as required Peds- 0.1mg/kg (might want to check these dosages out) |
