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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

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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10
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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11
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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12
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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13
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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14
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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15
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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16
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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17
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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18
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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19
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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20
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)

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21
Q

) Dynamics:
Indications:
Contra:
Dose:

A
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22
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)

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23
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

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24
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

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25
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)

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26
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.

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27
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.

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28
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

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29
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

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30
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

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31
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

32
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.

33
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

34
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.

35
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

36
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

37
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.

38
Q

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

A

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

39
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.

40
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

41
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

42
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).

43
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

44
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

45
Q

) Dynamics:
Indications:
Contra:
Dose:

A
46
Q

) Dynamics:
Indications:
Contra:
Dose:

A
47
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
MCischemia 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

48
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

49
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.

50
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

51
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)

52
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

53
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.

54
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

55
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)

56
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

57
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

58
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

59
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)

60
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

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

α and ß-adrenergic agonist. Inotropic properties
more prounced than chronotropic properties. Cardiac pump problems (CHF) with hypotension.
Should not be used in hypovolemia
until fluid replacement has been
administered. Do not mix with Sodium
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 conjuction 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.

75
Q

(Propofol/ Diprivan) Class:
Dose:

A

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

76
Q

(Haloperidol/ Haldol) Indications:
Contraindications:
Others:

A

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

Drug Cards (13 decks)

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