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35 Cards in this Set
- Front
- Back
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Acetaminophen (Tylenol) |
-Administration of acetaminophen or acetaminophen containing medications within the previous four hours -Inability to swallow or take medications by mouth -Respiratory distress -Persistent vomiting -Known or suspected liver disease (including patients suspected of current alcohol ingestion) -Allergy to acetaminophen
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Activated Charcoal (without Sorbitol) |
-Altered mental status -Patients who have received an emetic |
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Adenosine (Adenocard) |
-Known hypersensitivity -History of moderate to severe asthma or active bronchospasm -Polymorphic or irregular wide complex tachycardia |
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Albuterol (Proventil, Ventolin) |
-Known hypersensitivity -In Maryland, medical direction required before administering to pregnant patient or patient having a cardiac history |
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Amiodarone (Cordarone) |
-Sinus bradycardia -Second or third degree heart block -Known hypersensitivity -Cardiogenic shock |
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Aspirin |
Known hypersensitivity |
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Atropine Sulfate |
-Known hypersensitivity -Dysrhythmias in which enhancement of conduction may accelerate the ventricular rate and cause decreased cardiac output (e.g. atrial fibrillation, atrial flutter, or PAT with block) -Relative contraindications (weigh risk/benefits): -AV block at his purkinje level (second-degree Type II AV block and third degree AV block) -Suspected acute myocardial infarction or ishemia -Glaucoma
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Atrovent (Ipratropium) bromide |
-Hypersensitivity to the drug -Hypersensitivity to atropine -Less than one year of age |
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Calcium Chloride (10% solution) |
-Not indicated in cardiac arrest except when hyperkalemia, hypocalcemia, or calcium channel toxicity is highly suspected -Patient currently taking Digoxin with suspected calcium channel overdose |
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Dexamethasone |
-Hypersensitivity to drug -Known system fungal infection -Premature infants |
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Dextrose 50% |
-Known hyperglycemia -Intracranial hemorrhage |
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Diazepam (valium) |
-Known Hypersensitivity -Head Injury -Should be used with caution in patients with altered mental status, hypotension, or acute narrow angle glaucoma |
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Diltiazem (Cardizem) |
-Hypotension below 90 mm Hg -Second or third degree heart block -Hypersensitivity to the drup -Patients less than 12 years of age |
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Diphenhydramine (Benadryl) |
Known allergy to diphenhydramine |
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Dopamine Hydrochloride (Intropin) |
-Pre-existing tachydysrhythmias -Uncorrected hypovolemia |
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Epinephrine (Adrenalin) |
-Hypertension -Pre-existing tachydysrhythmias with a pulse (ventricular and supraventricular) -Use with pregnant women should be avoided whenever possible |
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Fentanyl Citrate (Sublimaze) |
-Hypersensitivity or known allergy to fentanyl -Uncorrected respiratory distress or hypoxemia refractory to supplemental O2 -Uncorrected Hypotension (persistently lower than 90 systolic) |
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Flumazenil (Romazicon) |
-Hypersensitivity -Tricyclic antidepressant overdose -Seizure prone patients -Coma of unknown etiology |
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Furosemide (Lasix) |
-Known hypersensitivity -Known allergy to sulfonamides -Dehydrated patients -Pregnancy -Patients exhibiting signs and symptoms of electrolyte imbalance (primarily hypokalemia) |
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Glucagon (GlucaGen) |
Known hypersensitivity |
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Haloperidol (Haldol) |
-Children under 6 years of age -Parkinson's disease -CNS depression -Acute CNS injury |
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Lidocaine Hydrochloride (Xylocaine) |
-AV blocks -Sensitivity to Lidocaine -Idioventricular escape rhythms -Accelerated idioventricular ehythm -Sinus bradycardia or arrest or block -Hypotension -Shock -Ventricular conduction defects |
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Lorazepam (Ativan) |
-Coma -Shock -Acute narrow angle glaucoma -Suspected drug abuse |
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Magnesium Sulfate |
-Heart block -Myocardial damage |
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Midazolam (versed) |
-Hypotension -Known hypersensitivity to midazolam |
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Morphine Sulfate (Roxanol, MS Contin) |
-Hypersensitivity or known allergy to morphine -Uncorrected respiratory distress or hypoxemia refractory to supplemental O2 -COPD with compromised respiratory effort -Uncorrected hypotension, defined as persistent systolic pressure < 90 mm hg |
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Naloxone Hydrochloride (Narcan) |
Not clinically significant |
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Nitroglycerin (Nitrostat, Nitro-Bid, Tridil) |
-Known hypersensitivity -Pediatric patient under the age of 12 -Any patient having taken medication for Pulmonary Artery Hypertension (eg Adcirca or Revation) or erectile dysfunction (eg Viagra, Levitra, or Cialis) within the past 48 hours. Medical consultation is required to override this contraindication. -Asymptomatic hypertension -Blood pressure below 90 mm Hg systolic -Heart rate less than 60 |
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Nitroglycerin Paste (Nitro-Bid Ointment) |
-Known Hypersensitivity -Pediatric patient under the age of 12 -Any patient having taken medication for Pulmonary Artery Hypertension or erectile dysfunction with the past 48 hours. Medical consultation is required to override this contraindication. -Asymptomatic hypertension -Blood pressure below 90 mm Hg systolic -Heart rate less than 60 |
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Ondansetron Hydrochloride (Zofran) |
Known hypersensitivity to Ondansetron |
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Oxygen |
Not clinically significant |
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Sodium Bicarbonate |
Pre-existing alkalosis |
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Terbutaline Sulfate (Brethine) |
-Hypertension -Tachycardia due to digitalis intoxication -Pediatric under 12 years of age |
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Thiamine (Betaxin) |
None |
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Vasopressin (Pitressin) |
Non for cardiac arrest |
