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37 Cards in this Set

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Oxygen
Class: Gas
Rx: Possible Hypoxia
Contra: None
Prec: CoPD
Dose: 2-15 lpm per NR or NC
Activated Charcoal
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
Epi 1:1000
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
Acetyl Salicylic Acid
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
Albuterol
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
Narcan
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)
Dextrose 50%
Class: Carbohydrate
Rx: Hypoglycemia
Contra: None
Prec: Increasing ICP
Dose: 25g of 50% IV
Glucagon
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
Thiamine
Class: Vitamin
Rx: Coma of Unknown Origin and DT's
Contra: None
Prec: None
Dose: 50-100 mg IV/IM
Diphenhydramine
Class: Antihistamine
Rx: Allergic Reactions
Contra: Hypersensitivity, Lower Respiratory Problems, Pregnancy (C), Newborns
Dose: 25-50 mg IV/IM
Ketorolac
Class: NSAID
Rx: Mild to Moderate Pain
Contra: Hypersensitivity, Asthma
Dose: 30 mg IV, 30-60 mg IM
Droperidol
Class: Antiemetic
Rx: Nausea, Vomiting, Antipsychotic, Tranquilizing Effect
Contra: Known Intolerance
Prec: Elderly, HypoTN, Bradydysrhythmias
Dose: 2.5-10 mg IV
Nitroglycerine
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
Dexamethasone
Class: Steroid
Rx: Anaphylaxis, Asthma, CoPD, Cerebral Edema, Urticaria
Contra: None
Prec: Diabetes, CHF, Seizures, GI Ulcers
Dose: 4-24 mg IV/IM
Methylprednisolone
Class: Steroid
Rx: Anaphylaxis, Asthma, CoPD, Urticaria
Contra: None
Prec: None
Dose: 125-250 mg one time IV/IM
Ibuprofen
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
Morphine Sulfate
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
Acetaminophen
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
Lidocaine
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
Atropine Sulfate
Class: Parasympatholytic
Rx: Symptomatic Bradycardia
Contra: None
Prec: MI, Glaucoma
Dose: 0.5-1.0 mg IV (ETx2) up to 3.0 mg
Etomidate
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
Midazolam
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
Fentanyl Citrate
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
Succinylcholine
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
Norcuron
Class: Paralytic
Rx: ET Intubation (Paralysis)
Contra: Newborns, Mysathenia Gravis
Prec: None
Dose: 0.1 mg/kg IV (Defasciculating Dose 10%)
Phenergan
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
Insulin
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
Meperidine
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
Cardizem
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
Adenosen
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
Sodium Bicarbonate
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
Amiodarone
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
Vasopressin
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
Magnesium Sulfat
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)
Dopamine
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)
Dobutamine
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
Epi 1:10000
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