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22 Cards in this Set
- Front
- Back
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Morphine Sulfate
General opiate of choice |
0.5-1mg IV,IM, PO Q6h
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Hydromorphone
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Dilaudid 0.3-1.5mg IV q6
*for morphine intolerance, hemodynamic instability or renal dysfunction |
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Fentanyl
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Sublimaze 50-200mcg/h IV continuous infusion
*same indication as Hydromorphone |
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Acetaminophen
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Tylenol
Max 4000mg / day NSAIDS maybe added to opiates |
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Ketorolac
NSAID |
Toradol 10-30mg IV, IM, PO, Q6hr maximum 5 days
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Lorazepam
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Ativan 0.5-4mg IV, PO continuous/ q6hr
Long term sedation (>24-72hr) |
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Midazolam
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Versed 1-5mg IV Continuous, q2hr
Acute and short term (<24hr) |
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Propofol
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Diprovan 1-8mg/kg/h
IV continuous used when rapid awakenin is needed Caution in egg allergy, 12hr max hang time |
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Haloperidol
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Haldol 2-5mg IV, PO, q 1-4hr
DOC for delerium |
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Pancuronium
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Pavulon 0.05-0.1mg/kg IV continuous: q2hr
General NMP of choice, causes tachycardia |
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Vecuronium
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Norcuron 0.05-0.1 mg/kg IV
continuous : q1hr use in hemodynamically instability, renal dysfunction and cardiac disease |
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Cisatracurium
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Nimbex 0.05-0.1mg/kg IV
Continuous; q1hr Use in renal and hepatic dsyfunction |
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Dexmedetomidine
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Precedex
Central alpha2 indicated for sedation <24hr Less respiratory depression ADR hypotension, bradycardia |
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Nimodipine
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Nimotop
CCB given for 21 days indicated for treating aneurysmal subarachnoid hemmorrhage |
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Phenytoin
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Dilantin
20mg/kg IV loading dose and 4-8mg/kg/day for 7 days seizure prevention *alternative Carbamazapine |
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Brain Trauma
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Mannitol, LOOPS, Hypertonic Saline, pentobarbital,
Vercuronium for intracranial hypertension |
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Acute Spinal Cord Injury
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Methyprednisolone 30mg/kg IV loading dose then 5.4mg /kg /hr IV infusion
dont give if longer than 8hr post trauma ADR infection , hyperglycemia |
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Venous Thromboembolism Prophylaxis
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Heparin SQ 5000U SQ Q8-12hr
Dalteparin 2500-5000 U SQ QD Enoxaprin 30mg SQ BID or 30-40mg SQ daily Fondaparinux (Arixtra)2.5mg SQ daily |
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Venous Thromboebolism
Treatment |
Heparin 80U/kg load then 18 U /kg./hr
Enoxaprin 1mg/kg q 12 or 1.5mg/kg daily Coumadin INR 2-3 |
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Stress Ulcer Prophylaxis
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H2 blockers or sucralfate are standards of care.
PPI are equivalent to H2 blockers Antacids not recommended |
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Severe Sepsis and Septic Shock
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Dopamine
Norepi epinephrine Phenylephrine Dobutamine |
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Drotrecogin alpha
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Xigris
24mcg/kg/hr x 96hr IV infusion |
