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34 Cards in this Set
- Front
- Back
- 3rd side (hint)
Epinephrine
(Adrenaline®) |
CONTRAINDICATIONS:
Tachydysrhythmias, Coronary Artery Disease SIDE EFFECTS: Tachydysrhythmias, VT, VF, Angina, HTN |
Notes
A catecholamine Beta 1 – Increases the rate and force of cardiac contractions resulting in increase cardiac output Beta 2 – Relaxes the bronchial smooth muscles thereby increasing vital lung capacity Alpha receptors – Arterioles of bronchioles to constrict which can help reduce edema Alpha adrenergic – produces peripheral vasoconstriction which aids in raising arterial blood pressure |
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Albuterol
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CONTRAINDICATIONS:
Tachydysrhythmias SIDE EFFECTS: achydysrhythmias, Anxiety, Nausea & Vomiting |
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Ipra.tropium Bromide
(Atrovent®) |
CONTRAINDICATIONSS:
Hypersensativity to Soy, Peanuts, Atropine SIDE EFFECTS Dry mouth, H/A, Cough |
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Methyl.prednisolone
(Solu-Medrol®) |
CONTRAINDICATIONS:
Cushing’s syndrome, fungal infection, measles, varicella, known sensitivity ( including sulfites). SIDE EFFECTS: Euphoria, Peptic Ulcer, Hyperglycemia, Hypokalemia |
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Dexa.methasone
(decadron®) |
CONTRAINDICATIONS:
Uncontrolled infections, TB, Ulcers SIDE EFFECTS: Headache, Restlessness, Depression, Vertigo, Hypertension, CHF, Abdominal Distention, Nausea, Vomiting |
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Glucagon
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CONTRAINDICATIONSS:
Hypersensitivity SIDE EFFECTS: Dizziness, Possible Hypertension, Tachycardia, Nausea, Vomiting Notes: Hormone excreted by the alpha cells of the pancreas |
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Dextrose
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CONTRAINDICATIONSS: Intracerebral bleeding, hemorrhagic CVA, Allergies to Corn derivative
SIDE EFFECTS:Tissue necrosis if extravasation occurs |
Notes:
D5W - Dilution of concentrated drugs for intravenous infusion. Isotonic in container and when administered hypotonic crystalloid solution D5 ½ NS – Hypotonic Crystalloid Solution D5 NS - Hypertonic D10W D25 D50 |
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Diazepam
(Valium®) |
CONTRAINDICATIONS:
Head Injury, Hypotension, Acute Narrow Angle Glaucoma, Hypersensitivity to glycol, preexisting CNS depression, pregnancy or lactation SIDE EFFECTS: Decrease in Respirations, Hypotension, drowsiness, venous irritation |
Note:
Overdose may be reversed with flumazenil. |
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Lorazepam
(Ativan®) |
CONTRAINDICATIONS:
Acute Narrow-Angle Glaucoma SIDE EFFECTS: Apnea, N & V, Drowsiness, Restlessness, Delirium: be prepared to ventilate the patient |
Note: Overdose maybe reversed with Flumazenil.
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Midazolam
(Versed®) |
CONTRAINDICATIONS:
Acute Narrow Angle Glaucoma, Shock SIDE EFFECTS: Respiratory Depression, Hypotension, Negative Chronotropic Effect, H/A, N&V, |
Note: Overdose maybe reversed with Flumazenil
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Naloxone
(Narcan®) |
CONTRAINDICATIONS:
Do not use on a newborn if the mother is addicted to narcotics: may cause withdrawal, Hypersensitivity SIDE EFFECTS: Withdrawal symptoms in the addicted patient |
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Adenosine
(Adenocard®) |
CONTRAINDICATIONS:
2nd or 3rd degree AV Block, VT, Sick Sinus syndrome SIDE EFFECTS: Transient Dysrhythmias, Facial Flushing, Dyspnea, Chest Pressure, Hypotension, Headache, Nausea, Bronchospasm. |
Note: Adenosine is blocked by Theophyllines; but potentiated by Dipyridamole, Carbamazepine
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Diphenhydramine
(Benadryl®) |
CONTRAINDICATIONS:
Asthma, Pregnant or Lactating females SIDE EFFECTS: Sedation, Blurred Vision, Anticholinergic effects |
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Etomidate
(Amidate®) |
CONTRAINDICATIONS:
Pt < 10yo, Pregnancy, Do not use with Ketamine, Immunosuppression, Sepsis, Transplant patient SIDE EFFECTS: Apnea, Bradycardia, Hypotension, Arrhythmias, N&V |
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Furosemide
(Lasix®) |
CONTRAINDICATIONS:
Dehydration, Hypokalemia, Hepatic Coma. SIDE EFFECTS: Hypokalemia, Hypotension, Dehydration |
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Activated Charcoal
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CONTRAINDICATIONS:
Do not give before or together with ipecac. Contact Poison Center for more advice SIDE EFFECTS: Constipation |
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Nitroglycerine
(Nitrostat®) Tablet (Nitrolingual®) Spray |
CONTRAINDICATIONS:
Hypotension, hypovolemia, intracranial bleeding, aortic stenosis, right ventricle infarction, severe bradycardia or tachycardia, recent use of Viagra®, Cialis®, Levitra® SIDE EFFECTS: Headaches, Hypotension, Syncope, Tachycardia, Flushing |
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Amiodarone
(Cordarone®) |
CONTRAINDICATIONS:
Cardiogenic Shock, Bradycardia, 2nd or 3rd degree block; do not use with drugs that prolong QT interval SIDE EFFECTS: Vasodilation, Hypotension, Negative Chronotropic effect, AV Block, Hepatotoxicity, High QTc, VF, VT, 40 day |
Note: Additionally, amiodarone inhibits alpha and beta adrenergic stimulation resulting in relaxation of vascular smooth muscle, reduction of peripheral vascular resistance, and a slight increase in cardiac index. Potassium, Calcium, Sodium Channel Blocker
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Diltiazem
(Cardizem®) |
CONTRAINDICATIONS:
severe hypotension, cardiogenic shock. *should not be administered in prehospital setting in patients with ventricular tachycardia, Wolff Parkinson White Syndrome. |
Note: Mild negative inotropic effect. Potent negative chronotropic effect lessens myocardial oxygen demand, causes coronary artery dilation.
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Lactated Ringers
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SIDE EFFECTS:
Over hydration CONTRAINDICATIONS: Lactic Acidosis, Hyperkalemia, Dimished renal functions, CHF, Metabolic Alkalosis, Respiratory Alkalosis |
Note: Solutions containing calcium ions should not be administered simultaneously through the same administration set as blood because of coagulation.
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Normal Saline (0.9%)
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CONTRAINDICATIONS:
Fluid/Circulatory Overload, Congestive Heart Failure |
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Sodium Bicarbonate 8.4%
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CONTRAINDICATIONS:
None, when used in the treatment of documented metabolic acidosis. SIDE EFECTS: Metabolic Alkalosis, Hyperkalemia, Fluid overload. |
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Vasopressin
(Pitressin®) |
CONTRAINDICATIONS:
Responsive patients with cardiac disease SIDE EFFECTS: cardiac ischemia, angina |
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Calcium Chloride 10%
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CONTRAINDICATIONS:
VF, digitalis toxicity, hypercalcaemia SIDE EFECTS: bradycardia, asystole, hypotension, VF, coronary & cerebral artery spasm, nausea/vomiting Precautions: extravasation causes necrosis. |
Note:
Precipitates/Incompatible with Sodium Bicarbonate (NaHCO3) |
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Dopamine
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CONTRAINDICATIONS:
Uncorrected tachycardia, cardiogenic shock with CHF. |
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Lidocaine 2%
(Xylocaine®) not in NYC REMAC |
CONTRAINDICATIONS:
2 & 3 degree block, hypotension, Stokes-Adams Syndrome. Reduce maintenance infusion by 50% if pt is >70 has liver disease, or is in CHF or shock. SIDE EFECTS: Seizures, slurred speech, altered mental status. |
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Atropine Sulfate
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CONTRAINDICATIONS:
Tachycardia, Glaucoma, GI obstruction, AMI, Chest Pain, Allergy SIDE EFECTS: tachycardia, palpitations, dry mouth, dizziness, N/V, flushed skin, |
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Fentanyl
not in state or city protocols |
CONTRAINDICATIONS:
known sensitivity, traumatic brain injury, respiratory depression SIDE EFECTS: respiratory depression, sinus bradycardia and tachycardia, nausea/vomiting, dizziness, sedation, hyper and hypotention, diaphoresis, syncope, pain at injection site. |
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Sodium Thiosulfate
(class order) |
CONTRAINDICATIONS:
None in an emergency setting. |
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Proparacaine 0.5%
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CONTRAINDICATIONS:
hypersensitivity to the solution SIDE EFECTS: redness, burning, sting, blurred vision |
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Hydroxocobalamin
(class order) |
CONTRAINDICATIONS:
None SIDE EFECTS: HTN, rash, nausea, headache, dizziness |
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Morphine Sulfate
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CONTRAINDICATIONS:
Respiratory depression, shock, know sensitivity, abdominal pain, head trauma, COPD. SIDE EFFECTS: dizziness, nausea/vomiting, AMS, respiratory depression |
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Tetracaine 0.5%
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CONTRAINDICATIONS:
Allergy or hypersensitivity SIDE EFFECTS: dizziness, nausea/vomiting, AMS, respiratory depression |
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Prolidoxime
( 2-PAM) |
CONTRAINDICATIONS:
Myasthenia gravis, renal failure, inability to control airway SIDE EFFECTS: dizziness, blurried vision, HTN, diplopia, hyperventilation, nausea/vomiting, sinus tachycardia |
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