Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
43 Cards in this Set
- Front
- Back
|
Albuteral
|
(Proventel)
Bronchodialator Sympathomimetic (beta 2 effects with little beta 1effects) Dose 2.5mg/3.0ml Nebulized Three doses total Supply 2.5mg/ 3.0 ml |
|
|
Atrovent
|
Ipatropium Bromide
Bronchodialator Parasumpatholytic (blocks cGMP) Dose: 0.5mg/ 2.5ml Nebulized Supply: 0.5mg/ 2.5ml (.02% 500mcg/2.5ml) |
|
|
Solumedral
|
Methylprednisone
Steroid Dose: 125mg/ 2ml IVP Supply: 125mg/2ml |
|
|
Epinephrine 1:1000
|
Sympathomimetic
Dose: 0.3mg/0.3cc IM Supply: 1mg/ 1ml |
|
|
Epinephrine 1:10,000
|
Sympathomimetic
Dose: 0.3mg/3.0cc IVP Supply: 1mg/ 10ml |
|
|
Nitroglycrine
|
Nitrostat
Smooth Muscle Dialator (vasodialator) Dose: 0.4 mg Sublingual, Tablet Every 5 Minutes Contraindications: <90 systolic bp, Phosphodiestrase inhibitors (PDE-5), use of ED meds |
|
|
Morphine Sulfate
|
MS04
Narcotic Analgesic (increase myocardial oxygen demand) Dose: 2-10mg slow IV Withdraw .2cc from vial Max dose: 10mg Titrate: 2mg/ 10ml Supply: 10mg/ 1 ml |
|
|
Magnesium Sulfate
|
Dose: 2gms/100ml/10min
Drip Rate: 100gtts/min using maxidrip of 10 gtts/min Contraindications: CHF, history of renal failure Supply: 5gms/ 10ml |
|
|
Lasix
|
Furosemide
Loop-diuretic (pulmonary Edema) can use with RONCHI with CRACKLES. Hypertension with associated Edema Dose: 1 mg/kg Contraindications: RONCHI by itself Supply: 100mg/ 10ml |
|
|
CPAP
|
10= wet (CHF, Pulmonary Edema)
5=Dry (asthma, emphysema) Use only if person has Gag Reflex and is conscious |
|
|
Narcan with < resp
|
Naloxone
Narcotic Antagonist Dose: 2mg/2ml IV or IM Repeat @ .4mg till >resp Max Dose: 8mg Pt's >65 y/o Starting dose: .4mg IVP Supply: bristajet: 2mg/ 2ml Multidose vial: .4mg/ml 10ml solution 4mg/10ml |
|
|
AHA GUIDLINES
Class 1 Class 2 Class 3 |
Class 1= Least Harmful
Class 2 = Potential to be harmful Ex. Giving Oxygen to a Pt. relying on hypoxic Drive Class 3= Most Dangerous |
|
|
Normal Co2
|
35-45mmHg
>45 acididotic <35 Alkalotic |
|
|
02 Nasal Canula
|
2liters- 6liters
24%-44% |
|
|
02 Nonrebreather
|
10Liters- 15Liters
>90% |
|
|
Defibrulation
|
Indications: VF or PVT
1st Shock= 200j 2nd Shock= 360j |
|
|
Transcutaneous Cardiac Pacing
|
Indications: <50 HR (unstable symptomatic Bradycardia)
<bp, AMS,signs of shock, ischemic chest discomfort, AHF Set to: 80 HR: lowest milliamp (0 milliamp) 1st Look for: Electrical Capture on EKG & 2nd Mechanical Caputure- femoral Pulse never carotid because of muscular jerks mimiking CA pulse |
|
|
Syncronized Cardioversion
|
Indications: >150 bpm (unstable tachycardia)
Atrial Fibrillation Atrial Flutter SVT MVT Polymorphic VT Wide complex tachycardia Starting dose: 50j for SVT, A Flutter 100j- all other Tachy rythms 2nd dose 200j, 300j, 360j (biphasic |
|
|
AHA guidelines for ABC-D
|
Airway
Breathing Circulation Difribulation |
|
|
Pepcid
|
aka Tagament
H2 receptor Antagonist Dose: 20mg/ 100ml over 10 minutes 10 gtts/min IV piggyback Supply: 200mg/ 10ml |
|
|
Nubain
|
Synthetic Morphine
Dose: 2.5mg IVP Max Dose: 10mg Pt's over <50 y/o max dose 5mg Supply: 10mg/cc |
|
|
D50
|
Dextrose 50% water
Indications: Hypoglycemia <80, AMS, IV access obtainable Contraindications: no IV access Dose: 25gms/ 50 ml IVP Supply 25gms/ 50 ml |
|
|
Glucagon
|
Indications: Hypoglycemia, IV access couldnt be established for D50, Pt overdosed on Beta Blockers
Dose: 1mg/ 1ml Can be followed by Thiamine 100mg IVP/IM |
|
|
Thiamine
|
Indications: Alcoholics with Hypoglycemia
Dose 100mg/1ml IVP/IM Supply 200mg/2ml |
|
|
Benadryl
|
Diphenhydramine
Dose: 1mg/kg Max Dose 50mg Dose for Seizure: 25mg IVP |
|
|
Phenergan
|
Dose: 12.5mg/1ml IVP
Supply:25mg/ 2ml |
|
|
Zofran
|
Dose 4mg/ml IVP
Supply: 4mg/ml |
|
|
Acute Bronchospasm (wheezing or history of asthma or COPD)
|
• Albuterol (Proventil) 2.5 mg/3 ml and Ipratropium Bromide 0.02% (Atrovent) 0.5 mg/2.5 ml
via nebulizer • Repeat Albuterol (Proventil)/Ipratropium Bromide (Atrovent) X 2 if wheezing persists • Methylprednisolone (Solumedrol) 125 mg IV if wheezing persists after 1st nebulizer • If not improving, Magnesium Sulfate 2 grams IV in 100 ml NS over 10-15 minutes • Contraindicated if history of renal failure • Do not use if CHF suspected • If SEVERE respiratory distress and wheezing persists after above: • Epinephrine 1:1,000 0.3 mg IM (prior permission from Medical Control if patient >55 years old or known to be on B blockers) |
|
|
Acute Pulmonary Edema (history of CHF, pedal edema, elevated SBP)
|
• Nitroglycerin 0.4 mg spray SL every 5 minutes
• Contraindicated if systolic BP < 90 mm Hg • Contraindicated if use of a Phosphodiesterase-5 (PDE5) inhibitor use within last 24 hours (Viagra or Levitra); 48 hours for Cialis -Furosemide (Lasix) 1mg/kg supply 100mg/10ml -Contraindicated for Ronchi noted ONLY RALES • For bronchospasm (wheezing) associated with Acute Pulmonary Edema • Albuterol (Proventil) 2.5 mg/3 ml and Ipratropium Bromide 0.02% (Atrovent) 0.5 mg/2.5 ml via nebulizer • Repeat Albuterol (Proventil)/Ipratropium Bromide (Atrovent) X 2 if wheezing persists • For hypotension (systolic BP < 90 mmHg) • Dopamine infusion at 5-20 mcg/kg/min titrated to maintain systolic BP > 90 mm Hg |
|
|
Nubain
|
Synthetic Morphine
Dose:2.5mg IVP Max Dose: 10mg IVP Pt <50 y/o Max Dose: 5mg Supply:10mg/cc |
|
|
Valium
|
Benzodiazepine
Dose: <70 y/o 10mg/ 2 ml IVP or IM Dose: >70 y/o 5mg/ 1ml IVP or IM Supply: 10mg/ 2 ml |
|
|
Versed
|
Dose: <60y/o 1mg/min IVP or IM
Dose >60y/o .5mg/min IVP or IM Max Dose for >60y/o: 3mg/3ml IVP |
|
|
Haldol
|
Antipsychotic
Dose: >60kg 10mg/2ml IM Dose: <60kg 5mg/1ml IM Supply: 5mg/1ml |
|
|
Sodium Bicard
|
Dose: 1mEq/kg
|
|
|
Calcium Chloride
|
Indications: Calcium Channel Blocker overdose
Dose: 1gm/10cc IVPush Supply:1gm/10cc |
|
|
Procainamide
|
Pronestyl
Sodium Channel Blocker wide complex tachycardia >150 wide complex Atrial Fibbrilation >150 Dose: 20mg/min IV Infusion Titrate to effect 1G in a 50cc NS 20mg/min=60gtts/min Max Dose: 17mg/kg Supply:1gm/2ml |
|
|
Dopamine
|
Dose: 2-20mcg/kg/min IVPB Continuous Drip
400mcg/min=15gtts/min 800mcg/min=30gtts/min 1200mcg/min=45gtts/min 1600mcg/min=60gtts/min Supply:400mg/250ml (1600mcg/1ml) |
|
|
Epi Drip Cardiac
|
Dose: 2-10mcg/min IVPB continuous drip
1mg/500ml D5W 2mg/250ml NS supply:1mg/1cc |
|
|
Atropine (Brady)
|
Anticholinergic
Dose: 0.5mg-1mg (0.5mg/5cc) IVP 3-5minutes Max Dose: 3mg Supply:1mg/10ml |
|
|
Adenosine
|
PSVT, SVT
1st Dose: 6mg/2cc IVP Left AC 2nd Dose: 12mg/4cc IVP Left AC 3rd Dose: 12 mg/4cc IVP Left AC Supply: 6mg/2cc |
|
|
Amiodrone
|
Indications:VF, PVT
1st Dose: 300mg/6cc IVP 2nd Dose:150mg/3cc IVP Dose for V-Tach w/ Pulse: 150mg/100ml/10min Repeat 150mg/10min Max:450mg Max: 2.2gm's in 24hrs Supply:150mg/3cc |
|
|
Cardizem
|
Diltiazam
Calcium Channel Blocker narrow complex a-fib >150 Dose:0.25mg/kg IVP max 20mg 2nd Dose 0.35mg/kg IVP max 25mg Supply:25mg/5cc |
|
|
Glucagon (betablock OD)
|
raise cAMP
Dose: 3mg IVP or bristajet supply 1mg/1ml |
