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64 Cards in this Set

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Adenosine(Adenocard)
Class
Atrial Antiarrhythmic
Adenosine(Adenocard)
Route
RAPID IVP
Adenosine(Adenocard)
Dose
12mgIVP followed immed by a rapid 20mLNS flush
Adenosine(Adenocard)
Drug Action
1.Slows conduction through AV
2.Can interupt reentry pathways
3.Causes a transient block
4.Vasodilation
Adenosine(Adenocard)
Indications
PSVT
Adenosine(Adenocard)
Precautions
1.Assure rhythm not ventricular 2.Explain SE to pat 3.Monitor pat close

Use w/ caution for COPD,CHF,&CAD pats
-Notify Biotel:1.Asthma taking bronchodilator 2.Seizure pat taking tegretol 3.recent caffeine ingestion
Adenosine(Adenocard)
Side Effects
Flushing, Sweating, Chest Pain, N/V, Light Head, Transient Arrythmias, transient asystole
Adenosine(Adenocard)
Contraindications
2 or 3 HB, AFlutt or AFib, Sick Sinus Syndrome, Dipyridamole(persantine), Organophosphate ingestion
Diazepam(Valium)
Class
Benzodiazepine
Diazepam(Valium)
Route
SLOW IVP
IM (alternate route)
Rectal (preferred for peds)
Diazepam(Valium)
Dose
Titrate 2.5mg to a max of 10mg
Diazepam(Valium)
Drug Action
CNS depressant that causes: Amnesia, Sedation, Muscle Relaxation
Diazepam(Valium)
Indications
1.Active seizure/status epilepticus. 2)Sedation of conscious pats prior to cardiovert & TCP. 3)CP or Tach following an OD or ingestion of a stim or halluc.
Diazepam(Valium)
Precautions
1)Monitor resp stat close. 2)Admin @ site closest to IV and avoid mixing w/ any others. 3)Titrate w/ 2.5mg to avoid SE
Diazepam(Valium)
Side Effects
Resp Depression, Hypotension, confusion, stupor, vein irritation (also phlebitis & sclerosis)
Diazepam(Valium)
Contraindications
1)Alcohol or other sedative use
2)Head Injury
Dextrose 50%(D50)
Class
Carbohydrate
Dextrose 50%(D50)
Route
IVP
Dextrose 50%(D50)
Dose
25-50g of D50
Dextrose 50%(D50)
Drug Action
Increases blood glucose levels
Dextrose 50%(D50)
Indications
Alt mental status caused by hypoglycemia
Adults:
Diabetics=glucose<110
Non-diabetics=glucose<80
Dextrose 50%(D50)
Precautions
1)Assure IV patency
2)Notify prior to admin: pats w/ head trauma or ICP
Dextrose 50%(D50)
Side Effects
Tissue necrosis w/ infiltration
Dextrose 50%(D50)
Contra
None
Glucagon
Class
Pancreatic Hormone
Insulin Antagonist
Glucagon
Route
-IM (or subQ) for hypoglycemia
-SLOW IVP (2-5mins) or IM for bradycardia due to beta-blocker or calcium channel blocker toxicity
Glucagon
Dose
1mg; may be repeated in 15mins
Glucagon
Drug Action
1)Converts stored glycogen to glucose, increasing blood glucose levels.
2)Improves cardiac contractility and inc HR
Glucagon
Indications
1)Hypoglycemia that cannot be treated with D50 (IV unavail) or Glutose(pat has no gag)
2)Betablocker or calcium channel blocker tox
Glucagon
Precautions
Admin cautiously to pats w cardiovascular,kidney,or liver disease
Glucagon
Side Effects
N/V, Tachycardia
Glucagon
Contra
Hypersensitivity to proteins
Diphenhydramine HCL(Benadryl)
Class
Antihistamine w/ anticholinergic and sedative effects
Diphenhydramine HCL(Benadryl)
Route
IVP(25mg/min)
IM
Diphenhydramine HCL(Benadryl)
Dose
25-50mg
Diphenhydramine HCL(Benadryl)
Drug Action
1.Blocks histamine receptor sites in allergic reactions
2.Reverses side effects of dystonic reactions caused by phenothiazines
Diphenhydramine HCL(Benadryl)
Indications
Allergic Reactions
Dystonic Reactions
Diphenhydramine HCL(Benadryl)
Precautions
1.Acute asthma attack
2.Notify Biotel: pats w glaucoma, prostatic hypertrophy, or bladder neck obstruction
Diphenhydramine HCL(Benadryl)
Side Effects
Drowsiness
Thickening of bronchial secretions
Dry Mouth
Diphenhydramine HCL(Benadryl)
Contra
None
Naloxone HCL(Narcan)
Class
Narcotic Antagonist
Naloxone HCL(Narcan)
Route
SLOW IVP
IM (alt route)
Naloxone HCL(Narcan)
Dose
0.4mg - Repeat doses of 0.4mg may be rep every 5 mins until resp effort improves
Naloxone HCL(Narcan)
DrugAction
Reversed narcotic effects
Naloxone HCL(Narcan)
Indications
Narcotic OD
Coma of unknown origin
Naloxone HCL(Narcan)
Precautions
1)Effective for only 30-60 mins
2)Anticipate for withdrawel syndrome and pat aggression
Naloxone HCL(Narcan)
Side Effects
1)W/ physical dependence HTN, Tachy, & Violent behavior may occur
2)Ventricular arrythmias with rapid admin
3)Projectile vomit with rapid admin
Naloxone HCL(Narcan)
Contra
None.
Nitrous Oxide(Nitronox)
Class
Gaseous Analgesic/Anesthetic
Nitrous Oxide(Nitronox)
Route
Inhalation self-administered
Nitrous Oxide(Nitronox)
Dose
Instruct pat to inhale deep
Nitrous Oxide(Nitronox)
Drug Action
CNS analgesic/anesthetic whose actions are short lived (CNS Depressant)
Nitrous Oxide(Nitronox)
Indications
Pats who are alert and complaining of pain caused by the following:
Musculoskeletal injuries, kidney stones, suspected AMI, Active labor during an uncomplicated delivery, Thermal Burns
Nitrous Oxide(Nitronox)
Precautions
Must be selfadministered
Check machine gauge daily
Monitor BP and PO2
Nitrous Oxide(Nitronox)
Side Effects
Hypotension
Dizziness
Nitrous Oxide(Nitronox)
Contra
1)Any alt LOC or head injury
2)COPD
3)Chest Trauma or pneumo
4)abd distention
5)major facial trauma
6)psychotics
7)Decompression sick
8)pats who cannot self admin
Promethazine HCL(Phenergan)
Class
Phenothiazine and antihistamine w antiemetic and sedative effects
Promethazine HCL(Phenergan)
Route
IVP slowly over 1 min
IM - Deep into muscle
Promethazine HCL(Phenergan)
Dose
Titrate w/ 12.5mg upto 25mg
Promethazine HCL(Phenergan)
Drug Action
Potent antiemetic w/ sedative effects
Promethazine HCL(Phenergan)
Indications
Persistant vomiting due to GI problems
Promethazine HCL(Phenergan)
Precautions
1)Monitor LOC
2)Avoid intra-arterial or subQ
3)if IV assure patency
4)Give slow in small boluses and flush well
5)Watch for s/s of excessive seation and dystonic reaction
Promethazine HCL(Phenergan)
Side Effects
1)Marked drowsiness
2)Dystonic Reaction
3)Tissue Necrosis if IV infiltrates or if not given deep IM
Promethazine HCL(Phenergan)
Contra
1)Elderly >65
2)Debilitated pats
3)Trauma
4)alt loc
5)pregnancy (only w/ biotel)
6)known sulfa allergy