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58 Cards in this Set

  • Front
  • Back

Normal Saline Dose

Adult: 20 mL/ kg


Neonate: 10 mL/ kg

Xopenex Dose

Adult: 1.25 mg/ 3mL


Pediatric: 0.63 mg/ 3mL

Atrovent Dose

0.5 mg/ 2.5mL

Albuterol Dose

Adult: 2.5mg/ 2.5mL


Pediatric: 0.15 mg/ kg/ 2.5 mL

Lactated Ringers Dose:

Dependent on patients condition

Narcan Dose

Adult: 0.4-2mg


Pediatric: 0.1-2mg/ kg

D5W Dose

0.5g/kg/ hr

D50 Dose

25g

D25 Dose

2mL/kg

D10 Dose

5mL/ kg

Tylenol Dose

Adult: 1000mg


Pediatric: 15mg/ kg

Oral Glucose Dose

Adult:15g


Pediatric: 0.5-1g

Nitroglycerin Dose

Adult: 0.4mg-1.2mg

Ibuprofen Dose

Adult: 200- 400mg


Pediatric: 10mg/ kg


(Don't use on pt under 6 months)

Aspirin Dose

Adult: 80- 324mg

Glucagon Dose

Adult: 1mg


Pediatric: 0.5mg

Epinephrine Dose

Adult: 0.3-0.5mg


Pediatric: 0.01mg/kg

Xopenex MOA

Binds to beta-2 adrenergic causing relaxation of bronchiole smooth muscles.

Atrovent MOA

Anticholimergic agent; blocks muscarinic cholinergic receptors resulting in decrease in formation of cyclic guanosine monophosphate; inhibits vagally mediated reflexes by antagonizing the action of acetylcholine, transmitter agent released from vagus nerve which interacts with smooth muscle.

Albuterol MOA

Selective beta-2 agonist that stimulates adrenergic receptors of the sympathomimetic nervous system; causes smooth muscle relaxation in the bronchial tree and peripheral vasculature.

Lactate Ringers MOA

Replaces water and electrolytes.

Narcan MOA

Competitive inhibition at narcotic receptor sites; reverses respiratory depression secondary to opioid drugs; completely inhibits the effect of morphone.

D5W MOA

Combines dextrose and water in a hypotonic concentration that will not remain in the vasculature space, reducing the danger of fluid overload.

D50, D25, D10 MOA

Rapidly increases serum glucose levels; short term osmotic diuresis.

Tylenol MOA

Pain and fever control

Oral Glucose MOA

After absorption in GI tract, glucose is distributed the tissue providing an increase in blood glucose levels

Nitroglycerin MOA

Smooth muscle relaxant acting on vasculature, bronchial, uterine, intestinal smooth muscle; dilation of arterioles and veins in the periphery; reduces preload and afterload, decreasing workload of the heart and thereby myocardial oxygen demand.

Ibuprofen MOA

Inhibits synthesis of prostaglandins in body tissues by inhibiting at least two cyclo-oxygenase isoenzymes; may inhibit chemotaxis, alter lymphocyte activity, decrease proinflammtory cytokine activity, and inhibit neutrophil aggregation; these effects may contribute to anti- inflammatory activity

Aspirin MOA

Prevents the formation of thromboxane A2, which cause platelets to clump together to form plugs that cause obstruction or constriction; anti-pyeretic and analgesic properties.

Glucagon MOA

Increase blood glucose level by stimulating glycogenesis; unknown mechanism of stabilizing cardiac rhythm in beta blocker overdose; minimal positive inotropic and chronotropic response; decrease GI motility and secretions.

Epinephrine MOA

Direct- acting alpha and beta agonists; alpha: vasoconstriction; beta-1: positive inotropic, chronotropic, dromotropic effects; Beta-2: bronchial smooth muscle relaxation and dilation of skeletal vasculature; blocks histamine receptors

Xopenex Indications

Relieves bronchospasms in patients with obstructive airway disease; attacks bronchospasms in severe allergic reactions; asthma

Xopenex Contraindications

Symptomatic tachycardia

Atrovent Indications

Bronchospasm associated with COPD; can be used alone or combined with Albuterol; chronic bronchitis or emphysema

Albuterol Indications

Treatment of bronchospasms in patients with reversible obstructive airway disease such as COPD or asthma; prevention of exercise induced bronchospasm

Albuterol Contraindications

Tachycardia dysrhythmias

Lactated Ringers Indications

Hypovolemic Shock

Lactated Ringers Contraindications

CHF and renal failure

Narcan Indications

Opioid overdose; complete or partial reversal of CNS and respiratory depression induced by opioids; decreased LOC; coma of unknown origin

Narcan Contraindications

Use with caution in narcotic dependant patients

D5W Indications

Prophylactic IV access

D5W Contraindications

Should not be used for patients who require IV fluid replacement or in patients who are hyperglycemic; do not use in patients with TBI or stroke

D50, D25, D10 Indications

Hypoglycemia, altered LOC, coma of unknown origin, and seizure of unknown origin

D50, D25, D10 Contraindications

Intracranial hemmorhage with normal blood glucose level

Tylenol Indications

Pain and fever control

Tylenol Contraindications

Don't use with children under 3 years old

Oral Glucose Indications

Alert patients with suspected hypoglycemia

Oral Glucose Contraindications

Decreased LOC, nausea, vomiting

Nitroglycerin Indications

Acute angina pectoris, ischemic chest pain, hypertension, heart failure, pulmonary edema

Nitroglycerin Contraindications

Hypotension, hypovolemia, head injury/intracranial bleeding, paracardial tamponade, severe bradycardia/tachycardia, previous administration in the last 24hrs, patient has taken Viagra within the last 24hrs, patient has taken Levitra or Cialis within the last 48hrs, pediatric patients

Ibuprofen Indications

Arthritis

Ibuprofen Contraindications

Third trimester of pregnancy, coronary artery bypass graft surgery

Aspirin Indications

New onset of chest discomfort that suggests ACS

Aspirin Contraindications

Active ulcer disease and asthma

Glucagon Indications

Altered LOC when hypoglycemia is suspected, may be used as a reversal agent in beta blocker overdose

Glucagon Contraindications

Hyperglycemia

Epinephrine Indications

Anaphylaxis and asthma

Epinephrine Contraindications

None in the emergency setting