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24 Cards in this Set
- Front
- Back
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Activated Charcoal
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Absorbent
RX-Poisoning and OD Administration- 1 gm/kg PO or by NG (mix to a slurry) Contra- Dont give before or together with Ipecac Contact Poison Cntrl SE- Constipation |
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Adenosine (Adenocard)
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Anti-Arrythmic
RX PSVT Dosage 6 mg(2ML) IVP over 1-3 seconds followed by flush of 20cc NS bolus while elevating IV arm. If no effect in 1-2 min, give 12mg over 1-3 sec. May repeat 12mg dosage 1 more time. Pediatric dosage- .1-.2 mg/kg IVP. IO up to 6mg if no effects may double dosage to max of 12mg/dose. Contra-2nd or 3rd degree AV heart block, VT, Sick Sinus Syndrome. SE-transient dysrhythmias, facial flushing, dypsnea chest pressure, hypotension, HA, nausea, broncho-spasm Note: blocked by theophylliness; but potentiated by dipyridamole, carbamezapine. |
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Albuterol (Ventolin)
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Bronchodilator
RX- Bronchospasm secondary to COPD,Asthma, Administration- 1.25-2.5mg (.25-.5ml; mixed in 3ml saline neb Pediactic dosage-.03ml/kg nebulized with max of 1ml. Contra- tachydysrhythmias SE- tachydysrhythmias,anxiety,N&V |
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Amiodarone (Cordarone)
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Anti-Arrythmic
RX- Cardiac Arrest VF/VT dosage- 300mg IVP may repeat 150mg IVP every 3-5 min with max dose of 2,200mg/24hrs. RX- Stable Wide Complex Tachycardias dose-Rapid Infusion- 150mg IV over 10 min, may repeat 150 mg IVP every 10 minutes to a maximum dose of 2,200mg/24hr.(mix 150mg in 100ml run at 10ml/min 0r 600 micro drop/min. Slow Infusion- 360mg IV over 6 hrs (mix 1000mg in 500ml run at 30ml/hr or 30 micro drips/min) Maintenance Infusion- dose-540 mg IV over 18 hours(mix 1000mg in 500ml run at 15 ml/hr or 15 microdrip/min Pediactric dose-5mg/kg IV/IO Contra-Cardiogenic shock, Brady cardia, second/third degree blocks; Dont use with drugs that prolong the QT interval. SE-Vasodilation, decreased BP/HR, AV Block,hepatotoxicity,VF/VT 40 day 1/2 life. |
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Aspirin (ASA)
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Antiplatelet
RX- AMI 160mg-325mg P.O. (2-4 chewable childrens ASA) Contra-allergic, cautious with asthma,ulcers,GI Bleed, other bleeding disorders. SE- GI Bleed |
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Atenolol (Tenormin)
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Beta Blocker
RX- VF/VT, A-Fib,Atrial flutter, PSVT,HTN RX-Myocardial salvage for AMI with HTN & Tachycardia. Large MI less than 6 hrs. Refractory CX Pain or Tachycardia secondary to excess sympathetic tone Dose- 5mg IV slowly over 5 minutes. Wait 10 min then give another 5mg IV slowly over 5 minutes. Contra- CHF,Bronchospasm, Hx asthma, decreased HR/BP, second/third degree heart block, cardiogenic shock SE- Decreased BP/HR, CHF,bronchospasm's, cx pain,H/A, N&V, Calcium Blockers may exacerbate SE. |
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Atracurium (Tracrium)
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Paralytic
RX- Paralysis to facilitate ET intubation. Dose- .4-.5 mg/kg IV bolus then infusion of of 5-9 mcg/kg/min or boluses of .08-.1mg/kg every 15-25 minutes. Contra- Don't mix with LR. SE- decreased BP/HR, increased HR, dypsnea,wheezing,flushing,rash |
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Atropine Sulfate
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Vagolytic
RX-Asystole,PEA Dose-1mg IVP (2-3mg ET)every 3-5 min up to a total dose of .04mg/kg. RX- Symptomatic bradycardia Dose- .5-1mg IVP every 3-5 minutes up to .04mg/kg total dose. RX-Organophosphate or Carbamate insecticide poisoning. Dose- 2-5 mg IV every 15- 30 minutes. (.05mg/kg in children until VS improve. RX- Asthma Dose- .4-2mg neb in 3ml NS RX-RSI Pediactric Dose- .2mg/kg min .1mg. Contra- tachycardia,glaucoma SE- dilated pupils, increased HR,VT/VF, H/A, and dry mouth. |
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Calcium Chloride 10%
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Electrolyte
RX- Calcium Blocker toxicity, Hypocacemia with tetany,Hyperkalemia,Hypermagnesemia. Dose- 500-1000mg over 5- 10 minutes Pediactric Dose- 10-20 mg/kg (.1-.2ml/kg)IV/IO slowly. Contra- VF,digitalis toxicity,Hypercalcemia SE- Decreased HR/BP, VF, Coronary and cerebral artery spasm, N&V, extravasasion causes necrosis. Note- precipitates with NaHCO3 in IV bag/ tubing. |
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Calcium Gluconate 10 %
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Electrolyte
RX- Calcium Blocker OD; Hypocalcemia, Hyperkalemia, Hypermagnesemia Dose- 500-1000mg IV slowly Pediatric Dose- 60-100mg/kg(.6-1ml/kg IV,IO slow. Contra- VF,digitalis toxicity,hypercalcemia SE- Decreased HR/BP, VF,arterial spasm, infiltrate causes necrosis. Note- precipitates with NaHCO3 in bag/tubing. |
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Capoten (Captopril)
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ACE Inhibitor
RX-HTN,CHF, Dose- 25mg P.O. wet tablet and place sublingual Contra- Hypersensitivity to ACE Inhibitors, impaired renal function,hypotension, pregnancy. SE- Angioedema, anaphylaxis, neutropenia,hypotension, coughing, rash. |
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Dexamethasone (Decadron)
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Anti-Inflammatory
RX- Cerebral edema, Anaphylaxis, COPD, Spinal Trauma. Dose 10-100mg IV Pediatric Dose- .25-1mg/kg IV/IO/IM Contra- uncontrolled infections, TB, Ulcers. |
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Dextrose 50% AKA "D50"
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Nutrient
RX- Coma, Hypoglycemia Dose- 25 gm (50ml) IV Contra- ICB,CVA Hemmorhagic SE- Necrosis if extravasation occurs |
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Diazepam (Valium)
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Anti-Convulsant/ Sedative
RX- Status Epilepticus Dose- 5-10mg IV slowly RX- Sedation Dose- 5-15 mg IV sowly Contra- head injury decreased BP acute narrow angle glaucoma. SE- Decreased BP/Respirations, drowsiness, venous infiltrate. |
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Digoxin (Lanoxin)
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Anti-Arrhythmic
RX- A Fib, A Flutter, PSVT Dose- .5-1mg over 5 minutes Pediatric Dose- NB-10y/o 7-15 mcg/kg IV (loading dose of 15-30mcg/kg IV) Contra-VF/VT, caution renal failure HR less than 60 withold drug and get consult.Quinidine, verapamil, amiodarone,propafenone,indomethacin, intraconazole,alprazolam; increase serum dig levels. SE- Toxicity: VT,increase Pottasium, anorexia, N&V, fatigue, H/A, decreased BP,Pallor,visual disturbances, weakness, psychosis,seizures,diarrhea,mesenteric ischemia/infarction |
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Diltiazem (Cardizem)
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Anti-Arrhythmic
RX- PSVT, Rapid A-Fib, A Flutter Dose- .25mg/kg slowly IV over 2 minutes; no effect 15min .35mg/kg slowly over 2 minutes. drip- 10-15mg/hr (5mg/hr in some patients) Contra- 2 and 3rd degree block, decrease BP, Sick Sinus Syndrome with A Fib or Flutter. Don't give with oral Beta Blockers. Don't give in same arm as lasix, (without flushing first). SE- Hypotension, bradycardia, H/A, N&V, CHF, dizziness,weakness,diltiazem increase serum digoxin levels. |
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Droperidol (Inapsine)
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Tranquilizer
RX- Chemical restraint Dose- .625-10mg IV slowly or IM. Maintenance-1.25-2.5mg IV Pediatric Dose- 2-12 y/o .1-.15mg/kg IV/IO/IM Contra- renal or hepatic dz, prolonged QTI. SE- Decrease BP, tachycardia, apnea, VT torsades |
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Dobutamine (Dobutrex)
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Inotrope
RX CHF Dose- 2- 20mcg/kg/min Mix 250mg in 250 ml D5W (1mg.ml) and run at rate as per patient weight. Contra- Tachydysrhythmias,IHSS,Hypovolemeia, poison induced shock, shock with BP less than 100. SE- Tachydysrhythmias, VT,VF,HTN,N&V, H/A, AMI |
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Dopamine (Intropin)
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Intrope
RX- Hypotension, Bradycardia Dose- 2- 20mcg/kg/min renal dose- 2-5mcg/kg/min inotropic dose- 5-10 mcg/kg/min presor dose- greater than 10mcg/kg/min. Mix 400mg in 250ml D5W (1600mcg/ml) running at weight scale. Contra- Increase HR, HTN, Decrease dose to 1/10th for patients on MAOI's. SE- Tachydysrhythmias,VT,VF HTN, N&V, H/A, ischemia, AMI |
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Enalaprilat (Vasotec)
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ACE Inhibitor/Antihypertensive
RX- HTN, AMI, CHF Dose- .625-1.25mg IV slowly repeat in 1 hour if no response then 1.25 mg every 6 hours. Use lower dose in patients on diuretics. Contra- renal impairment,pregnancy,lactation SE- H/A, dizziness, fatigue, decreased LOC/BP, dypsnea. |
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Epinephrine (Adrenalin)
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Sympathomimetic
RX- Allergic reaction .3-.5mg (.3-.5ml 1:1000) Pediactric Dose- .01mg/kg (.01ml/kg) SQ -max .5mg RX- Anaphylaxis Dose- .3-.5mg (3-5ml 1:10,000)IV RX- Asthma Dose-.3-.5mg (.3-.5ml 1:1000)SQ RX-Bradycardia/Hypotension Dose- 2-10mcg/min IV (mix 1mg in 250ml D5W) RX- Cardiac Arrest Dose- 1mg IV every 3-5 minutes alternative doses for Cardiac arrest: High Dose-.2mg/kg IVP every 3-5min ET Dose- 2-2.5mgevery 3-5 minutes Continuous Infusion- mix 30 mg in 250ml NS or D5W and run at 100ml/hr (100 microdrips/min) Contra- tachydysrhythmias, CAD SE- tachydysrythmias,VT,VF, angina,HTN |
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Etomidate (Amidate)
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Sedative/Hypnotic
RX- Sedation for RSI Dose- .3mg/kg IV slowly Contra- Pt less than 10 y/o pregnancy,Don't use with Ketamine, immunosuppression, sepsis,transplant pt. SE- N&V, apnea, bradycardia, arrhythmias, decrease BP. |
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Fentanyl (Sublimaze)
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Narcotic Analgesic
RX- Analgesia Dose- 50-100mcg IM or 2-20mcg slowly over 2 minutes. Pediatric Dose-2-10mcg/kg IV/IO/IM slowly. Contra- MaoI use,asthma,myasthenia gravis. SE- Decreased LOC/BP, N&V, bradycardia, apnea |
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Furosemide (lasix)
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Diuretic
RX- CHF with Pulm Edema, HTN crisis. Dose- 40mg or 80 mg if on lasix .5-1mg/kg IV slowly Max 2mg/kg Pediatric Dose- 1mg/kg IV/IO slowly Contra- dehydration, hypokalemia,hepatic coma. SE-Hypokalemia,hypotension,dehydration. |
