Medic Two Drug Cards

Front 1

Drug Name: EPINEPHRINE 1:10,000 (adrenalin)

Dose: Cardiac arrest IV/IO 1mg(10mL of 1:10,000) every 3-5min flush with 20mL saline. PEDS IV/IO 0.01 mg/kg(0.1mL/kg) of 1:10,000 solution every 3-5 min

Side effects: Hypertension, tachycardia, arrhythmias, pulmonary edema, anxiety, restlessness, psychomotor agition, nausea, headache, angina

Back 1

Indications: Cardiac arrest (v-fib/pulseless V-tach, asystole, PEA), symptomatic bradycardia as an alternative infusion to dopamine, severe hypotension secondary to bradycarida when atropine and transcutaneous pacing are unsuccessful, allergic reactions, anaphylaxis, asthma.

Contraindication: hypertension, hypothermia, pulmonary edema, myocardial ischemia, hypovolemic

Mechanism of Action:Direct-acting alpha- and beta-agonist. Alpha: vasoconstriction. Beta-1: positive inotropic, chronotropic, and dromotropic effect. Beta-2: bronchial smooth muscle relaxation and dilation of skeletal vasculature

Front 2

Drug Name: ADENOSINE (Adenocard)

Dose: ADULT- 6mg rapid IV, flush with 20cc of normal saline. elevate the arm. If no response in 1-2 min may repeat 12mg, up to twice. PEDS0.1mg/kg rapid IV, flush with 2-3mL of normal saline. If no response in 1-2 min dose can be doubled 1 time (0.2mg/kg) not to exceed 12mg

Routes to be given: Rapid IV push

Side effects: Facial flushing, shortness of breath, chest pain, headache, paresthesia, diaphoresis, palpitations, hypotension, nausea, metallic taste

Back 2

Indications: Conversion of supraventricular tachycardias with no known atrial fibrillation or atrial flutter.
Wide complex tachycardia of uncertain origin unresponsive to lidocaine.

Contraindication: Sick sinus syndrome, 2nd or 3rd degree AV blocks; except in patients with a functioning ventricular pacemaker. Use cautiously in patients with known asthma (has precipitated acute bronchospasm). Patients on theophylline and related methylxanthines. Patients on dipyridamole (Persantine) or carbamazepine (Tegretol). Cardiac transplant patients are more sensitive to adenosine and require only a small dose (relative). Known atrial fibrillation or atrial flutter. Pregnancy (no controlled studies)

Mechanism of Action:Slows conduction time through AV node; can interrupt re-entrant pathways through the AV node. Slows sinus rate. Larger doses decrease BP by decreasing peripheral resistance.

Front 3

Drug name:Cardizem (Diltiazem)

Dose: ADULT-0.25 mg/kg IVP over 2 minutes, can repeat in 15 minutes at 0.35 mg/kg IVP over 2 minutes.
PEDS-not for use

Routes to be given: IV

Side effects: hypotension, bradycardia, heart block, chest pain, and asystole, nausea and vomiting, headache, fatigue, drowsiness

Back 3

Indications: Rapid ventricular rates associated with atrial fibrillation and atrial flutter, and for PSVT refractory to adenosine.

Contraindication: Hypotension (less than 90 mmHg systolic), Acute Myocardial infarction, Cardiogenic shock
Ventricular tachycardia or wide-complex VT of unknown origin, Second or third-degree AV block
Wolff-Parkinson-White (WPW) syndrome, Sick Sinus syndrome, Beta Blocker Use

Mechanism of Action: Slows the rapid ventricular rate associated with atrial fibrillation and atrial flutter, and reduces coronary and peripheral vascular resistance.

Front 4

Drug name: Verapamil (Isoptin) Antiarrhythmic

Dose: ADULTS-2.5 - 5.0 mg IV PUSH over 2-3 minutes. May rebolus in 15-30 minutes with 5-10 mg IV PUSH until a maximum dose of 20 mg
PEDS- 0.1-0.2 mg/kg/dose IV, IO

Routes to be given: IV slow push

Side effects: hypotension, AV block, bradycardia, asystole, dizziness, headache, nausea, vomiting, complete AV block, peripheral edema.

Back 4

Indications: Supraventricular tachycardia, Atrial fibrillation and atrial flutter with rapid ventricular response

Contraindication: AV block, Sick sinus syndrome, any wide QRS complex tachycardia Shock
Severe CHF, pulmonary edema, >12 months old

Mechanism of Action: calcium channel blocker, class IV anti arrhythmic, prolongs AV nodal refractory period, dilates coronary arteries and arterioles

Front 5

Drug name:Labetolol (Normodyne, Trandate)

Dose:ADULT- 5-20mg slow IV over 2 minutes

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Back 5

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Front 6

Drug name: Atropine

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Front 7

Drug name:2Pam Chloride
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Front 8

Drug name:Cardioversion
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Front 9

Drug name:Defibrillation
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Front 10

Drug name:Vasopressin
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Front 11

Drug name:Amiodorone
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Front 12

Drug name:Lidocaine
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Front 13

Drug name:Magnesium Sulfate
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Front 14

Drug name:Valium
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Front 15

Drug name:Ativan
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Front 16

Drug name:Diastat
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Front 17

Drug name:ASA
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Front 18

Drug name:Nitroglycerine
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Front 19

Drug name:Morphine Sulfate
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Front 20

Drug name:Dopamine
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Front 21

Drug name:Lasix
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Back 21

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Front 22

Drug name:Calcium Chloride
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Front 23

Drug name:Sodium Bicarb
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Front 24

Drug name:Benadryl
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Front 25

Drug name:Narcan
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Front 26

Drug name:Haldol
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Front 27

Drug name:Zofran
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Front 28

Drug name:Phenergan
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Front 29

Drug name:Reglan
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Front 30

Drug name:Glucagon
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Back 30

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