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21 Cards in this Set
- Front
- Back
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Acetazolamide (Diamox)
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- carbonic anhydrase inhibitor
- Glaucoma: 250-500mg PO bid - Mtn sick: 250mg PO bid 2 d before trip - |
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Docusate (Colace)
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- Stool softener: 50-500mg qd divided into 1-4 doses
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Bisacodyl (Dulcolax)
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- GI stimulant: 10 mg PO qd
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GI cocktail (Maalox+Lidocaine+Donnatal)
aka Green Goddess |
- GI upset: 30mL maalox +10mL 2% lido +10mL donnatal in single dose
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Morphine PCA
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PCA dose 1-3 mg
Lockout 5-10 min Initial Load 5-10 mg Continuous dose 1-2/hr **use judiciously Breakthrough 4-6mg IV |
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Dobutamine
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-B1 agonist
-increases CO via inc. in contractility -Start: 0.5-1 mcg/kg/min IV; Max: 40 mcg/kg/min |
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Dopamine
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-low dose: D receps in renal
-mod dose: B1 agonist -high dose: a1 agonist = vasoconstrict -Start: 2-5 mcg/kg/min; Max: 20 mcg/kg/min |
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Milrinone/Amrinone
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-phosphodiesterase inhibitors used in refractory HF
-+ inotrope -0.375-0.75 mcg/kg/min IV |
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Zofran (ondansetron)
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-4 mg IV q6h
-8 mg PO q8h (4mg if < 11 yo) |
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Unclogging a DHT--use what?
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-first try water
-Coke/carbonated beverages -pancreatic enzymes **Pancrelipase (Viokase) w/ NaH2CO3 to inc pH to 7.9 -dissolved papain |
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Emergent HTN trmt
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-Sodium Nitroprusside 0.25-10 ug/kg/min IV infusion
**add nicardipine 5-15 mg/h IV -Hydralazine 10 mg IV bolus -Metoprolol 5 mg IV q10 X 3 or Labetalol 20-80 mg slow IV q10min -Labetalol 0.5-2 mg/min IV infusion -Phentolamine 5-10 mg IV bolus q5-15min -Furosemide 20-160 mg PO BID |
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Pregnant HTN trmt
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-MgSO4 4-6 g IV in 30 min, then 1 g/h for sz prophylaxis
**mix 5g in 250mL of D5W, give 50 mL/hr -Methyldopa 250 mg PO TID -hydralazine |
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Vancomycin
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-Start 1g q12h or 17 or 15mg/kg q12h, drip over 1h
-500 mg q6-8h PO for entercolitis -trough measured after 3rd dose -target trough 15-20 (>10 to prevent resistence) -inhibs cell wall syn, interfers w/RNA and cell permeability -synergistic w/ other Abx |
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Celecoxib
Celebrex |
-NSAID Cox-2
-100-200 mg PO bid |
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Ketolorac
Toradol |
-NSAID
-15-30 mg IV/IM q6h -10 mg PO q4-6 |
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Fentanyl
Duragesic |
-50-100 mcg IV 1-2min slow push for a procedure
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Naloxone
Narcan |
-0.2 mg q2 min IV
-0.1 for peds |
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Tramadol
Ultram |
-50-100 mg PO q4-6 prn mod pain
-beware of seizures w/ antidepressants |
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Ketamine
Ketalar |
-1-2 mg/kg over 1-2 min
-use atropine w/ to prevent hypersalivation |
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Etomidate
Amidate |
-0.3 mg/kg IV for induction
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Propofol
Diprivan |
-40 mg IV q10sec until induction
-ICU vent settings: 5-50 mcg/mg/min IV |
