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23 Cards in this Set
- Front
- Back
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Diltazem
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-Cardizem: Ca C/B, A/D, A/H
- Inhibits Ca influx, coronary artery dilation, SM relaxation, dec. PVR, slows SA/AV conduction I: Symptomatic AF, AFl, SVT/PSVT Angina, PM Angina, HTN C: BP <90 2/3 HB, SSS, AMI SE: Bradycardia, Hypotension, CHF, HB P: CHF, Renal, PregC, Lactation, BB IV: 30-60 / 3.5-9hrs A: 15-20mg or 0.25 mg/kg (rpt in 15 min @ 20-25mg) Infusion: 5-15 mg/hr |
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Diltazem
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-Cardizem: Ca C/B, A/D, A/H
- Inhibits Ca influx, coronary artery dilation, SM relaxation, dec. PVR, slows SA/AV conduction I: Symptomatic AF, AFl, SVT/PSVT Angina, PM Angina, HTN C: BP <90 2/3 HB, SSS, AMI SE: Bradycardia, Hypotension, CHF, HB P: CHF, Renal, PregC, Lactation, BB IV: 30-60 / 3.5-9hrs A: 15-20mg or 0.25 mg/kg (rpt in 15 min @ 20-25mg) Infusion: 5-15 mg/hr |
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Droperidol
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Inapsin: A/E, A/P, Sed, Tranq, CNS dep.
-Blocks subcortical receptors in CNS, causing CNS depression, suppresses vomiting at trigger sites I: suppress vomiting, RSI, Acute Anx/Psychosis C: Under 2yro, PregC S: Hypotension, resp dep, extrapyramidal, Tachycardia, bronchospasm P: PregC, other CNS dep, hypotension, hep/renal, cause Long QT --> Torsades IM, IV - 3-10 min / 3-6h A: 2.5-10 mg, q 10-15 min one time |
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Etomidate
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Amidate: Anesth, sed/hyp, non-barb, CNS dep
- Short-acting non-barb hypnotic. Produces analgesia & amnesia I: General Anesth, pre RSI, supplement low potency anesth (Nitronox) S: hypoventilation, apnea, dysrhythmias, laryngospasms P: Other CNS dep, verapamil potentiates.... A/H may inc. hypotension IV - immediate / 3-5m A: .02-.06 mg/kg over 1 min P: .1 mg/kg |
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Fentanyl
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Sublimaze: narc analg, opiate ag, CNS dep
-Alters pain preception by binding to opiate receptors, increases pain threshold I: pain mngmt, RSI C: M/G, Head Inj S: Bradycardia, hypotension, resp dep, laryngospasms, ALOC P: Inc ICP, Sz disorders, dysrhyth, PregC, other CNS dep IV, IM - 7-8m / 1-2h A: 3-5 mcg/kg or (25-100mcg) SIVP P: 1.7-3.3 mcg/kg |
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Diltazem
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-Cardizem: Ca C/B, A/D, A/H
- Inhibits Ca influx, coronary artery dilation, SM relaxation, dec. PVR, slows SA/AV conduction I: Symptomatic AF, AFl, SVT/PSVT Angina, PM Angina, HTN C: BP <90 2/3 HB, SSS, AMI SE: Bradycardia, Hypotension, CHF, HB P: CHF, Renal, PregC, Lactation, BB IV: 30-60 / 3.5-9hrs A: 15-20mg or 0.25 mg/kg (rpt in 15 min @ 20-25mg) Infusion: 5-15 mg/hr |
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Droperidol
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Inapsin: A/E, A/P, Sed, Tranq, CNS dep.
-Blocks subcortical receptors in CNS, causing CNS depression, suppresses vomiting at trigger sites I: suppress vomiting, RSI, Acute Anx/Psychosis C: Under 2yro, PregC S: Hypotension, resp dep, extrapyramidal, Tachycardia, bronchospasm P: PregC, other CNS dep, hypotension, hep/renal, cause Long QT --> Torsades IM, IV - 3-10 min / 3-6h A: 2.5-10 mg, q 10-15 min one time |
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Etomidate
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Amidate: Anesth, sed/hyp, non-barb, CNS dep
- Short-acting non-barb hypnotic. Produces analgesia & amnesia I: General Anesth, pre RSI, supplement low potency anesth (Nitronox) S: hypoventilation, apnea, dysrhythmias, laryngospasms P: Other CNS dep, verapamil potentiates.... A/H may inc. hypotension IV - immediate / 3-5m A: .02-.06 mg/kg over 1 min P: .1 mg/kg |
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Fentanyl
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Sublimaze: narc analg, opiate ag, CNS dep
-Alters pain preception by binding to opiate receptors, increases pain threshold I: pain mngmt, RSI C: M/G, Head Inj S: Bradycardia, hypotension, resp dep, laryngospasms, ALOC P: Inc ICP, Sz disorders, dysrhyth, PregC, other CNS dep IV, IM - 7-8m / 1-2h A: 3-5 mcg/kg or (25-100mcg) SIVP P: 1.7-3.3 mcg/kg |
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Ipriatropium
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Atrovent: Bronchodilator, parasympatholytic
- Inhibits Ach @ recept sits of bronchial SM, causes bronchodilation. Dec resp secretions I: asthma, bronchospasms assoc with COPD C: ATR admin SE: Palpitations, tachycardia, HTN, Airway dry P: Under 12yro, Narrow-Angle glaucoma Neb, Inh, - rapid / 2h A: 0.5mg P: 250-500 mcg (neb, MDI) q 20m. 3x |
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Ondansetron
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Zofran: A/E, A/Vertigo, Serotonin rec. antag
- Blocks serotonin, peripherally on vagal nerve terminals and centrally in chemoreceptor trigger zone I: Prevention N/V C: None S: HA, Diarrhea/Const, Abd Pain, Fever/ColdFeel P: Preg, alcohol, barb, hep IVP slow over 3-5 min, IM, PO rapid 30-60s / peak 5 min / 4h A: 4mg undiluted over 2-5m P: .1mg/kg |
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Oxytocin
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Pitocin: hormone, oxytocic agt
- Causes uterine contractions, stimulates lactation I: control postpartum hemmorrhage, Induce labor C: use prior to delivery placenta or mulitple births, cesarean sect S: Hypotension, dysrhythmias, anaphylaxis P: Ensure placenta and all fetuses delivered, OD - uterine rupture, w/ vassopressors HTN IV 1m / 30m, IM 3-7m / 1h A: 10-20 U to 1L NS or D5W, titrate IM: 3-10 U |
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Racemic Epi
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Vaponefrin, Micronefrin: sympathomietic, bronchodilator
- Stimulates bronchial SM relaxation, Affects Alpha/Beta adrenergic recept I: Croup, bronchospasms C: Epiglottitis S: Tachycardia, palpitatioins, HA, Agina P: Elderly, cardiac, PregC, w/ antihist and TCA cause adverse cardiac Inh/Neb: 3-5m / 1-3h A: 0.25-0.75ml of 2.25% sol in 2ml NS P: 0.25-0.75ml of 2.25% sol in 2ml NS Note: Dilute Epi 1:1000 of 2.25% sol in 3ml NS |
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Succinylcholine
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Anectine: depolarizing N/M blocking agt, paralytic
- Binds cholinergic rec at N/M endplate causing depol. skeletal muscles, then paralysis from continued binding and Ach blockage I: RSI C: Narrow angle glaucoma, penetrating eye inj, malignant hyperthermia, M/S, Hyperkalemia risk (burn, crush) S: Hypotension, bradycardia, resp dep, bronchospasm, Inc Intraoccular prsre, Dysrhyth, Hypterkalemia, Flushing P: M/S, burns, cardiac, under 2yro, elderly, resp dis, inc intragastric/occular/cranial pressures - - - - Diazepam shortens. Theophylline/cardiacglycosides dysr. Narc/Oxytocin inc. blockade IV: 1m / 6-10, IM: 2-3m / ? A: 1-1.5 mg/kg IVP, 3-4 mg/kg IM (max 150 mg) P: 1-1.5 mg/kg IVP |
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Terbutaline
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Brethine: sympathomimetic, bronchodilator, tocolytic
- Relax SM, Bronchodilation by selective B2, Relax uterine muscle inh. contractions I: Mod - Sev Asthma, bronchospasms w/ COPD. Secondary to Mag in premature labor C: Uncontrolled tachydysrhythmias (relative) S: Palp, tachycardia, dysrhythmias, HTN, PVCs P: Cardiac dis, dysrhth, HTN, DM, Glaucoma, PregB, B/B dec actions SQ, IV infusion (preterm): immediate / 15 min A: Bronchodil: .25 mg SQ (rpt 15-30m) Tocolytic: 10 mcg/min, titrate, max 80mcg/min P: .01 mg/kg SQ (max 0.25 SQ) |
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Thiamine
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Vit B1, Biamine: Water soluble Vit
- Coenzyme nec. for carb metabolism of glucose I: coma assoc. w/ DT or Alch. withdrawal prior to D50W, alcoholism/malnutrition or coma of UNK origin C: None in Emg Setting S: Mild hypotension, Pulm Edema, N/V/D P: None IV, IM: immed / unk A: 50-100mg P: 10-25mg IV or IM |
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Amiodarone
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Cordarone: A/D
- Potassium C/B, Antiaginal, Anti-Adrenergic/sympatholytic, prolongs duration action potential & refractory period w/o sig. affecting resting potential, relax SM, coronary artery vasodilation I: Prophylaxis & tx of Pulseless VT/VF/SVT/AF/AFlutter/JuncTach/AtrialTach, VTs & wide complex tachs unk origin, non-exertional angina C: Cardiogenic shock, 2/3 HB, Profound Bradycardia, SSS S: Hypotension, cardiogenic shock, anorexia, pulmonary toxicity, muscle weakness P: Hashimoto's thyroiditis, goiter, thyroid dysfunction hx, CHF, electrolye imbalance, PregD, H/S to Iodine, Children.....Inc Dixogixn levels, enhances other V. Anti-arrhythmics....incompatible w/ Bicarb, Heparin, Aminophylline IVB, IVPB, IO A: VF/Tach Arrest: 300 mg IV, 150mg in 3-5 min Wide/Narrow Complex Tach or VT: 150mg over 10 min IVPB (15mg/min), rpt q 10 min prn OR 360mg over 6h (1mg/min) Maint Inf: 540 mg IV over 18h (0.5mg/min); 2.2g IV in 24h P: Arrest: 5 mg/kg rapid IV/IO Bolus Tachdys: 5mg/kg IV over 20-60m (rpt max 15mg/kg per day) |
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Dopamine
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Intropin: Sympmtc, Symp ag, Catech, A/D, Vasopressor, Inotropic agt
- Alpha/Beta rec. ALPHA more. Inc Chrono/Ino/Dromo/SVR/BP/Automaticity...Inc Renal/Mesenteric/CoronaryArteryDilation in low doses I: Hemodynamically sig. hypotension, cardiogenic shock (CHF), dist. shock (anaph, seps), Symp Bradycardia (2nd line) C: hypovolemic shock w/o fluid resus, pheochromocytoma (adrenal gland tumor), tachydys S: Tachycardia, HTN, Hyotension, Vasocons, V. Irritability, Palp, Inc MVO2 P: Worsen tachy, inc MVO2, extend MI, use large vein, tissue necrosis, ph dependent (alkaline, bicarb inactivates), antidep intensify, hypotension w/ Dilantin IVPB: 90s / 3-5m A: IV Inf: 800mg in 500cc NS/D5W 0.5-2 mcg/kg/min Renal/mesenteric (dopamergic) 2-10 mcg/kg/min - inotropic (beta) 10-20 mcg/kg/min - vasopressor (alpha 1) P: SAME |
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Diazepam
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Valium: Benzo, A/C, Sed/Hyp/Amnes, skeletal muscle relaxant, CNS dep
- Suppresses Sz activity, relaxes skeletal muscle, induces amnesia by depressing CNS I: sz, status epilepticus, pre pace/cardiovert, RSI, prevent/suppress sz from organophosphate nerve agents, acute anxiety C: Shock/hypotension, head inj, on sedatives/alcohol intox S: Resp dep, apnea, hypotensioin, tachycardia, ALOC, bradycardia P: venous irritation, avoid admining with others - precipiates, support airway . . . interacts Narc, barb, EtOH, antidep, D5W IV, IM, PR: 1-5m / 2-3h A: 5-10 mg IVP (sz), 2-5mg IV/IM (anx) 5-15 mg IV (Cardiovert premed) 0.2-1.0mg/kg IV (sed. prior paralytic) P: 0.1-0.2 mg/kg IV; max 5-15mg 0.5 mg/kg IM q 10-15m (Max x3) |
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Lidocaine
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Xylocaine: A/D 1B, Sodium C/B, local anasthetic
- Suppresses V. ectopy & dysr, Inc. VF threshold, dec. automaticity & speed of electrical impulse through conduction system I: Arrest (VT, VF), malignant PVC's, wide QRS complex, tachycardia unk origin, VT w/ pulse, post conversion of VT/VF (Post defib/cardiovert) C: 2/3 HB, junctional rhythms, idioventricular rhythms, bradycardic, S: Brady, arrest, resp arrest, sz, widening QRS, hypotension, dyspnea, slurred speech, tinnitus, twitching, parasthesias P: hep/renal, elderly (reduce dose 1/2 if over 70yro)...Inc effects w/ BB, cimetidine, H2 Blockers, quinidine, phenytoin...dec effects w/ barbiturates IV, ET, IO: 1-3m / 10-20m A: Arrest (VF/VT): 1-1.5 mg/kg (rpt q 3-5m, max 3 mg/kg, 3mg/kg ET dose) Malignant PVCs: 1-1.5 mg/kg, rpt at 0.5-0.75 mg/kg Post converstion maint. inf: 1g into 250cc NS/LR/D5W (4 mg/cc sol), infuse at 2-4 mg/min P: 1 mg/kg (rpt q 3-5m, max 3 mg/kg for arrest) 2 mg/kg for ET dose Maint Inf: 20-50 mcg/kg/min Reduce bolus for rpt bolus doses (0.25 mg/kg) |
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Magnesium Sulfate
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Mag: A/D, Electrolyte, AntiConv, CNS dep
- Essential for Na/K pump, dec Ach in motor nerve terminals, produces N/M blockade in CNS, physiological CCB, stroke neuroprotective theory (vasodilates and stabilizes ion gradient after Na/K pump fails) I: Refractory VF, VT (TdP), Sz assoc eclampsia & alcohol withdrawal, dysr assoc dig tox, hypomagnesia, acute asthma, stroke (FASTMAG trial w/ criteria) C: Shock, HB, hypermagnesia S: Bradycardia, resp dep, skin flush, hypotension, HB, hypocalcemia, dec tendon reflex, arrhyth P: Renal, hypotension, dig use, PregA.... caution w/ other dep, dig, and N/M blockers IV, IM, IVPB: 3-5m / 30m A: Arrest: 1-2g in 10mL D5W IV or 1-4g IM Non-Arrest: 1-2 g in 50-100mL D5W over 5-60 min maint inf, 0.5-1g/hr Sz: 1-4g in 10-20% sol IV or 1-5g IM 25-50% sol P: 20-50 mg/kg (max 2g) over 10-20m |
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Pralidoxime chloride
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2-Pam Chloride, Protopam: cholinesterase reactivator, antidote
- Organophosphate/Nerve Agt poison charact by disress, twitching, paralysis/general wk, sz (agts: Sarin, Soman, Tabun, VX) C: Inorganic phosphate poisoning S: Mania, SOB, musc wk, tachy, HTN, tachypnea, blurred vision P: Scene Safety . . .only after ATR...may potentiate phenothiazenes, antihist, alcohol IV, IM, SQ: 10-20m / 1h A: 1-2 g in 250/500cc NS over 30m IV OR 1-2g IM/SQ P: 20-40 mg/kg into 250/500cc NS over 30m OR 20-40 mg/kg IM/SQ |
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Vasopressin
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Pitressin: Vasopressor, hormone
- Direct stimulation SM rec causing constriction. Minimal beta (inotropy). Blood redirected twd vital organs w/ inc. ROSC w/o inc. O2 demand I: Arrest (to inc. PVR with CPR) (VF/VT/PEA/Asys), esophageal varices C: chronic nephritis, ischemic heart disease, PVCs S: Pallor, adb carmps, HTN, Bradycardia, Arrhyth, PACs, HB, AMI P: Epilepsy, migraines, asthma, CHF, angina, renal, peds, ger...interacts w/ Epi, Hep, Lithium, Neostigmine IV, IO: immediate / 30-60m A: 40 U IV (IVPB 0.2-0.4 U/min for varices) P: Not recommended Related to ADH |
