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38 Cards in this Set

  • Front
  • Back

ACETAMINOPHEN




BRAND NAME




INDICATIONS

Tylenol




Patients 3 years old +


mild to moderate discomfort


(2-5)

ACETAMINOPHEN




CONTRAINDICATIONS

1) Head Injury 2) Hypotension


3) Patient has taken med containing acetaminophen in past 4 hours


4) Inability to swallow


5) Respiratory distress


6) Persistent vomiting


7)Known or suspected liver disease


8) Allergy to acetaminophen


9) Patient less than 3 years old

ACETAMINOPHEN




PEDIATRIC DOSE

Less than 3: Contraindicated




3-5 years: 160 mg in 5 ml (unit dose)




6-9 years: 320 mg in 10 ml (2 unit doses)

ACETAMINOPHEN




ADULT DOSE

10 years+ : 640 mg in 20 ml (4 unit doses)




Request online medical direction for severely overweight or underweight patients

ACTIVATED CHARCOAL




INDICATIONS

Poisoning by mouth

ACTIVATED CHARCOAL




CONTRAINDICATIONS

Altered Mental Status




Patient who has already received an emetic

ACTIVATED CHARCOAL




ADULT DOSE

Administer 1 g / kg

ACTIVATED CHARCOAL




PEDIATRIC DOSE

Administer 1 g / kg

ADENOSINE




BRAND NAME




INDICATIONS

ADENOCARD




narrow complex tachycardias

ADENOSINE




CONTRAINDICATION

1) known hypersensitivity




2) Hx of moderate to severe asthma; active brochospasms




3) Polymorphic or irregular wide complex tachycardias

ADENOSINE




ADULT DOSE

1st dose) 6 mg rapid IV Push




2nd and 3rd dose if needed) 12 mg rapid IV push




*Each dose must be flushed


*Wait 2 minutes for desired effect b/t doses

ADENOSINE




PEDIATRIC DOSE

1st dose) 0.1 mg/kg rapid IVP (max 6 mg)




2nd and 3rd doses) 0.2 mg/kg rapid IVP (max of 12 mg)




*Each dose is quickly flushed


*Wait 2 minutes for desired effects b/t doses

ALBUTEROL




BRAND NAME




INDICATIONS

1) Brochospasms and Wheezing




2) Hyperkalemia

ALBUTEROL






CONTRAINDICATIONS




MEDICAL CONSULT NEEDED FOR WHAT?







Known Hypersensitivity




Medical Direction required for patients with:


1) babies in the belly


2) cardiac hx

ALBUTEROL



ADULT DOSE




ADULT DOSE (ASTHMA AND HYPERKALEMIA)



2.5 mg nebulized connected to 6-8 ml o2


may repeat 1x




hyperkalemia; 20 mg nebulized connected to 6-8 ml O2




*Hyperkalemia requires medical consult

ALBUTEROL



PEDIATRIC DOSE




(ASTHMA AND HYPERKALEMIA)



Less than 2) 1.25 mg nebulized


may repeat 1x




2 years and above) 2.5 mg nebulized


may repeat 1x




*Hyperkalemia: same as above


requires medical consult

ASPIRIN




INDICATIONS

Chest pain where acute myocardial infarction is suspected

ASPIRIN



CONTRAINDICATIONS

known hypersensitivity

ASPIRIN



ADULT DOSE

324 or 325 mg chewed

ASPIRIN



PEDIATRIC DOSE

Contraindicated




Age?

ATROPINE




BRAND NAME




INDICATIONS

Atropen




1) Symtomatic Bradycardia




2) Organophosphate poisoning




3) Suspected Nerve Agents

ATROPINE



CONTRAINDICATIONS

1) Hypersensitivity




2) Dysrythmias that could effect cardiac output


i.e. a fib, a flutter or PAT w/ block




3) "Relative Contraindications" include 2nd degree type II and 3rd degree blocks, suspected infarction, and glycoma

ATROPINE



ADULT DOSE




BRADYCARDIA

0.5 mg - 1 mg IVP repeated every 3 - 5 minutes




max total dose of 0.04 mg/kg

ATROPINE



PEDIATRIC DOSE




BRADYCARDIA

0.02 mg/kg IV/IO minumum dose is 0.1 mg


max dose is 0.5 mg




ET: 0.04 - 0.06 mg/kg dilute in 5 ml repeat 1x

ATROPINE




ADULT DOSE




ORGANOPHOSPHATE POISONING

2-4 mg IVP or IM repeat every 5 - 10 minutes

ATROPINE




PEDIATRIC DOSE




ORGANOPHOSPHATE POISONING

0.02 mg/kg IVP/IO/IM repeat every 5 -10 minutes

ATROVENT




OTHER NAME




INDICATIONS

Ipatropium




1) Allergic Reaction/ Anaphalaxis




2) Bronchial Asthma




3) Reversable bronchospasms associated with chronic bronchitis and emphazema

ATROVENT




CONTRAINDICATIONS

1) Hypersensitivity




2) Hypersensitivity to Atropine




3) Less than 1 year old

ATROVENT




ADULT DOSE

500 ucg nebulized


use in addition to albuterol.


single administration only

ATROVENT




PEDIATRIC DOSE

Less than 1 year old: contraindicated


1 - less than 2: 250 ucg with albuterol


2 years and older: adult dose

SUCCINYLCHOLINE




OTHER NAME




INDICATIONS

Anectine




Used to achieve paralysis during Rapid Sequence Intubation

SUCCINYLCHOLINE




CONTRAINDICATIONS

Conditions that may cause Hyperkalemia:


i.e. burns or spinal cord injury more than 24 hours old




known nueromuscular disease


renal failure or presence or PIC line


hypersensitivity


hx of malignant hyperthermia

SUCCINYLCHOLINE




ADULT DOSE

Admister 1.5 mg/kg IVP max of 200 mg


if not enough administer 2nd dose of


1 mg/kg after 2-3 minutes, max dose of 200 mg

SUCCINYCHOLINE




PEDIATRIC DOSE

Adminster 1 mg/kg IVP max dose of 200 mg


if not enough administer 2nd dose of


1 mg/kg after 2-3 minutes, max dose of 200 mg

VALIUM




OTHER NAME




INDICATION

Diazepam




1) sustained or recurrent seizures




2) severe nerve agent exposure



VALIUM




CONTRAINDICATIONS

1) known hypersensitivity




2) head injury




3) use caution with patients with altered mental status, hypotension, glycoma.

VALIUM




ADULT DOSE

2.5 mg increments slow IVP


Max total dose 10 mg


*IM requires medical direction

VALIUM




PEDIATRIC DOSE

0.1 mg/kg in 2.5 mg doses slow IVP/IO


Max dose 5 mg


Rectal dose: 0.2 mg/kg Max dose 10 mg


*IM requires medical direction