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8 Cards in this Set

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  • Back
Epinephrine
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.
Dopamine
Indicated in significant hypotension(not resulting from hypopvolemia) and in cardiogenic shock. Dosage: piggyback/ IV infusion
Vasopressin
Indicated in CPR to increase PVR as an alternative to Epi or when Epi has already been used.
Adult Dose: 40 units IV single dose only.
Lidocaine
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.
Adenosine
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.
Magnesium Sulfate
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.
Atropine
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
Aspirin (ASA)
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)