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47 Cards in this Set

  • Front
  • Back

Acetylsalicylic acid (Asa, aspirin)


Class of drug

Anti- inflammatory, analgesic, antipyretic, anticoagulant

Acetylsalicylic acid


indication

Myocardial infarction patients including suspected AMI patients

Acetylsalicylic acid


Contraindications

Hypersensitivity


Bleeding disorder


Asthma

Acetylsalicylic acid


Dose

Adult (162-324 mg) orally for AMI ( prefer chewable)


Pediatric should not be given to pediatric parients

Activated charcoal


Class of drug

Gastrointestinal adsorbent

Activated charcoal


Indications

Certain cases or poisoning and over dose in alert patients

Activated charcoal


Contraindications

Acids and alkali ingestion unless other drugs have been ingested


GI obstruction

Activated charcoal


Dose

Adult (1gm/kg) PO


Pediatric same as adult

Albuterol (Proventil, Ventolin)


Class of drug

Sympathomimetic, beta 2, selective adrenergic bronchodilator

Albuterol


Indications

Used to treat reversible airway obstruction caused by;


Wheezing


COPD( emphysema)


Chronic bronchitis

Albuterol


Contraindications

Hypersensitivity

Albuterol


Dose



Adult ( 2.5-5.0mg) can give up to 10mg in 3ml sterile NS as nebulized inhalation therapy over 5-15 minutes


Adult ( 1.25-2.5mg) can give up to 5mg in 3ml sterile NS as nebulized inhalation therapy over 5-15 minutes

Atropine sulfate


Class of drug

Anticholinergic (parasympathetic)

Atropine sulfate


Indications

Symptomatic sinus bradycardia or A-V blocks


Anti cholinesterase poisoning-organophosphate, mushrooms(certain types$, and nerve gases


Adjunct in the treatment of bronchial asthma


Atropine sulfate


Dose (anticholinsterase poisoning)

Adult 2.0 mg IV, ET or IO repeat until symptoms abate


Pediatric ( 0.05mg/kg) IV, ET or IO repeat until symptoms abate

Atropine sulfate


Dose (cardiac indication)

Adult (0.5mg) IV/IO every 3-5 minutes and (0.04mg/kg) for Bradycardia


Pediatric (0.02mg/kg) IV/IO for 1 dose [minimum of 0.1 and maximum of 0.5mg] . (0.03mg/kg) ET

Atropine sulfate


Dose ( mushroom poisoning)

Adult (2mg IV) repeat to doses diffident enough to control parasympathomimetic signs

Dextrose (oral/IV/IO- 10%,25%,and 50%)


Class of drug

Carbohydrate, nutrient, short acting osmotic diuretic

Dextrose


Indications

Symptomatic hypoglycemia


Unconsciousness for unknown origin


Seizures ( associated with decreased BGL) of :


1 unknown etiology


2 new onset of seizures


3 known diabetic actively seizing


Refractory medical cardiac arrest ( especially in neonates)

Dextrose


Contraindications

Intra cranial bleeds


Delirium tremens with dehydration


Administration through the same infusion set as blood


Unconscious (for oral dextrose)


Suspected CVA

Dextrose


Dose (oral)

(12-25 gm) of paste

Dextrose


Dose( IV)

Adult (12.5-25 gm) slow IV/IO push into patient line


Pediatric dilute 1:1 with sterile saline to make 25% solution (0.25mg/ml) give (0.5-1.0g/kg) slow IV push


Neonates use 10% dextrose solution (0.2gm/kg)

Epinephrine (adrenaline)


Class of drug

Sypmpathimetic

Epinephrine


Indication

Severe brochospasm


Brochospasms unresponsive to albuterol


Anaphylaxis


Cardiac arrest


Symptomatic bradycardia after other treatments

Epinephrine


Contraindications

None

Epinephrine


Dose(bronchrospasm/anaphylaxis)

Adult (0.3 mg) 1:1,000 inner muscular using a 0.3 ml syringe or pre fill device

Epinephrine


Dose(bronchrospasm/anaphylaxis)

Adult (0.3 mg) 1:1,000 inner muscular using a 0.3 ml syringe or pre fill device

Ipratropium (atrovent)


Class of drug

Antichollingergic

Ipratroprium


Indication

Bronchial asthma


Reversible bronchospasm where rapid response is required

Ipratroprium


Indication

Bronchial asthma


Reversible bronchospasm where rapid response is required

Ipratroprium


Contraindications

Hypersensitivity to the drug especially with atropine products soy and peanuts


Acute treatment of bronchospasm where rapid response is required

Ipratropium


Dose

Adult 1-2 inhalation so via metered dose inhaler (250-500mcg[.25-.5mg]) via nebulizer

Ipratropium


Dose

Adult 1-2 inhalation so via metered dose inhaler (250-500mcg[.25-.5mg]) via nebulizer

Ipratropium


Drug interaction

Oxivent and spiriva

Naloxone (narcan)


Class of drug

Narcotic antagonist

Naloxone (narcan)


Class of drug

Narcotic antagonist

Naloxone


Indication

Back (Definition)

Naloxone (narcan)


Class of drug

Narcotic antagonist

Naloxone


Indication

Naloxone


Contraindication

Hypersensitivity


Absences of indication

Naloxone


Drug interaction

May induce narcotic withdrawal

Naloxone


Drug interaction

May induce narcotic withdrawal

Naloxone


Dose

Nitroglycerin


Class of drug

Anti anginal /vascular dilating agent

Nitroglycerin


Class of drug

Anti anginal /vascular dilating agent

Nitroglycerin


Indication

Chest pain, anginal pain


Congestive heart failure with severe pulmonary edema

Nitroglycerin


Contraindications

Hypersensitivity


Severe hypotension


Pericardial tamponade


Increased intra cranial pressure hypovolemia /severe anemia