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32 Cards in this Set

  • Front
  • Back

Albuterol (class)

Sympathomimetic bronchodilator

Albuterol (pharm and action)

1. Selective beta2 bronchodilator.


2. Minimal beta1 or alpha stimulation


3. Inhibits histamine release

Albuterol (indication)

1. Bronchospasm


2. Hyperkalemia


3. Crush syndrome

Albuterol (contraindication)

1. Hypersensitivity


2. Symptomatic tachycardia


3. Cardiac arrhythmia


4. HTN

Albuterol (precautions and side effects)

1. Tremors


2. Anxiety


3. Dizziness


4. Headache


5. Diaphoresis


6. Angina


7. Palpitations


8. Tachycardia


9. Hypertension

Albuterol (dose adult)

2.5 – 5mg via nebulizer (repeat PRN)

Albuterol (dose pediatric)

Less than 20kg 1.25mg in 3ml saline via nebulizer


More than 20kg 2.5mg in 3ml saline via nebulizer

Diazepam/valium/ (class)

1. Anti-anxiety


2. Anti-convulsant


3. Sedative/hypnotic

Diazepam/valium/ (pharm and action)

Benzodiazepine sedative. Skeletal muscle relaxant reducing tremors and recurrence of seizures. Induces amnesia.

Diazepam/valium/ (indications)

1. Seizures, status epilepticus


2. Pre-med before cardioversion


3. Muscle tremors due to injury


4. Anxiety attack

Diazepam/valium/ (contraindications)

1. Shock


2. Coma


3. Depressed vital signs


4. Neonates


Diazepam/valium/ (side effects)

1. Hypotension


2. Tachycardia


3. Edema


4. Cardiovascular collapse

Diazepam/valium/ (dose adult)

Seizures


5-10mg IV/IO/IM


Anxiety


2-5mg IV/IM


Premedication


5-15mg IV/IO


Diazepam/valium/ (pedi dose)

Pedi seizures & anxiety


0.5-2mg IV/IO/IM


Pedi premedication


0.2-0.5mg/kg

Ipratropium bromide/atrovent/ (class)

Parasympatholytic (anticholinergic) bronchodilator

Ipratropium bromide/atrovent/ (pharm and action)

1. Acetylcholine antagonist


2. Relaxes bronchiole constriction by blocking parasympathetic responses

Ipratropium bromide/atrovent/ (indications)

1. Asthma (w/ other bronchodilators)


2. COPD

Ipratropium bromide/atrovent/ (contraindications)

1. Hypersensitivity to atrovent, atropine or atropine derivatives 2. Not to be used as the primary treatment for bronchospasm

Ipratropium bromide/atrovent/ (side effects)

1. Dry mouth


2. G.I. distress


3. N/V


4. Nervousness


5. Dizziness


6. Headache


7. Palpitations


8. Blurred vision

Ipratropium bromide/atrovent/ (dose)

Adult


500mcg in 3ml saline nebulized


Pedi


250mcg in 3ml saline nebulized

Nitroglycerin (class)

1. Nitrate


2. Anti-anginal

Nitroglycerin (pharm and action)

1. Vasodilitory effects decreasing preload and after load.


2. Relief of coronary artery spasm via dilation

Nitroglycerin (indications)

1. Angina


2. Chest pain suggestive of AMI


3. Pulmonary edema

Nitroglycerin (contraindications)

1. Hypotension


2. Chest trauma


3. Head trauma


4. Cerebral bleeding


5. Increased ICP


6. Use of ED meds 24-72 hrs


7. Hypersensitivity


8. Systolic pressure below 90

Nitroglycerin (side effects)

1. If hypotension occurs after adminstration give fluid bolus


2. Gain vascular access prior to administration


3. Inferior MI may cause drastic drop in preload


4. Headache


5. Dizziness


6. Tachycardia


7. Feeling flush

Nitroglycerin (dose)

0.4mg tablet or spray sublingual repeat every 5 min until pain subsides



Not indicated for pedi

Vasopressin (class)

1. Hormone


2. Vasopressor

Vasopressin (pharm and action)

1. A hormone with vasoconstrictive and antidiuretic properties.


2. Improves CPR through peripheral vascular resistance.


3. Reduce bleeding from esophageal varices

Vasopressin (indications)

1. Cardiac arrest


2. Esophageal varices

Vasopressin (contraindications)

1. Ischemic heart disease other than cardiac arrest


2. PVCs


3. 1st stage of labor


4. Chronic nephritis with nitrogen retention

Vasopressin (side effects)

1. Hypertension


2. Bradycardia


3. PACs


4. Heart block

Vasopressin (dose)

Cardiac Arrest


40u IV/IO


Esophageal Varices


0.2-0.4u/min IV drip