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50 Cards in this Set

  • Front
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Tetracaine
Trade Name: Altacaine, Pontocaine HCl, Tetcaine, Tetravisc
Class: Anesthetic
MoA: local anesthetic, prevents initiation and transmission of nerve impulses.
Indications: Ophthalmic Anesthesia, Ophthalmic Burns
Contraindications: Sensitivity
Dose (Adult): 1 - 2 drops.
Dose (Pedi): 1 - 2 drops.
Side Effects: stinging, burning, redness.
How Supplied: 0.5% sol, 2% sol.
Magnesium Sulfate
Trade Names: none.

Class: Anti-Dysrhythmic

MoA: Acts as a calcium-channel blocker and blocks neuromuscular transmission, relaxes smooth muscles and is a peripheral vasodilator.

Indications: Pre-Eclampsia, Eclampsia, Torsades, Reactive Airway Disease.

Contraindications: Sensitivity

Dose (Adult): Eclampsia: 2 - 4 g IV over 15 min ; RAD: 1 - 2 g IV over 15 min ; Torsades: 1 - 2 g IV over 15 min.

Dose (Pedi): Acute Nephritis: 20 - 40 mg / kg IM PRN ; RAD: 25 - 100 mg / kg IV over 10 - 20 min ; Torsades: 25 - 50 mg / kg IV/IM.

Side Effets: Hypertension, Circulatory Collapse, Heart Block, Respiratory Paralysis, Flaccid Paralysis, Depressed Reflexes, Hypocalcemia, Flushing, Sweating, Hypothermia

How Supplied: 50 % sol, 4 % sol, 8 % sol, 4 g sol, 20 g sol, 40 g sol.
Midazolam
Trade Names: Versed

Class: Benzodiazepine

Mechanism of Action: Increases GABA levels, causing sedative / hypnotic effects.

Indications: Anxiety, Premedication Prior to Cardioversion, RSI

Contraindications: Narrow Angle Glaucoma, Shock, Sensitivity.

Dose (Adult): 1 - 2.5 mg slow IVP, titrate ; 0.07 - 0.08 mg / kg IM.

Dose (Pediatric): 0.03 mg / kg

Side Effects: Amnesia, Apnea, Drowsiness, Hypotension, Respiratory Depression.

How Supplied: 5 mg / mL.
Heparin
Trade Names: HepFlush, HepLock, Heparin Sodium ADD-Vantage

Class: Anti-Platelet

MoA: Inhibits reactions leading to blood clotting.

Indications: AMI - STEMI

Contraindications: Uncontrollable Bleeding, Sensitivity

Dose (Adult): 5,000 U IVP

Dose (Pedi): 50 U / kg IVP, then 25 U / kg / hr Infusion

Side Effects: Hemorrhage, Fever, Headache

How Supplied: 1 000 U / mL sol, 5 000 U / mL sol, 10 000 U / mL sol, 20 000 U / mL sol, 10 U / mL sol, 100 U / mL sol, 2 500 U / mL sol
Etomidate
Trade Names: Amidate

Class: Non-Barbiturate Hypnotic

MoA: Anesthesia with minimal cardiovascular and respiratory effects, without histamine release.

Indications: Sedation Induction for Intubation

Contraindications: Sensitivity, Child Under 10.

Dose (Adult): 0.1 - 0.3 mg / kg IVP over 15 - 30 sec.

Dose (Pedi): 0.1 - 0.3 mg / kg IVP over 15 - 30 sec.

Side Effects: Apnea, Bradycardia, Hiccups, HTN, Hyperventilation, Hypotension, Hypoventilation, Laryngospasm, Myoclonus, N/V, Snoring, Tachycardia

How Supplied: 20 mg / 10 mL amp
Vecuronium
Trade Names: Norcuron

Class: Nondepolarizing Neuromuscular Blocker

Mechanism of Action: Competes with ACh for cholinergic receptor sites on the post junctional membrane, causing paralysis of skeletal muscles.

Indications: RSI

Contraindications: Sensitivity

Dose (Adult): 0.08 - 0.10 mg / kg (MAX: 2.4 mg / kg)

Dose (Pedi): 0.08 - 0.10 mg / kg (MAX: 3.6 mg / kg)

Side Effects: Apnea, Aspiration, Arrhythmias, Bradycardia, Increased ICP, Respiratory Depression, Sinus Arrest

How Supplied: 10 mg / 10 mL ; 20 mg / 10 mL
Amiodarone
Trade Names: Cardarone, Pacerone

Class: Class III Antidysrhythmic

MoA: Prolongs duration of action potential and effective refractory period, alpha and beta adrenergic blocker, decreases AV conduction velocity and sinus node function.

Indications: Ventricular Arrhythmias, Some Atrial Arrhythmias

Contraindications: 2nd or 3rd Degree Heart Block, Bradycardia-Induced Syncope, Cardiogenic Shock, Hypotension, Sensitivity

Dose (Adult): VFib / Pulseless VTach: 300 mg IVP, then 150 mg IVP after 3 - 5 min ; Stable w / PVCs: 150 mg over 10 min, q 10 min PRN ; Maintenance Infusion: 540 mg IV over 18 hrs ; (ADULT MAX DOSE: 2.2 g IV / 24 hrs)

Dose (Pedi): VFib / VTach: 5 mg / kg IV/IO bolus ; Stable w / PVC's: 5 mg / kg very slow IV/IO over 20 - 60 min, repeat up to 15 mg / kg ; (MAX PEDI DOSE: 300 mg)

Side Effects: Bradycardia or AV Blocks (STOP), Hypotension, Prolonged PR, Prolonged QRS, Prolonged QT, Negative Inotrope and Chronotrope, Tremors, Vasodilation.

How Supplied: 30 mg / mL, 50 mg / mL, 100 mg tab, 200 mg tab, 400 mg tab
Odanestron
Trade Names: Zofran, Zudan

Class: 5HT-3 Receptor Agonist

Mechanism of Action: Blocks 5HT-3 receptor sites located in vagal nerve terminals and the CTZ in the CNS. Decreases incidence and severity of N/V

Indications: N/V

Contraindications: Hypersensitivity.

Dose (Adult): 0.15 mg / kg q 4 - 8 hrs

Dose (Pedi, >6 mos): 0.15 mg / kg q 4 - 8 hrs.

Side Effects: Constipation, Diarrhea, Headache

How Supplied: 4 mg dissolving tabs, 8 mg DT, 4 mg / 5 mL sol, 4 mg tabs, 8 mg tabs, 2 mg / mL sol, 0.64 mg / mL sol.
Furosemide
Trade Names: Lasix

Class: Diuretic

MoA: Inhibits reabsorption of NaCl, promotes prompt diuresis, vasodilation.

Indications: CHF, Pulmonary Edema.

Contraindications: Dehydration, Hypokalemia, Hypovolemia, Pts Taking Lithium, Pregnancy.

Dose (Adult): 40 - 80 mg IV

Dose (Pedi): 1 mg / kg IV

Side Effects: Dehydration, Hypokalemia, N/V, Ototoxicity.

How Supplied: 10 mg / mL sol, 40 mg / 5 mL sol, 20 mg tabs, 40 mg tabs, 80 mg tabs.
Calcium Chloride
Trade Names: none

Class: Electrolyte

MoA: A hypertonic solution, that increases cardiac contractility.

Indications: Hyperkalemia, Hypermagnesemia, Hypocalcemia, Calcium Channel Blocker OD, Mag Sulfate OD

Contraindications: Digitalis, Hypercalcemia, NaC2, VFib during Resuscitation.

Dose (Adult): 8 - 16 mg / kg slow IVP, over 5 min, q 10 min.

Dose (Pedi, >1 yr): 20 mg / kg IV / IO slow IVP (MAX: 500 mg)

Side Effects: Arrhythmias, Asystole, Artery Spasm, Hypotension, Metallic Taste, N/V, Vasodilation.

How Supplied: 1 g / 10 mL prefilled syringe.
Epinephrine
Trade Names: Epi, Epi Pen, Epi Pen Jr, Adrenaline

Class: Hormone

MoA: Stimulates cardiac muscle, increases heart rate, vascular constriction.

Indications: Asthma, Anaphylaxis, COPD.

Contraindications: none in Cardiac Arrest or Anaphylaxis ; HTN, Angina, Hyperthyroidism, Concomitant Sympathomimetics.

Dose (Adult): Cardiac Arrest: 1 mg IVP q 3 - 5 min; Anaphylaxis: 0.3 mg SQ / IVP ; Asthma: 0.3 mg SQ /IVP

Dose (Pediatric): Cardiac Arrest: 0.01 mg / kg IVP q 3 - 5 min ; Anaphylaxis: 0.15 mg SQ ; Asthma: 0.15 mg SQ.

Side Effects: Palpitations, Tachycardia, SOB, HTN, Dysrhythmias, Cerebral Hemorrhage, Hemiplegia, Angina, Anxiety, HA, Tremors, Weakness, Vertigo.

How Supplied: 220 mcg / spray MDI ; 0.1 mg / mL sol ; 0.5 mg / mL sol ; 1 mg / mL sol, 0.3 mg AI.
Bumetanide
Trade Names: Bumex

Class: Loop Diuretic

MoA: Inhibits reabsportion of NaCl, promotes prompt diuresis and vasodilation.

Indications: CHF, Edema, HTN.

Contraindications: Anuria, Dehydration, Sensitivity to Drug or Sulfonamides.

Dose (Adult): 0.5 mg - 1 mg IV/IM, q 2 - 3 hrs (MAX: 10 mg / day)

Dose (Pedi): 0.015 - 0.1 mg / kg PO

Side Effects: Arrhythmias, Chest Pain, Dehydration, Hypokalemia, N/V, Ototoxicity.

How Supplied: 0.5 mg tabs, 1 mg tabs, 2 mg tabs, 0.25 mg / mL sol.
Adenosine
Trade Names: Adenocard, Adenoscan

Class: Antiarrhythmic

MoA: Slows conduction through the AV node and can interrupt reentrant pathways through the AV; decreases chronotrope with no effect on inotrope.

Indications: PSVT or PSVT with WPW.

Contraindications: AFib/Flutter, 2nd or 3rd Degree Heart Block Bradycardia, Poisoning Induced Tachycardia, SSS, VTach, Sensitivity.

Dose (Adult): 6 mg rapid IVP followed by 20 cc NS Flush, repeat: 12 mg rapid IVP followed by 20 cc NS Flush, q 1 - 2 min (MAX: 30 mg)

Dose (Pedi <50 kg): 0.1 mg / kg rapid IVP with 10 cc ND flush, repeat: 0.2 mg / kg rapid IVP with 10 cc NS Flush (MAX: 12 mg)

Side Effects: Arrhythmias (Brady, Tachy, PAC's, PVC's), Asystole, Bronchospasm, Chest Pain, Palpitations, Chest Pressure, Dizziness, Dyspnea, Facial Flushing, Headache, Nausea, Numbness, Transient 1st, 2nd, or 3rd Degree Heart Block, Transient BP Rise.

How Supplied: 6 mg / 2 mL, 12 mg / 4 mL
Labetalol
Trade Names: Trandate, Normodyne

Class: Beta Blocker

MoA: Competitive Alpha1 blocker, nonselective beta blocker. Causes a decrease in BP without reflex tachycardia.

Indications: HTN, ICP

Contraindications: Asthma, CHF, 2nd and 3rd Degree Heart Block, Bradycardia, Cardiogenic Shock

Dose (Adult): 10 - 20 mg slow IVP.

Dose (Pedi): 0.3 - 1 mg / kg slow IVP q 10 min (MAX: 20 mg)

Side Effects: HA, Dysrhythmias, Dizziness, Hypotension, Dyspnea, Allergic Reaction, Diaphoresis, Postural Hypotension.

How Supplied: 100 mg tabs, 200 mg tabs, 300 mg tabs, 5 mg / mL sol.
Albuterol
Trade Names: Proventil, Ventolin, VoSpire, AccuNeb.

Class: Sympathomimetic Bronchodilator

MoA: Binds to and stimulates beta2 adrenergic receptors, resulting in relaxation of bronchial smooth muscle.

Indications: bronchospasm (asthma / COPD), burns, chronic bronchitis / emphysema / pneumonia.

Contraindications: AMI, Angioedema, Cardiovascular Disorders (arrhythmias / HTN) CHF, Pulmonary Edema, Sympathomimetic Tachycardias, Sensitivity

Dose (Adult): MDI: 4 - 8 puffs q 4 - 8 hrs ; Neb: 2.5 - 5 mgs / 20 min (MAX: 3 doses)

Dose (Pedi): MDI (over 4 yrs): 2 puffs q 4 - 6 hrs ; Neb (over 12 yrs): 0.5 mg / kg / hr ; Neb (under 12 yrs): 0.15 mg / kg / hr OR 0.5 mg / kg / hr. (MAX: 3 doses)

Dose (Pregnant): MDI: 2 - 4 puffs q 4 hrs ; Neb: 2.5 mg / 0.5 mL by 0.5% sol over 5 - 20 min.

Side Effects: Angina, Anxiety, CNS Stimulation, Diaphoresis, Dizziness, Dyspnea, HA, HTN, Hyperglycemia, Hypokalemia, Insomnia, Local Irritation, N/V, Palpitations, Paradoxical Bronchospasm, Sinus Tachycardia, Tremors.

How Supplied: 90 mcg / puff ; 2 mg / mL sol ; 2 mg tabs ; 4 mg tabs ; 4 mg tabs ER ; 8 mg tabs ER ; 0.021% sol, 0.042% sol, 0.083% sol, 0.5% sol.
Procainamide
Trade Names: Pronestyl

Class: Antiarrythmic

MoA: Slows conduction through myocardium by increasing electrical threshold of ventricle, Bundle of His, and Purkinje.

Indications: PVCs, VFib, VTach refractory to Lidocaine, Wide Complex Tachycardia.

Contraindications: Bradycardia, Complete AV Block, Severe Conduction Disorders

Dose (Adult): VTach: 20 - 30 mg / min IVP PRN, maintenance infusion 1 - 4 mg / min ; Refractory VFib: 30 mg / min IVP

Dose (Pedi): Not indicated.

Side Effects: Asystole, AV Block, Bradycardia, CNS Depression, Confusion, Dizziness, Fever, Hallucinations, N/V, Seizures, VFib, Widened QRS.

How Supplied: 250 mg caps, 500 mg caps, 500 mg ER tabs, 1 g ER tabs, 1 g / 10 mL sol, 1 g / 2 mL sol, 100 mg / mL sol, 500 mg / mL sol
Dextrose 50%
Trade Names: D50

Class: Caloric Agent

MoA: Increases blood glucose concentration.

Indications: Hypoglycemia.

Contraindications: Intracranial and Intraspinal Hemorrhage, DTs, Solution Not Clear, Seals Not Intact

Dose (Adult): Hyperkalemia: 25 g D50 IV / IO ; Hypoglycemia: 10 - 25 g D50 IV (20 - 50 mg sol)

Dose (Pedi): Hyperkalemia: 0.5 - 1 mg / kg D50 IV/IO ; Hypoglycemia (>2 yrs): 2 mL / kg D50 IV/IO ; Hypoglycemia (<2 yrs): 2 - 4 mL / kg D10 IV/IO

Side Effects: Hyperglycemia, Pain/Thrombosis of Peripheral Veins, Warmth/Burning of IV Infusion

How Supplied: 50% sol
Oral Glucose
Trade Names: Glutose, Insta-Glucose, B-D Glucose

Class: Caloric Agent

MoA: Increases blood glucose level.

Indications: AMS (Conscious), Hx of Diabetes Controlled by Medication

Contraindications: Unable to Protect Airway

Dose (Adult): 15 g PO (MAX: 40 g)

Dose (Pediatric) 7.5 g PO (MAX: 20 g)

Side Effects: none

How Supplied: 15 g gel tube, 5 g chewable tabs
Diazepam
Trade Names: Valium, DiaStat

Class: Benzodiazepine

MoA: Binds to benzodiazepine receptors and enhances GABA, relaxing skeletal muscles and depressing the CNS.

Indications: Anxiety, Skeletal Muscle Contraction, Alcohol Withdrawal, Seizures.

Contraindications: Children under 6 months, Glaucoma, CNS Depression, Alcohol Intoxication, Known Sensitivity, Seizures Caused by Anticholinergics

Dose (Adult): Anxiety, Moderate: 2 - 5 mg slow IV/IM ; Anxiety, Severe: 5 - 10 mg slow IV/IM (<5 mcg / min) ; DTs: 10 mg IV ; Seizure: 5 - 10 mg IV/IO q 10 - 15 min (MAX: 30 mg)

Dose (Pedi): Anxiety: 0.04 - 0.3 mg / kg / dose IV/IM q 4 hrs (MAX: 0.6 mg / kg) ; Seizure (5 yrs+): 1 mg IV/IO over 3 min q 2 - 5 min (MAX: 10 mg) ; Seizure (30 days - 5 yrs): 0.2 - 0.5 mg IV/IO over 3 min q 2 - 5 min (MAX: 5 mg) ; Seizure (Neonate): 0.1 - 0.3 mg / kg IV / IO over 3 - 5 min q 15 - 30 min (MAX: 2 mg) ; Seizure (12 yrs+): 0.2 mg / kg PR ; Seizure (6 - 11 yrs): 0.3 mg / kg PR ; Seizure (2 - 5 yrs): 0.5 mg/kg PR ; Seizure (<2 yrs): Not Recommended PR

Side Effects: Respiratory Depression, Drowsiness, Fatigue, Headache, Pain at Injection Site, Confusion, N/V, Hypotension, Oversedation

How Supplied: 5 mg / 5 mL ; 2 mg tabs ; 5 mg tabs ; 10 mg tabs ; 5 mg / mL
Aspirin
Trade Names: Acetylsalicyclic Acid, Alka-Seltzer's, ASA, Ascriptin, Aspergum, Bayer, Bufferin, Easprin, Ecotrin, Empirin, Genacote, Halfprin, Magnaprin, Norwich, St. Joseph's, ZORprin

Class: Platelet Aggregation Inhibitor

MoA: Decreases prostaglandin synthesis, blocks platelet aggregation, decreases thromboxane A2.

Indications: AMI Symptoms, Angina, Cardiac Chest Pain, Fever, Inflammation

Contraindications: Active Ulcer Disease, Asthma, Bleeding Disorder, Bronchospasm, Children with Flu-Like Symptoms or Chicken Pox, GI Bleed, Hemorrhagic Stroke, Sensitivity

Dose (Adult): MI: 160 - 325 mg PO , 300 mg PR ; Pain or Fever: 325 - 650 mg PO q 4 - 6 hrs.

Dose (Pedi): MI: 3 - 5 mg / kg / day up to 5 mg / kg / day ; Pain or Fever: 60 - 90 mg / kg / day divided into doses q 4 - 6 hrs.

Side Effects: Anaphylaxis, Angioedema, Bronchospasm, Heartburn, N/V, Tinnitus (STOP).

How Supplied: 227 mg gum, 81 mg tab, 325 mg tab, 500 mg tab, 650 mg tab, 81 mg tab DR, 162 mg tab DR, 325 mg tab DR, 500 mg tab DR, 975 mg tab DR, 800 mg tab ER, 60 mg PR, 120 mg PR, 200 mg PR, 300 mg PR, 600 mg PR.
Atropine
Trade Names: AtroPen, Sal-Tropine

Class: Anticholinergic

MoA: Competes reversibly with acetylcholine at the site of the muscarinic receptor.

Indications: Asystole, PEA, Nerve Agent Exposure / Organophosphate Poisoning, Symptomatic Bradycardia.

Contraindications: AMI, GI Obstruction, Glaucoma, Myasthenia Gravis, Sensitivity to the Drug, Belladonna, or Sulfates.

Dose (Adult): Symptomatic Bradycardia: 0.5 mg IV / IO every 3 - 5 min (MAX: 3 mg) ; Asystole/PEA: 1 mg IV/IO every 3 - 5 min, (MAX 3 mg) or 2 - 2.5 mg / 5 - 10 mL NS every 3 - 5 min ; Nerve Agent Poisoning: 2 - 4 mg IV/IM every 20 - 30 min ; Severe Nerve Agent Poisoning: up to 6 mg IV every 5 - 60 min.

Dose (Adolescent): Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV / IO every 3 - 5 min, MAX 2 mg

Dose (Pediatric): Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV/IO every 3 - 5 min (MAX: 1 mg) ; Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 10 - 30 min.

Dose (Infant): Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 5 - 20 min.

Side Effects: Blurred Vision, Dry Mouth, Hot Skin, Intense Flushing, Paradoxical Bradycardia (If Too Low or Too Slow), Photophobia, Restlessness, Tachycardia, Pupil Dilation,

How Supplied: 0.25 mg / 0.3 mL AI ; 0.5 mg / 0.7 mL AI ; 1 mg / 0.7 mL AI ; 2 mg / 0.7 mL AI ; 0.4 mg tabs ; 0.05 mg / mL sol ; 0.1 mg / mL ; 0.4 mg / mL ; 0.5 mg / mL ; 1 mg / mL.
Bumetanide
Trade Names: Brethine

Class: Sympathomimetic Bronchodilator

MoA: Beta2 selective bronchodilator, beta1 chronotropic, relaxes uterine muscles to suppress contractions.

Indications: Bronchial Asthma, Bronchospasm with COPD, Preterm Labor.

Contraindications: Tachydysrhythmias, Sensitivity.

Dose (Adult): 0.25 mg SQ q 15 - 30 min (MAX 0.5 mg / 4 hr) ; MDI: 2 inhalations (400 mcg) q 4 - 6, 1 - 2 min between inhalations ; Neb: 0.15 - 1 mg / 2 mL

Dose (Pedi): 0.01 mg / kg SQ ; MDI: 2 inhalations (400 mcg) q 4 - 6 hrs, 1 - 2 min between inhalations ; Neb: 0.03 - 0.05 mg / kg / 2 mL.

Side Effects: Anxiety, Bronchospasm, Coughing, Headache, Palpitations, PVCs, Tachycardia, Tremor.

How Supplied: 1 mg / mL ; 200 mcg / puff MDI.
Acetaminophen
Trade Names: Acephen, Anacin, Genapap, Genebs, Tylenol

Class: Analgesic, Antipyretic

MoA: Analgesic / antipyretic with little effect on platelet function.

Indications: Mild to moderate pain and fever when aspirin is not tolerated.

Contraindications: Hypersensitivity.

Dose (Adult): 325 - 650 mg PO q 4 - 6 hrs, 650 mg PR q 4 - 6 hrs.

Dose (Pedi): 5 - 10 mg / kg PO q 4 - 6 hrs.

Dose (Pedi under 3 yrs): Not recommended.

Side Effects: Hypothermia

How Supplied: 80 mg dissolving tabs, 160 mg DT, 325 mg caps, 650 mg caps, 500 mg caps, 80 mg PR, 120 mg PR, 125 mg PR, 325 mg PR, 650 mg PR.
Glucagon
Trade Names: Glucagen

Class: Hormone

MoA: Causes breakdown of glycogen to glucose, inhibits glycogen synthesis, elevates blood glucose levels, increases cardiac contractile force, increases heart rate.

Indications: Hypoglycemia

Contraindications: Sensitivity

Dose (Adult): 0.25 - 0.50 U IV or 1 mg IM

Dose (Pedi): 0.03 mg / kg IV/IM

Side Effects: Few in emergent setting.

How Supplied: 1 mg Amp
Diltiazem
Trade Names: Cardizem

Class: Calcium Channel Blocker

MoA: Dilates coronary and peripheral arteries and arterioles, increasing circulation to the heart and reducing peripheral vascular resistance.

Indications: SVT, Angina

Contraindications: 2nd or 3rd degree Heart Block, Hypotension, SSS, WPW, Wide-Complex Tachycardia, Sensitivity

Dose (Adult): 20 mg IV bolus (0.25 mg / kg) over 2 min.

Dose (Pedi): not recommended.

Side Effects: Asystole, Bradycardia, Dizziness, Headache, Heart Block, Hypotension, N/V

How Supplied: 25 mg / 5 mL ; 50 mg / 10 mL
Ketorolac
Trade Names: Toradol

Class: NSAID

MoA: Inhibits Platelet Aggregation.

Indications: Moderately severe acute pain.

Contraindications: Sensitivity.

Dose (Adult): 30 mg slow IVP over 1 - 2 min.

Dose (Pedi): 0.5 mg / kg IM/IV

Side Effects: Edema, HTN, Rash, Itching, Nausea, Heartburn, Constipation, Diarrhea, Drowsiness, Dizziness

How Supplied: 15 mg Prefilled Syringe, 30 mg PS, 60 mg PS, 10 mg tabs.
Methylprednisolone
Trade Names: Solu-Medrol, Medrol, Depo-Medrol, A-methaPred, A-methaPred ADD-Vantage

Class: Gluccocorticoid

MoA: Anti-inflammatory, suppresses immune response (esp in allergic reactions).

Indications: Anaphylaxis, Reactive Airway Disease

Dose (Adult): 125 mg IVP

Dose (Pedi): 2 mg / kg IVP

Side Effects: Headache, HTN, Sodium Retention, Water Retention, Hypoglycemia, Hypokalemia, Fetal Harm.

How Supplied: 40 mg sol, 125 mg sol, 500 mg sol, 1 g sol, 2 g sol.
Ketamine
Trade Names: Ketalar, Ketaset, Ketanest

Class: NMDA-Receptor Antagonist

MoA: NMDA-Receptor Antagonist

Indications: General Anesthesia, Excited Delirium

Contraindications: <3 months, psychosis, sensitivity, HTN

Dose (Adult): 1 - 2 mg / kg IV over 1 - 2 min or 4 - 5 mg / kg IM

Dose (Pedi): 1 - 2 mg / kg IV over 1 - 2 min or 4 - 5 mg / kg IM

Side Effects: Laryngospasm, Hallucinations, HTN, Nystagmus, Tachycardia, Hypersalivation, Myoclonus, Hypertonicity.

How Supplied: 10 mg / mL, 50 mg / mL, 100 mg / mL
Ibuprofen
Trade Names: Motrin, Advil, Nuprin, Rufen, NeoProfen, Caldolor, Midol, Genpril, Haltran, Ibu-Tran, Menadol, IBU

Class: NSAID

MoA: Inhibits Platelet Aggregation

Indications: Fever, Mild to Moderate Pain

Contraindications: Active Peptic Ulcer, Bleeding Conditions, Sensitivity

Dose (Adult): 200 - 400 mg q 4 - 6 hrs (MAX: 1200 mg)

Dose (Pedi): 5 - 10 mg / kg q 4 - 6 hrs (MAX: 40 mg / kg)

Side Effects: Abdominal Pain, Dizziness, Heartburn, Nausea, Rash.

How Supplied: 200 mg caps, 40 mg / mL susp, 100 mg / 5 mL susp, 200 mg tabs, 400 mg tabs, 600 mg tabs, 800 mg tabs, 100 mg / mL sol (IV).
Lorazepam
Trade Names: Ativan

Class: Benzodiazepine

MoA: Binds to benzodiazepine receptors and enhances GABA.

Indications: Seizures, Chemical Restraint.

Contraindications: Pregnancy, Sensitivity, Caution In Seizures From Anticholinergic OD.

Dose (Adult): 2 - 4 mg IV/IM q 10 min (MAX: 8 mg)

Dose (Pedi): 0.1 mg / kg IV/IM, 0.05 mg / kg q 10 min.

Side Effects: Sedation, Hypotension, Respiratory Depression.

How Supplied: 2 mg / mL, 4 mg / mL, 0.5 mg tabs, 1 mg tabs, 2 mg tabs.
Nitroglycerin Sublingual
Trade Names: NitroQuick, NitroStat, NitroLingual

Class: Vasodilator

MoA: Peripheral arteriole dilation, which decreases preload, decreases the work of the heart, and lower myocardial O2 demand.

Indications: CHF, Hypertension, Ischemic Chest Pain

Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24 - 48 hrs.

Dose (Adult): 0.3 - 0.4 mg SL q 5 min.

Dose (Pedi): Not Recommended.

Side Effects: Diaphoresis, Headache, Hypotension, N/V, postural Syncope, Reflex Tachycardia.

How Supplied: 0.3 mg / spray, 0.4 mg / spray, 0.6 mg / spray.
Vasopressin
Trade Names: Pitressin

Class: Anti-Diuretic Hormone.

MoA: Vasoconstriction, contraction, of abdominal smooth muscles.

Indications: VFib / Pulseless VTach, Slow or Stop GI Bleeding, Diabetes Insipidus.

Contraindications: Sensitivity.

Dose (Adult): 40 U (2 mL) q 30 min. (SINGLE DOSE)

Dose (Pedi): Not recommended.

Side Effects: Abdominal Cramping, Angioedema, Arrythmias, Bradycardia, Bronchospasm, HTN, N/V.

How Supplied: 20 U / mL inj.
Lidocaine
Trade Names: Lidoject, Xylocaine, Xylocaine - MPF.

Class: Anti-Dysrhythmic

MoA: Inhibits fluxes required for initiation and conduction of impulses.

Indications: Arrythmias, Closed Head Injury, CVA.

Contraindications: Bradycardia, Idioventricular Rhythms, High Degree Heart Blocks, Sensitivity.

Dose (Adult): 0.75 - 1.5 mg / kg IV up to 3 mg / kg

Dose (Pedi): 1 mg / kg IV up to 3 mg / kg

Side Effects: Arrythmias, Seizures, Hypotension, Dizziness, Drowsiness.

How Supplied: 0.5 % sol, 1 % sol, 1.5 % sol, 2 % sol, 4 % sol.
Flumazenil
Trade Names: Romazicon, "Re-Versed"

Class: Benzodiazepine Antagonist

MoA: Blocks action of benzodiazepines.

Indications: Benzodiazepine OD

Contraindications: Cyclic Antidepressant OD, Sensitivity.

Dose (Adult): 0.2 mg (2 mL) IV over 30 sec.

Dose (Pedi): Not indicated.

Side Effects: Agitation, Blurry Vision, Dizziness, N/V, Seizures.

How Supplied: 0.5 mg / 5 mL vial, 1 mg / 10 mL vial.
Fentanyl
Trade Names: Sublimaze

Class: Narcotic

MoA: CNS Depressant, decreases sensitivity to pain.

Indications: Acute Pain, RSI.

Contraindications: Severe Hemorrhage, Shock, Sensitivity.

Dose (Adult): 25 - 100 (0.025 - 0.1 mg) slow IVP over 2 - 3 min.

Dose (Pedi) 1.7 - 3.3 mcg / kg

Side Effects: Apnea, Bradycardia, Muscle Rigidity, Respiratory Depression.

How Supplied: 100 mcg / 2 mL (50 mcg / mL) amp
Ipatropium Bromide
Trade Names: Atrovent

Class: Anticholinergic

MoA: Bronchodilator, dries respiratory tract secretions.

Indications: Asthma, Bronchospasm.

Contraindications: use as a primary treatment, Sensitivity.

Dose (Adult): Neb: 500 mcg

Dose (Pedi): Not Recommended.

Side Effects: Anxiety, Dizziness, Headache, Nervousness, Palpitations.

How Supplied: 0.02% in 2.5 mL
Eptifibatide
Trade Names: Integrilin

Class: Anti-Platelet

MoA: Irreversibly inhibits platelet aggregation.

Indications: AMI-STEMI.

Contraindications: Stroke, Dialysis, Other Anti-Platelets, Surgery, HTN, Bleeding Disorders, Sensitivity.

Dose (Adult): 180 mcg / kg IVP

Dose (Pedi): Not Indicated.

Side Effects: Stroke, Hemorrhage.

How Supplied: 2 mg / mL, 0.75 mg / mL.
Succinylcholine
Trade Names: Anectine, Quelicin

Class: Depolarizing Neuromuscular Blocker

MoA: Binds to nicotinic receptors.

Indications: Facilitate Intubation, Terminate Laryngospasm, Muscle Relaxation.

Contraindications: Inability to Control Airway and/or Support Ventilations, Increased Intraocular Pressure, Penetrating Eye Injury

Dose (Adult): 1.5 mg / kg Rapid IVP, repeat once if needed.

Dose (Pedi): 1 mg / kg Rapid IVP, repeat once if needed.

Side Effects: Bradycardia, Dysrhythmias, Excessive Salivation, Hyperkalemia, Hypotension, Malignant Hypertension, Muscle Fasiculations.

How Supplied: 20 mg / mL, 100 mg / mL, 500 mg sol, 1 g sol, 40 mg / 2 mL amp, 100 mg / 5 mL amp.
Clopidogrel
Trade Names: Plavix

Class: Platelet Aggregation Inhibitor

MoA: Blocks platelet aggregation by antagonizing the GP IIb/IIa receptors.

Indications: ACS, Chronic Coronary and Vascular Disease, Ischemic Stroke.

Contraindications: History of Intracranial Hemorrhage, GI Bleed, Trauma, Sensitivity.

Dose (Adult): Unstable Angina Pectoris, Non-Q-Wave AMI: Loading Dose: 300 mg PO, then 75 mg daily.

Dose (Pedi): Not Indicated.

Side Effects: Abdominal Pain, Hemorrhage, Nausea.

How Supplied: 75 mg tabs, 300 mg tabs.
Norepinephrine
Trade Names: Levophed ("Leave 'Em Dead")

Class: Sympathomimetic

MoA: Alpha sympathomimetic, causes peripheral vasoconstriction, mild inotropic effects, increases myocardial O2 demand.

Indications: Cardiogenic Shock, Hypotension Refractory to Other Sympathomimetics, Neurogenic Shock

Contraindications: Hypercarbia, Hypotension Secondary to Hypovolemia, Hypoxia, Pts Taking Antidepressants, Sodium Bicarb Administration.

Dose (Adult): 2 - 12 mcg / min (4 mg in 500 mL D5W) infusion

Dose (Pedi): 0.01 - 0.5 mcg / kg / min infusion

Side Effects: Headache, Local Irritation, N/V, Palpitations, Severe HTN, Sweating, Tissue Necrosis, Ventricular Dysrhythmias.

How Supplied: 4 mg / mL amp, 1 mg / mL amp.
Sodium Bicarbonate
Trade Names: MaxiVial, Neut, Soda Mint

Class: Buffer

MoA: Reacts with H ions to form water and CO2 and buffers metabolic acidosis.

Indications: Intubated Pt with Continued Long Arrest Interval, Known Bicarbonate-Responsive Acidosis, ROSC, TCA OD.

Contraindications: Chloride Loss From Vomiting And GI Suction, Hypocalcemia, Hypokalemia, Metabolic / Respiratory Alkalosis.

Dose (Adult): 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min

Dose (Pedi): 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min

Side Effects: Hypoxia, Electrolyte Imbalance, Metabolic Alkalosis, Rise in Intracellular PCO2 and Increased Tissue Acidosis, Seizures, Tissue Sloughing at the Injection Site.

How Supplied: 325 mg tabs, 650 mg tabs, 4.2 % ( 0.5 mEq / mL ) sol, 5 % ( 0.595 mEq / mL ) sol, 7.5 % ( 0.892 mEq / mL ) sol, 8.4 % ( 1 mEq / mL ) sol.
Nitroglycerin Paste
Trade Names: NitroBid

Class: Vasodilator

MoA: Peripheral arteriole dilation, which decreases preload, decreases the work of the heart, and lowers myocardial O2 demand.

Indications: CHF, HTN, Ischemic Chest Pain

Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24 - 48 hrs.

Dose (Adult): 4 x 2 " area, .5 " deep - 6 x 6 " area, 1 " deep

Dose (Pedi): Not Recommended

Side Effects: Diaphoresis, HA, Hypotension, N/V, Postural Syncope, Reflex Tachycardia.

How Supplied: 2 % ointment.
Naloxone
Trade Names: Narcan

Class: Narcotic Antagonist

MoA: Reverses effects of narcotics by competing for opiate receptors.

Indications: Alcoholic Coma, Coma of Unknown Origin, Narcotics OD.

Contraindications: None.

Dose (Adult): 1 - 2 mg q 5 min Slow IVP

Dose (Pedi): 0.1 mg / kg

Side Effects: Acute Withdrawal Syndrome, Pulmonary Edema

How Supplied: 2 mg / 2 mL Prefilled Syringe, 0.4 mg / mL PS, 10 mg / 10 mL vial.
Metoprolol
Trade Names: Lopressor

Class: Beta Blocker

MoA: Beta-Adrenergic Receptor Blocker

Indications: AMI-STEMI

Contraindications: HR <70, BP <100 Systolic, Heart Blocks, Cardiogenic Shock, Cardiac Failure, SSS.

Dose (Adult): 5 mg slow IVP q 5 min (MAX: 15 mg)

Dose (Pedi): 1 mg / kg slow IVP

Side Effects: Dyspnea, Dizziness, Drowsiness, Bradycardia, Sedation, Vomiting.

How Supplied: 1 mg / mL, 50 mg tabs, 100 mg tabs.
Morphine Sulfate
Trade Names: none

Class: Narcotic

MoA: CNS depressant, analgesic, vasodilation, decreased myocardial O2 demand.

Indications: Cardiac Chest Pain, Pulmonary Edema, Severe Pain.

Contraindications: Abdominal Pain, COPD, Head Injury, Respiratory Depression, Sensitivity.

Dose (Adult): IV: 2 - 5 mg, then 2 mg q few minutes, titrate ; IM: 5 - 15 mg

Dose (Pedi): IV: 0.1 - 0.2 mg / kg

Side Effects: Decreased LOC, Dizziness, Increased Vagal Tone, N/V, Respiratory Depression.

How Supplied: 10 mg / mL PS.
Dopamine
Trade Names: Inotropin

Class: Sympathomimetic

MoA: Increases contractility, causes peripheral vasoconstriction, increasing chronotropic and inotropic effects, dilation of mesenteric & renal arteries (promoting urination).

Indications: Cardiogenic Shock, Hypotension, Secondary to Post-Resuscitation Bradycardia, Hypovolemic Shock.

Contraindications: Hypovolemic Shock Without Fluid Resuscitation, Uncorrected Tachycardia or VFib.

Dose (Adult): 2 - 20 mcg / kg / min, increased as needed (800 mg in 500 mL D5W)

Dose (Pedi): 2 - 20 mcg / kg / min

Side Effects: Angina, HA, HTN, N/V, VTach.

How Supplied: 200 mg / 5 mL Prefilled Syringe, 400 mg / 250 mL drip.
Thiamine
Trade Names: B1

Class: Vitamin

MoA: Assists in converting glucose to energy.

Indications: Beriberi, Coma of an Unknown Origin, Chronic Alcoholism with Coma, DT's, Wernicke's Encephalopathy.

Contraindications: None.

Dose (Adult): 100 mg slow IVP

Dose (Pedi): Not Recommended

Side Effects: Anxiety, Diaphoresis, Hypotension (Too Fast or Too Much), N/V, Sensitivity (Rare).

How Supplied: 1000 mg / 10 mL sol.
Promethazine
Trade Names: Phenergan, Phenadoz, Promethegan

Class: H1 Antagonist (Antihistamine)

MoA: Mild anticholinergic activity, antiemetic, potentiates action of analgesics.

Indications: Analgesic Potentiation, Motion Sickness, N/V, Sedation.

Contraindications: Comatose States, Pts With Large Amounts of Depressants.

Dose (Adult): 12.5 - 25 mg

Dose (Pedi): 0.5 mg / kg

Side Effects: Drowsiness, Sedation.

How Supplied: 6.25 mg / 5 mL sol, 12.5 mg tabs, 25 mg tabs, 50 mg tabs, 25 mg / mL sol, 50 mg / mL sol, 12.5 mg PR, 25 mg PR, 50 mg PR.
Diphenhydramine
Trade Names: Benadryl

Class: Antihistamine

MoA: Blocks histamine receptors, mild sedative anticholinergic effects.

Indications: Anaphylaxis (with Epi), Allergic Reactions, Dystonic Reactions Due to Phenothiazines.

Contraindications: Asthma, COPD, Enlarged Prostate, Glaucoma, Pregnancy.

Dose (Adult): 25 - 50 mg slow IVP or deep IM

Dose (Pedi): 2 - 5 mg / kg IVP or deep IM

Side Effects: Blurred Vision, Headache, Palpitations, Sedation, Wheezing.

How Supplied: 50 mg / mL amp.
Haloperidol
Trade Names: Haldol

Class: Antipsychotic

MoA: D2 receptor antagonist, the first of the butyrophenone series of major antipsychotics.

Indications: Schizophrenia, Tourette's, Chemical Restraint.

Contraindications: Pregnant Females, Unconscious Patients, Hypotensive Patients, Snesitivity.

Dose (Adult): 2 - 5 mg IM q 30 min

Dose (Pedi): 1 - 3 mg IM q 2 - 4 hr

Side Effects: Torsades, Sedation, Hypotension.

How Supplied: .5 mg tabs, 1 mg tabs, 2 mg tabs, 5 mg tabs, 10 mg tabs, 20 mg tabs, 50 mg / mL sol, 100 mg / mL sol, 5 mg / mL sol.