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