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39 Cards in this Set

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Morphine Sulfate
IVP: 2-20mg at 2/min

IM/SQ: 5-20mg

for 3-5hours
I: resp distress w/ crackles
mod to severe pain
CI:Resp dep,ALOC,head injury/multisystem trauma, unknown pain, HOTN
Furosemide (Lasix)
IVP: 40-80mg at 10-20/min

for 3-5hours
CI: hypovolemia, pregnancy
I:CHF/pulmonary edema

A: PVasoD & (diuretic)
Aspirin
325mg chewed

for 24hours
Hx of ulcer/liver disease, bleeding disorders
Epi
(Asthma)
SQ: .3-.5mg
Epi
(Ped symptomatic bradycardia)
(DOC)
IVP/IO:
.01mg/kg MR q3-5 until dysrythmia resolves
Epi
(symptomatic bradycardia)
2-10mcg/min
mix 1mg/250ml for 4mcg/ml

or [1/2]
Adenosine
IVP/IO: 6mg fast, 20ml NS, (1-2min) MR 12mg x2 q1-2min

consider Verapamil next (for SVT w/ narrow QRS)

for < 10 seconds
not for AFib/Flut,VTach.

CI: sss, 2or3 HB, persantine, tegretol, theophylline.

AE: HOTN, CP, transient PAC/PVCs, brady/asyt, SOB
Epi
(cardiopulmonary arrest)
IVP: 1mg (1:10,000) q3-5min as needed (in pulseless rhythm)

ET: 2mg (1:1000) to 10ml NS
coronary & cerebral pefusion
Albuterol
(inhaler & nebulizer)
1-2 90mcg

2.5mg in 2-4ml NS with 6-8O2 over 5-15 min

for 4-6 hours
I:
-bronchospasm w/ pulmonary edema, COPD, near drowning [compartment syndrome]
-asthma
Atropine Sulfate
(bradycardia)
IVP: .5mg q3-5 (max 3)

ET:2x
2-5 for 20min
dilates bronchioles and dec. resp secretions.
Atropine Sulfate
(asystole/PEA<60!)
IVP: 1.0mg q3-5 (max 3mg [max.04mg/kg] or rate>60)

ET: 2x

2-5 for 20min
Atropine Sulfate
(organophosphate poisoning)
IVP: 2-3mg q5 (until asymptomatic or toxic)

ET: 3-4mg q5

If S&Sx coninue after 5 min --> 2Pam Cl
Hot, Blind, Dry, Red, Mad
D50W
IVP: 25g/50ml NS MRx1 (aspirate)
Diazepam (Valium)
titrate 2.5-10mg at 5mg/min (max 20)

(rectal option)

for 15min-1hr
CI: H.E.I.R
HOTN, ETOH, ICP, Resp.Dep

I: seizures/status epilepticus
sedation b4 cardiovn or TCP
acute anxiety
Dopamine (inotropin)
'dose' mcg/kg/min
'renal' 1-5
'cardiac' 5-10
'vasopressor' 10-20

titrate to BP of 90-100 or perfusion (max 20mcg/kg/min)

onset 5min for 5-10min
I: cardiogenic/distributive shock

CI: tachyarrhythmias
Glucagon
+ route(s), I, CI
IM/SQ: 1mg

1min
I: "<75mg/dl"
Beta-blocker OD

CI: CVA w/ unkn BG
Glucose (oral)
10-20g swallowed or bottle
MR in 10min
Naloxone
IM/SQ/IVP: .4-2mg. MR PRN.
(rethink after 10mg)
titrate to respiratory status
consider b4 tube
NTG
.4mg

I: pulmonary edema
hypotensive crisis

onset 1-3min for 20-30min
CI: ICP,HOTN
Verapamil
IVP: 2.5-5mg slow. MR 5-10mg q15-30 (max 30)

>70, 2-4mg slower

CI:WPW, SSS, wide complex tach, heart fail/block/beta-block
AFib/Flutt w/ rapid V response

(after adenosine) SVT w/ narrow QRS
Midazolam (Versed)
(cardioversion)
IV: .5mg/3-5min (max 2)
NorCal: 2mg/2min MRx1 after 10min(max4)
1mg if Resp. Dep. or >60y/o
CI:SPERC
Midazolam (Versed)
(seizure/status epilepticus)
slow IVP: .1mg/kg at 1mg/min (max 10mg/dose)

MRx1 after 10min if needed (seizure reoccurs)
CI: SPERC
Epi
(allergic rxn)
SQ: .3-.5mg MRx2
for 20min
Epi
(anaphylaxis)
IVP:.3-.5mg/90sec. MR q10min.
ET:2x
for 3-5min
Lidocaine (Xylocaine)
- V ectopy/VTach w/ pulses
/post cvn
IVP: 1-1.5 mg/kg at 50mg/min. MR 1/2(i) q5-10min (max 3mg/kg)

ET:2mg/kg to 10mL NS. MRx1

If not responsive (to V ectopy) try Mag Sulfate or Procainamide
CI: II or 3 HB
bradycardia
Lidocaine (Xylocaine)
VFib/Pulseless VTach
IVP: 1-1.5 mg/kg fast. If no cvn (after defibrilation), MR 1/2(i) q5-10min (max 3mg/kg)

ET:2mg/kg to 10mL NS. (no repeat)
for 15min
Lidocaine (Xylocaine)
Maintenance Infusion
give 2-4mg/min

2mg/min= 1mg/kg bolus, + 30ugtts/min
3:2:45
4:3:60
Mix 1g/250mL(microdrip)
Potassium Chloride
KCl (IFT's)
mixture of 20-40mEq/L for Norcal
at prescribed rate
CI: severe renal disease, acute dehydration
Sodium Bicarbonate
Cardiac Arrest:
IVP: 1mEq/kg. MR 1/2(i) q10
Tricyclic OD (NorCal):
BHO (mix 50mEq/L)
I: prolonged cardiopulmonary arrest; symp tricyclic OD

No: CaCl, DA, Epi, Mag Sulfate, Verapamil
(activated) charcoal
PO/gastric tube: 50-100g in water (unless Sorbitol).

CI: corrosives, CN, heavy metal, petroleum, iron
most effective w/in 30min
(shake; drink w/o assistance; (-)milk)

caution in acetaminophen OD>24hrs
Amyl Nitrite Inhalants
1 ampoule (.3ml)/15-30 sec.
MR w/in 5 min.

Flammable
S&Sx of OD: SCUPE

SOB,Circumoral Cyanosis,Unusual weakness,Pulse -weak and fast, Extreme head pressure
HG --> Met --> cyanMet

AE: mild headache, lightheadedness.
Diphenhydramine
IVP: 25-50mg at 25/min
IM: 25-50mg
I: extrapyRAMidal/dystonic rxn
(allergic rxn, anaphylaxis)

CI: HAP
HOTN, asthma attack, pregnant/nursing
Sodium Thiosulfate
IVP:12.5g at 2.5-5ml/min
For CN -->thiocyanate (after Amyl Nitrite).
Pralidoxime Chloride (2-Pam Cl)
asymptomatic "exposure"= 0
mild = 1
moderate = 2 (1, MRx1 in 5-10)
severe = 3

autoinjector is 600mg. squat.
Nerve Agent/ Organophosphate with SLUDGEM.
Neosynephrine Spray
.5ml of.5 sol'n in nostrils.

alpha-agonist b4 Nasal intubation
CI: severe HTN, intra-cardiac conduction blocks
Magnesium Sulfate
Torsades/refractory VF/VT
IV: 1-2g at 1/min, then 1-4g/hr

OB
IVP: 4g/20min, then 2g/hr [10g/100ml sol'n)
I: eclampsia, Torsades, refractory VF/VT, TRICYCLIC OD - Ve not responsive to lidocaine.

CI: DREHH
Digitalis; Resp depression; Evidence of dialysis, cardiac, fluid overload; HOTN; Heart Blocks/recent MI

CaCl antidote for resp depression
Procainamide
I: -PVCs/recurrent VT (after lido)
-A & V dysrhythmias

IVPB: 20mg/min until :
0 wide 17 HO
CI: 2 or 3 HB
torsades
dig toxicity
Tricyclic OD drugs
Mag Sulfate, Bicarb (50mEq/L)
Calcium Chloride
IVP: 2-4mg/kg. MR q10;
NorCal 1-4g

for 1hr
cardiac arrest w/:
Ca blocker toxicity
hyperkalemia (renal)