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74 Cards in this Set
- Front
- Back
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ActivatedCharcoal |
Class:Absorbent Actions:Binds with toxins to prevent digestion Indications: Poisoning, overdose Contra:None in severe poisoning Precautions: Altered L.O.C Side effects: Constipation Dose:1g/kg(50-75g) oral |
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Albuterol(Proventil) |
Class: Bronchodilator,sympathomimetic (B2) Actions:Bronchodialation Indications:Asthma, bronchospasm w/COPD Contra: Symptomatic tachycardia Precautions:Use with cautions with patients with known heart disease Side effects: Palpitations, anxiety, headache,dizziness, tachycardia Dose: 2.5mgnebulized at 8 lpm. Repeat if needed |
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Adenosine(Adenocard) |
Class: Antiarrhythmic Actions: Slows AV conductionIndications: Symptomatic PSVT, SVT, NCT Contra:2nd/3rdheart block, Sick-sinus syndrome Precautions: Use with cautions in patients withasthma Side effects: Facial flushing, headache, S.O.B. Dose: 6mg,12mg IV followed by 20cc bolus |
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Amiodarone(Cordarone) |
Class: Antiarrhythmic Actions: prolongs refractory period, slows sinus rate, increases PR, and QT intervals Indications: V-tach, V-fib, maligment PVC’s Contra: Sinus brady, 2nd/3rd degree heart block, bradycardia w/low B/P Precautions: Heart failure Side effects: Hypotension, tremors, ventricular ectopic beats Dose: Initial dose: 150mg/10min or 300mg IV. Second dose: half of the firstp://sti3 |
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AmylNitrate |
Class: Nitrate Actions:Removes cyanide ion, vasodilator Indications: cyanide poisoning(bitter almond smell to breath) Contra: none if used in cyanide poisonings Side effects: Headache, hypotension, reflextachycardia Dose: inhalant; should be broken and inhaled. Repeated as needed. |
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Aspirin(ASA) |
Class: Anti-inflammatory,platelet inhibitor Actions: Blocks platelet aggregation Indications:Chest pain associated with an MI Contra: Hypersensitivity of the drug Precautions: GI bleeding Side effects: Heartburn, wheezing Dose: 160-325mgoral (324mg) |
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Atropine |
Class: Parasympatholytic,anticholinergic Actions: Blocks acetylcholine receptors, increases heart rate, decreases GI secretions Indications: Hemodynamically significant bradycardia, organophosphate poisoning Contra: none when used in emergency settings Side effects: Tachycardia, hypertension,anxiety, dry mouth, palpitations, pupillary dilation, blurred vision Dose: Bradycardia -0.5mg IVP, every 3-5 minutes,max dose of 0.04mg/kg Organophosphatepoisoning- 2-5mg IV |
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Calcium Chloride |
Class: ElectrolyteActions:Increase cardiac contractility Indications: Acute hypo/hyperkalemia, Calcium channel blocker OD (examples;Verapamil,nifedipine), Abdominal muscle spasms associated with spider bite, and man-o-warstings, antidote for Magnesium sulfate Contra: Patients receiving digitalis, Vfib Precautions: IV lines should be flushed between calcium chloride and sodium bicarbonateadministration. Side effects: Arrhythmias, hypotension,bradycardia Dose: 2-4mg/kgof a 10% solution IV (packaged in a 10% solution). Repeated at 10 minutesintervalNU G0E0CU |
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Dextrose(50 Percent) |
Class: Carbohydrate Actions: Elevates blood sugar level rapidly Indications: HypoglycemiaContra:None in emergency setting Precautions: tissue necrosis Side effects: Local venous irritation Dose: 25g (50ml) IV, also called an “amp” |
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Diazepam(Valium) |
Class: Tranquilizer Actions: Anticonvulsant, Skeletal muscle relaxant, Sedative Indications: Seizures, status epilepticus, premedication before cardioversion. Contra: Hypersensitivity to the drug Precautions: Flumazenil should be available Side effects: Hypotension, respiratorydepression, apnea Dose: Seizures:5-10mg IV, IM, rectal,Cardioversion 5-15mg IV, IM, rectal/flashcards/edit/8497255 |
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Digoxin(Lanoxin) |
Class: Cardiacglycoside Actions: Increases cardiac contractile force, and output, reduces edema associated withCHF, slows AV conduction Indications: CHF, NCT(a-fib, a flutter) Contra: S/S of digitalis toxicity, Vfib Side effects: Arrhythmias, yellow vision Dose: 0.25-0.5mg IV |
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Diltiazem(Cardizem) |
Class: Calciumchannel blocker Actions: Slows AV conduction, vasodilatation, decrease ventricular rate, and decreasesmyocardial oxygen demand Indications: to control rapid ventricular rates associated with a-fib, and a-flutter Contra: Hypotension, WCT, Conduction systemdisturbances, patient receiving IV beta blockers Precautions: use w/caution with seizures, asthma Side effects: impair mental/physical ability,drowsiness Dose: 12.5-25mg IV, 50-100mg IMILc/ |
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Diphenhydramine(Benadryl) |
Class: Antihistamine Actions: Blocks histamine receptors, sedative effects Indications: Anaphylaxis, Allergic reactions Contra: Asthma, Nursing mothers Precautions: Hypotension Side effects: Sedation, dries bronchial secretions,blurred vision, headache, palpitations. Dose: 25-100mgIV/IM (50-100mg local)en-X0U |
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Dobutamine(Dobutrex) |
Class: Sympathomimetic Actions :Increases cardiac contractility, little chronotropic activity Indications:Short term management of CHF Contra:Use only in patients with adequate heart rate. Side effects: Headache, hypertension,palpitations Dose: 2.5-20mcg/kg/min. Place 250mg into 500ml of NSwhich concentration 0.5mg/ml. |
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Dopamine(Intropin) |
Class: Sympathomimetic Actions:Increase cardiac contractility, peripheral vasoconstriction Indications:Low B/P(not due to hypovolemia), cardiogenic shock Contra:If fluid bolus hasn’t been attempted first, Pheochromocytoma (rare adrenalgland tumor), Side effects: Vtach, hypertension, palpitations Dose: 2-20mcg/kg/mintitrate to effectB |
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Epi1:1000 |
Class: Sympathomimetic Actions:Bronchodilation Indications:Allergic reaction, COPD, Asthma Contra:Patients with underlying cardiovascular disease, hypertension, pregnancy, tachyarrythmias Side effects: Palpitations, tachycardia,anxiousness, headache, tremors Dose: 0.3-0.5mgSQ |
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Epi1:10,000 |
Class:Sympathomimetic Actions:Increases heart rate, cardiac contractile force, myocardial electricalactivity, blood pressure, and systemic vascular resistance. Bronchodilation Indications:Cardiac Arrest, Anaphylactic shock, Severe reactive disease Contra:Not to be used in patients who do not require extensive resuscitative efforts Side effects: Palpitations, anxiety, tremors Dose: Arrest: 1mg every 3-5 min IV Severe anaphylaxis: 0.3-0.5mg IV |
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Fentanyl(Sublimaze) |
Class: Narcotic Actions:CNS depressant, Decreases sensitivity to pain Indications: Pain, RSI Contra: Shock, severe hemorrhage, undiagnosed abdominal pain Side effects: Dizziness, Altered L.O.C.,bradycardia Dose: 25-100mcgIVf\pb |
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Flumazenil( Romazicon) |
Class: Benzodiazepineantagonist Actions:Reverses effects of benzodiazepines Indications:To reverse CNS respiratory depression associated with benzodiazepines Contra: Not to be used as a tool for diagnosis, unconscious unknown use naloxoneinstead Side effects: Fatigue, Headache, Dizziness Dose: 0.2mg IV over 30 seconds. Repeat as needed max dose 1.0mg. |
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Furosemide(Lasix) |
Class: Diuretic Actions:Inhibits reabsorption of sodium, vasodilatation Indications:CHF, Pulmonary edema Contra: Pregnancy, dehydration Side effects: few in emergency settings,patient will need to urinate Dose: 40-80mgIV |
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Glucagon |
Class: Hormone Actions:Causes breakdown of glycogen to glucose, elevates blood glucose levels.Increase heart rate and contractile force Indications:Hypoglycemia Contra:Hypersensitivity to the drug Precautions:Check blood sugar levels first Side effects: Few in emergency settings Dose: 0.25-0.5unit IV or 1.0 mg IM |
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Ipratropium(Atrovent) |
Class: Anticholinergic,BronchodilatorActions:Bronchodilation, dries respiratory tract secretions Indications:Bronchial asthma, bronchospasms associated with COPD Contra:Not to be used as the primary acute treatment of bronchospasms Side effects: Palpitations, anxiety, headache,Nervousness Dose: 0.5mgvia nebulizer. Premixed |
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Lidocaine(Xylocaine) |
Class: Antiarrhythmic Actions:Suppresses ventricular ectopic activity, Increases v-fib threshold, reducesvelocity of electrical impulse through conductive system Indications:Malignant PVC’s, Vtach, Vfib Contra:High degree heart blocks, PVC’s in conjunction with bradycardia Precautions: Dose should be cut in half for anyone over the age of 70 years of age, or whohave liver disease. Dosage should not exceed 300mcg/hour. In cardiac arrest use only bolus therapy. Side effects: Anxiety, drowsiness, confusion,convulsions, widening QRS complex Dose: Bolus: 1.0-1.5mg/kg IVP Second dose: 0.50-0.75mg/kg. Drip: 2-4mg/min only ifbolus suppressed rhythm |
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Lorazepam(Ativan) |
Class: TranquilizerActions:Anticonvulsant, sedativeIndications:Seizures, status epilepticus, premedication before cardioversion, anxietyContra:Hypersensitivity to the drugPrecautions:Flumazenil should be available, do not mix with other drugs. Dilute with NSprior to IV administration.Side effects: Hypotension, respiratorydepression/apnea, drowsinessDose: 0.5-2.0mg IV, increased to 1.0-4.0mg IV, IM, rectal |
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Magnesium Sulfate |
Class: Electrolyte,Anticonvulsant, AntiarrhythmicActions: CNS depressant, anticonvulsant,AntiarrhythmicIndications:Eclampsia, V-fib, V-tach, Torsades de PointeContra:Shock, Heart blocksPrecautions:Calcium chloride should be availableSide effects: Flushing, Resp. depression,Dose: 1-4g IV, IMX0U |
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Mannitol(Osmotrol) |
Class: OsmoticdiureticActions:Decreases cellular edemaIndications:Acute cerebral edema, blood transfusion reactionsContra:Pulmonary edema, dehydrationPrecautions:IV in-line filter needs to be usedSide effects: Pulmonary congestion, sodiumdepletion, transient volume overloadDose: 1.5-2.0g/kgIV slow bolus or infusionxKKYZTZrsBhZf0 |
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Meperidine(Demerol) |
Class: NarcoticActions:CNS depressant, decreases sensitivity to painIndications:PainContra:Patients taking MAOI’s, undiagnosed abdominal painPrecautions:have naloxone availableSide effects: Dizziness, Altered LOCDose: 25-50mgIV, or 50-100mg IMow bol]0 |
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Methylprednisone(Solu-Medrol) |
Class: SteroidActions:Anti-inflammatory, suppresses immune response(allergic reaction, asthma)Indications:Severe anaphylaxis, asthma, COPDContra:None in emergency settingsSide effects: GI bleeding, prolonged woundhealingDose: 125-250mgIV, IMft:.12in;te_0 |
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Midazolam(Versed) |
Class: TranquilizerActions:Hypnotic, sedativeIndications:Premedication before cardioversion, acute anxiety Contra:narrow angle glaucoma, shockPrecautions:Flumazenil should be availableSide effects: Hypotension, amnesia, respiratorydepression and apneaDose: 1.0-2.5mgIVg IV, IMX0U |
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Morphine Sulfate |
Class: NarcoticActions:CNS depressant, peripheral vasodilatation, decreases sensitivity to painIndications:PainContra:Head Injury, volume depletion, undiagnosed abdominal painPrecautions:naloxone should be availableSide effects: Hypotension, altered L.O.CDose: 2-10mgIV, IMIV, IMX0U |
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Naloxone (Narcan) |
Class: NarcoticantagonistActions:Reverses the effects of narcoticsIndications:Narcotic O.D.’s, rule out narcotic in comaContra:Hypersensitivity of the drugPrecautions:Projectile vomiting if pushed fastSide effects: RareDose: 0.4-2.0mgIV, IM, ETbol]0 |
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Nitroglycerin (Nitro stat) |
Class: NitratesActions:Smooth muscle relaxant, reduces cardiac workload, dilates coronary/systemicarteriesIndications:Angina pectoris, chest pain associated with MIContra:Hypotension, children under the age of 12, ED drugs within 48-72 hoursSide effects: Hypotension, headache, Dose: 0.4mg SL, repeated if needed up to 3times |
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Oxygen |
Class: GasActions:Increase oxygen levelsIndications:HypoxiaContra:NonePrecautions: COPD patients might stop breathingSide effects: Drying of mucus membranesDose: 2-15lpm^P0 |
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Oxytocin(Pitocin) |
Class: HormoneActions:Causes uterine contraction, and lactation. Slows postpartum vaginal bleeding.Indications:Postpartum vaginal bleedingContra:C-sectionPrecautions:Makes sure placenta is delivered, or there is not another fetus prior toadministrationSide effects: Anaphylaxis, ArrhythmiasDose: 10-20units IV, 3-10 units IMX0U |
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Procainamide(Pronestyl) |
Class: AntiarrhythmicActions:Slows conduction, suppresses ventricular activity, elevates v-fib thresholdIndications:PVC’s, V-fib, or V-tach refractory to lidocaine, or amiodaroneContra:High degree heart block, PVC’s in conjunction with bradycardiaPrecautions:Do not exceed 17mg/kgSide effects: Convulsions, widening of QRSDose: Bolus20mg/min, IV drip 1-4mg/min>X0U |
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Prochlorperazine (Compazine) |
Class: AntiemeticActions:AntiemeticIndications:N/V, Acute psychosisContra:Comatose states, patients who have taking a large amount ofdepressants(including alcohol)Side effects: May impair mental and physicalability, drowsinessDose: 5-10mgIV, IM |
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Sodium Bicarbonate |
Class: AlkalinizingagentActions:Combines with acid to rise the ph Indications:Cardiac arrest with long down time, tricyclic antidepressant overdoseContra:Alkalotic statesSide effects: AlkalosisDose: 1mEq/kg IV, Second dose; 0.5mEq/kg |
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Thiamine (Vitamin B1) |
Class: VitaminActions:Allows for the normal breakdown of sugarIndications:Coma of unknown origin, AlcoholismContra:None in emergency settingSide effects: Rare, if anyDose: 100mgIVe='language:e30 |
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Verapamil (Isoptin,Calan) |
Class: Calciumchannel blockerActions:Slows AV conduction, inhibits reentry during PSVT, decreases rate of ventricleresponse, and myocardial oxygen demandIndications:PSVT, NCTContra:Heart block, Conduction system disturbancesSide effects: Hypotension, DizzinessDose: 2.5mgIV, repeat dose of 5-10mg can be given after15-30 minutes if PSVT doesn’tconvertto 3times |
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Vasopressin |
Class: Actions:Reabsorbs fluidIndications:Cardiac Arrest refractory to EpiContra:None in cardiac arrestSide effects:Dose: 40units, Given in place of the first or second round of Epi. Must wait 10 minutesto push Epi after Vasopressin |
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Racemic Epinepherine |
Class: Sympathomimetic AgonistActions:Inhaled used to induce bronchodilation and reduce laryngeal edema and mucus secrettionIndications:CroupContra:Hypersensitivity, hypertension or epiglottitisPrecautions:May result in tachycardia and other dysrhythmiasDose: 0.25-0.75ml of a 2025% solution in2ml NS by Neb. Peds: sameas adultad. */ y |
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Terbutaline(Brethine) |
Class: Sympathetic AgonistActions:synthetic sympathomimetic that causes bronchodilation with less cardiac effectsIndications:Asthma & bronchospasm(COPD)Contra:HypersensitivityPrecautions:cardiac and hypertensive patientsSide effects: Palpitations, anxiety, nausea,dizzinessDose: .25 mg SQ repeat in 15-30 mins |
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Streptokinase( Streptase) |
Class: FibrinolyticActions:Causes degradation of fibrin nd fibrinogen and decreaseserythrocyte aggregation.Indications:MI,DVT, or PEContra:Internal bleeding, Aortic dissection, CVA, T.CPR, HTN, PregnancyPrecautions:recent surgery <10 days, CVD, GI/GU bleeding, trauma, HTN or oralanticoagulant useDose: AMI: 1.5million units IV over 1 hourDVT & PE:250,000 units over 30 mins, then 100,000 units/hr. |
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NitrousOxide (Nitronox) |
Class: Analgesic (gas)Actions:analgesic gas composed of 50% O2 and 50% nitrous oxide. Effects last only 2-5mins after cessation.Indications:Musculoskeletal pain, burn pain, ischemic CP and anxietyContra:bowel obstruction, pneumo ir tension pneumo, COPD, head injury or impairedmental statusPrecautions:use in well ventilated areaSide effects: N/VDose: Self administered inhalation untilpain stops or patient drops mask.3 |
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Enoxaparin( Lovenox) |
Class: AnticoagulantActions:heparin derivative that prevents gthe conversion of fibrinogen to fibrinIndications:inhibit clot formation in unstable angina and non Q-wave MIContra:Hypersensitivity, pork or heparin products, active bleeding or thrombocytopeniaSide effects: Bruising at site, excessivebleedingDose: Unstable angina and non Q-wave MI:1mg/kg SQPE: 0.5mg/kg IV |
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Pancuronium ( Pavulon) |
Class: Nondepolarizingneuromuscular blockerActions:Causes paralysis without bronchospasm o hypotensionIndications:To facilitate endotracheal intubationContra:Hypersensitivity to agent or bromides, or tachycardiaPrecautions:debilitated pt., myasthenia gravis, pulmonary, hepatic or renal disease, fluidor electrolyte imbalanceDose: 0.04- 0.1mg/kg IV Peds: sameas adultE35 |
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Succinylcholine( Anectine ) |
Class: depolarizing neuromuscular blockerActions:ultra short acting depolarizing neuromuscular blockerIndications:Facilitated endotracheal intubationContra:hypersensitivity, family hx of malignant hyperthermia,penetrating eye injury, narrow angle glaucomaPrecautions:severe burns or crush injury, electrolyte imbalances, hepatic, renal cardiac orpulmonary impairment, fractures, spinal cord injury, dehydration, severeanemia; porphyriaDose: 1-1.5mg/kg IV/IMPed: 1-2mg/kgIV/IM |
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Vecuronium ( Norcuron) |
Class: Nondepolarizingskeletal muscle relaxantActions:Similar to pancuronium with minimal cardiovasculareffectsIndications:Facilitated endotracheal itubationContra:HypersensitivityPrecautions:Hepatic or renal impairment, fuid or electrolyte balance, severeobesity, myasthenia gravis, elderly, debilitated or malignant hyperthermiaDose: 0.08 to 0.1 mg/kg IVPed: same asadult; |
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Etomidate( Amidate) |
Class: HypnoticActions:ultra short acting nonbarbituate hypnotic with no analgesic effectsand limited cardio and respiratory effectsIndications:Induces sedation for rapid sequence intubationContra:HypersensitivityPrecautions:Marked hypotension, severe asthma or severe cardiovascular diseaseDose: 0.1-0.3 mg/kg IV over 15-30 sec.Ped: children>10 years, same asadult. |
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Promethazine( Phenergan ) |
Class: AntiemeticActions:Anticholinergic agent that enhances the effects of analgesics and is a potentantiemeticIndications:N/V, motion sickness, to enhance the effects of analgesics and to inducesedationContra:Hypersensitivity to phenothiazines Precautions:Hepatic, respiratory, or cardiac impairments, asthma, hypertension, elderly ordebilitatedDose: 12.5-25mg IV/IM/PRPeds:0.5mg/kg IV/IM/PR |
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Methylprednisolone( Solu-Medrol) |
Class: Corticosteroid, AntiinflammatoryActions:synthetic adrenal corticosteroid, effective as an anti-inflammatory and used inmanagement of allergic reactions and some cases of shock and spinal cordinjuriesIndications:spinal cord injury, asthma, severe anaphylaxis, COPDContra:None in emergency settingPrecautions:Only a single dose in prehospitalDose: Asthma/COPD/anaphylaxis:125-250 mg IV/IM Ped: 1-2 mg/kg/dose IV/IMSpinal cord injury:30mg/kg IV over 15mins, after 45 min an infusion of 5.4mg/kg/hr |
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Acetaminophen( Tylenol) |
Class: Analgesic, AntipyreticActions:analgesic/antipyretic with little effect on platelet functionIndications:Mild to moderate pain and fever when ASA is otherwise not tolerated.Contra:Hypersensitivity, children under 3 yrs.Precautions:Hepatic disease, children inder 12 with arthritic conditions,alcoholism, malnutrition, thrombocytopeniaDose: 325-650 mg PO/ 4-6 hrs. 650mgPR/4-6 hrs |
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AlteplaseRecombinant (tPA) |
Class: ThrombolyticActions:Promotes thrombolysis by forming plasmin, degrades clotIndications:to thrombolyse MI, acute ischemic CVA, and PEContra:Any type of major bleeding, pregnancy, uncontrolled HTNPrecautions:Recent major surgery, CVD, GI/GU bleeding, trauma, hypertension, pt>75yrs,oral anticoagulantsSide effects: Excessive bleeding, deathDose: MI & CVA:15mg IV, then 0.75 mg/kg(up to 50mg) over 30 min, then 0.5mg/kg( up to 35mg) ove60min.PE: 100mg IV infusion over 2hrs)3 |
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Ketorolac( Toradol) |
Class: NSAIDActions:Injectable NSAID that exhibits analgesics, anti-inflammatory and antipyreticproperties without sedationIndications:Mild or moderate painContra:Hypersensitivity to Ketorolac, ASA other NSAIDs, asthmaPrecautions:Peptic ulcers, reanl or hepatic impairment, elderlyDose: 30mg IV/IM (15mg> 65 yrs. orweighs< 50 kg |
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Nalbuphine (Nubain) |
Class: Narcotic analgesicActions:synthetic equivalent to morphine, though respiratory depression does notincrease with higher doses.Indications:Moderate to severe painContra:Hypersensitivity, undiagnosed head or abdominal painPrecautions:impaired resp., narcotic dependencyDose: 5mg IV/IM SQ repeat as 2mg dosesPRN up to 20mg.Ped: 0.1-0.15mg/kg IV/IM SQ ( rarelyused):e30 |
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Nifedipine(Procardia) |
Class:Calciumchannel blocker Actions:Reduces coronary artery spasm in angina also decreases Peripheral vascularresistance, BP and cardiac workloadIndications:Severe Hypotension and anginaContra:Hypersensitivity or hypotensionPrecautions:can drop BP significantlyDose: one 10-20mg capsule SL/PO |
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Norepinephrine(Levophed) |
Class: sympathomimetic agentActions:nat. catecholamine, cause vasoconstriction, cardiac stimulation, Increased BP,myocardial O2 demand and coronary blood flowIndications:Refractory hypotension & neurogenic shockContra:Hypotension due to hypovolemiaPrecautions:HTN, Hyperthyroidism, severe heart disease, elderly, MAOIs & TCAsDose: 0.5-30mcg/min IV, titrated to BP. Ped: 0.01mcg/kg/min ( rarely used)cTlR2GutS7o3wr0 |
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Aminophylline |
Class: MethylxanthinebronchodilatorActions:prolongs bronchodilation and decreased mucus production. Mild cardiac and CNSstimulating effectsIndications:Bronchospasms in asthma and COPD refractory to sympathomimetics and other bronchodilators and inCHF.Contra: Hypersensitivityor uncontrolled dysrhythmiasPrecautions: CVD, HTN, Diabetes,children, glaucoma. Ay cause PVCs, tachycardia and hypotensionDose: 250-500mg IV over 20-30 mins.Ped: 6mg/kg over 20-30 min. Max12mg/kg/day3 |
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Diazoxide ( Hyperstat) |
Class: AntihypertensiveActions:rapid acting thiazide nondiuretic hypotensive and hyperglycemiaagent that reduces BP and PVRIndications:Rapidly decreases BP in hypertensive crisisContra:Hypersensitivity, cerebral bleeding, eclampsia, CADPrecautions:Diabetes, impaired cerebral/cardiac circulation, corticosteroid or progesteronetherapy, gout or uremiaDose: 10-3mg/kg IV up to 150mg,repeat/5-15 min, prnPeds: sameas adulttml> |
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Sotalol ( Betapace) |
Class: Beta blocker, antidysrhythmicActions:nonselective beta blocker that slows the HR and decreases AV conduction andirritabilityIndications:Ventricular and supraventricular dysrhythmiasContra:hypersensitivity, bronchial asthma, sinus brady, 2ndand 3rd heart blocks, long QT syndromes,cardiogenic shock, uncontrolled CHF or COPDPrecautions:CHF, electrolyte disturbances, recent MI, diabetes, sick sinus rhythms, renalimpairmentDose: 1-1.5 mg/kg IV at 10mg/min or 80mgPO bid or 160mg PO QD |
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Dexamethasone(Decadron) |
Class: SteroidActions:long acting synthetic adrenocorticoid with intense anti-inflammatoryactivityIndications:Anaphylaxis, asthma, COPD, spinal cord edemaContra:none in the emergency settingPrecautions:Herpes simplex, myasthenia gravis, diabetes, CHF, SZ, psych, GI ulcerationDose: 4-24mg IV/IMPed: 0.5-1.0mg/kgdult. |
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Haloperidol( Haldol) |
Class: AntipsychoticActions:blocks dopamine receptors in the brain associated with mood and behavior.Potent antiemetic and impairs temperature regulationTo:Acute psychotic episodesContra:Parkinsons, SZ, coma, alcohol, CNS depressionand thyrotoxicosis and with other sedativesPrecautions:Elderly, debilitated pt, urinary retention,anticonvulsant, anticoagulant or lithium therapyDose: 2-5mg IMPed: Children >3 yrs, 0.015-0.15 mg/kg/day PO in 2-3 divided doses |
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Heparin |
Class: AnticoagulantActions:rapid onset anticoagulant, blocks fibrin productionIndications:to prevent thrombus formation in acute MIContra:Hypersensitivity, active bleeding, recent eye, brain or spinal surgery, shockPrecautions:Alocholism, elderly, allergies, menstruation,pregnancy, cerebral embolismsDose: 5000 units IV, then 20000-40000units over 24 hours |
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Ibuprofen( Advil, Motrin) |
Class: NSAIDActions:analgesic and antipyretic properties. Inhibits platelet aggregation andincreased bleeding timeIndications:Reduce fever and relieve minor to moderate painContra:sensitivity to ASA or other NSAIDS, ulcers and bleeding abnormalitiesPrecautions:Hypersensitivity, GI ulceration, hepatic or renal impairment, cardiacdecompressionDose: 200-400mg PO/4-6 hrs upto 1200mg/dayPed: 5-10mg/kg PO/4-6hrs up to40mg/kg/day |
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IpecacSyrup |
Class: emeticActions:gastric irritant. Induces vomiting within 5-10mins of administrationIndications:poisoning and overdoseContra:reduced LOC, corrosive ingestion, petroleum distillate ingestion, alkaliingestion or antiemetic ingestionPrecautions:suction ready, monitor airway. Pts with heart diseaseDose: 30ml PO followed by 1-2 glasses ofwater repeat in 20 mins as needed.Peds: 15mlPO followed by 1-2 glasses of water repeat in 20mins as needed |
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Clopidogrel(Plavix) |
Class: AntiplateletActions:Inhibits platelet aggregationIndications:Decreases platelet plugs and thrombosisContra:Active bleeding anywhere, hypotensionPrecautions:pregnant,breast feeding, child, previous hepatic diseaseDose:RecentMI, stroke, PO:ADULTS, ELDERLY: 75 mg/ day w/ or w/out aspirin.Acute Coronary Syndrome(ACS) - PO: ADULTS loading dose 300mg then 75mg/day w/ aspirin.e3 |
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Eptifibatide( Integrellin) |
Class: antiplateletActions:Inhibits platelet aggregationIndications:Decreases platelet plugs and thrombosisContra:Active bleeding anywhere,hypotensionPrecautions:pregnant,breast feeding, child, previous hepatic diseaseSide effects: life threatening bleedingDose: Given with Heparin, 180mcg/kg IVbolus followed by continuous infusion of 2 mcg/kg/min |
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OralGlucose(Insta-Glucose) |
Class: MonosaccharideCarbohydrate Actions:After absorption from GI tract, glucose is distributed in the tissues and providesa prompt increase in circulating blood sugarIndications:HypoglcemiaContra:Unconscious, unresponsivePrecautions:altered LOCDose: Adults: 15-45GPO for patient’s with an intact gag reflex and who are able to handle their own secretions. Pediatrics: 5-45 G PO for patient’s with an intact gag reflex and who are able to handle their own secretionsnt U3| |
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SodiumNitroprusside ( Nitropress)r |
Class: AntihypertensiveActions: relaxation of vascular smooth muscle andconsequent dilatation of peripheral arteries and veins. Indications: immediate reduction of blood pressure ofadult and pediatric patients in hypertensive crises.Contra:Compensatory hypertension, CHF, inadequate cerebral circulationPrecautions:may cause cyanide toxicity, significant hypotension and ICPDose: Adult: 0.3 mcg/kg/min, withupward titration every few minutes until the desired effect is achieved or themaximum recommended infusion rate (10 mcg/kg/min) has been reached. Peds: Same as Adult |
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KetamineHydochloride(Ketamine) |
Class: Non barbiturate anesteticActions: Creates a state of dissociation from reality. Catecholamines (epinephrine& norepinephrine) are released.Spinal reflexes are reduced.Indications: Indicated for anesthesiawhen cardiovascular depressionmust be avoided. A commonly used induction agent tofacilitate endotracheal intubation.Contra: Hypersensitivity,ICP, HTN, Aneurysm, Thyrotoxicosis (hyperthyroid), CHF, Angina, Psychoticdisorders, PregnancySide effects: Hallucinations,HTN. ICP. Increased cardiac output, Tachycardia, Paradoxical direct myocardial depression,Tonic-clonic movementsDose: Adult 1 - 4.5 mg/kg Oral: Pediatric 6 - 10 mg/kg IM: 3 - 8 mg/kg IV: Pediatric 0.5 - 2 mg/kg,Onsetisabout 1-2 minutes if given I.V., and 3-8 minutes if given I.M.i |
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KetamineHydochloride(Ketamine) |
Class: Non barbiturate anesteticActions: Creates a state of dissociation from reality. Catecholamines (epinephrine& norepinephrine) are released.Spinal reflexes are reduced.Indications: Indicated for anesthesiawhen cardiovascular depressionmust be avoided. A commonly used induction agent tofacilitate endotracheal intubation.Contra: Hypersensitivity,ICP, HTN, Aneurysm, Thyrotoxicosis (hyperthyroid), CHF, Angina, Psychoticdisorders, PregnancySide effects: Hallucinations,HTN. ICP. Increased cardiac output, Tachycardia, Paradoxical direct myocardial depression,Tonic-clonic movementsDose: Adult 1 - 4.5 mg/kg Oral: Pediatric 6 - 10 mg/kg IM: 3 - 8 mg/kg IV: Pediatric 0.5 - 2 mg/kg,Onsetisabout 1-2 minutes if given I.V., and 3-8 minutes if given I.M.ogle.c#5y |
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Tenectaplase |
Class: FibrinolyticActions: dissolves clots during and MIIndications:for use in the reduction of mortality associated with acute myocardialinfarction (AMI)Contra:active internal bleeding; history of cerebrovascular accident; intracranial or intraspinal surgery, or trauma within 2months; intracranial neoplasm, arteriovenous malformation, or aneurysm; knownbleeding diathesis; and severe uncontrolled hypertension. Precautions:pregnancy, nursing mothers and elderlyDose: 30-50 mg IV bolus over 5 sec once(based on weight) <60 kg: 30 mg 60-70 kg: 35 mg 70-80 kg: 40 mg 80-90 kg: 45 mg >90 kg: 50 mgoogle.com/",W3| |
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Hydromorphone(Diluadid) |
Class: Narcotic, analgesic, antitussiveActions:Binds to opiate receptorsIndications:Moderate tosevere pain hand control of persistent nonproductive cougContra:HypersensitivityPrecautions:brain disorders, breathing problems (such as asthma,sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liverdisease, mental/mood disorder,constipationDose: Tablet-2,4,6,8mg, OralSolution-5mg/5mL, Injectables-1mg/mL 10mg/mL |
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Ondansetron( Zofran) |
Class: antiemiticActions:Prevention & control of severe nausea. Calms vomiting reflex through vagalafferent nerves.Indications:Non-sedating anti-emetic is desirable for preventing nausea, does not work for motionsicknessContra:HypersensitivityPrecautions:Use caution in patients with impairedliverSide effects: Headache, Dizziness, DiarrheaDose: Adult Dose:4mg IV Slow push 2-5 minutes, 4mg IM Max: 8mg, Ped Dose: Over 2 y/o 0.1mg/kg IV, IM Max:4mg |
