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30 Cards in this Set
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- Back
Acetaminophen (Tylenon, APAP) |
Analgesic/Antipyretic. Reduces fever by acting directly on the heat regulating center of the hypothalamus. Indications: Fever Dose: Adult 650-1000 mg PO, Pedi 15mg/kg PO |
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Adenosine (Adenocard) |
Slows tachycardias associated with AV node. Acts on sinus pacemaker cells and vagal nerve to decrease chronotropic and dromotropic activity. Indications: PSVT/SVT Contraindications: 2nd or 3rd degree block, sick sinus, caution in pregnancy and pts with wheezing. Dose: (adult)12mg rapid IV/IO, repeat 12mg |
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Albuterol (Ventolin, Proventil) |
Adrenergic beta 2 agonist, sympathomimetic, bronchodilator. Stimulates beta 2 adrenergic receptors in lungs and causes a relaxation of bronchial smoothe muscle. Indications: Relief of bronchospasm, resp distress, allergic reaction, hyperkalemia Dose: 2.5mg with non humidified oxygen at 8-10 L/min |
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Amiodarone (Cordarone) |
Class III anti-arrythmic. Acts directly on the cardiac cell membrane by blocking sodium channels, prolongs repolarization and refractory period. Acts on peripheral smooth musc Indications: V-Fib, hemodynamically unstable V-Tach, narrow complex tachycardia Contraindications: caution with pt's with hypokalemia and hypomagnesemia, heart block Dose: V-Fib 300 mg, V-Tach 150 mg |
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Aspirin (Acetylsalicylic acid, ASA) |
Analgesic, antipyretic, and anti-inflammatory, inhibits platelet aggregation. Indications: Ischemic chest pain Contraindications: previous reactions, current anticoagulant therapy, suspected active hemmorage Dose: 160-325 mg tablets |
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Ativan (Lorazepam) |
CNS depressant (sedative) with muscle relaxant and anticonvulsant properties, used to relieve anxiety and tension, seizures. Indications: sedation for acute stress, acute alcohol withdrawal for DT or agitation, recurrent convulsive seizures, sedation before cardioversion Contraindications: alcohol or sedative ingestion, resp depression, shock, coma, isolated musculoskeletal injuries. Dose: 0.5 to 2 mg |
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Atropine
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Autonomic nervous system inhibitor, blocks parasympathetic action. Indications: sinus brady with PVCs, hypotension, 2nd degree or 3rd degree AVB with bradycardia, organophosphate poisoning Contraindications: Atrial flutter or A-Fib, h/x of glaucoma. Dose: bradycardia 0.5 - 1mg, organophosphate poisoning 2mg |
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Atrovent (Ipatropium Bromide) |
Anticholinergic bronchodilator. Indications: resp distress due to asthma, chronic bronchitis, emphysema Contraindications: Caution with CAD, hypertension, hyperthyroidism, and diabetes. Dose: 0.5 mg in 2.5 mL |
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Benadryl (Diphenhydramine) |
Antihistaminic agent, produces anticholinergic and sedative effects. Indications: Anaphylactic shock and severe allergic reaction, dystonia, motion sickness Contraindications: Pregnancy, Asthma, Glaucoma, alch/depressant abuse Dose: 50mg IV/IM/IO |
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Cardizem (Diltiazem) |
Calcium channel blocker Indications: narrow complex tachy refractory to adenosine, a-fib/a-flutter. Contraindications: V-Tach, sick sinus, 2nd or 3rd degree AV block Dose: 20 mg IV |
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Calcium Chloride |
Cation Electrolyte. Indications: mag sulfate or calcium channel blocker OD, cardiac arrest in renal dialysis patients, arrhythmias due to hyperkalemia, relieft of pain and muscle spasms due to black widow bite Contraindications: caution in digitalis, hypercalcemia, vfib, kidney stones, CHF. Dose: 1.0 grams |
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Dextrose 10% - 25% - 50% |
Hypertonic dextrose solution. Indications: Hypoglycemia, uncon of unk origin, seizure of unk origin Contraindicaitons: presenting with S/S of CNS pathology, intracranial hemorrhage, cerebral edema, increased ICP Dose: 25 grams IV/IO |
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Dopamine (Inropin) |
Acts as a beta sympatheic mediator, exerts an inotropic effect on the mycardium, dilates renal vasculature. Indications: hypotension during non-hypovolemic shock, symptomatic bradycardia Contraindications: not to be administered in presence of uncorrected tachyarrhythmias or VFib, acute hypertension. |
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Ephinephrine (Adrenaline) |
Endogenous catecholamine with nonselective beta1 and beta2 and alpha properties Indications: Anaphylaxis / acute allergic reaction, asthma, bradyarrhythmias resistant to atropine. Contraindications: None in cardiac arrest, hypovolemic shock. Dose: Cardiac arrest- 1mg IV/IO, Allergic reaction- 0.3 mg IM, Anaphylaxis- 0.5 mg IM, Bronchospasm- 0.3 IM |
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Etomidate (Amidate) |
Non-barbituate hypnotic. Indications: induction of anesthesia prior to administration of neuromuscular blockade. Dose: 0.15 mg/kg IV |
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Fentanyl (Sublimaze) |
Potent synthetic with analgesic properties. Indications: Control of moderate to severe pain Dose: 1mcg/kg IV/IO |
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Glucagon |
Pancreatic hormone-insulin antagonist, causes breakdown of glycogen to glucose. Indications: Altered LOC where hypoglycemia is suspected and an IV route is not immediately available, beta blocker OD, calcium channel blocker OD Contraindications: Allergy to proteins Dose: 1mg IM
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Glucose, oral |
Carbohydrate, anti-hypoglycemic. Indications: Hypoglycemia with altered mental status. Contraindications: Inability to swallow. Dose: 15-45 grams PO |
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Haldol (Haloperidol) |
Antipsychotic, neuroleptic, blocks dopamine receptors. Indications: used in acute psychotic episodes, may use with Ativan especially in sympathomimetic OD (cocaine, methamphetamines) Contraindications: children under 14 Dose: 5-10 mg |
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Ibprofen (Motrin) |
Nonsteroidal anti inflammatory drug with signifigcant antipyretic and analgesic properties. Indications: Fever Contraindications: hypersensitivity, peptic ulcer disease, bleeding abnormalities, renal disease, hepatic disease. Dose: 600mg PO |
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Ketamine Hydrochloride (Ketalar) |
CNS agent produces a rapid-acting dissociative effect with limited cardiovascular or respiratory side effects. Indications: Rapid control of the agitated/exited delirium patient requiring medical intervention Contraindications: Hypertensive crisis/Angina/Chest pain/MI, airway management. Dose: 20mg dose, secondary to Fentanyl. |
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Magnesium Sulfate |
Electrolyte salt solution with CNS depressant like properties. Indications: Refractory VFib or VTach, Torsade-de-point, Seizures with eclampsia, bronchospasm Contraindications: High degree AV block Dose: 1-2 grams IV/IO |
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Narcan (Naloxone) |
Synthetic opioid antagonist. Indications: known narcotic OD, Uncon of unk etiology. Contraindications: Caution in narcotic-dependent patients who may experience withdrawl Dose: 0.4-2 mg |
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Nitroglycerin (Nitrostat, Nitrolingual Spray) |
An organic nitrate, smooth muscle vasodilating agent. Indication: Ischemic chest pain, CHF Contraindication: Caution in patients presenting with hypersensitivity, ICP/head injury, hypotension. Dose: 0.4 mg |
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Nitrous Oxide (Nitronox, NO2) |
Analgesic, olorless gas that acts on the CNS. Indication: moderate to severe pain, extremity trauma, acute MI, or burns. Contraindications: Altered LOC, alcohol ingestion or drug OD, Pregnancy Dose: Self administered through inhalation |
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Rocuronium |
Non-depolarizing neuromuscular blocker. Indication: To facilitate paralysis during RSI. Contraindication: Inability to ventilate. Dose: 1.0 mg/kg |
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Sodium Bicarbonate |
Hypertonic solution used as a systemic alkalizer, reacts with hydrogen ions to form water and carbon dioxide and thereby can act to buffer metabolic acidosis. Indication: Cardiac arrest situations with a down time greater than 10 minutes, TCA OD, known preexisting bicarb-responsive acidosis. Contraindication: None, in life threatening emergencies, CHF, Metabolic and respiratory alkalosis. Dose: 1mEq/kg IV/IO |
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Solumedrol (Methylprednisolone) |
Synthetic steroid that suppresses acute and chronic inflammation, beta adrenergic agonist Indications: Bronchial asthma and other bronchospastic states, life threatening shock states. Contraindications: Caution in patients with GI hemorrhage and diabetes mellitus, fungal infection. Dose: 125 mg slow IV |
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Thiamine |
Vitamin B complex. Indications: patients presenting with s/s of alcohol toxicity, Wernicke's or Korsakoff's phychosis, uncon pt of unk etiology. Thiamine should be administered prior to D50 and Narcan. Dose: 100 mg IV/IO |
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Zofran (Ondansetron) |
Blocks the actions of chemicals in the body that can trigger nausea and vomiting. Indications: Prevention of nausea and vomiting Contraindications: Caution in liver impairment, abdominal surgery, pregnancy. Dose: 4.0 mg over 2 min |