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32 Cards in this Set

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Glucagon
Antihypoglycemic
causes breakdown of stored glycogen.
Hypoglycemia w/no iv
Dose: 0.5-1mg IM
Morphine sulfate
Narcotic analgesic opioid
MOA: slight vasodialation, reduces venous return, reduce myocardial demand
Uses: pain, AMI, PE
Dose: 2-4mg 5-30 min. repeat dose @ 2-8mg 5-15 min.
Contra: Undiagnosed head or abdominal pain, hypotention
Etomidate (Amidate)
Hypnotic
MOA: Hypnosis
Uses: RSI
Dose: 0.1-0.3mg/kg over 15-30 sec
Succs
Paralytic
MOA: ultra short paralytic (5mins)
Uses: RSI
Dose: 1-2mg/kg rapid IV may repeat once
Diazepam (valium)
Benzo sedative+skeletal muscle relaxant
MOA: reduces tremor, induces amnesia, reduces recurrence of seizure, cardioversion sedation
Uses:seizures, acute anxiety, premedication
Dose: 2-15mg IV max of 30mg
Versed (midazolam)
Seditive Benzo
MOA: CNS depressant, muscle relaxant, anticonvulsant
Dose: 2-2.5mg slow IV max of 0.1mg/kg
Cardizem (Diltiazem)
CCB
MOA- Slows SA and AV times
Uses- Angina, A-fib, A-flutter
Doses-0.25 to 0.35mg/kg
Cautions in Blocks and hypotention
Calcium Chloride
Electrolyte
MOA: rasies calcium+lowers potassium, increases cardiac force
Uses: Arrest of dialysis pt, CCB overdose
Dose: 500-1000mg may repeat
Lidocaine (Xylocaine)
Antiarrythmic
MOA: Suppresses automaticity, raises ventricular threshold, analgesic
Uses: Pulseless v-tach, v-fib, v-tach w/pulses, PVC's
Dose: Arrest: 1-1.5mg/kg over 3-5min
V-tach:1-1.5mg/kg slow IV
Max of 3mg/kg
Contra-2nd-3rd degree block and brady
Drip: 1-4mg/min
Amiodarone (Cordarone)
Antiarrythmic
MOA: Blocks sodium channels+myocardial patassium channels.
Use: V-fib,V-tach+unstable v-tach
Dose: 150-300mg
Contra: sinus brady, 2nd-3rd blocks, cardiogenic shock
Nitro
Vasodialator
MOA: smooth muscle relaxant, reduces preload+afterload
Uses: Ischemic CP, Hypertention, CHF, Pulmonary Edema, Pain w/ MI
Dose: 0.4mg
Contra: Head trauma, viagra, BP<100
Asprin (ASA)
Antiinflammatory, anticoagulant
MOA: Prevents clotting
Use: CP of cardiac nature
Dose: 160-325mg PO
Contra- ulcers or asthma
Solu-Medrol (methylprednisolone)
Anti-inflammatory glucocorticoid
MOA: Synthetic corticosteroid that supresses acute+chronic inflamation
Uses: Asthma, COPD, anaphylaxis, spinal trauma
Dose: Spinal 30mg/kg IV over 30min, COPD: 1-2mg/kg IV not effective after 8hrs
Benedryl
Antihistimine, anticholenergic
MOA: Blocks histamine, reduces edema, bronchoconstriction+vasodilation
Uses: Allergic reactions, anaphylaxis, Dystonic reaction
Dose: 25-50mg IV/IM
Contra: Asthma,glaucoma, pregnancy, hypertention
Atrovent
bronchodialtor
MOA: dialates Bronchioles
Use: COPD, Asthma, Anaphylaxis
Dose: 0.5mg in 3mls of NS
SINGLE USE
Albuterol
Sympathomimetic bronchodilator
Uses: COPD, Asthma, Pneumonia, Anaphylaxis
Contra: Tachy
Dose: 2.5mg in 3mls of NS
Lasix (Forosemide)
Loop Diuretic
MOA: inhibits electrolyte reabsorption, promotes excretion of sodium,potassium
Uses: Chf, pulmonary edema, hypertensive crisis
Dose: 0.5-1mg/kg IV over 1-2mins if no effect double to 2mg/kg
Narcan
Narcotic Antagonist
MOA: blocks effects o narcs, reverse respo depression
Use: Narc OD, Coma of unknown origin
Dose: 0.4-2mg IV max of 10mg
Adenosine (adenocard)
Anti-dysrythmic
MOA- Slows conduction through the AV node
Uses- SVT, Narrow complex tachy
Doses- 6mg, 12mg, 12mg
Contra- Heart Blocks
Diltizem (Cardizem)
CCB
MOA- Slows SA and AV times
Uses- Angina, A-fib, A-flutter
Doses-0.25 to 0.35mg/kg
Cautions in Blocks and hypotention
D-50
Sugar
MOA- Provides sugar to the cells
Uses- Hypoglycemia
Doses- 12.5g to 25g
Dopamine (Inotropin)
Inotropic agent
MOA- Dilates heart, brain, and kidney vessels and raises BP
Uses-Cardiogenic, spinal, septic shock, hypovolemia after bolus fails
Doses- 2-20mcg/kg/min
Titrate to 100 systolic
EPI 1:1000
Sympathomimetic
MOA-Cardiac stimulation, Bronchodilation
Uses- Anaphylaxis, Asthma
Doses-0.3-0.5mg SQ over 5-15min
EPI 1:10,000
Sympathomimetic
MOA-Cardiac stimulation, Bronchodilation
Uses-Cardiac arrest, Severe Anaphylaxis
Doses-Arrest 1mg IV every 3-5min
Anaphylaxis- 0.1mg IV over 5min
Calcium Chloride
Electrolyte
MOA- Raises Calcium lowers potassium
Uses- CCB overdose, Dialysis arrest
Doses- 500-1000mg IV may repeat
Etomidate (Amidate)
Hypnotic
MOA-Hypnosis
Uses- RSI
Dose-0.1-0.3mg/kg over 15-30sec
Rumazicon (Flumazenil)
Benzo antagonist
MOA-blocks receptor sites
Uses- Benzo Overdose
Doses- 0.2, 0.3, 0.5mg IV up to 3mg
Heparin
Anticoagulant
MOA-Prevents fibrin formation
Uses- Prevent thrombosis
Doses- 5000 units IV
Caution w/bleeds
Magnesium Sulfate
Electrolyte
MOA-CCB, Depresses CNS, anti-convulsant
Uses- V-fib, V-tach, Torsades, AMI, Eclampsia
Doses- 1-2g, 2-4 for eclampsia
Promethazine (Phenergan)
Antiemetic
MOA-Promotes sedation
Uses- NV, motion sickness
Doses- 12.5-25mg IV, IM, PR
Procainamide (pronestyl)
Anti-Arrhythmic
MOA: Prolongs ventricular repolarization.
Uses: Stable V-tach, SVT refractory to adenocard, A-fib
Doses: 20mg/min to 17mg/kg to effect then 1-4mg/min
Contra 2nd-3rd blocks
Verapamil (isoptin)
CCB
MOA: slows AV conduction, supresses SVT
Uses: PSVT refractory to adenosine, A-fib, A-flutter
Dose: 2.5-5mg IV over 2-3min then 5-10mg after 10-15min. Max of 20 mg