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21 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Vasopressin
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40 units IV as part of 1st or 2nd vasoconstrictor
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Naturally occurring ADH at high levels is a potent vasoconstrictor
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Epinephrine
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1mg IVP 1:10,000 q3-5. Drip for symptomatic bradycardia @2-10mcg/min. 1mg/250cc
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Increase HR, automaticity, contractility, SVR vasoconstriction, increases myocardial O2 demand
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Atropine
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.5mg q3-5 up to 3mg
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Increases AV conduction, may restore cardiac rhythm in asystole
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Amiodarone
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300mg rapid IVP I'm 20-30cc NS for VF/pulseless VT. Repeat once 5-10min @150mg
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Effects NA+,K+,CA+ channels as well as a and b blocking effects.
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Lidocaine
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VFIB: 1-1.5mg/kg repeated in 5 as .5-.75mg/kg to 3mg/kg
VTACH with +pulse: .5-.75mg/kg 5-10 up to 3mg/kg |
Decrease automaticity through slope of phase 4 diastolic depolarization, local anesthetic properties suppress v ectopy
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Adenosine
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6mg RAPID IVP followed by 20ml NS. Repeat 1-2 min at 12mg
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SVT. PSVT
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Sodium Bicarbonate
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1meq/kg. repeat at half the initial dose in 10 min as needed
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Alkalinizing agent. Drug overdoses in particular TCA to alkalinize urine
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Morphine
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2-4mg IV q5 until desired effect is achieved
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Analgesic effect. Decreases venous return. Increases venous capacity. Produces mild arterial vasodilation.
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Calcium Chloride
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Hyper kalmia and Ca channel blocker OD:8-16mg/kg
Prophylaxis of Ca channel blockers :2-g/kg |
Inotropic. Allows for cellular level exchange of ions.
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Dopamine
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5-20mcg/kg/min
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Under 2: renal. 2-10: beta and alpha. Over 10: alpha predominates.
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Furosemide
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.5-1mg/kg IV. May repeat up to 2mg/kg total
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Inhibits reabsorption of sodium at the loop of henle and in proximal and distal tubules.
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Nitrogly
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SL: 0.3-0.4mg up to 3 doses
IV: initial dose 10-20mcg/min titrated |
Increases supply, decreases work, smooth muscle relaxation
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Thiamine
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100mg slow IV or IM
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Combined with ATP to form pyrophosphate coenzyme. The brain is extremely sensitive to thiamine deficiency
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Dextrose
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12.5-25g of a 50% slow IV. Repeat as necessary.
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Increases serum glucose levels.
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Aspirin
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160-325mg PO
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Prevents platelets from clumping together, or aggregating and forming emboli.
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Glucagon
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Hypoglycemia: .5-1mg IM, q7-10
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Stimulates glycogenolysis.
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Diphenhydramine
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25-50mg IM IV PO
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Blocks histamine receptors, decreases motion sickness
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Naloxone
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.4-2mg IM IV IO SQ ET q5. Max 10mg
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Competitive inhibition at narcotic receptor sites
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Diazepam
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5-10 mg IV q10-15. Max 30mg. Premedication for cardioversion 5-15mg IV over 5-15 min
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Ativan
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2-4mg slow IV/IM @2mg/min q15-20. Max 8mg
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Suppress propagation of seizure activity produced by foci in cortex, thalamus, and lambic areas.
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Fentanyl
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50-100mcg (1mcg/kg) IM IV IO slow push 1-2min. Max 150mcg
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Binds to opiate receptors, producing analgesia and euphoria
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