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64 Cards in this Set

  • Front
  • Back

ACETYLSALICYLIC ACID

Brand Name

Class

Action

Brand Name: Aspirin




Class:


-analgesic


-antipyretic


-anti-platelet aggregate




Action:


-blocks the mediators of pain and fever


-blocks the ability of platelets to form clots

ACETYLSALICYLIC ACID

Indications

Contraindications

Indications:


-chest pain of suspected cardiac nature




Contraindications:


-known hypersensitivity


-recent surgery


-GI bleed within the last 2 weeks


-patient already on blood thinners

ACETYLSALICYLIC ACID

Precautions

Sides Effects

Precautions:


-may exacerbate asthma


-Rye Syndrome in children




Sides Effects:


-bleeding prolongation


-wheezing in asthmatics

ACETYLSALICYLIC ACID

Dosage

Route

Adult Dosage: 160-325 mg PO


(non-coated chewable tablet)




Pediatric Dosage: 10-15 mg/kg (max=160 mg)




Route: PO

NITROGLYCERIN

Brand Name

Class

Action

Brand Name: Nitrostat, Nitropaste, Nitrobid




Class:


-nitrate


-antianginal




Action:


-potent vaso-dilator with antianginal, anti-ischemic & anti-hypertensive effects


-relaxes vascular smooth muscle resulting in dilation of venous and arterial blood vessels



NITROGLYVERINE

Indications

Contraindications

Indications:


-chest pain of suspected cardiac nature


-CHF




Contraindications:


-hypotension (systolic BP<90 mm Hg)


-use of erectile dysfunction meds within last 48 hrs

NITROGLYCERINE

Precautions

Sides Effects

Precautions:


-obtain IV access prior to administration, if IV access is not possible med can still be given to pts. with systolic BP > 150 mm Hg




Sides Effects:


-Hypotension, lightheadedness, syncope


-headache


-burning sensation under tongue


-tachycardia

NITROGLYCERINE

Dosage

Route

Adult Dosage:


Tablet: 0.4 mg (1/150 grain) SL q 5 min. PRN


Spray: 1 dose SL or buccal q 5 min. PRN


Paste: 1-2 inch transdermal for CHF




Pediatric Dosage: not recommended




Route: SL, buccal, transdermal paste

ACTIVATE CHARCOAL

Brand Name

Class

Action

Brand Name: Chardote, Actidose




Class:


-absorbent




Action:


-adheres to poisons and the GI tract to inhibit absorption

ACTIVATED CHARCOAL

Indications

Contraindications

Indications:


-ingestion of poisons (acute)




Contraindications:


-altered L.O.C.


-reduced gag reflex


-ingestion of caustic substances

ACTIVATED CHARCOAL

Precautions

Sides Effects

Precautions:


-administer slowly to reduce the chance of vomiting




Sides Effects:


-nausea


-vomiting


-constipation


-black stool

ACTIVATED CHARCOAL

Dosage

Route

Adult Dosage: 1 g/kg mixed with H2O or sorbitol


(typically 50 grams)




Pediatric Dosage: same as adult (typically 25 g.)




Route: PO, NG tube

IPECAC SYRUP

Brand Name

Class

Action

Brand Name: Syrup of Ipecac




Class:


-emetic




Action:


-induces vomiting by irritating the gastric mucosa and chemo-receptor trigger zones of medulla

IPECAC SYRUP

Indications

Contraindications

Indications:


-ingestion of poisons




Contraindications:


-altered L.O.C.


-reduced gag reflex


-ingestion of caustic substance

IPECAC SYRUP

Precautions

Sides Effects

Precautions:


-none in the emergent setting




Sides Effects:


-GI distress


-diarrhea


-dyspnea

IPECAC SYRUP

Dosage

Route

Adult Dosage: 30 mL w/ 1-2 glasses of H2O




Pediatric Dosage: 15 mL w/ 1-2 glasses of H2O




Route: PO

OXYGEN

Brand Name

Class

Action

Brand Name: O2




Class:


-gas




Action:


-enters through respiratory system


-used to help breakdown glucose in cell for fuel


-reverses hypoxia

OXYGEN

Indications

Contraindications

Indications:


-any patient that is or may become hypoxic due to serious illness or injury




Contraindications:


-none in the emergent setting

OXYGEN

Precautions

Sides Effects

Precautions:


-administered only in concentration that corrects hypoxia


-use caution in newborns to prevent blindness & Rye Syndrome




Sides Effects:


-Rare, reduced hypoxic drive in COPD patients

OXYGEN

Dosage

Route

Adult Dosage: 1-40 L/min delivered w/ highest tolerated concentration and device to produce monitored SpO2 of 94-99%




Pediatric Dosage: same as adult dosage




Route: inhaled

EPINEPHRINE

Brand Name

Class

Action

Brand Name: Adrenalin




Class:


-sympathomimetic




Action:


-vaso-constrictor


-broncho-dilator


- increases myocardial contracticity, conductivity, and contractility


-reduces the VF threshold to defibrillation



EPINEPHRINE

Indications

Contraindications

Indications:


-severe respiratory distress due to anaphylaxis, asthma, or COPD


-cardiac arrest refractory to defibrillation




Contraindications:


-none in CA


-hypertension


-tachycardia


-MI


-cardiogenic or hypovolemic shock in respiratory distress

EPINEPHRINE

Precautions

Sides Effects

Precautions:


-in patients with history of ACS or over 50 y/o consider more selective beta-2 agent for respiratory distress




Sides Effects:


-none in cardiac arrest


-MI (respiratory distress)


-tachydysrhythmias

EIPINEPHRINE

Dosage

Route

Adult Dosage:


Cardiac Arrest: 1 mg IV/IO (1:10000) q 3-5 min


Resp. Distress: 0.3 mg IM (1:1000)




Pediatric Dosage:


Cardiac Arrest: 0.01 mg/kg IV/IO (1:10000)


q 3-5 min


Resp. Dist.: 0.01 mg/kg IM (1:1000)


(max: <10 kg=.1 mg


10-20kg=.2 mg


>20 kg=.3 mg)




Route: IV/IO, IM

VASOPRESSIN

Brand Name

Class

Action

Brand Name: Pitressin




Class:


-Hormone


-Vaso-pressor




Action:


-potent peripheral vascular resistant during CPR


-alternative to Epi or if Epi is unsucessful

VASOPRESSIN

Indications

Contraindications

Indication:


-cardiac arrest




Contraindications:


-none in cardiac arrest

VASOPRESSIN

Precautions

Sides Effects

Precautions:


-pts with renal failure




Side Effects:


-peripheral vascular collapse


-MI

VASOPRESSIN

Dosage

Route

Adult Dosage:


Cardiac Arrest: 40 units IV/IO (one time)


Esophageal Varices: 0.2-0.4 units/min


IV infusion




Pediatric Dosage:


Not recommended




Route: IV/IO, IV infusion


ATROPINE SULFATE

Brand Name

Class

Action

Brand Name: Atropine




Class: -parasympatholytic (inhibits PSNS)


-vagolytic (inhibits vagus nerve)




Action:


-blocks acetylcholine receptors


-increases SA node discharge


-enhances conduction through AV node


-increases cardiac output

ATROPINE SULFATE

Indications

Contraindications

Indication:


- symptomatic bradycardia




Contraindications:


- none in the emergent setting

ATROPINE SULFATE

Precautions

Side Effects

Precautions:


-use caution in pts. with history of MI or Ischemia


-use caution in pts. with glaucoma (raises intraoccular pressure)




Side Effects:


-may increase brady in AV blocks


-hypertension


-palpitations


-afib/aflutter


-tachydysrhythmias



ATROPINE SULFATE

Dosage

Route

Adult Dosage:


Symptomatic Brady:0.5-1.0 mg IV/IO (max=3mg)


Organophosphate Poisoning: 3 mg IV/IO




Pediatric Dosage:


Precusor to ETT Intubation: 0.02 mg/kg (max=0.5mg)

LIDOCAINE

Brand Name

Class

Action

Brand Name: Xylocaine 2%




Class: antidysrhythmic




Action:


-suppresses ventricular ectopic pacemaker cells by raising the stimulation threshold through the ventricular electrical pathways


-reduces threshold for defib and cardioversion

LIDOCAINE

Indications

Contraindications

Indications:


-life threatening ventricular dysrhythmias


-PVC's (>6/min) with poor perfusion


-to prevent the recurrence of VF/VT after conversion to supraventricular rhythms




Contraindications:


-hypersensitivity


-bradycardia


-idioventicular rhythms


-AV blocks (high degree)


-CHF

LIDOCAINE

Precautions

Sides Effects

Precautions:


-liver or renal disease


-CHF


-hypoxia


-hypotension


-hypovolemia




Sides Effects:


-numbness


-drowsiness


-confusion


-hypotension


-seizures in high doses

LIDOCAINE

Dosage

Route

Adult Dosage:


Cardiac Arrest: 1mg/kg IV/IO bolus


repeat at 10 min intervals w/


0.5 mg/kg (max=3 mg/kg)


IV Infusion: 1-4 mg/kg/min


Trauma ICP: 1.5 mg/kg




Pediatric Dosage:


IV/IO Bolus: 1mg/kg q 3-5 min (max=3 mg/kg)


Infusion: 20-30 mcg/kg/min




Route: IV/IO, infusion

AMIODARONE

Brand Name

Class

Action

Brand Name:


Class:


Action:

AMIODARONE

Indications

Contraindications

Indications:


Contraindications:

AMIODARONE

Precautions

Side Effects

Precautions


Side Effects

AMIODARONE

Adult Dosage

Pediatric Dosage

Adult Dosage


Pediatric Dosage:


PROCAINAMIDE

Brand Name

Class

Action

Brand Name:


Class:


Action:


PROCAINAMIDE

Indications

Contraindications

Indications:


Contraindications:

PROCAINAMIDE

Precautions

Side Effects

Precautions


Side Effects

PROCAINAMIDE

Adult Dosage

Pediatric Dosage

Adult Dosage:


Pediatric Dosage:

ADENOSINE

Brand Name

Class

Action


Brand Name:

Class:


Action:

ADENOSINE

Indications

Contraindications

Indications:


Contraindications:

ADENOSINE

Precautions

Side Effects

Precautions:


Side Effects

ADENOSINE

Adult Dosage

Pediatric Dosage

Adult Dosage:


Pediatric Dosage:

DILTIAZEM

Brand Name

Class

Action

Brand Name:


Class:


Action:

DILTIAZEM

Indications

Contraindications

Indications:


Contraindications:

DILTIAZEM

Precautions

Side Effects

Precautions:


Side Effects:

DILTIAZEM

Adult Dosage

Pediatric Dosage

Adult Dosage


Pediatric Dosage

VERAPAMIL

Brand Name

Class

Action

Brand Name:


Class:


Action:

VERAPAMIL

Indications

Contraindications

Indications:


Contraindications:

VERAPAMIL

Precautions

Sides Effects

Precautions:


Sides Effects:

VERAPAMIL

Dosage

Route

Adult Dosage:


Pediatric Dosage:


Route:

LORAZEPAM

Brand Name

Class

Action

Brand Name:


Class:


Action:

LORAZEPAM

Indications

Contraindications

Indications:


Contraindications:

LORAZEPAM

Precautions

Side Effects

Precautions:


Side Effects:

LORAZEPAM


Adult Dosage


Pediatric Dosage

Adult Dosage:


Pediatric Dosage

MIDAZOLAM


Brand Name


Class


Action

Brand Name:


Class:


Action:

MIDAZOLAM


Indications


Contraindications

Indications:


Contraindications:

MIDAZOLAM


Precautions


Side Effects

Precautions


Side Effects

MIDAZOLAM


Adult Dosage


Pediatric Dosage

Adult Dosage


Pediatric Dosage