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11 Cards in this Set

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Albuterol

Class: Sympathomimetic


Dose: 2.5mg in 3 ml fluid NEB


Uses: Treat reversible Bronchoconstriction


MOA: Some Beta 1 stimulation, little to no Alpha stimulation


S/E: headache, nervousness, sweating, anxiety, dizziness, tachycardia, hypertension, palpations.


C/I: Hypertension, Vomiting, Cardiovascular disorders, tachycardia arrhythmia's caused by digitalis; synergistic effect with other sympathomimetic

Atropine

Class: Sympathomimetic


Dose: Brady: 0.5 mg FIVP OGP: 1-2 mg IVP


Uses: Sinus Bradycardia, Asystole and PEA; signs of OGP


MOA: Blocks acetylcholine receptor sites so the PNS can not be activated


S/E: Restlessness, agitation, diaphoresis, headache, anxiety, dizziness, arrhythmias and paradoxical bradycardia.


C/I: ABSOLUTE: Acute myocardial infarction, tachycardia

Diazepam

Valium


Class: Benzodiazepine; sedative


Dose: 2-20mg SIVP


Use: Seizures/ Status epi, Sedation prior to RSI


MOA: Suppresses spread of Seizure activity and raises seizure threshold.


S/E: drowsiness, fatigue, headache, hypotension, reflex tachycardia, respiratory arrest/depression, increased ICP


C/I: Head injury, coma, shock, respiratory depression/ arrest

Diltiazem Hydrochloride

Cardizem


Class: Benzodiazepine, Class: IV antidysrhythmic


Dose: 0.25mg/kg SIVP over 2 minutes


Use: A-Fib/flutter with RVR; PSVT


MOA: blocks calcium channels decreases SA&AV conduction


S/E: Syncope, Tinnitus, dizziness, angina, A-flutter, dyspnea,


C/I:

Epinephrine

Class: Sympathomimetic


Dose: Asthma/Anaph: 0.3-0.5mg 1:1,000 SQ


Cardiac Arrest: 1-2 mg IV


Use: Anaphylaxis, asthma, cardiac arrest, Pulseless V-tach and V-fib


MOA: naturally occurring chemical that stimulates the sympathetic system


S/E: headache, SVT, Arrhythmia; PE; High BS


C/I: Uncorrected Tachy; Hypovolemia; hypothermia; high BP

Diphenhydramine

Class: Antihistamine


Dose: 25-50 mg SIVP; 50 mg Deep IM


Use: allergic reaction with epi; motion sickness


MOA: Blocks H1 and H2 receptor stimulation


S/E: Drowsiness; fever; headache; dizziness; shortened diastolic which may cause reflex tachycardia; arrhythmias.


C/I: Use of Monoamine Oxidase Inhalers (MAOI); Glaucoma; asthmatic attack; nursing mother; infants

Morphine

Class: Opiate; Schedule II narc; CNS agent (depressant)


Dose: CP: 1-2mg SIVP; Pain: 0.1mg/kg SIVP


Use: Pain; chest pain


MOA: binds wiht opiate receptors and changes the way pain is precieved both preception and emotional response.


S/E: ALOC; headache; constricted pupils; brady/tachy; resp depression; euporia; syncope.


C/I: ALOC; Head injury; Acute Asthma; hypotension/volemia; use of MAOI's Within 14 days; seizure disorders

Ondanseton

Zofran


Class: Antiemetic


Dose: 4mg SIVP over 30 sec or 4mg IM undiluted


Use: vomiting/nausea


MOA: not fully understood; blocks chemoreceptors that stimulate vomiting


S/E: reflex vomiting if pushed fast; CNS depression; dizziness; malaise; fatigue; chest pain; tachycardia; bronchospasm.


C/I: decreased liver function; intestinal obstruction; cardiac arrhythmias.

Succinylcholine

Class: paralytic


Dose: 1.0-1.5 mg/kg IVP


Use: RSI


MOA: depolarizing paralytic binds to site and does not allow chemical to be released that repolarizes the muscle


S/E: respiratory depression/arrest; arrhythmias; cardiac arrest; hypertension, increased ICP; bradycardia; sinus arrest; hypotension


C/I: penetrating eye injury; head injury; known hyperkalemia; asthma; 7-10 days after severe burn.

Rocuronium

Class: non-depolarizing paralytic


Dose: 0.6-1.2 mg/kg IVP


MOA: non-depolarizing neuromuscular blocking agent


S/E: complete paralysis; hyper/hypotension; tachycardia; increased pulmonary vascular resistance


C/I: Known hypersensitivity

Dopamine

Class: sympathomimetic


Dose: 2-20 mcg/kg/min; mixture with 200 mg/250ml to yield an 1600 mcg /ml solution


MOA: effects on beta-1 causes a positive inotropic (strength of contractions of heart) also acts on alpha-adrenergic receptors causing vasoconstriction in higher doses


S/E: headache; tremor; anxiety; angina; tachy; dilated pupils; dyspnea.


C/I: CA; hypovolemia; uncorrected/ controlled tachy; phenochromocytoma