Drugs

Front 1

Epinephrine 1:1000

Trade Name & Generic Name

Back 1

Trade- Adrenalin

Generic- Epi 1:1000

Front 2

Epinephrine 1:1000

Classification and Route of Administration

Back 2

class- sympathomimetic/endogenous catcholamine

roa- IV, IM, IO, IV INFUSION, ETT

Front 3

Epinephrine 1:1000

Actions

Back 3

alpha and beta properties, potent bronchodilator, + inotropic/chronotropic

Front 4

Epinephrine 1:1000

indications

Back 4

acute bronchial asthma, life threatening anaphylaxis, may be a repeat dose for cardiac pts per protocol

Front 5

Epinephrine 1:1000

contraindications

Back 5

tacharrthymias, hypertension, asthma patient > 35 years

Front 6

Epinephrine 1:1000

Side Effects

Special considerations

Back 6

palpitations, anxiousness, headache, tachyarrthymias, hypertension, vomiting

special- keep out of direct sunlight

Front 7

Epinephrine 1:1000

Adult dosage

Back 7

anaphylaxis/asthma- 0.01 mg/kg usually 0.3-0.5mg IM ETT-2mg in 8cc NS DRIP-1mg in 500cc NS INFUSION- 2-10mcg/min starting @ 30gtts/min (repeat-5mg IVP or 0.1mg/kg IVP)

Front 8

Epinephrine 1:10,000

Trade name
Generic Name
Classification

Back 8

trade- adrenalin

generic-Epinephrine 1:10,000

class-sympathomimetic/endogenous catecholamine

Front 9

Epinephrine 1:10,000

Route of Administration

Actions

Back 9

ROA- IV/IO

Actions- alpha and beta properties, increase in HR, BP, automaticity, myocardial O2 consumption and PVR

Front 10

Epinephrine 1:10,000

Indications

Back 10

pulseless patients in vfib, asystole, vtach and PEA, severe anaphylaxis

Front 11

Epinephrine 1:10,000

contraindications

Back 11

none

Front 12

Epinephrine 1:10,000

side effects

special considerations

Back 12

tachyarrthymias, nausea/vomiting

special-light sensitive, dont mix with sodium bicarb, follow with flush

Front 13

Epinephrine 1:10,000

adult dosage

Back 13

pulseless vfib,vtach,PEA,asystole- 1 mg IVP every 3-5 mins

anaphlyaxis refractory to 1:100-0.01 mg/kg up to 5mg

Front 14

Sodium Bicarbonate

trade name

generic name

Back 14

trade- none

generic-Sodium Bicarbonate

Front 15

Sodium Bicarbonate

classification

route of administration

Back 15

class-alkalinizing agent, electrolyte replacement

ROA-IV, IV infusion

Front 16

Sodium Bicarbonate

Actions

Back 16

neutralizes excess acid in the blood/interstitial fluid returning blood to normal physciologic pH by increasing availability of bicarbonate ion

Front 17

Sodium Bicarbonate

indications

Back 17

antidepressant overdose, crush injuries, prexsisting metabolic acidosis w/ cardiac arrest, shock, DKA, promote excretion of barbiturate & salicylate overdoses

Front 18

Sodium Bicarbonate

contraindication

Back 18

hypokalemia, CHF/renal failure, metabolic acidosis

Front 19

Sodium Bicarbonate

side effects

Back 19

increases intravascular volume, increases arterial carbon dixoide levels, decrease serum potassium, inactivates catecholamines, necrosis if infiltrated

Front 20

Sodium Bicarbonate

adult dosage

Back 20

IV- 1 mEq/kg repeated every 10 minutes of half the initial dose

crush injuries- add 50 mEq in 1000cc NS (0.45%) and infuse

Front 21

Sodium Bicarbonate

special considerations

Back 21

flush IV line when using before or after epi, calcium chlroide, dont overuse in cardiac arrest, follow with flush, metabolic alkalosis is hard to counteract in the field

Front 22

Diazepam

trade name
generic name
classification

Back 22

trade- valium

generic-Diazepam

class-anticonvulsant/benzodiazpine

Front 23

Diazepam

Route of adminstration

Actions

Back 23

ROA-slow IVP

actions-crosses the blood/brain barrier into cerebral motor cortex to suppress seizure activity and cause CNS slowing, stops active seizures, - analgesic properties

Front 24

Diazepam

indications

Back 24

uncontrolled major seizures, status epileticus acute anxiety, sedation prior to cardioversion or sedation while using transcutaneous pacing

Front 25

Diazepam

contraindications

Back 25

hypotension, hypersenstivity, respiratory depression, alcohol intoxication

Front 26

Diazepam

side effects

special considerations

Back 26

side- respiratory depression/arrest, hypotension

special-airway equipment ready, monitor BP during/after, avoid small veins, closest IV port, flumazenil to reverse side effects

Front 27

Verapamil

trade name
generic name
classification

Back 27

trade-calan, isoptin

generic-Verapamil

class-calcium ion antagonist

Front 28

Verapamil

actions

Back 28

blocks the entry of calcium into both cardiac and smooth muscle causing prolonged refractory periods, controlling re-entry arrythmias such as afib/aflutter, increase coronary artery perfusion, decrease afterload, decrease BP, negative inotropic drug, decrease myocardial O2 consumption

Front 29

Verapamil

indications

Back 29

second line drug after adenosine for narrow complex supraventricular tachycardias with stable BP

in absence of WPWS, drug of choice for symptomatic afib/aflutter with rapid ventricular response

Front 30

Verapamil

contraindications

Back 30

pts with beta blockers, WPWS, sick sinus syndrome, any wide complex tachycardia, heart failure/blocks

Front 31

Verapamil

side effects

route of administration

Back 31

ROA-slow IVP over 1-3 minutes

side-hypotension, asystole, vfib

Front 32

Verapamil

adult dosage

Back 32

2.5-5mg initial dose, may repeat at 5-10mg every 15-30 minutes. pts over 70 years should receive smaller doses (2-4mg over 3-4mins)

Front 33

Verapamil

special considerations

Back 33

monitor BP before/after admin, avoid conjuction with sodium bicarb or theopyline, calcium chloride to reverse hypotensive effects of overdose

Front 34

Procainamide

trade name

generic name

classification

Back 34

trade- pronestyl, procan, promine

generic-Procainamide HCl

class-antiarrythmic

Front 35

Procainamide

actions

Back 35

same as lidocaine/bretylium, some antiarrhythmic effects on supraventricular rhythms and atrial ectopic pacemakers

Front 36

Procainamide

indications

Back 36

PVCs and ventricular tachycardia refractory to lidocaine, SVT not responding to adenosine

Front 37

Procainamide

contraindications

Back 37

heart blocks

Front 38

Procainamide

side effects

special considerations

Back 38

side-hypotension, dizziness, bradycardias, torsades de pointes

special-takes a long time to completely administer

Front 39

Procainamide

adult dosage

Back 39

loading-20mg/min by adding 1gm to 40cc NS to equal 20mg/cc infuse with 60 dropper @ 60 gtts/min until arrythmia suppressed, hypotension develops, QRS widens by or total 17mg/kg admin.
drip-1gm in 500cc NS
maintenance- 1-4mg/min

Front 40

Nitroglycerin

trade name
generic name
classification

Back 40

trade-nitrobid, nitrol, nitrostat, nitrolingual
generic-Nitroglycerin

class-antiaginal/nitrate

Front 41

Nitroglycerin

actions

Back 41

relaxes smooth muscle of coronary arteries and veins, decrease preload, increase perfusion to ischemic myocardial tissue

Front 42

Nitroglycerin

indications

Back 42

chest pain due to angina pectoris, CHF, PE

Front 43

Nitroglycerin

contraindications

Back 43

increased ICP, hypotension

Front 44

Nitroglycerin

Side effects

Route of Administration

Back 44

side-headache, hypotension, syncope

special-expires rapidly, dont get it on you, dont shake spray, BP before/after admin, remove nitro patch before defib, light sensitive

Front 45

Nitroglycerin

adult dosage

Back 45

tablets-0.3-0.4mg every 5mins up to 3 doses
sprays-1 spray every 5mins up to 3
infusion- 5-10 mcg/min (3-6 gtts/min) using 60 dropper slowly titrating to pain relief or hypotension ensues
drip-25mg in 250cc NS

Front 46

Magnesium Sulfate

trade name
generic name
classification

Back 46

trade-none
generic-Magnesium Sulfate
class-anticonvulsant/electrolyte replacement

Front 47

Magnesium Sulfate

actions

Back 47

anticonvulsant, CNS depressant, bronchodilation, increase blood magnesium levels

Front 48

Magnesium Sulfate

indications

Back 48

seizures accompanying eclampsia, documented hypomagnesemia, treatment of choice for torsades de pointes, can be used in refractory vfib, vtach and asthma

Front 49

Magnesium Sulfate

contraindications

Back 49

heart blocks, recent MIs, hypotension, respiratory depression, pts on digitalis/cardiac glycosides

Front 50

Magnesium Sulfate

side effects

special considerations

Back 50

side-hypotension, hypermagnesemia, heart blocks, respiratory and neurological depression

special-calcium chloride as antidote for respiratory depression, dont mix sodium bicarb

Front 51

Furosemide

trade name
generic name
classification

Back 51

trade-lasix

generic-Furosemide

class-diuretic

Front 52

Furosemide

actions

Back 52

inhibits reabsorption of soduym and chloride in the kidneys promoting rapid diuresis of excess body fluids causing venous vasodilation which reduces preload on the heart

Front 53

Furosemide

indications

Back 53

to reverse fluid overload associated with CHF/PE, temporarily control hypotensive crisis in certain situations

Front 54

Furosemide

contraindications

Back 54

pregnancy, hypotension, hypokalemia, electrolyte imbalances, volume depletion

Front 55

Furosemide

side effects

Back 55

hypotension, nausea/vomiting, dehydration, potassium depletion

Front 56

Furosemide

Route of administration

adult dosage

Back 56

ROA- slow IVP

dose- 1mg/kg slow IVP

Front 57

Furosemide

special considerations

Back 57

protect from light, hypokalemia suspected in pts on chronic diuretic therapy, incompatible in IV line with dopamine/epi, dont mix with valium or benadryl

Front 58

Adenosine

trade name
generic name
classification

Back 58

trade- adenocard

generic-Adenosine

class-anitarrythmic

Front 59

Adenosine

actions

Back 59

transiently blocks conduction through the AV Node

Front 60

Adenosine

indications

Back 60

converts SVT, including WPWS, doesnt convert afib, aflutter, or ventricular arrythmias

Front 61

Adenosine

contraindications

Back 61

sick sinus syndrome, heart blocks, bradycardias, pts on persantine, caution with heart transplants

Front 62

Adenosine

side effects

Back 62

chest pain, SOB, facial flushing, transient heart block and potential transient arrythmias during conversion from PSVT to sinus rhythm including vtach or asystole, half life < 10 secs

Front 63

Adenosine

Route of administration

special considerations

Back 63

ROA-Rapid IVP

Special- use closest port, rapid flush following, patient on monitor, ekg before administration

Front 64

Adenosine

adult dosage

Back 64

6mg rapid IVP followed by 20cc NS flush, repeat 12mg if not converted, may repeat 12mg one time

Front 65

Amiodarone

trade name
generic name
classification

Back 65

trade-coradone

generic-Amiodarone HCl

class-anitarrythmic

Front 66

Amiodarone

actions

Back 66

blocks sodium, potassium, and calcium channels of the cardiac conduction cycle that slow conduction and prolongs the refractoriness of the heart

Front 67

Amiodarone

indications

Back 67

vfib, pulseless vtach and some atrial dysrrythmias

Front 68

Amiodarone

contraindications

Back 68

none in pulseless cardiac arrest, hypotension, bradycardia or AV blocks

Front 69

Amiodarone

side effects

Back 69

non dose dependent side effects of bradycardia, AV block and hypotension

Front 70

Amiodarone

adult dosage

Back 70

vfib, pulseless vtach- 300 mg, repeat 150mg IVP

vtach with pulse- 150mg in 100cc NS over 10 mins

Front 71

Dopamine

trade name
generic name
classification

Back 71

trade-dopastat, intropin

generic-Dopamine

class-endogenous catecholamine

Front 72

Dopamine

actions

Back 72

vasopressive agent that stimulates the dopaminergic receptors at a low dose, stimulates the beta receptors at a medium dose and stimulation the alpha receptor at a high dose

Front 73

Dopamine

indications

Back 73

hypotension after volume depletion as been reestablished, post cardiac w/stable BP & HR, may be used to increase bradycardia refractory to adenosine, TCA overdoses with hypotension

Front 74

Dopamine

contraindications

Back 74

tacharrthymias, hypovolemia, vfib

Front 75

Dopamine

side effects

Back 75

hypertensions, nausea/vomiting, ventricular tacharrthymias

Front 76

Dopamine

adult dosage

Back 76

2-20 mcg/kg/min usually 2-5mcg/kg/min with 30 gtts/min tiltrating until systolic BP of 90

drip-400mg in 500cc NS or 200mg in 250cc NS

Front 77

Dopamine

Route of Administration

Special Considerations

Back 77

ROA- IV infusion

Special-dont mix w/sodium bicarb, use caution w/ caution, very potent agents

Front 78

Morphine Sulfate

trade name
generic name
classification

Back 78

trade-duramorf, infumorf

generic-Morphine Sulfate

class-narcotic/analgesic

Front 79

Morphine Sulfate

actions

Back 79

powerful pain killer, arterial and venodilator, decreases preload and afterload, decrease workload of the heart, decrease myocardial O2 demand, CNS depressant

Front 80

Morphine Sulfate

indications

Back 80

chest pain unrelieved by nitro, PE, severe non-cardiac pain

Front 81

Morphine Sulfate

contraindication

Back 81

hypotension, head injury, abdominal injury/pain

Front 82

Morphine Sulfate

Side effects

Back 82

respiratory depression, hypotension, nausea/vomiting

Front 83

Morphine Sulfate

Route of administration

Back 83

slow IVP/IM

Front 84

Morphine Sulfate

adult dosage

Back 84

small increments of 1-3 mg every 3-5mins, lower doses in elderly

Front 85

Morphine Sulfate

special considerations

Back 85

narcan to reverse side effects