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29 Cards in this Set
- Front
- Back
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Adenosine |
Ind: Symptomatic SVT Con: Allergy, heart block, drug induced tach, a-fib/a-flutter, wide complex arrhythmia S.E.: Headache, facial flushing, chest pressure, nausea Dose/rte: 1st 6mg rapid IVP, 2nd 12mg rapid IVP |
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Albuterol |
Ind: Acute broncospasm Con: Allergy S.E.: HA, tachycardia, HTN Dose/rte: 2.5mg in 3mL nebulized |
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Amiodarone |
Ind: VT, VF Con: Allergy, heart block, bradycardia, drug induced arrhythmia, neonate/infant S.E.: Bradycardia, hypotension, heart block, CHF Dose/rte: 300mg IVP, 150mg IVP (PNB) 150mg bolus over 10 min (stable VT) |
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Ammonia inhalant |
Ind: ALOC with other causes ruled out Con: Pt A/O, Medical cause established S.E: irritation of respiratory membranes, pharynx, esophagus Dose/ rte: One capsule waved under pt nose during inhalation |
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Aspirin |
Ind: S/sx of ACS Con: Allergy, bleeding disorder, already had max of 324 mg S.E.: Nausea, GI bleeding, rash, tinnitus Dose/rte: 324mg PO |
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Atropine |
Ind: Symptomatic sinus brady, AV nodal heart block, organophosphate poisoning Con: Allergy, glaucoma, wide complex heart block, drug induced arrythmia S.E: Palpitations, tachycardia, blurred vision, dry mouth, ^BP Dose/rte: 0.5-1mg (cardiac) 2-3mg (organophosphate) |
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Atrovent |
Ind: Bronchospasm, maintenance for pt with COPD Con: Allergy to drug, soybeans, peanuts; glaucoma S.E.: HA, dry mouth, tachycardia, N/V, cramping Dose/rte: 0.5mg in 2.5mL saline nebulized |
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Benadryl |
Ind: Allergic reaction Con: Allergy, glaucoma, newborn S.E.: Dowsiness, confusion, N/V, seizure, tachycardia, blurred vision Dose/rte: 25-50mg IV/IO/IM |
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Dextrose |
Ind: Hypoglycemia Con: ^ICP, alcoholic w/ delirium tremens S.E.: Hyperglycemia Dose/rte: 25 g IV bolus |
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Oral glucose |
Ind: Hypoglycemia Con: ^ICP, alcoholic w/ delirium tremens S.E.: Hyperglycemia Dose/rte: 15 g |
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Dilaudid |
Ind: Moderate to severe pain Con: Allergy, status asthmaticus, pulmonary edema, intracranial lesion associated w/ ^ICP S.E.: Hypotension, respiratory depression, N/V Dose/rte: 0.5-1mg slow bolus IV/IO over 2-3min, max 2mg |
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Dopamine |
Ind: Hypotension w/o hypovolemia, symptomatic bradycardia w/o response to atropine Con: Allergy, tachydysrhythmia, VF, hypovolemia S.E.: HTN, tachydysrhythmia, increased myocardial O2 demand Dose/rte: 400mg/250mL NS, titrate to effect (typically 5-10mcg/kg/min to SBP of 100 mmHg) |
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Epinephrine 1:1000 |
Ind: Anaphylaxis, asthma Con: None S.E: HA, palpitations, HTN, tachycardia Dose/rte: 0.30mg IM (greater than 66lb), 0.15mg IM (less than 66lb) |
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Epinephrine 1:10,000 |
Ind: Pulseless arrest Con: PEA/asystole caused by excited delirium S.A: HA, palpitations, HTN, tachycardia Dose/rte: 1mg IV/IO |
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Etomidate |
Ind: Premedication for ETI Con: Allergy, pediatric pt with septic shock S.E.: Respiratory depression, tachy- or bradycardia, hyper- or hypotension, involuntary muscle movement, N/V Dose/rte: 0.3mg/kg IV/IO |
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Fentanyl |
Ind: Moderate to severe pain, sedation Con: Hypotension, allergy S.E.: Respiratory depression, dizziness, ALOC, bradycardia Dose/rte: 50mcg slow IO/IO/IN, max 250mcg (pain); 50-100mcg IV/IO/IN, addtl dose of 25mcg given every 5min (sedation) |
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Glucagon |
Ind: Hypoglycemia Con: Allergy, history of tumor that secretes epinephrine S.E.: N/V, hypotension, respiratory distress Dose/rte: 1mg IN/IM |
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Lidocaine |
Ind: Ventricular arrythmias (significant PVCs, VT, VF), anesthesic for pt with pain following IO insertion Con: Allergy to drug or "caine," heart blocks S.E.: Seizures, hypotension, bradycardia Dosr/rte: 1-1.5mg/kg IV/IO, maint 2-4mg/min (ventricular arrythmias), 40mg IO over 2 min |
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Magnesium Sulfate |
Ind: Persistent VF/ pulseless VT, torsades de pointes, eclampsia Con: Hypotension, heart block S.E.: Respiratory depression, flushing, drowsiness, muscle weakness, N/V Dose/rte: 1-2 g over 5-10 min |
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Morphine |
Ind: Suspected cardiac chest pain, CHF, pain management Con: Allergy, hypotension, head injury w/ ALOC, respiratory depression S.E.: Decreased LOC, respiratory depression, bradycardia, hypotension, N/V Dose/rte: 2-10mg IV/IO titrated to effect |
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Narcan |
Ind: Suspected narcotic overdose in pt w/ ALOC Con: Allergy S.E.: N/V, tremors, tachycardia Dose/rte: 0.4-2mg IV/IO/IN (1mL max per nare), repeat 2-5 min, max 4mg |
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Nutroglycerin |
Ind: Chest pain of cardiac origin, angina, acute coronary syndrome Con: Hypotension (SBP>100 mmHg), erectile dysfunction drugs w/in 24hrs S.E.: N/V, HA, hypotension, tachycardia Dose/rte: 0.4 mg sublingual, max 3 doses |
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Romazicon |
Ind: Benzo overdose w/ med control permission Con: Allergy, poly-drug overdose, chronic benzo use S.E.: HA, dizziness, dysthymias, seizures, vomiting Dose/rte: 0.2mg IV/IO, repeat PRN, max 2mg |
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Sodium bicarbonate |
Ind: Known preexisting hyperkalemia, known bicarb responsive acidosis (tricyclic antidepressant OD, ASA OD, cocaine OD, dialysis pt) prolomged resuscitation w/ effective ventilation, ROSC after long arrest Con: None S.E.: Alkalosis Dose/rte: 1mEq/kg IV/IO |
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Thiamine |
Ind: Alcoholics, malnourished patients prior to glucose admin Con: Allergy S.E.: None Dose/rte: 100mg IV/IO |
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Valium |
Ind: Continuous/recurrent seizure (status epilepticus), muscle spasm from injury, sedation Con: Allergy, hypotension S.E.: Hypotension, respiratory depression, bradycardia, rash Dose/rte: 2-5mg IV/IO titrate to effect, max 20mg |
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Vasopressin |
Ind: Cardiac arrest pt in place of 2nd epi, cardiac arrest pt from excited delirium in place of epi Con: Conscious pt w/ coronary artery disease, allergy S.E.: Pallor, bronchial constriction, uterine contraction Dose/rte: 40 units IV/IO |
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Versed |
Ind: Sedation (prior to painful procedure, agitated delirium/combativeness, secure airway for pt who can't due to deteriorating condition), seizure Con: Allergy, hypotension S.E.: Hypotension, respiratory depression, bradycardia, unrestrained behavior resulting in agitation Dose: 0.5-2.5mg IV/IO/IN, max 5mg (sedation), 10mg IN (excited delirium), 5-10mg IV/IO, max 20mg (prior to intubation after etomidate), 2-10mg IV/IO/IN, max 20mg |
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Zofran |
Ind: Nausea and vomiting Con: Known allergy S.E.: HA, constipation, sensation of flushing or warmth Dose/rte: 4mg IV/IO |
