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101 Cards in this Set

  • Front
  • Back
Albuterol - Indications
Bronchospasm from asthma, bronchitis, and COPD
Albuterol - Adult dose
Nebulized solution - 2.5-5mg diluted in 3mL NS over 5-15min; Max 3 doses
Albuterol - Ped dose
Nebulized solution - 0.01-0.03mL/kg/dose (Max 0.50mL) diluted in 2mL NS; q20min PRN
Albuterol - Side effects
Palpitations, anxiety, tachycardia, dysrhythmias
Albuterol - Contraindications
Known drug sensitivity; Precaution on patients with dysrhythmias associated with tachycardia
Albuterol - MOA
Beta 2 agonist - Bronchodilator
Albuterol - Alternate name
Proventil
Levalbuterol - Alternate name
Xopenex
Levalbuterol - Side effects
Palpitations, anxiety, tachycardia, dysrhythmias, hyper/hypo tension
Levalbuterol - Contraindications
Known drug sensitivity, dysrhythmias associated with tachycardia
Levalbuterol - MOA
Beta 2 agonist - Bronchodilator, smooth muscle relaxant
Levalbuterol - Adult dose
Nebulized solution - 0.63-1.25mg q20min up to 3 doses
Levalbuterol - Ped. dose
Nebulized solution - 0.31mg q6-8hr (Max. 0.63mg q6-8)
Lactated Ringer - Indication
Hypovolemic shock
Lactated Ringer - Adult dose
Where systolic is < 90 mmHg, infuse "wide open" until systolic reaches 100 mmHg
Lactated Ringer - Ped dose
20mL/kg repeated until hemodynamic response
Lactated Ringer - Contraindications
CHF, renal failure
Lactated Ringer - MOA
Isotonic crystalloid - Electrolyte concentration of blood
5% Dextrose in Lactated Ringer - Indications
Hypovolemic or hemorrhagic shock
Oxygen - Contraindications
Known parquat poisoning
Oxygen - Adult dose
1-6L/min NC; 6-15L/min nonrebreather/BMV
Oxygen - Ped dose
1-6L/min NC; 6-15L/min nonrebreather/BMV
.9% Sodium Chloride - Indications
Heat-related problems, freshwater drowning, hypovolemia
.9% Sodium Chloride - Ped dose
20mL/kg; based on patients size and condition being treated
.9% Sodium Chloride - Side effects
Thirst
.9% Sodium Chloride - Contraindications
CHF
.9% Sodium Chloride - MOA
Isotonic electrolyte
Ipratropium Bromide - Alternate name
Atrovent
Ipratropium Bromide - Indications
Asthma, bronchospasm associated with COPD
Ipratropium Bromide - Adult dose
0.5mg q6-8hrs
Ipratropium Bromide - Ped dose
0.25-0.5mg q20min. up to 3 doses PRN
Ipratropium Bromide - Side effects
Paradoxical acute bronchospasm, anxiety, headache, dizziness, palpitations, tachycardia
Ipratropium Bromide - Contraindications
Known sensitivity including peanuts, soybeans and atropine
Ipratropium Bromide - MOA
Anticholinergic – Bronchodilator; combined with Albuterol to form DuoNeb
Terbutaline - Alternate name
Brethine
Terbutaline - Indications
Reversible bronchospasm
Terbutaline - Adult dose
25mg SubQ q20min. up to 3 doses
Terbutaline - Ped dose
0.01mg/kg SubQ q20min up to 3 doses
Terbutaline - Side effects
Hypertension, palpitations, arrhythmias, anxiety, dizziness, headache
Terbutaline - Contraindications
Known drug sensitivity; Use cause when giving to elderly, MAOI and pts w/ cardiac disease
Terbutaline - MOA
Beta 2 agonist - Bronchodilator
Methylprednisolone - Alternate name
Solu-Medrol
Methylprednisolone - Indications
Anaphylaxis, asthma, COPD
Methylprednisolone - Adult dose - Asthma
40-80mg IV
Methylprednisolone - Ped dose - Asthma
1mg/kg (up to 60mg) IV
Methylprednisolone - Anaphylaxis
1-2mg/kg dose; then 0.5-1mg/kg q6h
Methylprednisolone - Side effects
Euphoria, headache, hypertension, bradycardia, nausea/vomiting
Methylprednisolone - Contraindications
Cushing’s syndrome, fungal infection, known sensitivity including sulfites; Caution in patients with CHF or hypertension
Methylprednisolone - MOA
Corticosteroid – reduces inflammation
Aminophylline - Alternate name
Theophylline
Aminophylline - Indications
Bronchospasm
Aminophylline - Adult dose
Load 5-7mg/kg in 20mL D5W infused over 20-30min.
Aminophylline - Ped dose
Load 5mg/kg in D5W infused over 20-30min. ; Max dose not to exceed 12mg/kg per 24hrs
Aminophylline - Side effects
Seizures, cardiac arrest, arrhythmias, nausea/vomiting, tachycardia, palpitations, anxiety
Aminophylline - Contraindications
Known drug sensitivity; Caution with patients with arrhythmias or seizures
Aminophylline - MOA
Bronchodilator
Atropine Sulfate - Indications
Symptomatic bradycardia, asystole/PEA, nerve agent or organophosphate poisoning
Atropine Sulfate - Adult dose - Bradycardia
0.05mg IV q3-5min; Max 3mg
Atropine Sulfate - Ped dose - Bradycardia
0.02mg/kg (Dose min. 0.1mg / Dose max 0.5mg) IV
Atropine Sulfate - Adult/Ped dose - Asystole
1mg IV push q3-5min; Max 3mg / ET tube 2-2.5mg in 5-10mL NS
Atropine Sulfate - Adult dose - Poisoning
2-4mg IV q20-30min
Atropine Sulfate - Ped dose - Poisoning
0.05mg/kg IV q10-30min
Atropine Sulfate - Side effects
Decreased secretions, facial flushing, blurred vision, dilated pupils, tachycardia
Atropine Sulfate - Contraindications
Acute IM, GI obstruction, known sensitivity to drug or sulfites
Atropine Sulfate - MOA
Anticholinergic – Blocks acetylcholine receptors
Fentanyl - Alternate name
Sublimaze
Fentanyl - Indications
Pain
Fentanyl - Adult dose
50-100mcg/dose IM or slow IV over 1-2min.
Fentanyl - Ped dose
1-2mcg/kg IM or slow IV over 1-2min.
Fentanyl - Side effects
Respiratory depression, apnea, hypotension, nausea/vomiting, dizziness, sedation, palpitations
Fentanyl - Contraindications
Known drug sensitivity; traumatic brain injury, resp. depression
Fentanyl - MOA
Narcotic – Binds w/ opiate receptors, causing analgesia and euphoria
Midazolam - Alternate name
Versed
Midazolam - Indications
Sedation, anxiety, muscle relaxation
Midazolam - Adult dose
1-2.5mg IV; Total dose not to exceed 0.1mg/kg
Midazolam - Elderly / Chronic ill dose
0.5mg IV
Midazolam - Ped dose
Loading dose of 0.05-0.2mg/kg then infuse 1-2mcg/kg/min IV
Midazolam - Seizures in children dose
0.1-0.15mg/kg (Max dose 5mg) IV
Midazolam - Side effects
Respiratory depression/arrest, hypotension, nausea/vomiting, hiccups, cardiac arrest
Midazolam - Contracindications
Depressed vital signs,"", depressants, coma, shock, glaucoma, drug sensitivity
Midazolam - MOA
Benzodiazepine – Enhances GABA, CNS depression
GABA
gamma aminobutyric acid - inhibits neurotransmitters in the brain
Etomidate - Alternate name
Amidate
Etomidate - Indications
Inducations for intubation or anesthesia
Etomidate - Adult/Ped dose
0.2-0.6mg/kg slow IV (30-60sec); Less in elderly or patients w/ cardiac issues; For patients older that 10yrs
Etomidate - Side effects
Tachycardia, arrhythmias, hypotension, respiratory depression, hyper/hypo-ventilation, nausea/vomiting
Etomidate - Contraindications
Known drug sensitivity; pregnancy, nursing mothers
Etomidate - MOA
Hypnotic anesthesia – GABA-like effects
Propofol - Alternate name
Diprivan
Propofol - Indications
Anesthesia induction
Propofol - Adult/Ped dose
1.5-3mg/kg IV
Propofol - Side effects
Apnea, arrhythmias, asystole, hypo/hyper-tension
Propofol - Contraindications
Hypovolemia, known drug sensitivity including soybean and eggs
Propofol - MOA
Anesthetic – Rapid, brief state of general anesthesia
Succinylcholine - Alternate name
Anectine
Succinylcholine - Indications
Facilitation of ET intubation
Succinylcholine - Adult dose
0.6mg/kg IV; 3-4mg/kg IM
Succinylcholine - Ped dose
1mg/kg IV; 3-4mg/kg IM / Max dose 150mg
Succinylcholine - Side effects
Anaphylactoid reactions, resp. depression, apnea, arrhythmias, hypo/hyper-tension
Succinylcholine - Contraindications
Burns, significant trauma, CVA, prolonged CPR, uncontrolled hypertension
Succinylcholine - MOA
Neuromuscular blocker – Results in skeletal muscle paralysis