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18 Cards in this Set
- Front
- Back
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Dopamine/Intropin Indication/Dosage |
Hypotension: MD Order 10 mcg/kg/min (usual range 10-20) |
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Dopamine/Intropin Contraindications, Precautions, Key points |
MD Order Contra: Hypovolemic shock precautions: 1. possible tachycardia 2. extreme peripheral vasoconstriction 3. Alkaline solutions (sodium bicarb) deactive Side effects: Ectopic beats, N/V, Angina |
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Dilaudid/Hydromorphone HCL Indication/Dosage |
Extreme Pain Management: 0.5-1.0 mg slow IVP repeat 0.5 every 30 minutes Max of 2.0 mg |
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Dilauded/Hydromorphone HCL Contraindications |
1. Pediatrics, labor, resp distress/distress 2. Hypersensitivity and intracranial lesions associated with ICP 3. Acute exacerbation of chronic pain not indication 4. Hypotension Caution: Elderly and chronic liver conditions |
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Dilauded/Hyrdomorphone HCL Side Effects |
CNS: pupillary constriction, sedation, somnolence, clouded sensorium, dizziness CV: hypotension, bradycardia GI: nausea, vomiting Resp: respiratory depression, bronchospasm |
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Etomidate/Amidate Indication/Dosage |
RSI induction: 0.3 mg/kg IV/IO (Usual 20 mg) |
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Succinylcholine/Anectine Indication/Dosage |
RSI paralytic: 2 mg/kg IVP Max dose 200 mg Post intubation paralysis initial dose repeated once |
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Adenosine Indications/Dosage |
Stable with PSVT/SVT: 6 mg rapid IVP in proximal vein (big bore AC) 2nd dose 1-2 minutes later if no result 12mg rapid IVP |
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Adenosine Contraindications |
1. 2nd or 3rd deg Heart Block 2. Sick sinus syndrome 3. Pregnancy. |
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Albuterol 0.083% Indications/Dosage |
Respiratory Distress with wheezes 2.5 mg nebulized (usually with Atrovent) Hyperkalemia 2.5 mg nebulized (usually with Atrovent) |
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Albuterol Contraindications/precautions |
Contra: Hypersensitivity Precautions: 1. HR over 160 or suspected MI 2. Caution with heart disease, dysrythmias CHF, convulsive disorders, diabetes, hyperthyroidism. |
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Amiodarone Indications/Dosage |
Pulseless arrest: VF or VT 300mg 1st dose; 150mg 2nd dose Post conversion w/ arrhythmia: 150mg in 100ml over 10 min Wide complex tachycardia w/ pulse: 150mg in 100ml over 10 min |
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Amiodarone Contraindications |
1. Cardiogenic shock 2. Marked sinus bradycardia 3. Second or 3rd degree AV block w/o pacemaker Incompatible with sodium bicarb and heparin. |
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Aspirin |
Cardiac Chest pain:
324 mg (4x81mg chewable aspirin) Contra: Known allergy Active or recent GI bleed |
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Atropine Sulfate Indications/Dosage |
Symptomatic bradycardia: 0.5 mg IVP every 3-5 mins max 3.0mg Organophosphate poisoning: 1.0mg IVP every 2-3 min until drying of secretions. |
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Atrovent/Ipratropium Indications/Dosage |
Bronchospasm: 0.5 mg nebulized w/ albuterol |
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Calcium Chloride 10% Indications/Dosage |
Cardiac Arrest in Dialysis pt or renal failure:1.0 gram after initial shock and first dose epi
Dysrhythmia in dialysis pt1 gram slow IVP MD order Symptomatic OD on Calcium Channel Blocker:1 gram slow IVP Reverse Mag Sulfate toxicity:1 gram slow IVP MD order Suspected Hyperkalemia:1 gram slow IVP |
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Sodium Bicarbonate Indications/Dosage |
Cardiac Arrest: 1 mEq/kg or 50 mEq IVP after first dose of epi Hyperkalemia, TCA OD, 1 mEq/kg or 50 mEq IVP (MD order PEDS) Crush injury: 50 mEq IVP (MD order PEDS) |
