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1
Q

Acetaminophen) Dynamics:
Indications:
Contra:
Dose:

A

= Nonopioid Analgesic/Antipyretic Fever,
= pain management
= AMS
= IV/IO: 1 gram over 10 - 15 minutes, PO: 15 mg/kg

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2
Q

Activated Charcoal) Dynamics:
Indications:
Contra:
Dose:

A

= Binds & adsorbs toxic substances in digestive tract
= Most oral poisonings/overdoses
= ↓ LOC, OD of corrosives, caustics, petroleum substances.
= PO: 1-2 g/kg

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3
Q

Aspirin) Dynamics:

Indications:
Contra:
Dose:

A

= Blocks Cyclooxygenase (enzyme body alarm). COX acts upon Arachidonic Acid which inturn gen/s Thromboxane A2, a compound that reg/s activation of platelets to form a clot.
= Cardiac signs/symptoms with ischemic etiology /suspected MI
= Allergy to medication. Bronchospasm, Angioedema.
=160-325 mg PO of nonenteric coated ASA.

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4
Q

Diazepam) Dynamics:
Indications:
Contra:
Dose:

A

= Benzodiazepine. Binds w/ GABA receptors causing an influx of Cl
= Tcardia due to stimulant OD, Substained seizures. Anxiety. Sedation.
= Hypersensitivity
= 2.5-10 mg in 2.5 mg increments slow IV/IO/IM

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5
Q

Droperidol) Dynamics:
Indications:
Contra:
Dose:

A

= Antipsychotic
= Severe agitation
= suspected QT prolongation
= 5-10 mg

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6
Q

Etomidate) Dynamics:

Indications:
Contra:
Dose:

A

= Nonbarbiturate, nonbenzodiazepine sedative Interacts w/ GABA receptors. Anesthetic w/o analgesic.
= Sedation / SFI/RSI
= Hypersensitivity
= 0.2-0.4 mg/kg (limit to 1 dose). Onset 30 secs Duration: 5-10 mins

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7
Q

Flumazenil) Dynamics:

Indications:
Contra:
Dose:

A

= Benzodiazepine Antagonist. Competitively blocks benzos @ GABA/benzo receptor complex
= Benzodiazepines OD
= Hypersensitivity
= 0.2 mg IV/IO q30 seconds max 3 mg

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8
Q

Haloperidol) Dynamics:

Indications:
Contra:
<69 y/o dose:
>69 y/o dose:

A

= Effective anxiolytic agent: blocks dopamine
receptors associated with mood & behavior
= Psychosis, chemical restraint
= Parkinson’s disease, Acute CNS injury, Hypersensitivity, <6 y/o
= <69 y/o: 5 mg IM (max 20 mg per day)
= >69 y/o: 2.5 mg IM (max 10 mg per day)

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9
Q

(Haloperidol/ Haldol) Indications:
Contraindications:
Others:

A

= Psychosis
= Known Hypersensitivity, Hypotension
= Hypotension w/ PTs taking Anti-hypertensives

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10
Q

Hydroxocobalamin) Dynamics:

Indications:
Contra:
Dose:

A

= Binds w/ cyanide to form nontoxic cyanacobalamin (Vitamin B12), preventing its toxic effects.
= Suspected cyanide poisoning
= Hypersensitivity
= 5Gs IV/O over 15 mins. May repeat 2nd 5G dose (max 10G)

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11
Q

Ibuprofen) Dynamics:
Indications:
Contra:
Dose:

A

= Anti-inflammatory & antipyretic via inhibition of prostaglandins.
= Mild - moderate pain, Fever, Inflammation.
= Hypersensitivity, Bronchospasm, Angioedema.
= 200-800 mg PO q6-8 hours, Max daily dose: 3200 mg

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12
Q

Ketamine) Dynamics:
Indications:
Contra:
Sedation Dose:
Pain dose:

A

= Dissociative anesthetic. NMDA Receptor Antagonist Anesthetic
= Sedation, SFI/RSI, Analgesic
= Hypersensitivity
= Sedation: 1-2 mg/kg Onset: 30-60 secs, Duration: 10-20 mins
= Pain: 0.2 mg/kg IV/IO (max single dose 20 mg), 0.5 mg/kg IM/IN (if no IV/IO)

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13
Q

Ketorolac (Toradol) Dynamics:
Indications:
Contra:
Dose:

A

= Anti-inflammatory & antipyretic through inhibition of prostaglandins
= Mild-moderate pain, Fever, Inflammation, Renal calculi
= Hypersensitivity, Bronchospasm, Angioedema
= 15mg IV, 30mgIM

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14
Q

Levalbuterol (Xopenex) Dynamics:

Indications:
Contra:
Dose:

A

= ß Agonist w/ preference for ß2 receptors. <effects on heart vs Albuterol.
= Bronchospasm, Allergies/anaphylaxis, Hyperkalemia
= Hypersensitivity
= 0.63 mg/3 mL via SVN

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15
Q

Lorazepam) Dynamics:
Indications:
Contra:
Dose:

A

= Benzodiazepines, Binds w/ GABA receptors causing an influx of Cl
= Sustained seizures, anxiety, sedation, chemical restraint
= Hypersensitivity
= 2-4 mg (may repeat to a max dose of 8 mg)

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16
Q

Methylene Blue) Dynamics:
Indications:
Contra:
Dose:

A

= Water soluable thiazine dye helps metHb to hemoglobin conversion
= Methemoglobinemia (metHb), Nitrate OD/poisoning
= Hypersensitivity
= 1 mg/kg IV/IO over 5-30 minutes.

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17
Q

Midazolam (Versed) Dynamics:
Indications:
Contra:
Seizures Dose:
RSI Dose:

A

= Benzodiazepine, binds w/ GABA receptors causing an influx of Cl
= Active seizures, Chemical restraint, Anxiety, RSI/SFI, Sedation
= Hypersensitivity
= 0.2 mg/kg in 2 mg increments IV/IO (max 10 mg). 5 mg IM/IN
= 0.1-0.3 mg/kg slow IV/IO (max 10 mg) Onset: 2-5 mins. Duration: 15-30 mins.

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18
Q

Morphine) Dynamics:

indications:
Contra:
Analgesia:
STEMI:
NSTEMI-ACS:

A

= Narcotic (Schedule II Opioid) Analgesia & sedation via binding to opiate receptor
= Ischemic chest pain not relieved by Nitroglycerin
= Hypersensitivity. Uncorrected hypotension (<90 SBP)
= 2-10 mg up to max 20 mg.
= 2-4mg slow IV/O, may admin 2nd dose 2-8mg IV/IO q5-15 mins
= 0.1 mg/kg slow IV/IO or IM up to 10 mg

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19
Q

(Propofol/ Diprivan) Class:
Dose:

A

= Sedative
= 1-2 mg//kg IV/IO Onset: <1min, Lasts: 5-10mins

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20
Q

Sodium Bicarbonate 8.4%) Dynamics:

Indications:

Contra:
Suspected acidosis Dose:
Hyperkalemia Dose:

A

= Alkalinizing Agent. Increases plasma bicarbonate, buffers excess hydrogen ion concertration, raises blood pH & reverses clinical manifestations of acidosis.
= Suspected hyperkalemia, suspected bicarbonateresponsive acidosis (DKA, OD on TCA’s, Aspirin or Cocaine)
= Patients in cardiac arrest
= 1 mEq/kg, Hyperkalemia:
= 50 mEq IV bolus.

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21
Q

Succinylcholine) Dynamics
Indications:
Contra:
Dose:

A

= Depolarizing neuromuscular blocker. Binds to Ach recptors
= DSI/RSI
= Hyperkalemia(burns, crush injury), Increased ICP, Severe trauma
= 1-1.5 mg/kg IV/IO. TTP: 45-60 seconds. DOP: 5-10 mins.

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22
Q

Tranexamic Acid (TXA) Dynamics:
Indications:
Contra:
Dose:

A

= 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).

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23
Q

Epinephrine 1:10) Dynamics:
Indications:
Contra:
Dose:

A

=SNS agonist. Powerful αß agonist
=Cardiac arrest, S/S bradyC.Normovolemic hypoBP, anaphylaxis
= Few in the emergency setting Benefits outweigh risks
= Cardiac arrest: 1 mg IVP/IOP q3-5
= Bradycardia: 2-10 mcg/min IV/IO infusion
= Normovolemic hypoBP & anaphylaxis: 0.1-0.5 mcg/kg/min. Mix 1mg of Epi 1:10,000 into 1L bag of fluid.

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24
Q

Vecuronium) Dynamics:
Indications:
Contra:
Dose:

A

= Nondepolarizing neuromuscular blocker Binds to ACh receptors
= DSI/RSI
= Hypersensitivity
= 0.1-0.2 mg/kg IV/IO. TTP: 1-3 mins DOP: 45-90mins

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25
Q

Verapamil) Dynamics:
Indications:
Contra:
Dose:

A

Class IV Antiarrhythmic. Slows AP of cardiac autorhythmic cells by blocking Ca channels
= 2nd line med for A-Fib & A-Flutter w/ RVR. May use as alterative med (after adenosine) narrow QRS complex tachycardia w/ preserved LV Fn
= HypoBP, CHF/Cardio shock, WPW, Wide-complex TachyC, sensitivity
=1st dose: 2.5-5 mg IV/Io bolus over 2-3 mins.
=2nd dose: 5-10 mg over 2-3 mins. Max total dose: 20 mg

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26
Q

Hypotensive therapy) Dynamics:
Indications:
Dose:

A

= giving enough fluids to get a radial pulse to perfuse
= incontrollable hemorrhage
= 20mL/Kg till radial pulse

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27
Q

Labetalol) Dynamics:
Indications:
Contra:
Dose:

A

ß Blocker thus slowing of HR
= 2nd line med for SVT after Adenosine, A-fib& flutter w/RVR, Reduce MC ischemia in AMI PT’s w/elevated HR, Antihypertensive
= Don’t administer to PT’s w/STEMI if any of the following are present: Signs of heart failure, Low cardiac output, Increased risk of cardiogenic shock. Hypotension. Bradycardia.
= 10mg IV/O push/1-2 mins. May repeat q10 mins to max of 150mg

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28
Q

Levalbuterol (Xopenex) Dynamics:
Indications:
Contra:
Dose:

A

= ß Agonist w/ preference for ß2 receptors. Has <effects on heart vs. Albuterol
=Bronchospasm, Allergies/anaphylaxis, Hyperkalemia
=Hypersensitivity
= 0.63 mg/3 mL via SVN

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29
Q

Etomidate) Dynamics:
Indications:
Contra:
Dose:

A

= Nonbarbiturate, nonbenzodiazepine sedative Interacts w/ GABA receptors
=Anesthetic w/o analgesic & Sedation / SFI/RSI
=Hypersensitivity
= 0.2-0.4 mg/kg (limit to 1 dose). Onset w/in 30 secs, Lasts: 5-10 mins

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30
Q

Fentanyl) Dynamics:
Indications:
Contra:
Dose:

A

=Synthetic Narcotic (Schedule II Opioid)
= Analgesia & sedation via binding to opiate receptor, sig/ more potent than morphine (100 mcg = 10 mg of Morphine)
= Moderate-Severe pain
= Hypersensitivity, SBP<90
=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)

31
Q

Flumazenil) Dynamics:
Indications:
Contra:
Dose:

A

= Benzodiazepine Antagonist
= Competitively blocks benzos @ GABA/benzo receptor complex
= Benzodiazepines overdose
= Hypersensitivity
= 0.2 mg IV/IO q30 seconds Max up to 3 mg total dose

32
Q

Furosemide) Dynamics:
Indications:
Contra:
Dose:

A

= Loop-Diuretic stops Na,Cl,&H2O from kidney tubules thus +urine
= Acute pulmonary edema in PTs w/ SBP>90-100 (w/o signs of shock), Hypertensive emergencies.
= Hypovol, HypoBP, HypoK or other pos/ electrolyte abnormalities
= 1st: 0.5-1 mg/kg/ 1-2 mins, 2nd: double 1st dose to 2 mg/kg/1-2 mins
Acute pulmonary edema w/ suspected hypovol:<0.5 mg/kg slow IV.

33
Q

Glucagon) Dynamics:
Indications:
Contra:
Dose:

A

= Hormone Binds to Glucagon receptors & stim/s adenyal clyclase, thus +cAMP which up-regulation of Ca cAMP channels in SA & AV cells
= Hypoglycemia, BradyC suspected from ßeta/Ca channel blocker OD
= Hypersensitivity, Bradycardia from other etiology
=Hypoglycemia: 1 mg IM.
=BradyC suspected from ßeta/Ca channel blocker OD: 3-10 mg IV/3-5 mins Followed by an infusion of 3-5 mg per Hr

34
Q

Haloperidol ) Dynamics:
Indications:
Contra:
Dose:

A

= Effective anxiolytic agent: blocks dopamine receptors associated w/ mood & behavior
=Psychosis, chem restraint
= Parkinson’s disease, Acute CNS injury, Hypersensitivity, <6 y/o
= <69 y/o: 5 mg IM (max 20 mg per day)
= >69 y/o: 2.5 mg IM (max 10 mg per day)

35
Q

Hydroxocobalamin) Dynamics:
Indications:
Contra:
Dose:

A

Binds with cyanide to form nontoxic
cyanacobalamin (Vitamin B12), preventing its
toxic effects.
Suspected cyanide poisoning Hypersensitivity 5 grams IV/IO over 15 minutes. May repeat a
2nd 5 gram dose for a max of 10 grams

36
Q

Ibuprofen) Dynamics:
Indications:
Contra:
Dose:

A

= Anti-inflammatory & antipyretic via inhibition of prostaglandins.
= Mild-moderate pain, Fever, Inflammation.
=Hypersensitivity, Bronchospasm, Angioedema.
= 200-800 mg PO q6-8 hours, Max daily dose:3200 mg

37
Q

Ipratropium (Atrovent) Dynamics:
Indications:
Contra:
Dose:

A

= Anticholinergic. Selectively blocks musarinic receptors.
= Bronchospasm associated w/ obstructive lung diseases
=Hypersensitivity
= 500 mcg/2.5 mL via SVN

38
Q

Ketamine) Dynamics:
Indications:
Contra:
Dose:

A

= Dissociative anesthetic. NMDA Receptor Antagonist
=Anesthetic Sedation / SFI/RSI /
= Hypersensitivity
= Sedation: 1-2 mg/kg Onset: 30-60 secs, Lasts: 10-20 mins
= Analgesia/Pain: 0.2 mg/kg IV/IO (max single dose 20 mg), 0.5 mg/kg IM/IN (if no IV/IO)

39
Q

Ketorolac (Toradol) Dynamics:
Indications:
Contra:
Dose:

A

= Anti-inflammatory & antipyretic via inhibition of prostaglandins.
= Mild-moderate pain, Fever, Inflammation, Renal calculi.
= Hypersensitivity, Bronchospasm, Angioedema
= 15 mg IV 30 mg IM

40
Q

Methylene Blue) Dynamics:
Indications:
Contra:
Dose:

A

= H20 soluable thiazine dye promotes converting metHb>hemoglobin
= Methemoglobinemia (metHb), Nitrate overdose/poisoning = Hypersensitivity
= 1 mg/kg IV/IO over 5-30 mins

41
Q

Lidocaine) Dynamics:
Indications:
Contra:
Dose:

A

= Class Ib Antiarrhythmic. Blocks Na channels in cardiac cells thus depolarization to slow and decrease in automaticity
= Alterative to Amiodarone in cardiac arrest, V-Fib/pVT Stable monomorphic Ventricular Tachycardia w/ a presserved LVF
= Should not use if PT has received IV Ca-channel blockers, Not given prophylactically in AMI setting
= VF/pVT: 1-1.5 mg/kg IV/IO, may give additional: 0.5-0.75 mg/kg IV/IO in 5-10 mins-Max 3 mg/kg
= Arrhythmia w/pulse: 1-1.5 mg/kg IV/IO, may give add: 0.5-0.75 mg/kg IV/IO in 5-10 mins-Max 3 mg/kg
= Maintenance infusion: 1-4 mg/min (30-50mcg/kg/min)

42
Q

Lorazepam) Dynamics:
Indications:
Contra:
Dose:

A

= Benzo Binds w/ GABA receptors causing an influx of Cl
= Sustained seizures, anxiety, sedation, chem restraint
= Hypersensitivity
= 2-4 mg (may repeat to a max dose of 8 mg)

43
Q

Magnesium Sulfate) Dynamics:
Indications:
Contra:
Dose:

A

= Organic Salt act as a physiologic Ca channel blocker
= Bronchial Asthma, Torsades de Pointes (TdP) w/ or w/o a pulse, Eclampsia w/ active seizures
= Routine admin in PT’s w/AMI not recommended, High-degree HB, Shock, Dialysis, Hypocalcemia, V-fib/pulseless V-Tach,
= Respriatory: 1-2 grams IV/IO over 10-20 minutes
Tdp w/pulse: 1-2 grams mixed in 50-100 mL over 5-60 minutes
Cardiac arrest due to hypomagnesemia or TdP: 1-2 grams in 10 mL
Eclampsia: 1-4 grams

44
Q

Thiamine) Dynamics:
Indications:
Contra:
Dose:

A

= Vitamin B1 Forms thiamine pyrophosphate by combining w/ ATP, an essential coenzyme for carbohydrate metabolism
= Coma of unknown orgin, Wernicke’s encephalopathy, Delirium tremens
=Hypersensitivity
= 100 mg IV/IO/IM

45
Q

Metoprolol) Dynamics:
Indications:
Contra:
Dose:

A

= ß-Blocker
= Hypertension, 2nd line med for A-Fib or A-Flutter w/ RVR, & SVT
= HR<45, 2nd or 3rd degree heart block
= 5 mg IV/IO q 5 min (up to 3 doses)

46
Q

Midazolam) Dynamics:
Indications:
Contra:
Dose:

A

= Benzo binds w/ GABA receptors causing an influx of Cl
= Active seizures, Chem restraint, Anxiety, Induct RSI/SFI), Sedation
= Hypersensitivity
= Seizures: 0.2 mg/kg in 2 mg increments IV/IO (max 10 mg)
= RSI: .1-0.3 mg/kg IV/O (max 10mg)Onset: 2-5 mins, Last: 15-30 mins.

47
Q

Morphine) Dynamics:
Indications:
Contra:
Dose:

A

Narcotic (Schedule II Opioid). Analgesia & sedation w/ binding to opiate receptor
= Ischemic chest pain not relieved by Nitro
= Hypersensitivity. Uncorrected SBP<90
= Analgesia: 2-10 mg up to max 20 mg
STEMI: 2-4 mg slow IV/IO, may admin 2nd dose of 2-8 mg IV/IO q5-15 mins intervals
NSTEMI-ACS: 0.1mg/kg slow IV/IO or IM up to 10 mg.

48
Q

Naloxone (Narcan) Dynamics:
Indications:
Contra:
Dose:

A

= Opiate Competitive Antagonist
= Suspected Opiate overdose w/ respiratory depression
= Hypersensitivity
= 0.4-2 mg IV/IO/IM/IN

49
Q

Nitroglycerin) Dynamics:
Indications:
Contra:
Dose:

A

= Nitrate. Potent vasodilator opens coronary vessels to improve blood flow to the myocardium & <overall workload of the heart & afterload.
= Symptoms suggest MI (farc/schem), CHF, SBP<90, <50 BPM
= >100 BPM, RVI, Use of phosphodiesterase inhibitors (Boner Pills) last 48hours), Increased ICP
=0.4 mg tablet or spray - repeat X 3 (q5mins) for total max dose 1.2 mg. Do not shake aerosol spray because this affects the metered dose

50
Q

Norepinephrine) Dynamics:
Indications:
Contra:
Dose:

A

= αß adrenergic agonist (α > ß effects)
= Normovolemic hypoBP, Sepsis, Cardiogenic shock
= Shouldn’t use in hypovol/ til’ vol/ replacement occurred
= 0.1-0.5 mcg/kg/min IV/IO infusion

51
Q

Ondansetron (Zofran) Dynamics:
Indications:
Contra:
Dose:

A

= Selective serotonin 5-HT3 receptor blocker
= Prevention & control of Nausea and/or vomiting
= Hypersensitivity
= 4-8 mg IV slow push, IM, PO.

52
Q

Terbutaline (Brethine) Dynamics:
Indications:
Contra:
Dose:

A

= ß2Agonist, reliefs bronchospasm, <Cardiovascular side
effect seen w/ Epi, Smooth M. relaxor
= Bronchial asthma,. Reversible airway obstruction
associated w/ brochitis or emphysema, Preterm labor,
= Hypersensitivity & PTs under 12 years old
= 0.25 mg IM

53
Q

Succinylcholine) Dynamics:
Indications:
Contra:
Dose:

A

= Depolarizing neuromuscular blocker. Binds to Ach recptors
= DSI/RSI
= Hyperkalemia(burns, crush injury), +ICP, Severe trauma, Neuromuscular disease.
= 1-1.5 mg/kg IV/IO. TTP: 45-60 seconds. DOP: 5-10 minutes.

54
Q

Solu-Medrol ) Dynamics:
Indications:
Contra:
Dose:

A

= Anti-inflammatory; suppresses immune response
= Bronchial asthma, COPD, Anaphylaxis
= Hypersensitivity
= 125-250 mg IV/IO

55
Q

Sodium Bicarbonate 8.4%) Dynamics:
Indications:
Contra:
Dose:

A

= Alkalinizing Agent +plasma bicarbonate, buffers excess hydrogen ion
concertration, raises blood pH & reverses manifestations of acidosis.
= Suspected hyperkalemia, suspected bicarbonate responsive acidosis (DKA, OD on TCA’s, Aspirin or Cocaine)
= Patients in cardiac arrest
= Suspected acidosis:1 mEq/kg
=Hyperkalemia: 50 mEq IV bolus.

56
Q

Racemic Epi ) Dynamics:
Indications:
Contra:
Dose:

A

= Nonselective ß sympathetic agonist
=Croup
=Hypersensitivity
=0.25-0.75 mL of a 2.25% solution diluted in 3mL of NS

57
Q

Nubain) Dynamics:
Indications:
Contra:
Dose:

A

Synthetic opiate agonist/antagonist
= Moderate to severe pain
= Hypersensitivity, respiratory depression
= 10-20 mg IV/IO/SQ/IM

58
Q

Procainamide) Dynamics:
Indications:
Contra:
Dose:

A

=Class Ia Antiarrhythmic Blocks Na channels in cardiac cells thus slower depolarization & <automaticity.
= V-Tach with a pulse, pre-excitation rhythms (WPW).
= Should not be given to PT’s who have received an IV calcium channel
blocker.
= Recurrent VF/VT: 20 mg/min (max total dose: 17 mg/kg), Urgent situations: up to 50 mg/min to total dose of 17 mg/kg, Maintenance infusion: 1-4 mg/min

59
Q

Promethazine (Phenergan) Dynamics:
Indications:
Contra:
Dose:

A

=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.

60
Q

Rocuronium) Dynamics:
Indications:
Contra:
Dose:

A

= Nondepolarizing neuromuscular blocker Binds to ACh receptors
= DSI/RSI
= Hypersensitivity
= 0.6-1.2 mg/kg. TTP: 60-90 seconds. DOP: 45-120 minutes

61
Q

Dexamethasone) Dynamics:
Indications:
Contra:
Dose:

A

Dexamethasone Anti-inflammatory: supresses immune
response
Anaphylaxis, Bronchial asthma, COPD Hypersensitivity, Fungal infection 10 mg IV/IO/PO

62
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)

63
Q

Diazepam) Dynamics:
Indications:
Contra:
Dose:

A

= Benzodiazepine Binds with GABA receptors causing an influx of Cl
= TachyC from stimulant OD, Sustained seizure, Anxiety, Sedation,
= Hypersensitivity
= 2.5-10 mg in 2.5 mg increments slow IV/IO/IM.

64
Q

Diltiazem) Dynamics:
Indications:
Contra:
Dose:

A

= Class IV Antiarrhythmic (Calcium Channel
Blocker). Slows action potential of autorhythmic
cells in the heart by blocking calcium channels.
= 1st line med for A-Fib & A-Flutter with RVR (>150 bpm)2nd line med for SVT that is refractory to adenosine.
= SBP<90, CHF/Cardio shock, Wide-complex TachyC, WPW, sensitivity
= 1st dose: 0.25 mg/kg (max 20mg) & 2nd: 0.35 mg/kg (max 25mg)

65
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

66
Q

Dobutamine) Dynamics:
Indications:
Contra:
Dose:

A

= αß agonist. Inotropic prop/s > prounced vs chronotropic =Cardiac pump problems (CHF) w/ hypoBP, Shouldn’t use in =hypovol/ til fluid replacemed. Never mix w/ Na-Bicarb.
= 2-20 mcg/kg/min - titrate so heart rate does not
increase by >10% of baseline.

67
Q

Dopamine) Dynamics:
Indications:
Contra:

Dose:

A

= α & ß agonist, Rate dependent, vasopressor, +Chron/In/Dromotropic
= CHF, hypoBP w/ shock S/S, 2nd med w/ S/S bradyC (after atropine)
= Shouldn’t use in hypovolemic PTs til’ appropriate vol/ replacement occurred, Known Hx Pheochromocytoma, Don’t mix w/ Sodium Bicarb.
2 - 20 mcg/kg/min, titrate to PT response (DO NOT OPEN WIDE OPEN)

68
Q

Droperidol) Dynamics:
Indications:
Contra:
Dose:

A

= Antipsychotic
= Severe agitation
= suspected QT prolongation
= 5-10 mg

69
Q

Enalapril) Dynamics:
Indications:
Contra:
Dose:

A

ACE Inhibitor Prevents making of angiotensin II by inhibiting (ACE) thus vasodilation & helps reduce amount of water held back by the kidneys
= Severe CHF (W/ HTN) in conjunction w/ Nitrates & CPAP.
= Pregnancy, Angioedema, Hypersensitivity to ACE inhibitors
= Pregnancy or Angioedema Initial dose of 2.5 mg PO
= Sensitivity to ACE inhibitors; Titrate20mg PO(1st dose 2.5mg PO)

70
Q

Epinephrine 1:1) Dynamics:
Indications:
Contra:
Dose:

A

= Potent α and ß agonist
=Severe bronchospasm, Allergies/anaphylaxis
=Few, Benefits vs. risk
= 0.01 mg/kg IM (max 0.3 mg)

71
Q

Nubain) Dynamics:
Indications:
Contra:
Dose:

A

= Synthetic opiate agonist/antagonist
= Moderate to severe pain
= Hypersensitivity, respiratory depression.
= 10-20 mg IV/IO/SQ/IM

72
Q

Rocuronium) Dynamics
Indications:
Contra:
Dose:

A

= Nondepolarizing neuromuscular blocker. Binds to ACh receptors
=DSI/RSI
= Hypersensitivity
= 0.6-1.2 mg/kg. TTP: 60-90 secs. DOP: 45-120 mins

73
Q

Thiamine) Dynamics:
Indications:
Contra:
Dose:

A

= Vitamin B1. Forms thiamine pyrophosphate by combining w/ ATP, essential coenzyme for carbohydrate metabolism
=Coma of unknown orgin, Wernicke’s encephalopathy,
Delirium tremens.
= Hypersensitivity
= 100 mg IV/IO/IM

74
Q

Vecuronium) Dynamics:
Indications:
Contra:
Dose:

A

= Nondepolarizing neuromuscular blocker. Binds to ACh receptors
= DSI/RSI
= Hypersensitivity
= 0.1-0.2 mg/kg IV/IO. TTP: 1-3 mins. DOP: 45-90 mins.

Drug Cards (13 decks)

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