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6 Cards in this Set
- Front
- Back
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Nitrous Oxide
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Class: Analgesic/anestetic
Pharm: Depresses the CNS causing anestesia and change in pain perception Indications: Moderate to severe pain, burns, anxiety Contraindications: ALOC, head injury, shock Side FX: cyanosis, apnea Dosage: self administered by breathing deeply from mask, pt will drop mask with pain relief. |
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Dopamine
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Class: Sympathomimetic
Pharm: precursor to norepinephrine Contraindications: should not be given for hypotension secondary to hypovolemia. Side FX: tachycardia, nausea, vomiting Dosage: 1-2 mcg/kg/min: Dilates renal, mesenteric, and cerebral arteries (crush injury) 2-10mcg/kg/min: increase cardiac output (inotropic)(pulmonary edema) 10-20mcg/kg/min: increased peripheral, renal, and mesenteric arterial and venous constriction--increases vascular resistance and preload.(bradycardia and anaphylaxis) |
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Heparin
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Class: Anticoagulant
Pharm: Inhibits and inactivates normal blood clotting Indications: AMI used with fibrinolytics, maintains patency of venous access devices Contra: Active bleeding, hypertension Side FX: none Dosage: AMI: 60 units/kg - max 4000 units Access heparin lock: 10-100 units/mL IVP after medication administration |
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Succinylcholine
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Class: Depolarizing neuromuscular blocker
Pharm: Binds with receptor sites paralyzing skeletal muscles. Rapid onset with short duration. It has no effect on consciousness Indications: Paralyzing agent prior to endotracheal intubation Contra: Eye injury, acute renal failure Side FX: bradycardia, hypotension Dosage: 1--1.5mg/kg IV/IO/IM |
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Amyl Nitrate
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Class: Nitrate
Pharm: vasodilator and smooth muscle relaxant. Removes cyanide ion via complex mechanism that converts it into a form that can be eliminated easily. Indications: Cyanide poisoning (bitter almond smell on breath) Contra: none with cyanide poisoning Side FX: headache, tachycardia Dosage: inhalant should be broken and inhaled. Repeat as needed until pt delivered to ER. |
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Etomidate
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Class: non-narcotic, non-barbiturate sedative/hypnotic
Pharm: short acting anesthesia with no analgesic effects Indications: Hypnotic/sedative prior to intubation, TCP, and cardioversion Contra: labor/delivery Side FX: involuntary muscle movement, tachycardia Dosage: 0.3 mg/kg IV over 30-60 minutes |
