Consolidated Flashcards
Etomidate
-Trade: Amidate
-Class: Sedative/Hypnotic
-Mech: Displaces GABA
-Indic: Induction for RSI-Contra: hypersensitivity
-Dosing Adult: 0.3mg/kg Max-30mg
-Dosing Peds: 0.3mg/kg Max 30mg
Atropine
-Trade: Atropen
-Class: Parasympathetic/Anticholinergic
-Mech: Inhibit M2 receptors, prevents parasympathetic actions on the heart
-Indications: Symptomatic brady, pre-med for brady RSI, organophosphate poisoning
-Contra: Tachycardia, hypothermic bradycardia.
-Dosing Adult:
—– Brady - 0.5mg every 3-5 minutes. Max-3mg
—– Organo - 2-5mg repeat as necessary
-Dosing Peds: 0.02mg/kg. may repeat once. Max-0.5mg
Ipratropium
-Trade: Atrovent
-Class: Parasympatholytic
-Mech: inhibits m3, causing bronchiole SMC dilation, dries secretions
-Indic: Asthma, COPD, RAD
-Contra: None
-Dosing Adult: 0.5mg nebulized at 6-8 lpm, every 5 minutes Max: 3 doses
-Dosing Peds: same as adult
Adenosine
-Trade: Adenocard
-Class: Class 5 Anti-Dysrhythmic.
-Mech: Binds with phosphate to prevent ATP formation
-Indic: Stable SVT, Reg or Wide Tachycardia
-Contra: unstable, WPW, irr rhythms
-Dosing Adult: 6, 12, 12. Max: None
-Dosing Peds: 0.1mg/kg Max: 12mg
Albuterol
-Trade: Proventil, Proair, Ventolin
-Class: Sympathomimmetic
-Mech: B-2 agonist. Causing SMC relax in brochioles
-Indic: Asthma, COPD, RAD
-Contra: Tachydysthymias
-Dosing Adult: 2.5mg in 3mL NS, nebulized Max: none
-Dosing Peds: 2.5mg in 3mL NS, nebulized Max: none
Amiodarone
-Trade: Pacerone, Cordarone
-Class: Potattisium channel blocker. Class 3
-Mech: Blocks potassium channel, prolonging interval.
-Indic: Cardiac arrest. (VF, PVT). Stable WCT
-Contra: Brady, Htn
-Dosing Adult:
—–CA (300mg, 150mg, 150mg) Max: 2.2g
—–WCT 150mg in 100mL over 10minutes
-Dosing Peds:
—–CA (5mg/kg, IVP every 3-5min Max: 3 doses, 450mg)
—–perfusing VT (5mg/kg over 20-60minutes)
Calcium Chloride
-Trade: N/A
-Class: Electrolyte, Calcium Salt
-Mech: Blocks calcium channels. Various effects for each indication
-Indic: Hypocalcemia, Hyperkalemia, Hypermagnesemia, BB toxicity, CCB toxicity.
-Contra: hypercalcemia, VF, digitalis toxicity
-Dosing Adult: 2g IVP over 5 min Max:2g
-Dosing Peds: 20mg/kg IVP over 5 min Max:2g
Calcium Gluconate
-Trade: N/A
-Class: Electrolyte, Calcium Salt from
-Mech: Blocks calcium channels. Various effects for each indication
-Indic: Hypocalcemia, Hyperkalemia, Hypermagnesemia, BB toxicity, CCB toxicity, HfAB
-Contra: Hypercalcemia, VF, Digitalis toxicity
-Dosing Adult: 2g IVP over 5min Max: 2g
—–HfAB - 2.5% gel over affected area
-Dosing Peds: 60mg/kg IVP over 5min Max:2g
Epinephrine
-Trade: Adrenalin
-Class: Sympathomimetic
-Mech: a1 (vasoconstriction), b1 (increased HR, contractility, output), b2 agonist (brochoial SMR)
-Indic: CA, AAC, Stridor, Brady, Hyt,
-Contra:
-Dosing Adult: CA 1mg (1:10000), Others 0.3mg IM (1:1000) Stridor 5mg nebulized Max:
-Dosing Peds: 0.01mg/kg Max:
Norepinephrine
-Trade: Levophed
-Class: Sympathomimetic
-Mech: a1 (more profound) & b1 agonist. primary action on calcium channels.
-Indic: caridogenic shock, septic shock following fluids, neurogenic shock
-Contra: hypovolemia, tachydysrhythmias
-Dosing Adult: 0.5-30 mcg/min Max:
-Dosing Peds: 0.01mcg/kg/min Max:
Lidocaine
-Trade: xylocaine
-Class: Na channel blocker, Class 1
-Mech: Sodium channel blocker. blunts phase 0 depolarization
-Indic: V-arrhythmias pVT, mVT
-Contra: AV blocks, WPW, CHF, Cardiogenic shock
-Dosing Adult:
—–CA 1.5mg/kg IV over 2-3 min followed by 0.75mg/kg every 5-10 minutes Max: 4 doses
—–mVT 1.5mg/kg IV x1 after 5 min. followed by 1-5mg/min
-Dosing Peds: CA 1mg/kg followed by 20-50mmcg/kg/min Max: 100mg
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