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16 Cards in this Set
- Front
- Back
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Epinephrine
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Used in cardiac arrest, severe anaphalaxis, and severe reactive airway disease.
Adult Dose:(cardiac arrest) 1 mg of 1;10,000 solution IV every 3 to 5 min. or 2 to 2.5 times the dose ET if no IV. Pediatric Dose:(cardiac arrest) 0.01 mg of 1:10,000 IV. 2nd and subsequent doses 0.1mg/kg of 1:1,000 IV Severe anaphalaxis/asthma:adult dose 0.3 to 0.5 mg 1:1,000 IV every 5 to 15 min as needed. Ped dose 0.01 mg/kg 1:1,000 every 5 to 15 min as needed. |
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Dopamine
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Indicated in significant hypotension(not resulting from hypopvolemia) and in cardiogenic shock. Dosage: piggyback/ IV infusion
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Lidocaine
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Indicated in Vtach, VFIB, and malignant PVCs . Dose should be reduced 50% in Pts 70 yrs plus.
Pulseless Vtach and refractory Vfib: Initial dose of 1.0 to 1.5 mg/kg and can be repeated every 3 to 5 min. at a dose of 0.5 to 0.75 mg/kg to a max. of 3.0 mg.Vtach with pulse or PVCs:INITIAL DOSE 1.0 TO 1.5 mg/kg Boluses of 0.5 to 0.75 mg/kg can be repeated every 5 to 10 min. to a max of 3.0 mg /kg.Once supressed a lidocaine drip should be initiated at 2 to 4 mg/min. |
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Adenosine
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Indicated in PSVT refractory to vagal manuvers.
Initial dose is 6mg given rapid IV bolus over a 1 to 2 sec. immediately followed by a 20 cc NS flush.If no change in 1-2 min follow with 12 mg rapid IVP followed by flush. Second 12 mg dose may be given as needed followed by flush. |
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Magnesium Sulfate
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Indicated in severe refractory Vfib or pulseless Vtach post MI for prophlaxis of arrhythmias, torsades de pointes.
Vfib or Vtach: 1 to 2 g of magnesium should be diluted in 10 ml of solution and administered slow IVP over 1 to 2 min or 1 to 2 g can be diluted in 100 ml solution and given over 1 to 2 min . Torsades de pointes: 5 to 10 g are diluted in 100 ml of solution and administered at a rate of 1g/min until suppressed or max dose is admin. Post MI: 1 to 2 g diluted in 100 ml solution and admin over 5 to 30 min. If no IV can be given IM. |
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Atropine
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Indicated in significant bradycardia,asystole, and organophosphate poisoning.
Bradycardia:initial dose of 0.5 mg IV can be repeated every 3 to 5 min until a max dose of 0.04 mg/kg has beeen given. Asystole: 1.0 mg IV and can be admin ET increased 2 to 2.5 times |
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Aspirin (ASA)
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Indicated for chest pain suggestive of acute coronary syndrome and signs and symptoms of recent stroke.
Recommended dose 160 to 325 mg taken as soon as possible after onset of pain. Low dose(80-160 mg) baby ASA is preffered.(81mg each) |
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Sodium Bicarbinate |
Capable of neutralizing gastric acid, buffers metabolic acidosis. Indicated for metabolic acidosis during Cardiac arrest. side effects include metabolic alkalosis 1 mEq/kg slow IV if needed 0.5 mEq/kg every 10 minutes |
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Calcium Chloride 10% |
Posative inotropic effect Beta Blocker and Calcium Channel blocker Contraindications include v-fib and hypercalemia 500-1000mg (5-10mL of 10% solution) IV |
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Amiodrone (antidysrhythmic) |
Blocks sodium & potassium channels, delays repolarizing Indications are V-fib, pulseless and unstable V-tach Contraidications include Cariogenic shock Adult dosing 300mg IV/IO follow in 3-5 min (150 mg max 2.2 IV in 24 hrs) |
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Nitroglycerin (vasodilator) |
Side effects include Tachycardia, Hypotension Indications incluce angina, hypertension, ischemia chest pain MOA includes smooth muscle relaxant, reduces preload and after load Adult dose is 0.4 mg spray SL every 3-5 min 3 dose max |
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Methylprednisolone |
Adult dose: spinal trauma- 30 mg/kg IV/IO over 30 minutes Anaphalaxis: 1-2 mg/kg IV Supresses inflammation, beta adgengenic agonist, smooth muscle relaxant indications include acute spinal trauma, anaphylasis, bronchodilator for unresponsive asthma SE increase ICP |
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Ondansetron (zofran) |
blocks the action of serotonin Indications include nausea and vomitting Adult dose: 4 mg IV may repeat 10 min |
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Midazolam (benzodiazapine) |
CNS sedative, hypnotic Indications is sedation for intubation CI: shock, alcohol intox, overdose Adult dose is 2-2.5mg SLOW IV may repeat to max 0.1mg/kg |
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Fentanyl |
Side effects: respritory depression, hypotension Indications: pain CI: brain trauma, hypersensativity Adult dose 1mcg/kg IV/IO/IM slow push max of 150 mcg Binds to opiod receptors, analgesic |
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Morphine Sulfate |
SE: respritory depression, hypotension Adult dose: 2-4 mg IV initial repeat 2-8mg 5-15 min Angina- 1-5mg IV push CI- head injury, myocardial pain MOA: CNS suppression, depresses respritory, decreases preload and after load |
