allergic/steroids Flashcards
name/class epinephrine
adrenaline
sympathomimetic
name/class adrenaline
epinephrine
sympathomimetic
description
epinephrine
adrenaline
epinephrine is a naturally occuring catecholamine that increases heart rate cardiac contractile force, myocardial electrical activity, systemic vascular resistance and systolic blood pressure and decreases overall airway resistance and automaticity. it also through bronchial artery constriction may reduce pulmonary conjestion and increase tidal volume and vital capacity
indications
epinephrine
adrenaline
to restore rhythm in cardiac arrest and severe allergic reactions
contraindications
epinephrine
adrenaline
narrow angle glaucoma, hemorrhagic traumatic or cardiac shock
cardiac arrest dosage/route
epinephrine
adrenaline
1mg of 1:10000 IV/3-5 min (ET 2-2.5 mg 1:1000)
pedi cardiac arrest dosage/route
epinephrine
adrenaline
0.01 mg/kg 1:10000 IV/IO (ET 0.1 mg/kg 1:1000) all subsequent doses 0.1 mg/kg IV/IO no max
bradycardia dosage/route
epinephrine
adrenaline
2-5 mcg/min IV drip mix 1mg/250cc
allergic reaction dosage/route
epinephrine
adrenaline
0.3-0.5 mg of 1:1000 IM/5-10 min as needed or 0.5 to 1 mg of 1:10000 IV if im dose ineffective or severe reaction consider IV drip 2-10 mcg/min if severe
pedi allergic reaction dosage/route
epinephrine
adrenaline
0.01 mg/kg(max0.5) of 1:1000 IM/ 10-15 min or 0.01 mg/kg of 1:10000 IV if IM dose ineffective or severe
Asthma COPD dosage/route
epinephrine
adrenaline
0.01 mg/kg to max of 0.3mg 1-1000SQ
name/class diphenhydramine
benadryl
antihistamine
name/class benydryl
diphenhydramine
antihistamine
description
dipenhydramine
benadryl
dipenhydramine blocks histamine release there by reducing bronchoconstriction, vasodilation and edema
indications
diphenhydramine
benadryl
anaphylaxis, allergic reactions and dystonic reactions
contraindictions
diphenhydramine
benadryl
asthma and lower respiratory disease
precautions
diphenhydramine
benadryl
may induce hypotension, headache, palpitations, tachycardia, edation, drowsiness, and or disturbed coordination
dosage/route
diphenhydramine
benadryl
25-50mg IV/IM
pedi dosage/route
diphenhydramine
benadryl
1-2 mg/kg
name/class dexamethasone
decadron
steroid
name/class decadron
dexamethasone
steroid
description
dexamethasone
decadron
dexamethasone is a long-acting synthetic adrenocorticoid with intense anti inflammetory activity. It prevents the accumulation of inflammation generating cells at the sites of infection or injury
indications
dexamethasone
decadron
anaphylaxis, asthma, COPD, spinial cord edema
contraindictions
dexamethasone
decadron
no absolute contraindictions in the emergency setting, Relative contraindictions: systemic fungal infections, acute infections, tuberculosis, varicella. or vaccinia or live virus vaccinations
precautions
dexamethasone
decadron
herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hypothyroidism and GI ulceration
dose/route
dexamethasone
decadron
4-24 mg IV/IM
pedi dose/route
dexamethasone
decadron
0.5-1 mg/kg
name/class methylprednisolone
solu-medrol
corticosteroid, anti inflammatory
name/class solu-medrol
methylprednisolone
corticosteroid, anti inflammatory
description
Methylprednisolone
solu-medrol
methylprednisolone is a synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. it is sometimes used in the treatment of spinial cord injury
indications
Methylprednisolone
solu-medrol
spinial cord injury, asthma, severe anaphylaxis, COPD
contraindictions
Methylprednisolone
solu-medrol
no major contraindictions in the emergency setting
precautions
Methylprednisolone
solu-medrol
only a single dose should be given pre hospital
asthma COPD Anaphylaxis dose/route
Methylprednisolone
solu-medrol
125-250 mg IV/IM
pedi dose/route
Methylprednisolone
solu-medrol
1-2 mg/kg IV over 15 min
spinial cord injury
30mg/kg IV over 15 min
