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37 Cards in this Set
- Front
- Back
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Oxygen
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Class: Gas
Rx: Possible Hypoxia Contra: None Prec: CoPD Dose: 2-15 lpm per NR or NC |
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Activated Charcoal
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Class: Adsorbant
Rx: Acute Injested Poison Contra: Cyanide, Mineral Acid, Caustic Alkali, Organic Solvent, Iron Ethanol and Methanol Poisoning Prec: None Dose: 1g/kg w/ 6-8 oz. H2O PO or NG tube |
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Epi 1:1000
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Class: Sympathomimetic
Rx: Severe Anaphylaxis Contra: Hypersensitivity, Shock, Dysrhythmias Prec: HTN, Diabetes, TB, Children < 6, Asthma, Emphysema, Elderly, Parkinsons Dose: 0.3-0.5 mg 1:1000 every 5-15 mins as needed IV or SC |
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Acetyl Salicylic Acid
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Class: Analgesic, Antipyretic, NSAID, Platelet Inhibitor
Rx: Inhibit clot formations for chest pain assoc. with MI Contra: Hypersensitivity, Asthma, Active Ulcer Disease Prec: Bleeding Disorders Dose: 160-325 mg PO |
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Albuterol
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Class: Sympathomimetic Bronchodilator
Rx: Chronic Bronchitis, Bronchospasm Attack, Emphysema. Contra: Hypersensitivity Prec: Tachycardia Dose: 2.5 mg in 2.5-3.0 mL NaCl via nebulizer |
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Narcan
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Class: Narcotic Antagonist
Rx: Coma of Unknown Origin, Narcotic Overdose Contra: Hypersensitivity, Respiratory Depression due to Non-Opioid Drugs Prec: Narcotic Addiction Dose: 0.4-2.0 mg in 0.4 incriments every 2-3 mins up to 10 mg (2.0x in ET Tube) |
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Dextrose 50%
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Class: Carbohydrate
Rx: Hypoglycemia Contra: None Prec: Increasing ICP Dose: 25g of 50% IV |
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Glucagon
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Class: Hormone
Rx: Hypoglycemia w/o IV, Beta Blocker Overdose Contra: Hypersensitivity Prec: Effective only if there are Glycogen Stores in Liver. Hx of Renal disease. Dose: 1.0 mg IM/SC/Buccal, BBOD: 3-5 mg IV over 1 min |
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Thiamine
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Class: Vitamin
Rx: Coma of Unknown Origin and DT's Contra: None Prec: None Dose: 50-100 mg IV/IM |
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Diphenhydramine
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Class: Antihistamine
Rx: Allergic Reactions Contra: Hypersensitivity, Lower Respiratory Problems, Pregnancy (C), Newborns Dose: 25-50 mg IV/IM |
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Ketorolac
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Class: NSAID
Rx: Mild to Moderate Pain Contra: Hypersensitivity, Asthma Dose: 30 mg IV, 30-60 mg IM |
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Droperidol
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Class: Antiemetic
Rx: Nausea, Vomiting, Antipsychotic, Tranquilizing Effect Contra: Known Intolerance Prec: Elderly, HypoTN, Bradydysrhythmias Dose: 2.5-10 mg IV |
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Nitroglycerine
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Class: Nitrate
Rx: To Increase Coronary Artery Perfusion, Chest Pain Contra: Hypersensitivity , ED Drugs, Severe Anemia, Increased ICP, Shock Dose: 0.4 mg SL every 3-5 mins |
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Dexamethasone
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Class: Steroid
Rx: Anaphylaxis, Asthma, CoPD, Cerebral Edema, Urticaria Contra: None Prec: Diabetes, CHF, Seizures, GI Ulcers Dose: 4-24 mg IV/IM |
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Methylprednisolone
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Class: Steroid
Rx: Anaphylaxis, Asthma, CoPD, Urticaria Contra: None Prec: None Dose: 125-250 mg one time IV/IM |
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Ibuprofen
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Class: NSAID, Antipyretic, Analgesic
Rx: Fever, Mild to Moderate Pain Contra: Hypersensitivity, Active Peptic Ulcer, Bleeding Abnormalities Prec: HTN, GI/Hepatic/Renal Impairment, Cardiac Decompression Dose: 200-400 mg for 4-6 hours up to 1200 mg PO |
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Morphine Sulfate
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Class: Narcotic Analgesic
Rx: Moderate to Severe Pain, MI, To reduce venous return in pulmonary edema due to inhalation. Contra: Hypersensitivity, Undiagnosed Head/Abdominal Injury, HypoTN, Asthma, CoPD Prec: Very old, Very young or debilitated Dose: Pain~2.5-15 mg IV 5-20 mg IM/SC; MI~ 1-2 mg/6-10 mins |
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Acetaminophen
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Class: Analgesic, Antipyretic
Rx: Mild to Moderate Pain, Fever when ASA is not tolerated. Contra: Hypersensitivity, Child < 3 Prec: Hepatic Disease, Child < 12 with Arthritic Conditions, Alcoholism, Malnutrition, Thrombocytopenia Dose: 325-650 mg 4-6 hrs PO, 650 mg PR |
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Lidocaine
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Class: Antidysrhythmic
Rx: COnvert V. Dys/V. Tach into NSR Contra: Hypersensitivity, Increasing v.dys, Stokes-Adams Syndrome, Bradycardia, SA-AV-IV Block Prec: CHF, Hypoxia, Shock, Elderly Dose: 1.0-1.5 mg/kg up to 3.0 mg slow IV |
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Atropine Sulfate
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Class: Parasympatholytic
Rx: Symptomatic Bradycardia Contra: None Prec: MI, Glaucoma Dose: 0.5-1.0 mg IV (ETx2) up to 3.0 mg |
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Etomidate
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Class: Hypnotic
Rx: ET Intubation (Sedative) Contra: Hypersensitivity Prec: HypoTN, Severe Asthma, Cardiac Disease, Child < 10 Dose: 0.1-0.3 mg/kg over 15-30 sec. IV |
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Midazolam
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Class: Sedative
Rx: Cardioversion/Painful Procedures Contra: Intolerance, Shock, Coma, Intoxication Prec: CoPD, Renal Failure, CHF, Elderly Dose: 1.0-2.5 mg slow IV, 0.07-0.08 mg/kg IM |
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Fentanyl Citrate
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Class: Narcotic Analgesic
Rx: RSI, Severe Pain Contra: MAO Inhibitors, Mysathenia Gravis Prec: Increased ICP, Head Injuries, CoPD, Elderly Dose: 25-100 mcg slow IV |
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Succinylcholine
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Class: Depolarizing Neuromuscular Blocker
Rx: ET Intubation (Paralysis) Contra: Acute Narrow Angle Glaucoma, Penetrating Eye Injuries, Burns > 8 hrs, Crush Injuries > 5 Days Dose: 1-2 mg/kg IV, 3-4 mg/kg IM |
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Norcuron
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Class: Paralytic
Rx: ET Intubation (Paralysis) Contra: Newborns, Mysathenia Gravis Prec: None Dose: 0.1 mg/kg IV (Defasciculating Dose 10%) |
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Phenergan
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Class: Antiemetic
Rx: Nausea, Vomiting, Potentiate effects of analgesics, sedation Contra: Hypersensitivity, nursing mothers, newborns, premature infants, dehydrated children Prec: None Dose: 12.5-25 mg IV/IM/PR |
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Insulin
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Class: Hormone
Rx: Hyperglycemia, Diabetic Coma Contra: Hypersensitivity, Hypoglycemia Prec: Pregnancy (C) Dose: 5-10 U IV/IM/SC Load Dose, Maintenance dose depends on BGL |
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Meperidine
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Class: Narcotic Analgesic
Rx: Moderate-Severe Pain Contra: Hypersensitiviy, Convulsive Disorders, Acute Abdominal Conditions. Prec: Increased ICP, Head Injuries, Asthma, SVT, Hypertrophy, Glaucoma Dose: 25-50 mg IV |
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Cardizem
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Class: Calcium Channel Blocker
Rx: SVT, to increase coronary artery perfusion in chest pain Contra: Hypersensitivity, Sick Sinus Syndrome, 2nd and 3rd Degree AV block, Severe HypoTN, V.Tach, Wolf-Parkinson-White Syndrome Prec: Pregnancy (C), Nursing Mothers, children, CHF, Beta Blockers, Elderly Dose: 0.25 mg/kg IV Bolus for 2 mins |
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Adenosen
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Class: Antidysrhythmic
Rx: Convert PSVT to NSR when Vagal Tactics fail. Contra: Preexisting 2nd or 3rd degree Blocks, Sinus Node Disease, Hypersensitivity Prec: Asthma, CoPD Dose: 6, 12 and 12 mg rapid IV bolus followed with rapid Saline Flush |
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Sodium Bicarbonate
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Class: Electrolyte
Rx: Acidosis, hyperkalemia, tricyclic antidepressants, barbituate OD Contra: None Prec: Large amounts can cause metabolic alkalosis Dose: 1 mEq/kg IV, half dose q10mins |
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Amiodarone
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Class: Antiarrhythmic
Rx: Cardiac Arrest VFib/VTach Contra: Shock, Bradycardia, 2nd or 3rd degree blocks Prec: Do not use w/ meds that prolong QT Interval Dose: 300 mg IVP, 2nd dose 150 mg IVP q3-5mins |
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Vasopressin
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Class: Vasopressor
Rx: Cardiac Arrest Vfib/Vtach, GI Bleed Contra: Chronic Nephritis, with nitro retention, migraine, epilepsy, CHF, asthma, CAD, Pregnancy, Lactation Prec: None Dose: Cardiac Arrest~40 U IVP/IO; GI~ \0.1-0.4 U/min IV |
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Magnesium Sulfat
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Class: Electrolyte
Rx: Cardiac Arrest, Torsades, AMI, Seizures 2 deg. eclampsia, hypomagnesia Contra: Renal disease, heart block, increased Magnesium Prec: None Dose: 1-2g IVP (Code); 1-2 g IV over 5-60 mins (Seizure/Torsades); 1-4 g IV slow (seizures); 0.5-1.0 g/hr (hypomagnesia) |
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Dopamine
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Class: Inotrope
Rx: HypoTN, Bradycardia Contra: Tachydys, HTN Prec: MAO Inhibitors reduce dose by 1/10th Dose: Renal~2-5 mcg/kg/min, inotropic~5-10 mcg/kg/min, Pressor~>10 mcg/kg/min IV drip Mix 400 mg in 250 mL D5W (1600 mcg/mL) |
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Dobutamine
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Class: Inotrope
Rx: CHF Contra: Tachydys, IHSS, Hypovolemia, poison-induced shock, shock w/ BP <100 systolic Prec: Pregnancy (C), Nursing Moms, Children, AMI, HTN, AFib Dose: 2-20 mcg/kg/min Mix 250mg in 250mL D5W |
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Epi 1:10000
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Class: Sympathomimetic
Rx: Cardiac Arrest, Bradycardia, HypoTN Contra: Tachydys, CAD, Shock Prec: HTN, Diabetes, child < 6, asthma, emphysema, elderly, Parkinsons, Dose: 1 mg IVP, 2xET, infuse 30 mg in 250 mL NS at 100mL/hr |
