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13 Cards in this Set
- Front
- Back
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Acetylsalicylic Acid
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Bayer, Aspirin, St Joseph
Clas- Antithrombic, antipyretic Onset- 15-30 min Indic- unstable angina, acute myocardial infraction Cont- alergic to anti-inflammatory drugs bleeding ulcers sideffect- upset stomic, heartburn, rash, prolonged bleeding route- oral dose-chewable tablets/162-325 mg |
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Atropine Sulfate
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Atropine
Class- anticholinergic(parasympathetic blocker) Action- Direct vagolytic action increasing sinus node automaticity and faster condution through the AV node onset- 1-5 min Indic- Symptomatic bradycardia, asystole, bradycardic(<60) pulseless electrical activity (PEA) Cont- Angle-closure glaucoma, tachycardia side effects- Headache, hot flushed skin, disorientation, tachycardia, dry mouth, blurred vision Route- IV,IO,ET/ vials Dose- Symptomatci bradycardia AD: 0.5-1.0mg rapid repeat 3-5min max 0.04mg/kg Asystole or bradycardic PEA AD: 1.0mg IV or ET repeat 3-5 min max 0.03-0.04mg/kg Organophosphate poisoning AD: 2mg IV or IM 5-15 min repeat till secretions clear. |
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Ipratropium Bromide
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Name-. Ipratropium, Atorvent
Class- anticholinergic Act- inhibits interation of acetylcholine at muscarinic receptors sites. results in bronchodilation and drying of secretions Onset- 10-15 min Cont- atropine, peanuts, soybean proten route- MDI or nebulizer dose- MDI:2 inhalations (36ug) Neb: 0.5mg in 3.0ml saline Ped: <12 0.125-0.250mg >12 not recommended |
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Albuterol Sulfate
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Albuterol, Proventil, ventolin
Clas- sympatho minmetic, bronchodilator act- selective beta-2 adrenergic stimulation Onset- 5-15min Indic- Bronchospasm associated with asthma, emphysema, or allergic reation. Con- history of seizures, diabetes, hypertyroidism route- nebulizer MDI Dose- MDI: 90ug up to 3 Neb: 2.5mg in 3ml salution repeat 15min Ped Neb: >12 0.03ml/kg up to 1ml |
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Nitroglycerin (NTG)
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nitroglycerin, nitrostat, Nitro-bid
Class- vasodilator Action- Decreases pain of ischemia, benous blood return to heart, dilates coronary arteries Onset- 2-5min Indic- Angina pectoris, suspected acute myocardial infarction Conter- Closed-angle glaucoma, head traum systolic bp <90 use of viagra, cialis, or levitra Route- Sub ligual dose- tablets .3,.4 and.6mg or metered spray.4mg/ twice for both tab and spray |
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50% dextrose solution
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Name-D50W, D50
class- carbohydrate (hypertonic solution) Action- increases blood glucose levels Onset-1min Indications- hypoglycemia, ALC, coma of unknown cause, seizures of unknown cause Contra- intracranial pressure, s/troke, delirium tremens Route-IV; slowly Dose AD: 25g/50ml prefilled syringe (500mg/ml) 25g-50ml (12.5-25g) of 50% Ped 0.5-1.0g/kg IV or IO |
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Naloxone hydrochloride
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Naloxon, Narcan
Class- Narcotic (opioid ) antagonist Action- binds to opiate receptor sites Onset- within 2 min Indic- Reversal of narcotic-induced central nervous system cont- cautios use in addicted pt route- IV,IM,SC,ET;slowly dose- AD: 0.4-2.0Mg over 2-3 min up to 10 mg Ped: >5 0.1mg/kg |
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1Lidocaine HCI 2%
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Lidocaine, Xylocaine
Class- Antiarrhythmic Action- Sodium Channel blocker; decreases automaticity, increases ventricular fibrillation (VF) threshold and electrical stimulation threshold of ventricle during diastole Onset-1-5min Indic- VF or pulseless ventricular tachycardia (VT) Cont- Bradycardia (<60 beats/min) Side effects- Tachycardia, nystagmus, labile blood pressure, respiratory depression, slurred speech, cardiovascular collapse Route- IV or ET; rapidly Dose- Cardiac arrest (VF or pulseless VT)- AD: 1.0-1.5 mg/kg repeated every 5-10 min max 3.0mg/kg IV infusion following resusciation- AD: 1-4mg/min (30-50ug/kg per minute. can dilute in D5W or normal saline |
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diazepam
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Diazepam/Valium
Class- Benzodiazepine Action- Suppresses seizure activity across cerebral motor cortex Onset IV 1-5min IM: 15-30 Indi- Sedation or treat siezures contra- Acute angle-closure glaucoma, shock, repiratory depression side effects- sedation, ataxia, hypotension. possible respiratory depression Route- IV or IM slowly Dose- AD: 2-10mg over 5-10 min max 30mg ped: up to 5 0.2-0.5mg every 2-5min max 5.0mg |
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Epinephrine hydrochloride 1:1,000
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Epinephrine/ adrenalin-
Class-sympathomimetic Action- Alpha and beta agonist; increases systemic vascular resistance, relieves bronchospasm Onset- SC: 5-10 min Indic- mild to moderate asthma and allergic reactions Countr- cautions with hypertension, hyperthyroidism, angle-closure Side Effects- Headache, restlessness, palpitations, tachycardia, anginal pain, dysrhythmias route- SC;slow dose- adult: 0.3-0.5mg Ped: 0.01mg/kg max 0.3mg |
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Terbutaline
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Terbutaline/Brethine,Brethaire/ Class- Bronchodilator
Action- B-2 adrenergic stimulation resulting in relaxation of bronchiole smooth muscle onset- 5-15min Indi- asthma, chronic bronchitis, and emphysema contra- caution history of seizures, diabetes, hyperthyroidism side effect- tremors, PVC, palpitations, flushing sweating, increased heart rate &BP, dizziness, nausea, headache route- SC or MDI dose- AD:MDI:1-2 inhalations of 0.2mg per every 4-6 h (1min between) SC:0.25mg every 15-30min as needed not for under 12y |
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Adenosine
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Adenosine/Adenocard-
Class- Antiarrhythmic Action- Slows conduction through AV node. Inhibits reentry through the AV node Onset- 10-15sec Indic- Conversions of paroxysmal supraventricular tachy and supraventricular tachy to reg sinus rhythm Cont- 2nd 3rd heart block, sick sinus rhythm Side effect- Asystole or bradycardia, ventricular ectopy, dyspnea, flushing, chest pain, dissiness, metallic taste, apprehension route- IV or IO: rapidly dose- 6mg followed 20cc saline no response in 1-2min repeat at 12mg up to 2 X totoal=30mg |
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Morphine sulfate(MSO4)
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Morphine/Duramorph,AstromorClas: Narcotic
Action- Opiate receptor agonist, reduces pain of myocardial ischemia onset- 1-2min Indicaction-Pain management, ie burns or myocardial infarction; pulmonary edema con- acute bronchial asthma, CNS depression, head injury 6.dizziness, hypotension, bradycardia, respiratory depressioni, undiagnosed abdominal pain. route- IV slow dose- Ad: 2-4mg over 1-5min to effect ped; 0.1-0.2mg/kg max, 15mg |
