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48 Cards in this Set
- Front
- Back
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Activated Charcoal
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Ind: poisoning following emesis or when emesis is contraindicated
Dose: 1 g/kg mixed with a glass of water to form a slurry |
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Adenosine
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Trade name: Adenocard
ind: symptomatic PSVT Dose: 6mg fast IVP over 1-2 sec. repeat 12mg after 1-2 min. repeat 12mg again after 1-2 min if cardioversion hasn't occured. |
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Aggrastat
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Trade name: Hydrostat
Ind: |
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Albuterol
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Trade: Proventil
Ind: bronchospasm assoc with COPD Dose: 0.5mL in 2.5mL NS |
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Aminophylline
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Ind: bronchial asthma, reversible brochospasm assoc with COPD, CHF, pulmonary edema
Dose: (bronchospasm 2ndary to COPD/asthma) 250-500mg in 90 or 80mL D5W over 20-30min IV infusion (bronchospasm in CHF): 250-500mg in 20mL over 20-30min |
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Amiodarone
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Trade: Cordarone
Ind: life threatening ventricular and supraventricular dysrhythmias, particularly a-fib Dose: 150-300 mg IV over 10min, followed by 1mg/min over next 6 hrs. Pedi: 5mg/kg IV or IO. Max 15mg/kg |
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Aspirin
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Ind: new chest pain suggestive of acute MI, s/sx of cva
Dose: 160-325mg PO |
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Atropine
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Ind: hemodynamically sig brady, hypotension 2ndary to brady, asystole, PEA, organophosphate OD
Dose: (brady) 0.5mg IV q 3-5min to max 0.04 mg/kg (asystole/PEA) 1.0mg IV (organo OD) 2-5mg IV |
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Bretylium
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Trade: Bretylol
Ind: v-fib refractory to lidocaine, v-tach refractory to lidocaine, PVCs refractory to first-line meds Dose: 5 mg/kg may be repeated at 10mg/kg up to a total dose of 30 mg/kg Pedi: 5mg/kg |
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Calcium Chloride
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Ind: acute hyperkalemia, acute hypocalcemia, calcium channel blocker OD, abdominal muscle spasm assoc with spider bites and Portuguese man-of-war stings, antidote for magnesium sulfate
Dose: 2-4 mg/kg IV of a 10% soln. may be repeated at 10 min intervals pedi: 5-7mg/kg of 10% soln |
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Dextrose 50%
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aka (D50W)
Ind: hypoglycemia Dose: 25 g (50 mL) slow IV pedi: 0.5 g/kg slow IV; should dilute with 1:1 sterile water to form 25% soln |
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Diazepam
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Trade: Valium
Ind: (anxiety) 2-5mg IM or IV slow (status epilepticus) 5-10mg IV slow (prior to cardiovert) 5-15mg IV slow pedi: (status epilepticus) 0.1-0.2 mg/kg |
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Digoxin
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Trade: Lanoxin
Ind: CHF, a-fib and a-flutter Dose: 0.25-0.50 mg IV |
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Diltiazem
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Trade: Cardizem
Ind: to control rapid ventricular rates assoc. with a-fib and a-flutter Dose: 0.25 mg/kg bolus IV over 2 mins. Followed by maintenance infusion of 5-15 mg/hr |
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Diphenhydramine
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Trade: Benadryl
Ind: anaphylaxis, allergic rxns, dystonic rxns due to phenothiazines (EPS) Dose: 25-50 mg SLOW IV, deep IM Pedi: 1-2mg/kg |
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Dobutamine
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Trade: Dobutrex
Ind: short term management of CHF Dose: 2.5-20 mcg/kg/min IV (prepare 250 mg in 500mL D5W, which gives a conc of 0.5 mg/mL) |
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Dopamine
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Trade: Intropin
Ind: cardiogenic shock, severe hypotension (70-100 mmHg) not from hypovolemia Dose: (renal) 2-5mcg/kg/min (cardiac) 5-10 mcg/kg/min (vasopressor) 10-20 mcg/kg/min |
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Epinephrine
(1:1000) |
Ind: bronchial asthma, exacerbation of COPD, allergic rxns, pedi cardiac arrests after initial epi dosage
Dose: 0.3-0.5 mg SQ Pedi: 0.01 mg/kg up to 0.3 mg |
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Epinephrine
(1:10,000) |
Ind: Cardiac arrest, Anaphylactic shock, severe reactive airway disease
Dose: (AMI) 0.5-0.1mg IV q 3-5 mins. higher dose ordered by medical control (anaphylaxis) 0.3-0.5mg IV Pedi: 0.01 mg/kg initially; subsequent doses should be (1:1000) |
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Furosemide
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Trade: Lasix
Ind: CHF, pulmonary edema Dose: 40-80mg slow IV Pedi: 1 mg/kg |
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Glucagon
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Ind: hypoglycemia, Beta-blocker OD
Dose: 0.25-0.5 unit IV; 1.0mg IM Pedi: 0.03 mg/kg |
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Heparin
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Ind: unstable angina, Non-Q-wave MI, PE, DVTs
Dose: 5000 units IV followed by maintenance infusion Pedi: 50 units/kg IV followed by maintenance infusion |
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Insulin
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Trade: Humilin, Novolin, Iletin
Ind: elevated blood sugar, diabetic ketoacidosis Dose: 10-25 units regular insulin IV followed by an infusion at 0.1 units/kg/hr |
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Integrilin
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Generic name: Eptifibatide
Class: IIb/IIIa glycoprotein inhibitor Ind: unstable angina, non-Q-wave MI Dose: based on dosage chart |
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Ipecac Syrup
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Ind: poisoning in conscious pt
Dose: 30 mL (1oz) followed by 15 mL/kg of warm water Pedi: <1 y/o: 10mL; 1-12y/o 15mL; >12 y/o 30mL |
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Isoproterenol
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Trade: Isuprel
Ind: bradycardias refractory to atropine (when TCP is unavailable), severe status asthmaticus Dose: 2-10 mcg/kg/min IV titrated to rate. Pedi: 0.1 mcg/kg/min IV titrated to rate |
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Lidocaine
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Trade: Xylocaine
Ind: malignant PVCs, v-tach, v-fib Dose: 1-1.5 mg/kg IV bolus. can repeat 0.5-0.75 mg/kg q 3-5min until dysrythmia suppressed or until 3.0 mg/kg reached. *reduce dosage by 50% in pts older than 70 y/o drip: 2-4mg/min infusion Pedi: 1 mg/kg |
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Magnesium Sulfate
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Ind: Eclampsia, severe refractory v-fib/or pulseless v-tach, torsades
Dose: 1-4 g IV/IM |
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Mannitol
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Generic: osmotrol
Ind: acute cerebral edema, blood transfusion rxns Dose: 1.5-2.0 g/kg slow IV Pedi: 0.25-0.50 g/kg IV over 60 mins |
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Meperidine
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Trade: Demerol
Ind: moderate to severe pain Dose: 25-50 mg IV; 50-100mg IM Pedi: 1mg/kg |
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Midazolam
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Trade: Versed
Ind: prior to cardiovert, acute anxiety Dose: 1.0-2.5mg IV Pedi: 0.03 mg/kg |
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Morphine Sulfate
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Ind: severe pain, pulmonary edema, AMI
Dose: 2-5mg IV followed by 2mg every few mins until pain relieved or respiration depression ensues. (-OR- 5-15mg IM based on pts weight) Pedi: 0.1-0.2 mg/kg IV |
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Naloxone
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Trade: Narcan
Ind: narcotic ODs Dose: 1-2mg IV Pedi: <5y/o 0.1 mg/kg; >5y/o 2.0mg |
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Nidefipine
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Trade: Procardia, Adalat
Ind: severe HTN, angina Dose: 10mg SL Pedi: 0.25-0.5 mg/kg |
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Nitrogylcerin
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Trade: Nitrostat
Ind: angina, chest pain assoc with MI Dose: 1 tablet (0.4 mg) SL q 3-5mins up to 3 times |
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Norepinephrine
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Trade: Levophed
Ind: neurogenic shock, hypotension Dose: 0.5-30 mcg/min |
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Oxygen
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Ind: hypoxia
Dose: 100% (COPD gets 35% and increase as needed) Pedi: 24-100% as req'd |
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Oxytocin
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Trade: Pitocin
Ind: postpartum vaginal bleeding Dose: IV- 10-20 units in 500 mL D5W administered according to uterine response. IM- 3-10 units |
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Phenytoin
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Trade: Dilantin
Ind: major motor seizures, status epilepticus, dysrhythmias due to dig toxicity Dose: (status epilepticus) 150-250 mg not to exceed 50 mg/min (dig toxicity) 100mg over 5 mins til dysrhythmia suppressed or max 1000mg given Pedi: (status epilepticus) 8-10 mg/kg IV |
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Procainamide
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Trade: Pronestyl
Ind: cardiac arrest due to v-fib/v-tach and refractory to lido, PVCs refractory to lido Dose: 20mg/min slow IV bolus; 1-4 mg/min infusion 4 end pts: dysrhythmia suppressed, hypotension ensues, QRS widens by 50% of orig width, total of 17mg/kg given |
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Promethazine
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Trade: Phenergan
Ind: N/V, motion sickness, to potentiate the effects of analgesics, sedation Dose: 12.5 - 25.0 mg IV,IM Pedi: 0.5 mg/kg |
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Sodium Bicarbonate
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Ind: late management of MI, TCA OD, severe acidosis refractory to hyperventilation
Dose: 1 mEq/kg IV initially followed by 0.5 mEq/kg IV q 10mins |
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Sodium Nitroprusside
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Trade: Nipride, Nitropress
Ind: HTN emergency Dose: 0.5 mg/kg/min IV infusion |
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Terbutaline
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Trade: Brethine
Ind: Bronchial asthma, reversible bronchospasm assoc with COPD, preterm labor Dose: (metered-dose) 2 inhalations, 1min apart 0.25 mg SQ. may be repeated in 15-30mins. Pedi: 0.01 mg/kg SQ |
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Thiamine
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aka Vitamin B1
Ind: coma of unknown origin, alcoholism, delirium tremens Dose: 100mg IV/IM |
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Verapamil
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Trade: Isoptin, Calan
Ind: PSVT Dose: 2.5-5 mg IV; a repeat dose of 5-10mg can be given after 15-30mins if PSVT does not convert max dose is 30mg in 30mins Pedi: 0-1years - 0.1-0.2 mg/kg (max 2mg) slow IV 1-15years - 0.1-0.3mg/kg (max 5mg) slow IV |
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ReoPro
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generic: abciximab
class: IIb/IIIa glycoprotein inhibitor Ind: unstable angina |
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Zofran
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generic: odansetron
ind: prevention of N/V Dose: |
