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;
29 Cards in this Set
- Front
- Back
|
Tetracaine
|
Indications: Relief from eye pain
Contraindications: Open eye injury Adverse Rxns: Irritation Dosage: 1-2 drops Pediatric same as adult |
|
|
Pralidoxime (Protopam)
|
Indications: Organophosphate poisoning (after atropine)
Adverse Rxns: HTN, tachycardia, laryngospasm Dosage: 600mg IM or 1-2g IV over 15-30min Pediatric - 20-50mg/kg IV over 15-30min |
|
|
Promethazine (Phenergan)
|
Indications: Nausea, motion sickness, OB sedation, allergic rxns
Contraindications: Comatose states, Reye's syndrome Adverse Rxns: Sedation, dizziness, dystonias Dosage: 12.5-25mg deep IM Not for pediatrics |
|
|
Reteplase (Retavase)
|
Indications: Management of acute MI
Contraindications: Active internal bleeding, HX stroke, bleeding disorders, uncontrolled HTN Adverse Rxns: bleeding, reperfusion dysrhythmias Dosage: 10 + 10U double bolus IV over 2min -Not for pediatrics |
|
|
Streptokinase
|
Indications: Acute MI, pulmonary emboli, DVT
Contraindications: Active bleeding, recent CVA Adverse Rxns: Bleeding, hypotension, chest pain, abd. pain Dosage: 1.5million U diluted to 45mL IV over 1hr |
|
|
Phenytoin (Dilantin)
|
Indications: Major motor seizures, status epilepticus
Contraindications: Sinus bradycardia, 2nd and 3rd block, SA block Adverse Rxns: Hypotension w/ rapid push, dysrthymias, bradycardia, respiratory depression, ataxia, CNS depression Dosage: 1000mg slow IV Pediatric - 10-20mg/kg slow IV loading dose |
|
|
Pancuronium (Pavulon)
|
Indications: Induction or maintenance of paralysis after intubation to assist ventilations
Contraindications: Inability to control airway, myasthenia gravis Adverse Rxns: transient hypotension, tachycardia, dysrhythmias Dosage: 0.04-0.1mg/kg slow IV Pediatric - same Infant - half dose |
|
|
Norepinephrine (Levophed)
|
Indications: Cardiogenic shock, neurogenic shock, inotropic shock
Contraindications: Hypotension w/ hypovolemia Adverse Rxns: Headache, dysrhythmias, tachycardia, HTN Dosage: Dilute 4mg in 250mL of D5W; infuse at 0.5-5mcg/min - titrate to effect |
|
|
Nitroglycerin
|
Indications: ischemic chest pain, CHF, HTN emergencies, pulmonary HTN
Contraindications: Hypotension, head injury, cerebral hemorrhage, erectile dysfunction meds Adverse Rxns: Headache, syncope, hypotension Dosage: 0.3-0.4mg SL |
|
|
Albuterol
|
Indications: Bronchospasm
Contraindications: Heart dysrhythmias with tachycardia Adverse Rxns: Dizziness, tachycardia, dysrhythmias Dosage: Metered dose - 1-2 inhalations Solution - 2.5mg diluted to 3mL w/ NS |
|
|
Midazolam Hydrochloride (Versed)
|
Indications: Premedication for intubation or cardioversion, seizures in children
Contraindications: Shock, coma, alcohol intoxication, depressed vital signs Adverse Rxns: Respiratory depression, hiccup, cough Dosage: Sedation - 1-2.5mg slow IV Elderly - 0.5mg slow IV Pediatric - 0.05-0.2mg/kg then infuse Seizures in Peds - 0.1-0.15mg/kg IV slow |
|
|
Meperidine (Demerol)
|
Indications: Moderate to severe pain, preoperative medication
Contraindications: Head injury Adverse Rxns: Respiratory depression, euphoria, agitation, seizure, hypotension, coma Dosage: 50-100mg IM; 15-35mg IV Elderly - 25mg IM Pediatric - 1-2mg/kg |
|
|
Mannitol (Osmitrol)
|
Indications: Cerebral edema, rhabdomyolysis
Contraindications: Severe hypotension, dehydration, active cranial hemorrage, hyponatremia Adverse Rxns: Pulmonary edema, renal failure, CHF Dosage: 0.5-1g/kg/dose IV infusion over 30-60 min |
|
|
Hydralazine (Apresoline)
|
Indications: HTN emergencies - mainly of eclampsia and preeclampsia, pulmonary HTN
Contraindications: CAD, congestion Adverse Rxns: Tachycardia, hypotension, headache Dosage: 10-40mg IM or IV - repeat in 10min |
|
|
Hydroxyzine (Atarax, Vistaril)
|
Indications: Nausea/vomiting, anxiety rxns, motion sickness, pruritus
Contraindications: Hypersensitivity Adverse Rxns: Dry mouth, drowsiness Dosage: 25-100mg deep IM Ped - 1mg/kg/dose, deep IM |
|
|
Flumazenil
|
Indications: Reversal of benzodiazepine sedation or overdose
Contraindications: Cocaine, cyclic antidepressant overdose Adverse Rxns: Dizziness, headache, agitation Dosage: 0.2mg then 0.3mg then 0.5mg Max:3mg |
|
|
Epinephrine Racemic
|
Indications: Bronchial asthma, bronchospasm, croup, laryngeal edema
Contraindications: HTN, epiglotitis Adverse Rxns: Tachycardia, dysrhythmias Dosage: Metered - 2-3 inhalations Solution - Dilute 5mL in 5mL saline, admin over 15 min |
|
|
Isoproterenol (Isuprel)
|
Indications: Management of polymorphic V-Tach
Contraindications: Monomorphic Vtach, vfib, hypotension, cardiac arrest, angina Adverse Rxns: Dysrhythmias, hypotension, flushing, restlessness Dosage: Dilute 1mg in 250mL of D5W; Infuse at 2-10mcg/min or until desired heart rate obtained |
|
|
Levalbuterol (Xopenex)
|
Indications: Treatment or prevention of patients over 6yrs old w/ reversible obstructive airway disease
Contraindications: Dysrhythmias with tachycardia Adverse Rxns: Tachycardia, HTN, hypotension, chest pain, dysrhythmias, tremors Dosage:0.63-1.25mg nebulized Pediatric: 0.31mg nebulized |
|
|
Ibutilide (Corvert)
|
Indications: Supraventricular dysrhythmias, conversion of afib/aflutter for short time
Contraindications: Hx of heart failure or Vtach Adverse Rxns: Ventricular dysrthymias, hypotension, HTN Dosage: 1mg IV over 10 min - may repeat once |
|
|
Procainamie (Pronetyl)
|
Indications: Numerous dysrthymias, PSVT, stable wide complex tachycardia of unknown origin, afib with rapid rate in WPW syndrome
Contraindications: 2 or 3 degree block, digitalis toxicity, torsades, complete heart block Adverse Rxns: Hypotension, bradycardia, AV block, widened QRS, VTach, vfib, asystole, seizure, confusion Dosage: Pulse - 20mg/min slow IV Arrest - 100mg IV push Peds - 15mg/kg IV/IO;infuse over 30-60 min |
|
|
Inamrinone (Inocor)
|
Indications:Severe CHF refractory to diuretics, vasodilators, and other inotropic agents
Contraindications: Hypotension, valvular obstructive disease Adverse Rxns: Tachycardia dysrthythmias, hypotension, fever, increased lived enzymes Dosage: 0.75mg/kg IV over 10-15min - titrate for effect |
|
|
Metoprolol (Lopressor)
|
Indications: PSVT, afib/aflutter
Contraindications: Heart failure, 2 or 3 degree block, cardiogenic shock, hypotension, bradycardia, lung disease w/ bronchospasm Adverse Rxns: Bradycardia, AV conduction delays, hypotension Dosage: 5mg slow IV at 5 min intervals to a total of 15 mg |
|
|
Atenolol (Tenormin)
|
Indications: PSVT, afib/aflutter
Contraindications: Heart failure, cardiogenic shock, bradycardia, hypotension, 2 or 3 degree block Adverse Rxns: Bradycardia, AV delays, hypotension Dosage: 5mg IV slow; wait 10min for 2nd dose of 5mg IV slow |
|
|
Diltiazem (Cardizem)
|
Indications: Afib/aflutter, multifocal atrial tachycardia, PSVT
Contraindications: 2 or 3 degree block, hypotension, cardiogenic shock, if pt has WPW syndrome, VTach, acute MI Adverse Rxns: Aflutter, bradycardia, hypotension, chest pain, CHF, syncope, ventricular dysrhythmias Dosage: 0.25mg/kg IV over 2 min |
|
|
Labetalol
|
Indications: HTN emergencies
Contraindications: Bronchial asthma, CHF, 2 & 3 degree block, bradycardia, cardiogenic shock, pulmonary edema Adverse Rxns: Headache, dizziness, fatigue, edema, ventricular dysrhythmias, allergic, rxns, dyspnea Dosage: 10mg over IV 1-2min - may repeat or double every 10min; max 150mg |
|
|
Metaproterenol (Alupent)
|
Indications: Bronchial asthma, bronchitis, emphysema
Contraindications: Heart dysrhythmias, tachycardia Adverse Rxns: Tachycardia, dysrhythmias, decreased BP, coughing, tremors, diaphoresis Dosage: Metered - 2-3 inhalations Solution: 5-15 inhalations of 5% solution |
|
|
Dobutamine (Dobutrex)
|
Indications: Inotropic support for left ventricular dysfunction
Contraindication: Tachycardic dysrhythmias, hypotension w/ signs of shock, drug induced shock Adverse Rxns: Headache, HTN, ventricular ectopy Dosage: 2-20mcg/kg/min IV |
|
|
Ipatropium
|
Indications: Persistent bronchospasm, COPD exacerbation
Contraindications: Hypersensitivity Adverse Rxns: Nausea, coughing, headache, tachycardia, dry mouth, blurred vision Dosage: 1-2 inhalations |
