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31 Cards in this Set

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Solumedrol

125 mg 2mg/kg pedi


aka methylprednisone (corticosteroid) used for severe asthma and anaphylaxis

steroid

methylprednisone

125-250mg


2mg/kg pedi max 60mg


aka solumedrol


corticosteroid


severe asthma / anaphylaxis

mag sulfate

Smooth muscle relaxer


Torsades de Points 2g/100mL/10min


pedi 25-50mg/kg IV/IO bolus max 2g


rapid if pulseless or over 10-20min


status asthmaticus slow infusion over 15-30 min


Eclampsia 4g/100mL/4min


Electrolyte


Physiological calcium channel blocker decrease muscle cell activity dilates vascular smooth muscle

Glucagon

hypoglycemia 1 mg IM when IV can't be established



3mg Beta - blocker OD


0.3mg/kg pedi

Albuterol

2.5 mg tubule up to 7.5mg


asthma, anaphylaxis


10 mg hyperkalemia


Beta 2 mimetic agonist


0.15 mg/kg pedi max 5mg

Amiodarone

300 mg rapid Vf/pulseless VT


150 mg over 10 min VT with pulse


antiarrythmic


Class III: increase action potential between nodes, Sodium channel blocker effects: Beta-blocker-like, Potassium-channel-blocker-like, increases Calcium permeability but also blocks Ca channels at nodes

Adenosine

6mg, 12mg rapid IVP followed by 10 cc NS flush


antiarrhythmic, blocks potassium channel


SVT


contra: A-fib, TDP


Adenocard

Calcium Chloride

1 gram over 5-10 min 4-20mg/kg


pedi 10% 20mg/kg during CPR


Electrolyte, Membrane stabilizer


Positive inotrope increase force of contraction


Hyperkalemia, Calcium channel blocker OD, Mag Sulfate OD


Hypermagnesemia, Hypocalcemia


Contra: Digitalis, vfib during CPR


For hyperkalemia, the influx of calcium helps restore the normal gradient between threshold potential and resting membrane potential.


Calcium chloride increases the force of myocardial contraction; calcium may either increase or decrease systemic vascular resistance. In normal hearts, calcium's positive inotropic and vaso-constricting effects produce a predictable rise in systemic areterial pressure.

Hyperkalemia

wide qrs, no p wave, peaked t waves, sine or Z wave appearance


calcium chloride


Albuterol, CaCl, Sodium Bicarb, Terbutaline

Levophed

Norepinephrine 2-10mcg/min

Sodium Bicarb

1mEq/kg


Acidosis, Tricyclic OD, Hyperkalemia


Electrolyte

Naloxone

Narcan


0.4-2mg


0.1mg/kg pedi


Opioid receptor antagonist


Midazolam

Versed


2mg IV slow


SZ 10mg IM 5mg IV q 10 min


0.2 mg/kg IM 0.1mg/kg pedi


0.1-0.2 mg/kg IM pedi max 10 mg


Status

Versed

Midazolam


10mg IM Sz


2mg IV slow ANX

Diazepam

Valium


5-20mg


Status


0.1-0.2 mg/kg pedi max 4 mg

Valium

Diazepam


5-20mg

Cardizem

Diltiazem


0.25-0.35 mg/kg


Calcium channel blocker


Afib with RVR

Morphine

2-10mg slow IVP q 5 min


opiate (narcotic) analgesic,


opioid agonist

NTG

Nitroglycerin


0.4mg


Vasodilator


ASA

Aspirin


81mg × 4 = 324mg


Antiplatelet aggregator

Diphenhydramine

Benadryl


25-50mg IV


1mg/kg pedi


Antihistamine


Allergy


Vertigo


Ondansterone

Zofran


4mg


Antiemetic

Fentanyl

1mcg/kg



Short acting opioid pain relief

Cordarone

Amiodarone300 mg rapid


Vf/pulseless VT


150 mg over 10 min VT with pulse


antiarrythmicClass III

Acetaminophen

Tylenol


Liquid 15 mg/kg febrile pedi


Tablet 500mg

Atropine

0.5 mg max 3mg Bradycardia


0.02 mg/kg pedi max 0.5mg



2mg OP poisoning



Anticholinergic causes sympathetic NS effects decrease Vagal tone


Follow up dose 1-2mg q 20-30 min until muscarinic symptoms reverse


antagonist of the muscarinic acetylcholine receptors (acetylcholine being the main neurotransmitter used by the parasympathetic nervous system). Atropine dilates the pupils, increases heart rate, and reduces salivation and other secretions.

Lidocaine

1mg/kg 1st dose


2nd dose 1/2 after 5-10 min


max 3mg/kg


PVC or V-Tach


Closed head injury/CVA


Up to 50 mg for IO

Epi 1:1000

0.3 mg IM anaphylaxis


0.01 mg/kg max 0.35mg pedi



NT, Adrenal hormone


adrenergic receptor agonist


Stimulates alpha and beta receptors

Ipatropium bromide

Atrovent


0.5 mg


0.25-0.5 mg pedi


anticholinergic bronchodilator

D10

Pedi


0.5 g/kg slow IVP

Pnuemonic for ET Drug Route

NAVEL 2-2.5x dose +5 vents


Narcan


Atropine


Vasopressin 40 units


Epinephrine


Lidocaine