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145 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Adenosine Class
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Endegonous Nucleoside
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Adenosine Action
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Slows electrical conduction through AV node, and inhibits re-entry pathway, converting svt to nsr.
Onset- 30 seconds Duration -1-2 minutes |
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Adenosine Indications
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SVT
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Adenosine Dose SVT
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6mg rapid ivp, follow with 20ml NS.
12mg rapid ivp, follow with 20ml NS. if no sinus pause mrx1 in 1-2" If pt has hx of bronchospasm or COPD. BHO |
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Adenosine Contraindications
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2nd and 3rd degree AV heart blocks
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Adenosine Side Effects
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"Some chicks may dance naughty tonight"
Sob/Dyspnea Chest pain Mild hypotension Dizziness Nausea Transient Arrhythmias |
Some Chicks May Dance Naughty Tonight
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Albuterol Class
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Sympathomimetic
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Albuterol Action
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Activates beta-2 adrenergic receptors relaxing bronchial smooth muscle
Bronchodilation, relieves bronchospasm, and reduces airway resistance |
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Albuterol Indications
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Respiratory disress with bronchospasm
-respiratory origin -allergic reaction/anaphylaxis -burns |
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Albuterol Contraindications
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None
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Albuterol Side Effects
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"TDT"
Tachycardia Dizziness Tremors |
TDT
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Aspirin Class
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Salicylate
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Aspirin Action
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Inhibits the normal tendency for platelets to accumulate in injured or occluded cardiac arteries.
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Aspirin Indications
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Discomfort/ pain of suspected cardiac origin.
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Aspirin Dose-Discomfort/ pain of suspected cardiac origin.
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162mg po two 81 mg tablets
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Aspirin Contraindications
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None
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Aspirin Side Effects
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Gi upset
Occult bleeding |
"GO"
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Atropine Class
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Anticholenergic
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Atropine Action
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Competes with acetylcholine for receptor sites blocking the PNS response at SA and AV nodes
Increases HR by increasing electrical conduction through the heart. Inhibits secretions by decreasing PNS effect on bronchial, salivary, sweat and GI glands. |
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Atropine Indications
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-PEA with bradycardia <60
-Unstable bradycardia narrow complex or wide complex if pacing unavailable -Unstable bradycardia pediatrics -Organophophate poisoning |
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Atropine Dose- PEA bradycardia <60
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1mg IVP MRx2 q 3-5" to max 3mg
or 2mg ET MRx2 q 3-5" to max 6mg administered dose |
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Atropine Dose- Unstable bradycardia narrow complex or wide complex if pacing unavailable
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.5mg IVP for pulse <60bpm mr q 3-5" to max of 3mg
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Atropine Dose- unstable bradycardia pediatrics
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<9 hr <60 9-14 yo hr <40 PDC IV
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Atropine Dose- Organophosphate poisoning
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2mg ivp/im mr q 3-5"x2 mr q 3-5" prn bho
or 4mg et mr q 3-5"x2 mr q 3-5" prn bho |
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Atropine Contraindications
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None
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Atropine Side Effets
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"Freaky Prostitutes Dance Tonight"
Flushed hot dry skins Pupil dilation Dry mouth Tachycardia |
"Freaky Prostitutes Dance Tonight"
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Atrovent Class
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Anticholenergic
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Atrovent Action
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-Antagonizes the action of acetylcholine preventing the interaction of acetylcholine with muscarinic receptors in bronchial smooth muscle causing bronchodilation.
-bronchodilation site specific |
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Atrovent Indications
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Respiratory distress with bronchospasm
-respiratory origin -allergic reaction/anaphylaxis -burns |
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Atrovent Contraindications
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None
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Atrovent Side Effects
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"Never Give Nicky Big Purple Hickys"
Nausea Gi distress Nervous Blurred vision Palpitations Headache |
Never Give Nicky Big Purple Hicky's
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Benadryl Class
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Antihistamine
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Benadryl Action
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-Binds to histamine receptor sites, supressing histamine induced allergic symptoms
-Does not prevent histamine release |
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Benadryl Indications
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-Allergic reaction/ anaphylaxis
-Extrapyramidal reactions |
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Benadryl Dose- Allergic reaction/ anaphylaxis
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adult
50mg slow ivp/im peds pdc im/ivp |
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Benadryl Dose- Extrapyramidal reactions
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adult
50mg slow ivp/im peds pdc im/ivp |
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Benadryl Contraindications
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None
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Benadryl Side Effects
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"Dirty Dogs Hump Pretty Sluts"
Drowsiness Dry mouth Hypotension Palpitations Seizures |
"Dirty Dogs Hump Pretty Sluts"
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Calcium Chloride Class
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Electrolyte
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Calcium Chloride Action
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-Increases myocardial contractility
-Enhances ventricular automaticity -Reverses cardio-electric changes produced by hyperkalemia -Shifts potassium back into cell to prevent intravascular hyperkalemia |
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Calcium Chloride Dose- Suspected hyperkylemia in a hemodialysis pt in the presence of widened qrs complex and peaked t wave
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500mg IVP BHO mr BHO
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Calcium Chloride Indications
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-Suspected hyperkalemia in a hemodialysis pt in the presence of widened qrs complex and peaked t waves
-Crush injury with extended compression >= 2 hours of extremity or torso. |
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Calcium Chloride Contraindications
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None
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Calcium Chloride Side Effects
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Decreased Heart Rate
Hypotension Metallic Taste |
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Charcoal Class
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Absorbent
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Charcoal Action
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-Binds and absorbs ingested oxins present in the GI tract
-Inhibits intestinal absorption preventing systemic toxicity |
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Charcoal Indications
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Oral ingestion of poison or overdose
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Charcoal Dose- Oral ingestion of poison or overdose
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Adult
50gm PO Peds PDC PO |
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Charcoal Contraindication
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Isolated alcohol ingestion
Caustic agents ingestions Heavy metal ingestion Hydrocarbon ingestions Iron ingestions |
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Charcoal Side Effects
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Nausea/ Vomiting
Constipation/ Diahrea Abdominal Cramping |
"CAN"
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Calcium Chloride Dose- Crush injury with extended compression >= 2 hours of extremity or torso
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500mg IVP over 30 seconds BHO
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Dextrose Class
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Carbohydrate
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Dextrose Action
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Increases blood glucose by providing free sugar quickly released into the blood stream
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Dextrose Indications
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-Symptomatic pt with altered loc or unresponsive to oral glucose
-if bs <75 mg/dl -if pt remains symptomatic and BS remains <75 mg/dl MR Peds Symptomatic pt unresponsive to oral glucose agents -If BS <75 mg/dl infant <60 neonate <45 |
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Dextrose Dose- Symptomatic pt with altered loc or unresponsive to oral glucose agents
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25gm IVP
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Dextrose Dose- Peds Symptomatic pt unrsponsive to oral glucose agents
-If bs <75 infant <60 neonate <45 |
PDC 25% solution IVP
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Dextrose Contraindications
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None
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Dextrose Side Effects
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Local venous irritation/ infection
Hyperglycemia |
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Dopamine Class
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Sympathomimetic
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Dopamine Action
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-At low and medium doses selectively dilates blood vessels supplying the brain kidneys heart and gastrointestinal tract
-At medium to high doeses, increases cardiac output by increasing contractility and stroke volume, thereby increasing blood pressure -At high doses, causes vasoconstriction and increased heart rate |
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Dopamine Indications
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-Discomfort/pain of suspected cardiac origin with associated origin
-Shock normovolemic (anaphylactic, neurogenic, septic) -Bradycardia (after max atropine or after initiation of TCP) |
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Dopamine Dose
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Adult only
10-40 mcg/kg/min in 250ml NS IV drip titrate to bp >= 90 systolic BHO |
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Dopamine Contraindications
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None
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Dopamine Side Effects
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-At high infusion rates, hypertension and extreme vasoconstriction may occur
-At low infusion rates, hypotension may occur -Tachyarrhytmias -Increased myocardial 02 demand |
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Epinephrine Class
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Sympathomimetic
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Epinephrine Action
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-On the bronchi bronchodilation
-On the peripheral vasculature vasoconstriction -On the heart increased heart rate increased contractility increased av conduction increased automaticity |
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Epinephrine Indications
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-Allergic reaction with respiratory distress/bronchospasm
-Anaphylaxis -Respiratory distress with bronchospasm -Respiratory distress with stridor in pediatric pts -Cardiac arrest -Newborn deliveries if HR remains <60 after 30 sec CPR |
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Epinephrine Dose- Allergic reaction with respiratory distress/bronchospasm
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Adult
If no known cardiac history and <65yo .3mg IM 1:1000 mr q 10"x2 if known cardiac hx above per BHO Peds PDC IM 1:1000 mr q 10"x2 |
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Epinephrine Dose- Anaphylaxis
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.3mg IM 1:1000 MR q 10" x2
.1mg IVP 1:10,000 BHO MR q 3-5" x 2 BHO 2mg ET 1:1000 BHO MR q 3-5" BHO Peds PDC IM 1:1000 MR q 10"x 2 PDC IVP/IO 1:10000 BHO MR q 3-5"x2 BHO PDC ET 1:1000 BHO MR q 3-5"x2 BHO |
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Epinephrine Dose- Respiratory Distress with bronchospasm
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if no known cardiac hx and <65yo .3mg SC 1:1000 MR q 10"x2
if known cardiac hx BHO Peds PDC IM 1:1000 MR q 10"x2 |
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Epinephrine Dose- Respiratory distress with stridor in pediatric pts
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1:10000 PDC via nebulizer MRx1
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Epinephrine Dose- Cardiac arrest
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1mg IVP 1:10000 mr q 3-5"
2mg ET 1:1000 mr q 3-5" 10mg ETAD 1:1000 mr q 5" Peds PDC ivp/io 1:10000 mr q 3-5"x2 mr q 3-5" BHO PDC et 1:1000 mr q 3-5"x2 mr q3-5"BHO PDC etad 1:1000 mr q5"x2 mr q 5" BHO |
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Epinephrine Dose- Newborn deliveries if HR remains <60 after 30 seconds CPR
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PDC ivp/io 1:10000 mr q 3-5"x2 mr q 3-5"BHO
PDC et 1:1000 mr q 3-5"x2 mr q3-5"BHO |
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Epinephrine Contraindications
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None
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Epinephrine Side Effects
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Anxiety
Palpitations Ventricular irritability Hypertension Angina Headache Nausea |
"All perfect vaginas have absolutely no hair"
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Glucagon Class
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Pancreatic Hormone
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Glucagon Action
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Increases blood glucose by convertine glycogen stored in the liver to glucose
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Glucagon Indications
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-Symptomatic pt with altered loc or unresponsive to oral glucose agents
if no iv if bs <75mg/dl Peds -Symptomatic pt unresponsive to oral glucose agents if no iv if bs <75 infant <60 neonate <45 |
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Glucagon Dose- Symptomatic pt with altered loc or unresponsive to oral glucose agents
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1ml (1unit) IM
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Glucagon Dose- Pediatric
symptomatic pt unresponsive to oral glucose agents |
PDC IM
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Glucagon Contraindications
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None
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Glucagon Side Effects
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Nausea/Vomiting
Tachycardia |
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Lidocaine Class
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Amide Derivative
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Lidocaine Action
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Decreases ventricular excitability by supressing automaticity in the his perkinje system
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Lidocaine Indications
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Vtach
Vfib/ Pulseless Vtach Post conversion Vfib/ Vtach with pulse >=60 |
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Lidocaine Dose- Vtach
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1.5mg/kg slow IVP mr .5mg/kg IVP q8-10" to max 3mg/kg admnistered dose
3mg/kg ET mr 1mg/kg q8-10" to max 6mg/kg administered dose |
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Lidocaine Dose- Vfib/ pulseless Vtach
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1.5mg/kg IVP mrx1 in 3-5"
If no IV 3mg/kg ET MRx1 in 3-5" to max 6mg/kg administered dose Peds PDC IVP/IO MRx2 q3-5" if no iv PDC ET mrx2 q3-5" |
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Lidocaine Dose- Post conversion Vfib/ Vtach with pulse >=60
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1.5mg/kg IVP MR .5mg/kg IVP q8-10" to max 3mg/kg administered dose
Peds PDC IVP/IO mrx2 q 8-10" if no iv PDC ET mrx2 q8-10" |
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Lidocaine Contraindications
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-2nd and 3rd degree heart blocks
-Idioventricular rhythms |
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Lidocaine Side Effects
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Early
Anxiety Euphoria Combative Nausea Twitching Numbness Late Seizure Decreased BP Coma Widening QRS Prolonged PRI Vfib |
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Morphine Class
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Opioid
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Morphiine Action
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-Cns depressant acting on opiate receptors in the brain
-Potent pain reliever and sedative -Relaxes respiratory effort -Decreases myocardial workload through peripheral vasodilation lowering preload and afterload |
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Morphine Indications
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-Pain or discomfort of suspected cardiac origin if NTG ineffective or contraindicated
-Respiratory distress with rales of suspected cardiac origin -Pain management pain >=5 on pain scale and bp >=100 systolic burns trauma envenomation -Pain associated with external cardiac pacing after capture occurs |
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Morphine Dose- Pain or discomfort of suspected cardiac origin if NTG ineffective or contraindicated
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If bp >= 100 systolic
2-4mg ivp to max of 10mg mr to max 20mg BHO If bp <100 BHO |
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Morphine Dose- Respiratory distress with rales of suspected cardiac origin
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If bp >=100 systolic
2-4mg ivp to max of 10mg if bp <100 2-4mg ivp BHO |
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Morphine Dose- Pain management
pain >=5 on pain scale and bp >=100 systolic burns trauma envenomation |
2-4mg ivp to max 10mg mr to max of 20mg BHO
5mg IM mr to max 10mg BHO 10mg PO mr to max 30 mg BHO Peds PDC ivp/im/po mr BHO |
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Morphine Dose- Pain associated with external cardiac pacing after capture occurs
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if bp >=100 systolic
2-4mg to max of 10mg BHPO |
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Morphine BHPO "Use with caution"
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"CIA DAMS"
-Chronic pain states -Isolated head injuries -Acute onset severe headache -Drug/etoh intoxication -Abdominal pain -Multiple trauma with gcs of <15 -Suspected active labor |
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Morphine Contraindications
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None
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Morphine Side effects
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"RDTPNP"
-Respiratory distress -Decreased LOC -Transient hypotension -Palpitations/arythmias -Nausea/Vomiting -Pinpoint pupils |
"RDTPNP"
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Narcan Class
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Opioid Antagonist
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Narcan Action
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Reverses respiratory depression, sedation and hypotension effects of opioid overdose by occupying opiate receptor sites
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Narcan Indications
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-Symptomatic suspected opioid OD excluding opioid dependent pain management patients
-Suspected symptomatic opioid OD in opioid dependent pain managment pts |
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Narcan Dose- Symptomatic suspected opioid OD excluding opioid dependent pain management patients
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with rr< 12
2mg ivp/divp/im mr titrate iv dose to effect if pt refuses tx give additional 2mg im Peds PDC ivp/divp/im mr |
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Narcan Dose- Suspected symptomatic opioid OD in opioid dependent pain managment pts
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.1mg increments titrate up to 2mg ivp/divp or 1-2mg im mr BHO
Peds PDC ivp/divp or im titrate iv dose to effect mr BHO |
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Narcan Contraindications
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None
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Narcan Side Effects
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"ANT"
Acute withrawl syndrome Nausea/vomiting Tachycardia/hypertension |
"ANT"
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Nitroglycerin Class
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Nitrate
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Nitroglycerin Action
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-Relaxes systemic venous and arterial vessels causing vasodilation thereby
decreasing preload & afterload decreasing myocardial workload decreases myocardial o2 consumption -Dilates coronary arteries |
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Nitroglycerin Indications
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-Pain or discomfort of suspected cardiac origin
-Respiratory distress with rales of suspected cardiac origin |
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Nitroglycerin Dose- Pain or discomfort of suspected cardiac origin
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if bp >=100
.4mg sl mr q 3-5" topical ointment paste 1" if bp<100 BHO mr BHPO |
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Nitroglycerin Dose- Respiratory distress with rales of suspected cardiac origin
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If bp >=100
topical ointment paste 1" If bp >=100 but <150 .4mg sl mr q3-5" If bp >=150 .8mg sl mr q 3-5"x3 mr BHO If bp <100 .4mg sl BHO mr BHPO |
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Nitroglycerin Contraindications
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Suspected intracranial bleed
Pt has taken a sexual enhancement medication such as viagra/ cialis/ levitra within 48 hours |
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Nitroglycerin Side Effects
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Orthostatic hypotension
Temporary pulsating headache Dizziness Facial flushing Reflex tachycardia |
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Normal Saline Class
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Electrolyte/Isotonic Crystalloid
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Normal Saline Action
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-Equivilent osmotically to blood
-Increases the circulating volume in the vascular system (2/3 infused volume leaves vascular space within 1 hour) |
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Normal Saline Indications
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-Definitive therapy or anticipated
-Shock hypovolemia Suspected intra-abdominal catastrophe or aortic aneurism Shock normovolemic Anaphylaxis -Shock cardiac origin/septic Dysrhthmias -Crush injury with extended entrapment >=2 hours extremity or torso -Burn pts with >=20% 2nd degree or >=5% 3rd degree -Respiratory distress with croup-like cough |
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Normal Saline Dose- Definitive therapy or anticipated
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Iv so adjust prn
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Normal Saline Dose- Shock hypovolemia
Suspected intra-abdominal catastrophe or aortic aneurism Shock normovolemic Anaphylaxis |
Iv 500ml fluid bolus
mr to maintain bp >90 systolic Peds non cardiogenic Iv/io PDC mr to maintain bp >= 70+20xage |
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Normal Saline Dose- Shock cardiac origin/septic
Dysrhthmias |
Iv 250ml with clear lungs mr to maintain bp 90 systolic
Peds cardiogenic Iv/io PDC with clear lungs mrx1 to maintain bp >=70+2xage |
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Normal Saline Dose- Crush injury with extended entrapment >=2 hours
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500ml fluid bolus just prior to extremity release
Peds Iv PDC just prior to extremity release BHO |
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Normal Saline Dose- Burn pts with >=20% 2nd degree or >=5% 3rd degree
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>=15 yo 500ml fluid bolus then tko
Peds 5-14yo 250ml fluid bolus then tko <5yo 150ml fluid bolus then tko |
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Normal Saline Dose- Respiratory distress with croup-like cough
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5ml via nebulizer
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Normal Saline Contraindications
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Rales for fluid boluses
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Normal Saline Side Effects
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None
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Normal Saline Contents?
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154 meq na/liter
154 meq cl/liter |
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Sodium Bicarb Class
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Eletrolyte
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Sodium Bicarb Action
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Reduces acidosis or causes alkalosis by direct release of bicarbonate ion in the blood stream
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Sodium Bicarb Indications
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-PEA
-Hyperkylemia in a hemodyalysis pt -Tricyclic OD with cardiac effects -Crush injury with extended entrapment >=2 hours of extremity or torso when extremity released |
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Sodium Bicarb Dose- PEA
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1meq/kg ivp mr .5meq/kg ivp q10" BHO
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Sodium Bicarb Dose- Hyperkylemia in a hemodyalysis pt
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1meq/kg ivp BHO
Peds PDC ivp x 1 BHO |
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Sodium Bicarb Dose- Tricyclic OD with cardiac effects
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1meq/kg ivp BHO
Peds PDC ivp x 1 BHO |
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Sodium Bicarb Dose- Crush injury with extended entrapment >=2 hours of extremity or torso when extremity released
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1meq/kg ivp BHO
Peds PDC ivp x 1 BHO |
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Sodium Bicarb Contraindications
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None
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Sodium Bicarb Side Effects
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Electrolyte/Ph imbalances
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Versed Class
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Benzodiazepine
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Versed Action
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-Cns depressant
-Causes retrograde amnesia then sedation -Stops and prevents seizures |
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Versed Indication
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-Seizures
Generalized seizures lasting >=5 minutes Focal seizures with respiratory compramise Recurrent seizures without lucid interval Eclamptic seizures of any duration -Precardioversion concscious VT -Precardioversion SVT -Precardioversion if rhythm refractory to rx or symptoms are severe Afib aflutter -Pacemaker insertion with capture after morphine |
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Versed Dose- Seizures
Generalized seizures lasting >=5 minutes Focal seizures with respiratory compramise Recurrent seizures without lucid interval Eclamptic seizures of any duration |
.1mg/kg ivp 1mg/min to max 5mg mr x1 in 10"
if no iv .2mg/kg im to max 10mg mrx1 in 10" Peds pdc iv/im |
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Versed Dose- Precardioversion
concscious VT |
1-5mg slow ivp 1mg/min
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Versed Dose- Precardioversion
SVT |
1-5mg slow ivp BHO
Peds PDC slow ivp BHPO |
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Versed Dose- Precardioversion if rhythm refractory to rx or symptoms are severe
Afib aflutter |
1-5mg slow ivp 1mg/min BHPO
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Versed Dose- Pacemaker insertion with capture after morphine
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1-5mg slow ivp 1mg/min BHPO
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Versed Contraindications
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None
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Versed Side Effects
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Respiratory depression
Drowsiness Hypotension |
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