air / trauma Flashcards
1
Q
Albuterol) Dynamics:
Indications:
Contraindications:
A
=B agonist w/ preference of B2 receptors
=Brocospasm, Anaphylaxsis/ asthma/ Allergies, Hyperkalemia
= jitters & Known hypersensitivity
2
Q
Albuterol) Adverse effects:
Adult Broncospasm dose:
Hyperkalemic dose:
Pedi Dose:
A
= Palp/s, Anxiety, Jitters, Dizzy, Tcardia
= 2.5mg/3mg via SVN→ repeat 15-20mins as needed
= 10-20mg via LVN over 15 mins→ repeat as needed
= 1.25-2.5mg/1.5-3mL SVN
3
Q
Albuterol)Bronchospasm) dose:
Pedi dose:
A
= 2.5mg/3ml via SVN repeat 12-20, 0.83mg/ml
=1.25-2.5mg/1.5-3mL SVN
4
Q
Albuterol) Hyperkalemia:
A
= 10-20mg via LVN / 15mins. May repeat as needed.
5
Q
Albuterol) Pedi Dose
A
1.25 - 2.5 mg / 1.5 - 3 mL SVN /15 - 20 mins PRN
6
Q
Dexamethasone) Class:
Class/med Will:
A
= Synthetic glucocorticoid Anti-inflammatory
= Suppresses immune response
7
Q
Dexamethasone) Indi:
Contra:
A
= Bronchial asthma, COPD, Anaphylaxis
= Known hypersensitivity, (Relative) Known fungal infection
8
Q
Dexamethasone) Adult Dose:
A
= 10 mg IV/IO/PO “better>sol-med”
9
Q
Dexamethasone) effects:
A
= Fluid retention (Peripheral edema) & May delay wound healing & small Increase in BGL (careful w/ diabetics)
10
Q
Dexamethasone) Pedi dosing
A
0.5-0.6mg/kg up to 16mg
11
Q
Charcoal) dose:
Contraindication
Not recommended for ingested
A
= 1G/Kg
= AMS / LOC
= acid, an alkali, or a petroleum product
12
Q
Dextrose 50%) Dynamics:
Indications:
Contra:
Dose:
A
Dextrose 50% Electrolyte / Carbohydrate. Water-soluble
monosaccharide Correction of hypoglycemia Known hyperglycemia D50: 25 grams IV/IO, D10 in 50 mL (5 grams)
IV/IO boluses (max 250 mL)
13
Q
Diazepam/ Vallium) class:
pharmacodynamics:
A
= benzodiazepine
= binds w/ GABA receptors causing a influx of chloride
14
Q
Diazepam/ Vallium) indications:
Contraindications:
A
= Tcardia due to stimulant OD, Sustained seizures Anxiety Sedation
= known hypersensitivity
15
Q
Diazepam/ Vallium) Adult dose:
Strength of 3 Benzos:
A
= 2.5-10mg in 2.5mg increments slow IV/IO/IM
= Middle man
16
Q
Diazepam / Vallium) Antidote:
Draw Syringe size:
A
= Flumazenil 0.2mg IV
= Use 1/3mL syringe for drawing up, Can come in Injectors/Pre-filled syringes or vials ranging 1-20mLs
17
Q
Diazepam/ Vallium) effects:
Clinical notes:
A
= Resp/ depres/, N/V, Sedation/amnesia
= once drawled up 1st dose, Drawl up another
18
Q
Diazepam (Valium) pedi dose
A
0.1mg/kg in 2.5 mg increments slow IV
(max 5mg)
0.2 mg/kg rectal dose (max 10 mg)
19
Q
Diphenhydramine) Dynamics:
Indications:
Contra:
Dose:
A
= H1&2 Histamine Blocker
= Allergic reaction, anaphylaxis, extrapyramidal reactions, sedation
= Hypersnesitivity
= 25-50 mg slow IV/IO or IM
20
Q
Diphenhydramine/Benadryl) when w/ Epi:
Concentration:
Syringe:
A
= 5~10mins for full affect so give after Epi
~ Single dose vials 50mg/mL
=Use 1mL syringe to draw
21
Q
Diphenhydramine/Benadryl) Dose:
A
= 25-50 mg slow IV/IO or IM
22
Q
Diphenhydramine/Benadryl) Pedi dose:
Side note:
A
=1-2 mg/kg slow IV/IO or IM (Max 50mg)
= if altered, try to hold off on admin b/c sedative
23
Q
Dopamine) class:
pharmacodynamics
A
= sympathetic agonist
= A/B agonist rate dependent vasopressor +chron/in/Drom/otropic
24
Q
Dopamine) indications:
Contraindications:
A
= CHF, HypoBP w/ shock signs, 2nd med for sympathetic Bcardia (after Atropine)
= hypovolemic PTs til’ vol/ replaced, pheochromocytoma, Dont mix w/ sodium bicarb
25
Dopamine) Effects:
Dosing:
Adult & Pedi Cardiac dose:
Adult & Pedi Vasopressor dose:
= HyperBP, Palp/s, H/A, Dizzy, Can worsen C-ischemia, necrosis W/ Extravasation
= 2–20 mcg/kg/min Titrate to response
= 5-10mcg/kg/min
= 10-20 mcg/kg/min
26
Epinephrine 1:10) Effects:
Admin via:
(Adult) Cardiac Arrest dose:
(Adult) Bradycardia dose:
(PEDI) Bcardia/Cardiac Arrest dose:
(PEDI) Hypoperfusion & Severe anaphylaxis dose:
= Palpitations, Anxiety, Jitters, H/A, Dizziness, HyperBP, Tcardia, Can worsen cardiac ischemia
= IV infusion drip
= 1mg IVP/IOP every 3-5 mins
= 2-10 mcg/min IV/IO infusion
= 0.01 mg/kg or 0.1 mL/kg
= 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag
27
Epinephrine 1:10) Indications:
Contraindications:
= Cardiac arrest, Bcardia, Normovolemic hypoBP, Anaphylaxis, Asthma
= rewards over risks so really none
28
EPI 1:1) Pedi Broncho constriction Dose:
=0.01mg/kg IM w/ max dose 0.3mgIM
29
Epinephrine 1:10) Class:
Dynamics:
= SNS agonist, Sympathomimetic
= Powerful Alpha and Beta agonist
30
Epinephrine 1:10) Admin via:
Infusion
MM trick
= IV
= 0.1-1 mcg/kg/min infusion by Mixing 1mg of Epi 1:10 into 1L IV bag
= 0.1mL
31
Epinephrine 1:10) SVN
= 5-10mLs w/o NS dilution
32
EPI 1:1) Syringe to drawl:
Concentration:
= 1mL syringe
= ALWAYS 1mg/ml
33
EPI 1:1) Pedi Asthma Dose:
=0.01mg/kg IM w/ max dose 0.3mgIM
34
Epi 1:10) Bradycardia dose:
Hypoperfusion & Severe anaphylaxis:
= 2-10 mcg/min IV/IO infusion
= 0.1-0.5 mcg/kg/min. Mix 1mg of Epi 1:10,000 into 1L bag of fluid.
35
Epi 1:1) Pedi SVN
= 1mL w/ 4mL NS
36
EPI 1:1) Adult Bronchoconstriction Dose:
=0.3mg up to 0.5mg IM
37
Epi 1:1) Concentration & Syringe
for MM instead of 0.01mg 0.1mL/Kg to save time
= 1mg/mL so usee 1mL syringe
=0.1mL/Kg to save time
38
Epinephrine 1:1) Dynamics:
Indications:
Contra:
Dose:
= Potent α and ß agonist
=Severe bronchospasm, Allergies/anaphylaxis
=Few, Benefits vs. risk
= 0.01 mg/kg IM (max 0.3 mg)
39
Epinephrine 1:10) Pedi BradyC/Arrest:
Hypoperfusion & Severe anaphylaxis:
= 0.01 mg/kg or 0.1 mL/kg (bc 1mg in 10mL)
= 0.1-1 mcg/kg/min infusion (Mix 1mg of Epi 1:10 into 1L bag)
40
Epi 1:10 Pediatric Dosing:
Epi 1:1 Pediatric Dosing:
- Cardiac Arrest: 0.01 mg/kg IV/O every 3-5 min
- Anaphylaxis: 0.01 mg/kg IM (Max 0.3 mg)
41
Etomidate / Amidate) Classification:
Pharmacodynamics:
= Nonbarbiturate non-benzodiazepine sedative
= sedative
42
Etomidate / Amidate) Indications:
Contraindications:
Adverse Effects:
= RSI induction agent
= Suppresses cortisol, not good for head-injured PTs long term
= Decreases ICP, Ca-Channel Blockers can prolong resp/ depress/, Myoclonic jerks, Laryngospasm
43
Etomidate / Amidate) Adult) RSI Induction:
Onset:
Duration:
= 0.2-0.4 mg/kg IV/IO
= 30secs
= 5-10mins
44
Etomidate / Amidate) Pedis dose:
Dose Limit & Max
= 0.2 - 0.4 mg / kg
= 1 dose max 20mg
45
Fentanyl) class:
pharmacodynamics:
Potency:
= synthetic narcotic (schedule 2 opioid)
= opioid Analgesia & sedation through binding to opiate receptor
= Fentanyl > morphine (100mcg fentanyl = 10mg of Morphine) 1F = 10M
46
Fentanyl) indications:
Contraindications:
= Moderate to severe pain
=Hypersensitivity to med, Uncorrected SBP<90
47
Fentanyl) effects:
Admin notes:
= Resp/ arrest/depres/, AMS, Bcardia & Prolong of QT interval, +vagal tone b/c suppress/ sympathetic path/s, HypoBP, N/V
= Chest wall rigidity so admin slowly, Depresses every- thing/where
48
Fentanyl) Syringe Drawl size:
= 1/3mL syringe
49
Fentanyl) pharmacodynamics:
= opioid Analgesia & sedation through binding to opiate receptor
50
Fentanyl) indications:
Contraindications:
= Moderate to severe pain
=Hypersensitivity to med, Uncorrected SBP<90
51
Fentanyl) Dose:
=1mcg/kg to a max dose 100 mcg (IV/IO/IM/) may repeat PRN in 5-10
= 1mcg/kg IN may repeat PRN 5-10mins (Max 1mL PRN if admin/ed IN)
52
Fluids) Parkland Burn Form for:
form:
= (BSA >20% only 2 & 3 degree burns)
= 4 mL x BSA x Weight (kg) = ½ 1st 8 Hrs & ½ next 16Hrs
53
Fluids)(Parkland Burn Form) EX: 32yo male found with 10% BSA 1st degree burns, 10% BSA 2nd degree burns, and 10% BSA 3rd degree burns. The patient is 110 pounds.
A) 4 mL x BSA x Weight (kg)
B) Total mL / 2 = (Amount to give for:
C) How many mL’s per hr?
D) How many gtts/min using a 10 gtt/mL IV drip set?
E) Know w/ formula:
A) 4mL X 20 (2nd + 3rd degree burns) X 50 (kg) = 4000 mL
B) 4000 mL / 2 = 2000 mL (Amount to give 1st 8 hours then next 16Hrs)
C) 2000 mL / 8 = 250 mL per/hour for 1st 8 hrs
D) 42 gtts/min
E) Pick closest option choice for gtts & Vol calculated. Use biggest bores& macro drips
54
Flumazenil / Romazicon) Dynamics:
Indications:
Contra:
Dose:
= Benzodiazepine Antagonist. Competitively blocks benzos @ GABA/benzo receptor complex
= Benzodiazepines OD
= Hypersensitivity
= 0.2 mg IV/IO every30 seconds max 3 mg
55
Flumazenil / Romazicon) Dose:
Drawl & Push notes:
Concentrations:
= 0.2 mg IV/IO q30 seconds max 3 mg
= 5/3mL syringe for full vial so 2mLs= .2mg dose
0.1mg/mL for vials .5mg/5mL,
56
Hydroxocobalamin/ Cyanokit) Dynamics:
Indications:
Contra:
= Binds w/ cyanide to form nontoxic cyanacobalamin (Vitamin B12), preventing its
toxic effects.
= Suspected cyanide poisoning
= Hypersensitivity
57
Hydroxocobalamin/ Cyanokit) Adult Dose:
2nd Dose:
= 5Gs IV/ 15 mins.
= May repeat 5Gs for (max 10Gs)
58
Hydroxocobalamin/ Cyanokit) Kit has:
250mL bag w/ 10gtts:
= 2 vial (5Gs), 10gtts
=167 gtts/min
59
Hydroxocobalamin/ Cyanokit) pedi) dose
70mg/kg /15Mins (max 5Gs)
60
Ipratropium/ Atrovent) Pharmacodynamics:
Indications:
= Anticholinergic; Selectively blocks muscarinic receptors
= Bronchospasm associated w/ obstructive lung diseases (asthma, COPD)
61
Ipratropium/ Atrovent) Contraindications:
Adverse Effects:
= Known hypersensitivity
= Blurred vision, Dry mouth, Dilated pupils, Cough, Confusion
62
Ipratropium/ Atrovent) route
Adult Dose:
Pediatric Dose:
= w/ SVN albuterol
= 500 mcg/2.5 mL
=250-500mcg/1.25-2.5 m
63
Ipratropium Bromide/ Atrovent admin note
= Anticholinergic, drys mucus for albuterol (500mcg)
64
Ipratropium (Atrovent) pedi dose:
asthma: 250-500 mcg/1.25-2.5 mL via SV
65
Ketamine / Ketalar) dynamics:
Adverse Effects:
= Sedative-hypnotic & analgesic med
= Decreases bronchospasm, hypoBP, amnesia, Increases ICP, Tcardia, Laryngospasm, hallucinations, +Sympathetic response
66
Ketamine / Ketalar) Indications:
Contraindications:
= Moderate-Severe Pain, SFI/RSI, Anxious sedation
= Hx of hypersensitivity, HyperBP, +ICP
67
Ketamine / Ketalar) Adult & Pedi Pain Doses:
Dissociation/Induction:
= 0.2 mg/kg IV /1-2 mins w/ max single dose 20mg or 0.5 mg/kg IN/IM
= 1-2 mg/kg IV, Onset: 30-60secs, Duration: 10-20 min
68
Ketamine) Dynamics:
= Dissociative anesthetic. NMDA Receptor Antagonist Anesthetic
69
Ketamine) syringe:
= 1,3,5mL depends on concentration & weight
70
Ketamine) pedis) dosing:
= Same as adults RSI(1-2mg/kg) & Pain (0.2mg/kg)
71
Levalbuterol / Xopenex) Pharmacodynamics:
Indications:
Contraindications:
Adverse Effects:
Dose:
= β agonist w/ preference for β2 receptors & has less effects on the heart vs. Albuterol
=Bronchospasm, Allergies/anaphylaxis, Hyperkalemia
= Known hypersensitivity
= Palpitations, Anxiety, Tremulousness, H/A, Dizziness, Tachycardia
= 0.63 mg/3 mL SVN (same size a albuterol bullet)
72
Lorazepam / Ativan) Dynamics:
Adverse Effects:
= Benzo: Binds w/ GABA receptors causing Cl influx
= Resp/ depress/, HypoBP N/V, amnesia
73
Lorazepam / Ativan) Indications:
Contraindications:
= SFR/RSI, Anxiety, Seizures,
= Hypertension, Hypersensitivity
74
Lorazepam / Ativan) Antidote:
Adult Doses) Anxiety / Seizures:
RSI Sedation:
= Flumazenil 0.2mg IV
= 1-4mg IV, IM, PR, IN
= 0.05 mg/kg IV/IO
75
Lorazepam/ Ativan) Dose:
= 2-4 mg (may repeat to a max dose of 8 mg)
76
Mag-Sulfate) Class:
Dynamics:
= Misc. Airway med, Mineral, powerful noradrenergic bronchodilator
= Organic Salt act as a physiologic Ca-channel blocker Bronchodilator
77
Mag-Sulfate) Indi:
Contra:
Effects:
= cardiac arrest only if Torsades de Pointes (Tdp) suspected, Tdp w/ pulse
= AMI not recommended, High degree AV block, HypoBP, VFib/Tach
= Bcardia, HypoBP, Diaphoresis, Resp/ depres/, Hypothermia
78
Mag-Sulfate) Effects:
Cardiac Arrest from hypomagnesemia or TdP:
TdP w/ pulse:
= Flushing, Sweating, B-cardia, Resp/ depres/, Hypothermia
= 1-2Gs diluted in 10 mL
= 1-2Gs mixed in 50-100 mL admin/ed over 5-60mins
79
Magnesium Sulfate) Contraindications
before drawing
syringe
= Organic Salt act as physiologic Ca channel blocker thus Bronchodilator
= Bronchial asthma, Torsades des pointes, Eclampsia
= High-degree HB, Shock, Dialysis, Hypocalcemia, V-Fib/pulseless VTach
80
Magnesium Sulfate) Adult Bronchodilation dose:
Pediatric Bronchodilation dose:
= 1-2 grams IV / 10-20 minutes (Infusion)
= 25-50 mg/kg IV (max 2Gs) /15-30 mins (Infusion)
81
Magnesium Sulfate) Vials:
Infusions:
= 50%, 25G/50mL vial is 0.5G/mL
= Draw max range of doses to save time
82
Mag-Sulfate Pedi dose
Resp: 25-50 mg/kg IV/O (max 2Gs)/ 15-30 mins (infusion)
83
Midazolam/ Versed) class:
pharmacodynamics:
= benzodiazepine
= Binds w/ GABA receptors causing an influx of chloride
84
Midazolam/ Versed) indications:
Contraindications:
= Active seizures, RSI induction, Chemical restraint, Anxiety, Sedation
= History of hypersensitivity to drug
85
Midazolam/ Versed) effects
= Hypotension, Respiratory depression/apnea, N/V Amnesia
86
Midazolam) Adult dose (active seizures):
Pediatric dose (active seizures) IV/O:
Pediatric dose (active seizures) IM/IN:
Adult & Pedi dose for induction agent (RSI):
ET Tube bucking:
= 0.1mg/kg in 2mg increments IV/IO (max 5mg) → 5mg IM/IO
= 0.1mg/kg in 2mg increments IV/IO (max 5mg)
= 0.2mg/kg (max 5mg)
= 0.1-0.3mg/kg (max 10mg), Onset=2-5mins, Duration= 15-30mins
= 0.05mg/kg IV/IO 1-2mins (maintain SBP) stop when bucking stopped
87
Midazolam / Versed) Dynamics:
Antidote:
Adverse Effects:
= Binds w/ GABA receptors causing influx of Cl
= Flumazenil 0.2mg IV
= Hypotension, Respiratory depression/apnea, N/V, Amnesia
88
Midazolam / Versed) Adult Active Seizures:
Pedi Active seizures:
= 0.1mg/kg 2mg increments IV(Max 5mg)
5mg IM/IN
= 0.1mg/kg 2 mg increments IV (Max 5 mg) 0.2mg/kg IN/IM
89
Morphine) class
pharmacodynamics
= narcotic (schedule II Opioid)
= Analgesia & sedation through binding to opiate receptor
90
Morphine) indications:
Contraindications:
= Ischemic chest pain not relieved by Nitro
= Known hypersensitivity to drug Uncorrected hypoBP (SBP<90)
91
Morphine) effects
STEMI dose:
NSTEMI-ACS dose:
= Resp/ depres/arrest, HypoBP, N/V/D
= 2-4mg IV/O (slow) may admin/ addition/ 2-8mg IV 5-15min intervals
= 0.1mg/kg IV/IO (slow) or IM up to 10mg
92
Ondansetron/ Zofran) class:
pharmacodynamics:
= selective Seratonin 5-HT3 receptor blocker/antagonist
= Serotonin 5-HT3 receptors @the vagal-N. Can initiate the gag reflex when stim/ed; Zofran is antiemetic/antag/ of 5-HT3 receptors inhibiting serotonin release on central/peripheral vagal nerve
93
Ondansetron/ Zofran) indi/s:
Contra:
= Prevent/control N/B
= Known hypersensitivity to med
94
Ondansetron/ Zofran) effect:
dose:
= HypoBP, Tcardia, Extrapyramidal reaction (=impaired motor control), Prolong QT
= 4-8mg IV (slow), IM, PO
95
Ondansetron/ Zofran) Syringe:
= 3mL syringe for ~concentration 2mg/mL
96
Ondansetron (Zofran) Dynamics:
Indications:
Contra:
Dose:
= Selective serotonin 5-HT3 receptor blocker
= Prevention & control of Nausea and/or vomiting
= Hypersensitivity
= 4-8 mg IV slow push, IM, PO.
97
Promethazine/Phenergan) Dynamics:
Indications:
Contra:
Dose:
=Antiemetic. H1-receptor blocker
=Nausea & Vomitinf, Peroperative sediation, motion sickness.
= Hypersensitivity, Respiratory diseases(Asthma), Pedi <2 y/o
= IV/IM: 12.5-25 mg, May cause tissue injury if IV extravasation.
98
Promethazine /Phenergan) Notes
= May cause tissue injury if IV extravasation. (syringe)
99
Rocuronium) Class:
Dynamics:
= Nondepolarizing Paralytic
= Nondepolarizing Neuromuscular Blocker: binds to ACh receptors @ neuromuscular junction
100
Rocuronium) Adult Dose:
TTP:
DOP:
= 0.6-1.2 mg/kg
= 60-90 seconds
= 45-120 minutes
101
Rocuronium) Pediatric Dose:
TTP:
DOP:
= 0.6-1.2 mg/kg
= 30-60 seconds
= 30-60 minutes
102
Sodium Bicarbonate)class:
Dynamics:
= Alkalinizing agent
= raises plasma bicarbonates, buffers excess hydrogen concentration, raises blood pH & reverses clinical manifestations of acidosis
103
Sodium Bicarbonate) indications:
Contraindications:
= Suspected hyperkalemia & bicarbonate-responsive acidosis (DKA, OD w/: TCA, Aspirin, Cocaine)
= PTs in cardiac arrest, precipitates with med admin/ed
104
Sodium Bicarbonate) effects:
Suspected acidosis dose:
Hyperkalemia:
= May precipitate when admin/ w/ other meds, May cause alkalosis, Hyperirritability, Tetany
= 1mEq/kg IV Bolus
= 50mEq IV Bolus
105
Solu-Medrol) Indications:
Contraindications :
= (same as Dexy) Bronchial asthma, COPD, Anaphylaxis
= Known hypersensitivity to medication
106
Solu-Medrol) Adult Dose:
Pediatric Dose:
Adverse Effects:
= 125-250 mg IV/IO
= 2 mg/kg IV/IO to a max of 60 mg
= Increases BGL , Effects delayed & usually not seen prehospital care
107
Succinylcholine / Anectine) Class:
Dynamics:
= Depolarizing Paralytic
= Depolarizing Neuromuscular Blocker, Binds to ACh receptors @ neuromuscular junction causing it to depolarize
108
Succinylcholine / Anectine) Indications:
Contraindications:
Adverse Effects:
= RSI
= HyperK, Burns, Crush Injury, Increased ICP, Severe trauma, Neuromuscular disease
= HyperK, B/cardia, Prolonged paralysis, Increased ICP, Muscle fasciculations, Malignant hyperthermia
109
Succinylcholine / Anectine) Adult Dose:
TTP:
DOP:
= 1-1.5 mg/kg IV/IO
= 45-60 secs
= 5-10 mins
110
Succinylcholine / Anectine) Pediatric Dose:
TTP:
DOP:
= 1-1.5 mg/kg
= 45-60 secs
= 4-6mins
111
Terbutaline/ Brethine) Class:
Indi:
Contra:
=B selective agonist relaxer w/ high affinity & give asthma, & CHF/heart prob PT
=asthma, emphysema, preterm labor, reversible airway
= hypersensitive, anxiety, dizzy/HA, NO PEDIS
112
Terbutaline/ Brethine) Dose:
0.25mg IM (only in adults
113
Terbutaline/ Brethine) Syringe:
Concentration:
= 1mL syringe
= 1mg/1mL
114
Tranexamic Acid (TXA) Class:
Dynamics:
Adverse Effects:
= Antifibrinolytic
= Binds to plasminogen, blocking plasminogen fibrin interactions (fibrinolysis)
= Thromboembolism, Musculoskeletal pain
115
Tranexamic Acid (TXA) Indications:
Contra:
Dose:
= Sig/ hemorrhage, either in/external (after external hemorrhage is controlled)
= SP 3 hrs past injury, allergy/Sensitivity, Suspected thromboembolism
= 1G/10mins (mix in 50 mL bag of NS), Followed by 1G / 8Hrs (500 mL bag NS)
116
Tranexamic Acid (TXA) Dynamics:
Indications:
Contra:
Dose:
= Binds to plasminogen, blocking plasminogen fibrin interactions (fibrinolysis)
= Sig/ hemorrhage, either in/external (after external hemorrhage is controlled)
= SP 3 hrs past injury, allergy/Sensitivity, Suspected thromboembolism
1 gram over 10 minutes (mix in 50 mL bag of
NS), Followed by 1 gram over 8 hours (500 mL
bag NS).
117
Tranexamic Acid (TXA) Dose:
1G/10mins (mix in 50 mL bag of NS)
Followed by 1G/8Hrs (500 mL bag NS).
118
Vecuronium) Class:
Dynamics:
= Nondepolarizing Paralytic
= Nondepolarizing Neuromuscular Blocker: Binds to ACh receptors @ neuromuscular junction
119
Vecuronium) Indications:
Contraindications:
Adverse Effects:
= RSI
= Hypersensitivity
= Malignant hyperthermia, Skeletal muscle weakness, Apnea
120
Vecuronium) Adult Dose:
TTP:
DOP:
= 0.1-0.2 mg/kg IV/IO
= 1-3 minutes
= 45-90 minutes
121
Vecuronium) Pediatric Dose:
TTP:
DOP: 30-60 minutes
= 0.1-0.3 mg/kg IV/IO
= 1-3 minutes
= 30-60 minutes
122
Atropine) Classification:
Pharmacodynamics:
Adverse Effects:
= Parasympatholytic
= Selectively blocks muscarinic receptors inhibiting PSNS letting sympathetic take over
= Blurred vision, Dry mouth, Dilated pupils, Confusion
123
Atropine) Indications:
May not be effective/work for:
= 1st line med/ for symptomatic sinus B/cardia
Maybe beneficial w/ AVB, Organophosphate OD
= AVBs & non-innervated hearts ( Be TCP ready)
124
Atropine) Contraindications:
Precautionary notes:
= Allergic, Hypothermia
= Doses <0.5mg Cause paradoxical HR swing, might not effect AVBs, Heart transplant pts have no effect
125
Atropine) Adult Bradycardia Dose:
Organophosphate OD:
= 1mg every 3-5mins (3mg max)
= 2-4 mg (def higher) IVP
126
Atropine) Pedi Indications:
Pedi increased PSNS dose:
Pedi Organophosphate OD dose:
= Bcardia w/ parasympathetic increase
= 0.02 mg/kg IVP every 3-5mins PRN
= 0.02-0.05 mg/kg (or higher) IVP/IO
127
Atropine) pedi Minimum dose:
Max single dose:
Max total doses:
= 0.1 mg
= 0.5mg
= Child 1mg & Adolescent 3mg
