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34 Cards in this Set

  • Front
  • Back

Acetaminophen

Known liver disease


Current alcohol abuse


Acute intoxication


Has taken acetaminophen in the past 4 hours

Activated charcol

Altered mental status inability to maintain their own airway


Pts who have aspirated or who have potential to aspirate

Adenosine

Second or 3rd degree heart block


Sick sinus syndrome


Known hypersensitivity


WPW

Albuterol

None

Amiodarone

None in cardiac arrest


Long QT (torsades)

Aspirin

Allergy to aspirin


Aspirin induced asthma


Bleeding disorders


Current ulcer or GI bleed


Suspected aortic dissection


Liver failure


Severe systemic disease

Atropine

A fib and a flutter


Neonatal Resuscitation

Calcium gluconate

Hypercalcemia hypercalcuria (hyperthyroidism, vitamin D overdose, bone metastasis)


Pts taking digoxin

D 10

hyperglycemia


DKA

Diltiazem

Cardiogenic shock


Any hypertensive state


Heart block


Wide complex tachycardia due to WPW


Acute MI


Pulmonary congestion


CHF


MI associated with left ventricular dysfunction

Diphenhydramine

None

Epinephrine

None

Etomidate

Know hypersensitivity


Pediatrics in septic shock

Fentanyl

Allergy


Moderate to severe Respitory depression

Glucagon

None wont work on pts with no glycogen stores such as alcoholics and those with malnutrition or dyalisis pts

Haldol

Known allergy

Atrovent

Severe glaucoma

Ketamine

Eye pain or trauma


Known pregnancy


Non traumatic chest pain

Torodal

Ages <2 or >64


Hx of renal disease or kidney transplant


Hx of liver disease


Allergy to aspirin or other NSAIDs


Pregnant or lactating


Taking blood thinners


Bleeding or clotting disorder


Hx of ulcers


Chest pain


Trauma entry


Altered mental status

Lidocaine

Perfusing pts with any of the following


* SBP < 90


* HR < 50


* periods of sinus arrest are present


* 2nd or 3rd degree heart block


Mag sulfate

None

Versed

None however always monitor airway closely

Nalaxone

None

Nitro

SBP<100


ED medication such as viagra Levitra cialis

Norepinephrine

Hypovelemic shock

Zofran

Hypersensitivity


Pediatric < 2 years old

Rocuronium

None

Sodium bicarbonate

None

Sodium thiosulfate

Administration of cyno kit (hydroxocoblamin)

Succinycholine

*Major burns and crush injuries between 48 hours and 6 months old


*Neuromuscular diseases (muscular dystrophy, multiple sclerosis)


*suspected hyperkalemia (end stage renal disease patients who have missed dialysis)

TXA

Suspected CVA MI or PE


Trauma > 3 hours


Peds < 15 years

Vecuronium

Precaution- pts with renal or hepatic failure may experience prolonged paralysis

Verapamil

Hypotension


WPW presence of delta wave


Severe left ventricular dysfunction

Geodon

Precautions


*Consider reducing dose in pts who have taken cns depressants such as sedative-hypnotics alcohol


* may cause extra pyramidal symptoms (involentary muscle spasms) if this occurs treat with 25 mg diphenhydramine


* use caution in pts with seizure disorders


* may cause hypotension


*may cause seizure