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28 Cards in this Set
- Front
- Back
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Furosemide/Lasix
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Loop Diuretic
M.O.A inhibits electrolyte absorption/secretes soduim, potasium, chloride Indic: CHF, Pulmunary edema, hypertensive crisis. C/I: Hypovolemia, anuria, hypotension, hepatic coma A/R: may exacerbate hypovolemia, hypokalemia, ecg changes, hypeglycemia doses: adult 0.5-1 mg/kg slow iv. pedi 1 mg/kg iv/io |
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Metoprolol/Lopressor
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antianginal, beta blocker, anti hypertensive agent.
MOA: inhibits beta 1 adrenergic receptors indic: hypertension, angina pectoris, prvention of MI, atrial fibrillation C/I: allergic, sinus bradycardia, cardiogenic shock, 1st degree heart block, 2/3 term preg. A/R: brochospasms, bradycardia, edema, chf Dose- M/I 5 mg every 5 min up to 3 times i/v i/o hypertensive 1.25- 5 mg every 6-12 hrs i/v i/o class c |
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Diltiazem
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calcium channel blocker
MOA blocks calcium ions, prevents coronary spasm, vasodilator, reduces mi o2 demand ind: control of rapid vent. rates due to atrial flutter, afib, psvt. Angina Contr: hypotension, cardio shock, wide complex tachy, 2nd or 3rd av block A/R: bradycardia, chf, syncope, v-fib, v-tach Dose: adult .25 mg/kg over 2 min. may increase to .35mg/kg if no response. maitenance infusion 5-15 mg/hr. bolus i/v no pedi class c |
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Midazolam/versed
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benzodiazepine
moa: sedative, memory impairment ind: sedation, anxiolytic prior to tubing. contr: glaucoma, shock, coma, intox. overdose, depreseed vital signs. a/r: cough, nausea, vomiting, hypotension, blurred vision dose: 0.5-2.5 slow i/v max 0.1mg/kg no pedi class d |
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Lorazepam/Ativan
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benzodiazepine
moa: anticonvulsant, sedative ind: initil control of status epilepticus, severe anxiety, sedation cont: coma, shock, drug abuse, glaucoma a/r: respiratory depresion, delirium, hypotension, bradycardia dose: 2-4mg slow i/v i/o for max 8mg. sedation .05/kg up to 4mg i/m. dilute with eq. sterile water pedi .05-.2 mg/kg slow i/v max dose .2 mg/kg class d a |
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Ondansetron/Zofran
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Antiemetic
moa: blocks serotonin, selective 5-htreceptor antagonist ind: nausea/vomiting contr: allergic a/r: headache, drowsiness dose: 4mg iv pedi under 30kg 1mg iv over 30kg 2mg iv class b |
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Diazepam/Valium
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benzoziazepine
moa:induces amnesia and sedation, potentates effects of inhibitory neurotransmitters ind: acute anxiety, dt's, seizure activity,analgesia contr: coma, shock, allergic, head injury a/r: respiratory depression, hypotension, nausea dose: 5-10mgs i/v q 10-15 min. Max 30mgs pedi. seizure .2-.5mg slowly q 2-5 min up to 5mg. rectal .5mg/kg Sedation 5-15 mg i/v class d |
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Sodium Bicarbonate
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buffer/alkanizer
moa: buffer for metabolic acidosis ind: circulation after long arrest, hyperkalemia, tca o.d., phenobabital od, contra: meta/repiratory alkalosis, hypocalcemia, hypokalemia, hypocloremia. a/r: increase of tissue acidosis, electrolyte imbalance dose: 1mEq/kg iv, may repeat .5mEq/kg every 5min Pedi: same as adult Class C contra: |
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Nitropaste
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vasodilator
moa: smooth muscle relaxer, arterial and vein dilator, reduces workload of heart ind:MI, angina contr:hypotension,hypovolemia, intracranial bleeding a/r: hypotension, syncope, flushing dose: apply 1/2"-3/4" and secure with plastic and tape Pedi: not recomended class c |
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Nitoglycerin
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vasodilator
moa:smooth muscle relaxer, arterial and vein dilator, reduces workload of heart ind: angina pectoris, hypertension, chf contr:hypotension, hypovolemia, intracranail bleeding a/r: hypotension, syncope, flushing dose:.3-.4 s/l may repeat 3-5 min to 3 doses. Spray .4 mg spray x 2. i/v 10-20 ug/min, increase by 5-10 ug until desired effect pedi not recomended class c |
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Calcium Chloride
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electrolyte
moa: increase cardiac contractile state, positive ionotropic ind: hypocalcemia, mag sulfate o.d., hyperkalemia contr: hypercalcemia, VF during cardiac resuscitation, digitalis toxicity a/r:bradycardia, hypotension, nausea, perpheral vasodilation dose: 2 mg-4mg/kg of 10% sol. slow i/v 5 min. may repeat every 10 min. Pedi.20 mg/kg slow i/v, max 1g class c |
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Amiodarone
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antidysrhythmic
moa:non competitive alpha and beta sympathetic beta blocking ind: suppresion of v/f. suppresion to ventr. tachy. contr: 2nd/3rd dg heart block, hypotension, bradycardia a/r: hypotension, bradycardia, pea, chf, nausea dose:300mg slow i/v in 10 ml n/s.may repeat 1 time w/150mg. Pedi 5mg/kg, can repeat 5mg/kg for max of 15mg Class d |
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Atropine sulfate
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anticholinergic
moa;inhibits action of acetycholine at parasympathetic site ind; bradycardia, asystole, bronchospasms contr; tachy, allergic a/r tachy, headache, nausea, dizzines dose; 0.5-1 mg every 3-5 min max 3mgi/v i/o pedi .02mg/kg iv/io max .5mg class c |
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Aspirin
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Platelet inhibitor/anti inflam
moa;prostaglandin inhib ind;chest pain/mi contr;allergic, gi bleed a/r gi bleed, nausea dose 160/325 class d |
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Mag Sulfate
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electrolyte
moa; blocks striated musle contractions, reduces acetylcholine release ind; seizures of eclampsia, tca od, hypomagnesmia contr; heart blocks, renal disease a/r respiratory/cns depression, hypotension, cardiac arrest, asystole. dose 1-4gm iv/io over 10 min max dose of 30-40. pedi. 25-50 mg/kg iv/io max 2g class a |
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Lidocaine
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Antidysrhythmic
moa;decreases automaticity by slowing rate of ph. 4 depolarization ind; suppresion of v-tach, vf, pvc's contr; 2nd/3rd degree blockage, hypotension a/r; seizures, altered mental status, brady dose; C/A vt/vf 1.5mg/kg iv repeat q 3-5 min max dose of 3 mg/kg q 3-5min max 3mg vt w/pulse 1-1.5mg/kg. then 0.5-.75mg/kg max 3mg pvcs w/pulse 0.5-1.5 mg/kg, repeat 0.5-1.5 mg/kg max 3 mg vf prophylaxis 0.5mg/kg every 8-10 max 2mg pedi vt 1mg/kg iv/io class b |
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Epinephrine
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sympathomimetic
moa; direct alpha/beta agonist, vasoconstriction, bronchodilation, positive ionotropic/chronotropic ind; c/a, asystole, pea, vf, bronchospasm, anaphylaxis contr; allergic, hypothermia, pulm. edema, hypovolemic a/r; hypertension, pulm edema, anxiety, angina, dose; analphylaxis .3-.5mg of 1:1000 C/A 1mg i/v of 1:10000 every 3-5 Pedi analphylaxis .01mg/kg to max .5mg of 1:1000 C/A.01mg/kg of 1:10000 |
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Dopamine
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Sympathomimetic inotropic
moa; increases mi contractility and stroke vol. ind; cardiogenic, septic, spinal, distributive shock, hypotension contr;hypovolemic shock, VF a/r; cardiac dysrythmias, hypertensions, increased mi o2 demand dose; 2-20 mcg/kg/min pedi 2-20 mcg/kg/min class c |
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Morphine
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opoid analgesic
moa; suppreses fear and pain in cns ind; analgesic for moderate to severe pain, severe chf, pulmanary edema, chest pain w/mi contr; head injury, copd, hypotension, asthma, hypovolemia, maoi's, undiagnosed ab pain a/r;respiratory depression, hypotension, decreased level of consciousness, brady, tachy, syncope, bronchospasm dose 1-3mg i/v, i/m, s/c every 3-5 min max 10 mg pedi. 0.1-0.2mg/kg mx 5mg i/v class c |
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Fentanyl
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Narcotic analgesic
moa; analgesic ind; short term pain killer, premed for longer acting analgesic contr; allergic dose; 1mcg/kg to max 150mcg slow i/v push no pedi class c |
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Naloxone
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Narcotic antagonist
moa; competive inhibition of narcotic receptor site ind; opiate od, coma of unknown origin contr; use with narcotic dependant patients a/r; withdrawl, tachy, hypertension, dysrythmias dose .4-2mg iv/im/sc. Nasal atomizer 2 mg pedi .1mg/kg iv/im/sc max .8 |
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Dextrose/D50W/D5W
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Carbohydrate hypotonic solution
moa; rapid increase of serum levels ind;hypoglycemia, alt men stat, coma of unknown, seizure of unknown contr; intracranial bleed, dts, ineffective w/o thiamine a/r; pain and burning at site dose;12.5-25gm slow iv pedi.5-1gm/kg slow iv |
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Glucagon
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Hyperglycemic agent, insulin antagonist
moa; increase blood glucose ind; alt. ment. status due to hypoglycemia contr;hyperglycemia, allergic dose;.5mg-1mg im/slow iv/sc repeat q 20 min pedi .03-.1mg/kg not to exceed 1mg class c |
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Thiamine
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Vitamin B1
moa; combines with ATP to facilitate carbohydrate metabolism ind; coma of unknown org, dts contr; none a/r; hypotension, anxiety, diaphoretic dose; 100mg slow iv/im pedi 10-25 slow iv/im |
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Albuterol
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Sympathomimetic, bronchodilator
moa;b-2 agonist which desults in bronchodilation and smooth muscle relaxant ind; treatment of bronchospasms,copd/asthma contr;allergic, tachy dysrhythmias a/r; tremors, dizzy, hyperglycemia, increased bp dose; 2.5mg. dilute w/.5 ml of .5% solution w/ 2.5 ml ns. MDI 1-2 puffs pedi. .01-.03ml. .05-.15mg/kg/dose diluted in 2ml of .9% ns class c |
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Ipratropium Bromide/Atrovent
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Bronchodilator
moa; blocks action of acetycholine at parasympathetic site causing bronchodilation ind; bronchospasms, copd, emphysema contr;allergic a/r;dizzty, headache, hypotension dose; 2-3 mdi puffs max 12 puffs daily. 500 mcg NEB q 6-8 hrs pedi 1-2 mdi puffs max 8 puffs daily, 250 mcg NEB q 6-8 hrs class b contr; |
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Diphenhydramine/Benadryl
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Antihistamine
moa; blocks histamine receptors, decreases vasodilation ind; allergy relief, anaphylaxis contr; asthma, glaucoma, pregnancy, hypertension, infants, moai's a/r;sedation, hypotension,seizures, dysrythmias dose:25-50mg iv/im/po pedi;1-2mg/kg iv/io/po class b |
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Adenosine
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Endogenous Nucleotide
moa;slows conductiome through a/v node, slows h/r, ind; conversion of psvt to sinus rhythm contr; 2nd/3rd degree block, afib, vtach, allergic a/r; shortness of breath, chest pain, headache, hypotension, diaphoretic dose; 6mg over 1-3 sec, no response 12mg over 1-3 seconds iv pedi.1-.2mg/kgrapid iv. max single dose 12mg iv class c |
