Drug Cards

Question 1

Atropine

Answer 1

Type: Parasympatholytic Indications: Symptomatic Bradycardia, Organophosphate Poisoning, Premedication for RSIContraindications: Tachycardia, No S/S, Heart TransplantMech. of Action: Prevents parasympathetic stimulationDose: 0.5 mg - 1.0 mg, Max Dose 3.0 mg, Repeat every 3 - 5 minRoute: IV or IO

Question 2

Dopamine

Answer 2

Type: Sympathetic Agonist, VasopressorIndications: Symptomatic bradycardia after 1st line drugs, Hypotensive with tachycardiaContraindications: Do not use in hypovolemia until volume replacement has begun, Regular resting blood pressure and heart rateMech. of Action: Vasopressor, Increases cardiac output by increasing squeezing pressure and heart rateDose: 2-20 mcg/kg/min, 5-15 mcg/kg/min = +inotropic effect, 15-20 mcg/kg/min = +chronotropic effectRoute: IV

Question 3

Epinephrine

Answer 3

Type: Sympathetic Agonist, AdrenogericIndications: Cardiac Arrest, Symptomatic Bradycardia, Normovolemic Hypotension, Allergies/Anaphylaxis, Severe Bronchospasm Contraindications: Tachycardia,Mech. of Action: Acts on alpha and beta receptorsDose: 0.3mg-1.0mg, 1mg IV, IO for pulseless repeat 3-5 min, 1mg infused into 500 ml at 2 - 10 mcg/min (titrated for effect) for bradycardiaRoute: IV, IO, IM, SQ, ET, Inhaled

Question 4

Dextrose 50%

Answer 4

Type: Carbohydrate SugarIndications: Hypoglycemia with S/S, Contraindications: Patient normal blood sugarMech. of Action: Substrate for carbohydrate metabolismDose: 12.5g - 25gRoute: IV, Infusion